HomeMy WebLinkAbout2003-P06884 - mechanical � PERMIT
C I TY�O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P06884
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: loiioi2oo3
SITE ADDRESS: 4640 North Arm Dr W
MOUND,MN 55364
P I D: 06-117-23-2 3-0005
DESCRIPTION:
Proposed Use: Residenrial
Perxnit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 40.00 Valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
TOTAL FEE: $ 41.60
APPLICANT• Owner/Self OWNER: D&L NERSON
� MN 4640 NORTH ARM DR W
MOLTND MN 55364
TT3E 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMI'I'EE SIGNATURE D BY SIGNATURE
Copies: 1-File(SiQnitures Requiredl. 1-Avnlicant, 1-Monthlv Reports, 1-Assessin¢, 1-Finance Page 1
10I10 2003 13:41 FAX 9�28905456 SILGAN CONT. SAVAOE PLT f�001/003
Opt-10-�009 fO:BBam From-CIfY OF ORONO +g6Z2464818 T-26A P.001/008 F-410
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CiT'Y' OF ORONO . APPY.YCATION FQ�t MEC�3ANICAL PERMIT
8oa�c 66 (2?54 K,elley Pazkway) ��`'�
CYystal Ba�y,A�T 553Z3 , ) C.�
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1.�You may apply for p�eaical permits by m�ail or in person at t'�she City o�ioes,AppHca�dans will be
� =eviewed arad a permit wil]be issued witbin two�wrldag days.
Z. Penr�it cards wilI be stnt by rebun�at1 afoer a review is cosrtpleted.P�MITS ARE NOT Vt1LID
UNTII.YOU RPCEIVE A PELt1V�.'?.woRK�1[73T NaT�Ec�n�r trNr�.�p�iva�r CaitU Ls •
pC�S ON'THE 10 SnE. •
3. 1}�,ec�,�ics1 D�s-Comaplete oalculetions�details a�d specificetion9 are reqvn'ed for eaGh hoacin�.' '
v�antilation,k�wqidiftaation-dehumidification,ead air ca�ditioniug is�stallation�cluding I�eat loss�/heat .
� gain.calculativxa,dasi8a te�Parat�u�es,eq�pmsut ra�mgs and id�tification as to type,ruanufacturer at�d ,
rao�el.DMa sball be presaated on form provided.Identification of a�nd spacificationS fer wat�er beating .
equip�e�nt sball s]so be provided. '
4. Wliaa any riew consor�ctioa or ro�aodeliag is iavolvad,a aspare�te bu�itding p�t rnust be ob�a�d.
5. All wor]c must be done m acCordence wi�the Uniform Mecba�ieal CodeJState Bu�ding Code �
, � zequirert�nts.
6. All work mvst be msspected(reugh iu e�d fusal).Ca'�l(952)249�600. 24�ou�notice required.
7. 8ouse Heatir�g Test Recotd trtust be swbmitud before fmal. �
Instractions ' ,
. '
Complete all it,ems on this application.Compute the pezmit fee.Si�and date rhe cr.�tifioatie�a.
� INCOMI'LE'1'E APPLICATIONS WII..I.NOT BE PROCESSFA.Tf y�ou have qwestivns,call
(9S2)249-4640, ,
Please checic one: ❑New �Afldition ❑Rcpair ❑Replace esidential ❑ Commercial
JO S1TE: �� 0 �o Zip: � � 7
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Qwner's Name: •' Phone Number: `�
�V�apiag A.ddres�: �2 ��'� �P:�.?�[� .
��/ �r ��L' �03—��� � .
Contractor's Name: ��L� -� 7 1Irc Phone Namber:
Mailing Address: / Ciqr: �p:
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10/10 2003 13:41 FAX 95289054�6 SILGAN CONT. SAUAGE PLT f�0021003
oos-�0-zcoa 10;68�■ Fram-CITY OF ORONO +A022a0a818 T-t88 P.00ZI0o9 P-410
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D�ioael: /���NJ d�� .
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. F�: 6 ��r .---
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h�put SNs: v � ��
ousput B1Vs: 0 a
CFM: -- .
COOLING$YST�M� / .
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Adalae:
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Mude1; � � --
Tong: •---.
H.?va►a
,pCgg • GA3 LINE ONLY
❑ ���Y�P� [] �11ing s aas LiAe Only
R�ood b�uning f�ctory fu�eplace witb flue
Wood Stove
Wood s�ove wi�fluo
$'�nd Name Model No.
