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HomeMy WebLinkAbout2002-P05383 - mechanical � �- PERMIT C�TY OF ORONO .� 2750 Kelley Parkway- PO Box 66 Permit Number: Pos3s3 Crystal Bay, Minnesota 55323 Permit Type: Me�h�i�al Pe�,�its (952) 249-4600 Date Issued: �is�2oo2 SITE ADDRESS: 575 Kokesh Farm Rd Maple Plain,MN 55359 PID: 31-118-23-11-0011 DESCRIPTION: Proposed Use: Residential Perxnit Class: General Permit Type: Mechanical Perxnits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 108.75 Valuation• $ 8,700.00 State Surcharge Fee: $ 435 TOTAL FEE: $ 113.10 APPLICANT: HELLAND HEATING&AIR OWNER: James Leslie 1519 PARKVIEW ROAD 575 Kokesh Farm Rd MAPLE PLAIN,MN 55359 Maple Plain,MN 55359 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF NIINNESOTA BUILDING CODE REQUIREMENTS. . �. � C���'��.�`� LI T P ITEE SIGNATURE ISS BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Acrolicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � � ♦ CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi -g�ns -Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturei•and model. Data shall be presented on form provided. Identification of and specifications for water heat:ing equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call (952)249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certificatior�. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commer��ial JOB sITE: 5�5 K oK�.SI� F�-„�v►� ►� z�p: � � 3 s<� Owner's Name: Les Cee Phone Number: Mailing Address: City: Zip• _ Contractor's Name: �� ����� N2q�'r►"�h�one Number: C1 5 Z—�72—/ �2�j Mailing Address: (S �� ,p�,2(C�}'P � ✓LO City: l�✓►�,p1��c�„�f Zip: � � � 1 r.I - . � ♦ SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: ��� � Model: � ��Z Fuel: � Flue Size: 3�' �� Input BTCIs: 0 Q�� l,/ � Output BTUs: 7 �� ��6 CFM: I � �� COOLING SYSTEMS Quantity: 2 Make: � �'Vv� Model: ��t QZ � Tons: � �{� �I.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace (� Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No.�Kitchen Exhaust�duct recalculating��O cfm No. 3 Bath Exhaust(must have duct outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal , ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 . `�, i PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requiremerits: 1) Does not require modification to electrical ar gas service. 2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. � Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) � ���� x .0125 $ (contract price) (minimum$35.00)� 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Posta�e and Handlin� (Os:ly mail-i�t applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. [f any material, equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: Date:. � �� � Approved By: Date: 3 2� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NO SCHEDULED � PERMIT N0. �� � COMPL TED ADDRESS 75 /—u/�� /�-e� OWNER CONTR. �ci. TELEPHONENO. _�Io� 3�5� �{�.3C0 � DESCRIPTION ����C�.. � 01 FOOTING 11 MECHANICAL RI 18 EXCA�!/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT `� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W a j , O � � O , ti � Q � 2 W � W � � d . W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCon Inspector opylinspector's File anary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION ,. TI�-�` Q� �j SCHEDULED � � '��O PERMIT NO. ��`� �v v COMPLETED ADDRESS .5 � �' t OWNER CONTR. � � �-- TELEPHONE NO. ��a� � 7�- ��-�� � � DESCRIPTION � 01 FOOTING 1 HANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FR,4MING 13 MECHANI AL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PFOGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBiNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a T � � O � �� �� � � � 0 � W � Q � - Z W � W � � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 2 ur i d� e. � 249-4600 OwnerlCo a or o ite: \ Inspector. W 'e Copyllnspector's File 9 ary CopylSite �J �-__ _.,.