HomeMy WebLinkAbout2005-P08528 - mechanical PERMIT
CIT`� OF ORONO Permit Number:
2?�G Kelley Parkway - PO Box 66 Pogs2s
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i16i2oos
SITE ADDRESS: 1135 Loma Linda Ave
Mound,MN 55364
PID: 08-117-23-23-0019
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 50.00 Valuation: $ 4,000.00
State Surcharge Fee: $ 2.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 53.50
APPLICANT: Team Mechanical&South Mpls Plumbing OWNER: Mr. &Mrs.Mark Thurlo
3560 Snelling Ave 1135 Loma Linda Ave
Minneapolis,MN 55406 Mound MN 55364
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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURG ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Reports, 1-Assessin�. 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
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 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation inciuding heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. When anv new construction or remodeling is involved, a separate building permit 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
JOB SITE: /` ,' � .� L�;;►� �a Li.�;�'/� ./�� zip: ��3 6 S�
Owner's Name•�,�r �"h �,r 1� _Telephone Number: ys s - �7 a- �y�3
Mailing Address: ii �� L.o.,,,� L�,,r9a City: �ro.,� o ZiP: s'.s 3�y
Contractor'sName: j�A„� /�l��ti�,ti`��, �4�c' TelephoneNumber:�_7a 9_S"��/b
MailingAddress• ���o f3 S.vz L1, '•�, City: /��/s Zip: s��o�,
SYSTEM DESCRII'TION
HEATING SYSTEMS
Quantity: �
1l�Iake: (3��.�k A�
Model: P- � o y
Fuel: I1/.G,
Flue Size: � '�
Input BTUs: 9'6,0� :�
Output BTUs: �� t�-� �
CFM: /Z�/�1
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations ��
i otai
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%of Contract Price* or Minimum Fee ($35.00)
�/{ .v o„ _' x .0125 $ 5 C�, °`
(contract price)
2. State Surcharge. ** Add the State Building Code Division o;,
Surcharge to each permit. �,�:��; x .0005 $ �• —
(contract price)
or $.50, whichever is greater
3. Posta.�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S� ,S o
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted
work including materials, labor, protit, and other fixed costs. It is tne amount io be charged to t�e
customer for the work done. If any material, equipment, labor,or installation are fumished 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 aznount 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 ade on this application are complete, true
and correct.
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Applicant's Signature: Q � ,�i�s� Date: �-- /��S�
Approved By: Date:
�C/1 D�T TIME `�
CITY OF ORONO �� CALLED IN �� �
INSPECTION TI SCHEDULED � �-��
PERMIT NO. 0�� COMPLETED
ADDRESS //3 5 ��. ��
OWNER CONTR. �^" /�eP�-�
TELEPHONEN09s� T�a ����
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING MECHANICA 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next ins tion 24 hours in advance. (g52) 249-4600
OwnerlContractor o
Inspector. --
White Copyllnspector's File Canary CopylSite Notice
� `�' DATE TIME
�� CITY OF ORONO CALLED IN
INSPECTION NO E SCHEDULED ����� �`���M
PERMIT NO. �OS S�g �' ,"
COMPLETED
ADDRESS �1�5 L-n�'YIGL L-��/lCFw
OWNER �"���K `�h vr�v CONTR. '/��-�jif���G��-
TELEPHONE NO. `� �a �702 �� �� (aw+�c,/�
� DESCRIPTION � �/CJl(1�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 CHANICA_L�L - 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD B R/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC IfdSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SEPTIC FIf�FAL 35 HARD COVER REMOVAL
MBING FINAL 36 FOUNDATION/REMOVAL
OWNERI ONTRACTOR TO MEET YOU: YES_NO
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W,� �
^�CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�j�� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContract si
Inspector.
White Copyllnspector's File Canary CopylSite Notice