HomeMy WebLinkAbout2003-P07142 - mechanical . . .;
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P07142
Crystal Ba�, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 12/31/2003
SITE ADDRESS: 500 North Arm Dr
Mound,MN 55364
PID: 06-117-23-31-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 100.00 Valuation• $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Lake Air Heating&Cooling OWNER: Mr. &Mrs Hoy
1242 Town Line Rd 500 North Arm Dr
Maple Plain,MN 55359 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required). 1-Annlicant 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHA��7ICAL PERMIT
Box 66 (2750 Ke11ey Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits b�-mail or in person at the City offices. Applications will be
reviewed and a pernrit will be issued wit�two working days.
2. Permit cards will be sent by return mail a�-.er a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. V�'ORK�fUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -Complete calcularions, details and specifications are required for each heating,
ventilation,humidification-dehumidificar.on, and air conditioning installation including heat loss/heat
gain calculation, design temperatures, eqL:pment ratings and identification as to type,manufacturer and
model. Data shall be presented on form pro�zded. Identification of and specificarions for water heating
equipment shall also be provided.
4. When any new construction or remodelinJ is in�•olved, a separate building permit must be obtained.
5. All work must be done in accardance wit.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 subr�itted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII,L`OT BE PROCESSED. If you ha�-e questions, call
(952) 249-4600.
Please check one: ❑ New �Addition � Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: J�'�%' �� �,,�� ��e Zip: SS 3��
Owner's Name: yy�/��" y�y Phone Number: 9 S�2 - L/7� - 3i6�
Mailing Address: � S�C �1,!AR/h ��R,City: m C4�'D Zip: �5�3��
Contractor's Name: ������,,� ,�]',c; Phone Number: �7�3� �/7 g- ���'l�
Mailing Address: /..�-y� TCtti%�L/i�� r'!� City: �/�Q�� ,��yjit Zip: 'S'S 3��
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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 requirements:
1) Does not require modification to electrical or gas ser�-ice.
2) Has a total cost of$500.00 or less; etcludin�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)
g�C�'C� � .0125 $
(concract price) (minimum S35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlin�(Only mail-i�: 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 pemvtted work including
materials,labor,profit,and other fixed costs.It is the amount to�charged to the customer for the work done.If any material,
equipment,labor,or installation is 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 fe:purposes.In the e�-ent that there is a dispute on the amount of
the job cost,the City may request the submission of a signed cop�of the actual contzact.
**The STATE SURCHARGE is.0005 of the contract price under 51,000,000 or 5.=0-whichever is greater.For�•aluations over
$1,000,000 call the Department of Inspectional Services for the pr.ce. -
The undersigned hereby applies to the City for issuance of a Mechanical Permit,a�re�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: o -� �
1����r Date: 3 O
Approved By: Date:
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SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity: �
Make: L�/,Y�j,(��
ModeL• ��Tl�(�
Fuel: /y/�T. �af
Flue Size: ,��' /7G�
Input BTCTs: �C��C C
Output BTUs: ���C
CFM: /�C C
COOLING SYSTEMS
Quantity: �
Make: �-(�"�j-f����
Model:
Tons: ��
H.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 cfm
No. �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
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DATE TIME
CITY OF ORONO CALLED IN � -� >
INSPECTION NOTICE SCHEDULED �J--2C� O�I �3O
PERMIT N0. �- ll �I y Z COMPLETED
ADDRESS .�C'� ,� 'c��-i"i�-/ �I,�,(.i �1� " .
OWNER CONTR. �-- r��--"� � ��� r
TELEPHONE NO. �(t�� �I 7� 2 C;�%C` �
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� DESCRIPTION _ �� - � C.� S (r '�- ���-�S�, { -�-�5�
lL 01 FOOTING 11.MECHANiCALR � 18 EXCA�//GRADING/FILLING
Q02 FR,4MING ~13 ANICAL 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAI. 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOF TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
O STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the nex 'nspection 24 hours in advance. (952) 249-46�0
OwnedC a on '
Inspector. � —
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