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HomeMy WebLinkAbout2001-P04565 - mechanical � j CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Poas6s Crystal Bay, Minnesota 55323 Permit Type: 1vlechanical Permits (952) 249-4600 Date Issued: io�3oi2ooi SITE ADDRESS: 1317 North Arm Dr MOUND,MN 55364 P I D: 07-117-23-41-0032 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Hot Water heater in garage FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 800.00 State Surcharge Fee: $ 0.50 TOTAL FEE: $ 35.50 APPLICANT: LORIN DERBY OWNER: Arrtv L ca�soN 1317 N ARM Dr 1317 NORTH ARM DR MOiJND, MN 55364 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 STATE OF SOTA BUII,DING CODE REQUIREMENTS. i a Ge"''�' ��� ���1��.-� ( ���-� APPLI N PERMITEE I TURE ISSUED BY SIGNATURE Copies: 1-File(Signitures Required), 1-Applicant, 1-MonthlyReports, 1-Assessing, 1-Finance Page 1 � - _ yz, g-� � . ,- _ � . C 4y� x .. +� � ' h � �' � _ . � _ - � _ - , -- � �ti � . . � , . � . _ .. . 1�: 3 `--. � . . . . . . � , . . - . � - - .0' . . � . . . ae�i � _ _ . , . . . . . � . � �. . ,�A �� CITY OF OFONO APPLICATION FOR MECHANICAL PERMIT �� Box 66 (2750 Kelley Parkway) �. �;a Crystal B��y, NIN 55323 ;;;� :x GENERAL 1NFORMATION "'� 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 return mail after a review is completed. PERMITS ARE I�tOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. �'� 3. Mechanical Designs - Complete calculations, details a1d specifications are required for each heating, Y'� �:: ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain ;��« calculation, design temperatures, equipment ratings and identification as to type, manufacturer and modeL ws� D��a shall be presented on form provided. Identification of and specifications for water heating equipment °�� s't�:a:l also be provided. �`�x '�:� 4. When any new construction or remodeling is involved, a separate building permit must be obtained. �; 5. Ali 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 249-4600. 24-hour notice required. � 7. House Heating Test Record must be submitted before finaL `fi'� �t �� Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. �° INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. ''� Please check one: New Addition Repair Replace � Residential Commercial ,� JOB SITE: /,1 l /�l - ��'r7 �l(/� Zip: .5.�3 6 �- `:� Owner's Name: p�z��/ �7�3- Telephone Number: 7d �3aC� ;� Mailing Acldress: �m�- City: Zip: Contractor's Name: �S�z�- Telephone Number: Mailing Address: City: Zip: SYSTEM DESCRIPTION HEATING SYSTEMS � Quantity: � ` Make: Model: r Fuel: �Ia���,-z� / Flue Size: ""�� Input BTUs: �' ,�. Output BTUs: `°'�� CFM: j v� '(,c�� �_ COOLING SYSTEMS Quantity: Make: . Model: ��� .� s Tons: �' ��x:. H. Power 7:�: �: s;� �„ - . ' ; �;�' _ � � , „ ��'3� . , . _ _ . T� �. .�,� � • ,;� , FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue g: Brand Name Model No. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm 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) �� `='`' x .0125 $ (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. ��� �=`' x .0005 $ or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in 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 permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer '��;� for the work done. If any material, equipment, labor, or installation are 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. � ��,: r�._,. e-��' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all ���; �s- work in strict accordance with the or inances of the City and the regulations of the Minnesota State Building Code, and certifi all statements made on this application are complete, true �, and correct. ; - i �' / Applicant's Signature;i �, Date: �a��l d � �f# - Approved By: Date: � �;< �� � '�.�......m,...i.� �. .. � .���....,i......r..,........�rn.,m___.,_.. ..,.._ . .. ,. , .. .,.�..._,__:... .e. _L_ , . ....... ..._,u.�.. . �... ... .� .. . . ._�.,�...o... F ..��,....k�_� ...,.. .,..,,z..,..._r.._...,..,..,._ , / DATE TIME CITY OF ORONO �� CALLED IN INSPECTION TIC � SCHEDULED /o •y- 02 PERMIT NO.� � S COMPLETED i '� P� ADDRESS �3�� NO ,4l1�r� p2 OWNER C.v� /�/sy CONTR. TELEPHONE NO. � DESCRIPTION G�s �--«-�t � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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 OS 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 FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � a �cf1,7�3T �h/ •(,o�-s GC..� �j. (C � �c �- � C�,�-� >. � 0 � W � Q � z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnedContractor on si - Inspector. White Copyllnspector's File Canary CopylSite Notice