HomeMy WebLinkAbout2005-P08763 - mechanical i
CITY OF ORCaNO PERMIT
Permit Number:
2750 K�,ley Parkway- O Box 66 P08763
C►ystal Bay, Minnesota 55323 Permit Type: Mechanical Permirs
(952) 249-4600 Date Issued:
5/23/2005
SITE ADDRESS: '3970 North Shore Dr unit#
Mound,MN 55364
PID: 08-117-23-33-0068�
DESCRIPTION: ,
Proposed Use: R�sidential
Pernut Class: G�neral
Pernut Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS: �,
Approved per resolution#: I�
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Separate pemuts required:
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NOTICES/REMARKS:
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FEE SUMMARY: �ernut Fee: $ 124.38 Valuation: $ 9,950.00
State Surcharge Fee: $ 4.98
�'OTAL FEE: $ 129.36
APPLICANT: Diamo echanical,Inc. OWNER: Timothy Zwart
27525 I�1e�ter Ave 3970 North Shore Dr
Lindstr�m,MN 55045 Mound MN 55364
THE UNDERSIGNED HE BY 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 G�ODE REQUIREMENTS.
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APPLICAN PERMITE ,SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Re�uired), 1-Applicant, i-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
, FOR CITY USE ONLY
,�` City of Orono
' ¢�`�' P.O.Box 66 Date Received: Permit#
�' � 2750 Kelley Parkway
~. �,�:�.�.
. a i'3��'' C� stal Ba MN 55323 Approved By: Amount$:
�, ,Il''':u;�: �' y Y>
� �!���'�r��.�o` (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Ofticial or Inspector and/or Pire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations, details and specifications are required for each
heating,ventilation, hunudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new conshuction or remodeling is iuvolved, a separate building pernut must be
obtanied.
5. All work must be doiie in accordance with the Uniform Mechanical Code/State Buildiug Code
requirements.
6. All work must be inspected(rough-in and final). Call(952) 249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A ly) '
❑ Residential ❑ Commercial(Approval Required)
�I�Tew ❑Additional ❑Repairs ❑Replace
Job Site/ Owner Information:
Site Address: .3��� �m/'�� s��f'e ��`
-f-� ;�70 .�'�b,��-h sGx��D�
Owner: �� Z�a1`7� Mailing Address:
City: �►''���� Zip: 5 5.3�y
Home Phone: Alternate Phone: 6�a-S��T a s3`y
Contractor Inforniation:
Contractor: J��✓s'�Q�/���?a�y.�R� Contact Person: /Vf,`/�(e �'��^�e
Address: P� gpX �y� State Bond#: 6 `l$��002.1/
City: G1'/:5� O�' Zip: 5573/3 Expiration Date: r� - g�o�n
Phone: �a��-77�-5��/ Alteinate Phone: �D�l 0�13"��7/
, [� Insurance-Current: Jl��"��'�N�am.�
� ' 1 �r�X�'�/`� /�c7�°r'
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�� MECHANICAL SYSTEMS BEING INSTALLED '
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HEATING SYSTEMS �
Quantity: �
Make: �/01^l�
Model: �S 9G1��
Fuel: ,/1✓�� (s�.crS
Flue Size:
3 �'
Input BTUs: �����
�=
�',' Output BTUs: �oZ� 5�
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CFM: /�Qa
COOLING SYSTEMS
Quantity: �
Make: �/Ol�k
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ModeL• ,j)L��P D��C,i�l�/]
--�
Tons: J
H.Power
FIREPLACES
�� ❑ Gas Factory Fireplace
_ ❑ Wood Burning Fireplace
❑ Wood Stove
��t` ❑ Wood Stove With Flue
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Brand Name: Model No.:
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VENTILATION
❑ No. � Kitchen Exhaust duct_/�recirculating ��/�cfin
❑ No. _�� Bath Exhaust(must have duct outside) � cfin /.S^C�
❑ No. _� Other Fans: Locations l�c�ry �"�vy �cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: �r�uC`e , I�j��"
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• � I� . . � ,.. . . , � � . . , � . � - � �,l
PERMIT FEE CALCULATION(S)
- BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to elecnical or gas service.
2. Has a total cost of$500.00 or less;escludin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conn�actor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Pernut Fee $
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00
If above does ilot apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price witl�a(Minimum Fee of$35.00)
�q5�- � x.0125 $ l� 1/.,35�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�9s'O, �"�° X .000s $ y `�`�l
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) $ r 3� ��
■ * CONTRACT PRICE or JOB COST meaus 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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estiinated cost or contract price for permit fee puiposes. 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 Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature:`���i� �,t�' Date: ��-�
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��DAT�� TIME
CITY OF ORONO CALIED IN
INSPECTION N TICE SCHEDULED ���r-OS d; 3�
PERMIT NO. COMPLETED
ADDRESS ���C� /UC1��-✓'�L� ���d,��2 ,(`��C,
OWNER CONT�i. /J-G U�Zre�=P ,��'�-��-
TELEPHONE NO. `a S/ 7 7f ��� /
� DESCRIPTION �� ��"W���
l� 01 FOOTING � 11 MECHA[;ICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ��,4 AL 19 LAKESHORE/WETLANDS
�
O 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MA�NT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (J52� 249-46��
Owner/Cont n e:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� lDATE TIME �
CITY OF ORONO CALLED IN � fT �
INSPECTION NO E SCHEDULED ���2�z�� �
PERMIT NO. � COMPLETED
ADDRESS �� / � �
OWNER CONTR. /��l`, /��
�,�.,.
TELEPHONE NO. �� � �� ' �o�S�
� DESCRIPTION �7"�
� 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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the n t inspection 24 hours in advance. �952� 249-46QQ
OwnerlCont or ite:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
�i� AT TIME V
` CITY OF ORONO CALLED IN �� �-� �
INSPECTION N IC SCHEDULED - -0 �alL
PERMfT NO. � COMPLETED I a?-I� ��S �.��[�
ADDRESS �9 O 7� ��� ��
OWNER CONTR. �/G���1�d7C.s� /�C��¢J�J
TELEPHONE NO. '�PS� 7�S J ZS �
� DESCRIPTION U�"�
� 01 FOOTING 11 M�CHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 2 25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 COMPL4INT
� 07 DEMO-FINAI 15I SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23�ISEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL y 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf 1f�U:_YES.L NO �j���
� COMMENTS: 4
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� L�WORK SATISFACTORY:PROCEE� ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REW�iSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION 1`VITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INS�ECTOR
❑ INSPECTION REQUIRED.CALL T�ARRANGE ACCESS.
Cail for the next in�pection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site: '
Inspector. ,�cJ '`J u-�
White Copyllnspectods File Canary CopylSite Notice