HomeMy WebLinkAbout2007-P10932 - mechanical 4
PERMIT
CIT`Y OF ORONO
2750 KeIIQy Parkway- PO Box 66 Permit Number: p10932
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued:
4/27/2007
SITE ADDRESS: 4041 North Shore Dr Unit#
. Mound,MN 55364
PID: 07-117-23-44-0077
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 62.95 Valuation: $ 5,036.00
State Surcharge Fee: $ 2.52
Misc.Fee: $ 1.57
TOTAL FEE: $ 67.04
APPLICANT: Sedgwick Heating&Air Condirioning Inc. OWNER: Dale McCtiudy
8910 Wentworth Avenue S 4041 North Shore Dr
Minneapolis,MN 55420 Mound NIN 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
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Sepric) Page 1 -
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FOR CITY USE ONLY
� ,���� City of Orono �
P.O.Box 66 Date Received: Pennit#
��.y;;,,,� � 2750 Kelley Parkway
t�`�`p,r f:. �� Crystal Bay,MN 55323 Approved By: Amount$:
�'e�c�,��i��.o (952)249-4600 �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commerciai permits must be approved by the Building Official or Inspector and/or Fire 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations, details and specifications are required for each ;
heating,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. Data shal]be presented on form provided. �
4. When any new construction or remodeling is involved,a separate building permit must Ue I
� �
obtained. �
5. All wark 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(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 1 )
�Residential ❑ Commercial(Approval Required)
❑New ❑ Additional ❑Repairs �2eplace
Job Site/Owner Information:
Site Address: `'�(->�-1 1 N v✓-t-t-� S �v�� �✓ -
Owner: �,� �C �l� V�;1�1 Mailing Address: SC�tm�.
c�ry: o�-t.�,�c� � z�p: S S3�-( �
Home Phone: �1S L-`'�7Z- `�{-bS�3 Alternate Phone:
Contractor lnforn�ation:
Contractoni�"�z tdEATI!�G 8�AIR CONDITION��dG LLG Contact Person:
��':�1�Wentworth Ave.
Address: �'���nneapolis, MN 5542� State Bond#: lD yD � 2 SGg/o �o�3o/D .7
(952) 881�9000
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
R< ��'�`���' ,.,,`�, :'; MECHANICAL.SYSTEMS BEING INSTAL�.;ED j `
, �` r�
HEATING SYSTEMS
Quantity: �
Make: �QXI✓1C�C
Model: �i(,�/�l(�V 3(�1�6� I
Fuel:
G
Flue Size: k
Input BTUs: ��, D U�
Output BTUs: fa�� �S U
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove Witl�Flue
Brand Name: Model No.:
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations 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:
2
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- �. PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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 service.
2. Has a total cost of$500.00 or iess; excludin�the cost of the fi�ture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ ]5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� ,<.:��,����� . PERMIT FEE`CALCULATI,ON(S}=JGBS OVER$500:00 x „^�
If above does not apply; follow guidelines below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�So3� . c� o X.oizs $ � � Z `� s
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� SC��j�- cC% x.0005 $ Z . S `)
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mai]-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� • C �I
■ * 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 installations 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
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is .0005 ef the Building Department at(952)249-4600 for the pricz.
; , � ,x�;;�;,R��.MECHANICAL PER�vFIT APPLICA�'ION AG �MENT �._.,..�:r . :,':
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signatur� " �� Date: � Z3 D
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Reset Form
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� � DAT TIME ���
ITY OF ORONO CALLED IN �� �
INSPECTION NO I E SCHEDULED _y/��/rn �
PERMIT NO. � COMPLETED
ADDRESS �� y I I� � � �£' I� •
OWNER CONTR.� [,c ) I(��
TELEPHONE NO. �i� "� � , �%� �-Q���
� -1
� DESCRIPTION l y"� � d j��Q,
� 01 FOOTING 11 MECHANI AL 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 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 FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNOATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑ ORK SATISFACTORY:PROCEED ROJECT COMPLETE
� CORRECT WORK&PROCEED �': ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �7 CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail forthe next ins ction 24 hours in advance. (952� 249-46��
OwnerlContra r it
Inspector.
White Copyllnspector's File Canary CopylSite Notice