VE1vTII.AT'�ON
No. Kitcben Fxhausrt�duct recalc�ilating c�
No.�Hath Exhaust(m�st har+c duct outsida) cfra '
Nv.„_Othcr Fans:I.ocatioms cfm
FLT�L S"CU�lt#G�(NfUST SE APPROVED BY FIIt£MARSHAL)
�tall�ioa or Removal
P�el�1: galloas under�round ❑frside []c�utside ,
LY Cras: �_galloas .
Othe� ��C
2
10/10 2003 13:41 FAx 9528903456 SILGAN CONT. SAVAGE PLT f�003/003
Oct-10■3008 1Os68� From-CITY OF ORONO +A62Z494616 T-Z60 P.008/008 F-41G
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2003 State Statnte ❑Yes Tl�is Section Applies '
The ieplacement of a Residezitial fi�re or a�,Zpliance tbai meets a11 t]�iee of the fc110W�tl�i�CQ�:
1� �itiqusre�lOd1TlC8�0i1 t0 B1CCQiC�1 C�$SS BCN3CC.
2) Ha�� oost of$S 00.00 or less;�rlj d�' g the cost of the fvct�e vr�pplian�e;
and
3) rs 9mpr�oved,ir,scalled ot s�laced 6y tltie hvmev�vnet or lice�ed coa��raotor.
S]dp next secdcn; Cost af Permit '$�S.Q� .
3tate 3urabarge S .50
Ma�7 In Foe $_, .50
If above does not apply,�llew�uidelmes below:
1. t'ogtract Pdc�'�is.O1Z510 of job with s l�aiimum Bee of(535.00)
� ��u)C� x.0125 $ �► D�'r��
(oonQaa P�al (mint�sss.co)
2. Seace Surcbar�a.+•Add d�e Stau Bulldia�Code Dlvisioa a 1lstnimum Fee of�S.�) •
�c.0005 $ • � � O
(con�ect pdce) (n�iaa�S S�
3.Patta�e and Handlin�(On�a�a�����ications) �G�(��J $
' ' �/
a.ToTai.ps.�T F�E(�a�aes �-��� $ "T 7" +� 6 � .
�CON'1'R/►CT PRIC6 oc JOB OOS'C mwi'dte�tu�l or es�oed doller e�rwnAt aharged Yor the percnitted work inctudit►g
mecerials,labor,Pmflt,�nd otlur fixed ca�cs.�t is the amo�mt to be chmged tc tbe customer tv�t1�e w�k doAa Itffiq►�eteriel� .
equipm��,tiabor,o�installufo��is fLmi�d by d+e ownK,oer�ant vr any�eh�r pa�ty th�reasonabk macla�t value oFsuch ioems
rentSt be added to the es�irtf�ed�st or can�act priCe fot pem�it fee purposes.Zn the event thst tlure is a d'e9pute w tbe�111�Of
�heJob o�t,the C1q ma�r�qudr�he oubenl�lon of a al�ed oapy oefia taus!conQact. •
**The STATE SULtCFiARGE is.00OS of d�e coAtr.�ct price undzr S 1�000.000 or S.SO-whichever is�oer.Fo�Vdqotto�€over
S t.000.000 a1!s�e Dap�met�t of Jz�9poctioaal3ervice�&r tha pr1a,
The,mdersi�qned hereby�plies m c�e Ciq+for issuaRce of a Mechan'�cal Pe�mit,agrees to do all work io mict acco�dana a►irh
tha adlnanea■of�e City and ihe ra�l�iens oftbe Minneae�a 5sa�e BuiWing Code�sad eertf�ee etut eli s�ence mtde on d�is
applieaeion�e eomplaie,orue end aoR+eat,
Appliesat's Signature: Date: d D d�— '
Appz+oved�y: Date: .
3
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/ DATE TIME
Se�" ,, i
CITY OF ORONO CALLED IN �
INSPECTION I SCHEDULED � � __�
PERMIT NO. COMPLEfED ��
ADDRESS ���o �� Dr
OWNER CONTR.�GL� T��'�'/�"'
TELEPHONE NO. __ 9SZ �72 ��3��
� DESCRIPTION �� � /''�L���
� 01 FOOTING 11 MEC AL RI 18 EXCAV/GRADING/FILLINCa
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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 O6 PROGRESS
� 07 DEMO—SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO—FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORK SATISFACTORY:PROCEED /fd PHOJECT COMPLEfE
W ❑CORRECT WORK&PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on s' :
Inspector.
White CopyMspector's Ffle Canary CopylSNe Notfcs