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HomeMy WebLinkAbout2003-P06402 - mechanical CI'TY OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po6ao2 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6�9�2003 SITE ADDRESS: 4064 North Shore Dr Mound,MN 55364 PI D: 07-117-23-44-0085 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernlits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 50.00 Valuation: $ 4,000.00 State Surcharge Fee: $ 2.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 53.50 APPLICANT: Ron's Mechanical,Inc. �WNER: Dan Phipps&Janet Obrigewitsch 12010 Old Brick Yard Road 4064 North Shore Dr Shakopee,MN 55379 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 MINNESOTA BUILDING CODE REQUIREMENTS. ��-�� �G-y� � � C/7'I���2� - APPLICANT PERMITEE SIGNATURE � ISSUED BY SIGNATURE � Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � - , CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 Desig`ns -Complete calculations, details and specifications are required far 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 shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All 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(952)249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. 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 (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace � Residential ❑ Commercial JOB SITE: 4064 NORTH SHORE DR Zip: 55364 Owner's tiame: DAN & JANET oBRIGEWITSC�hone Number: 952-472-8709 Mailing Address: 4064 NORTH SHORE DR City: MOUND Zip:55364 Contractor's Name: RON' S MECHANICAL, IN�hone Number: 952-445-8585 Mailin�Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379 1 , - w . , SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: � � Model: �Ivl� Wt� FueL• Flue Size: Input BTUs: � �� Output BTUs: ".!'J CFM: COOLING SYSTEMS Quantity: ` Make: liC�l r Ir(.�,� 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 . ' 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 service. 2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeo�vner ar licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 N1ail-�n Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.001 � x .0125 $ �� •v� (contract price) (minimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a tilinimum Fee of($ .50) x .0005 $ o� � �� (contract price) (minimum$.50) p 3. Postage and HandlinS (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �?j •�� *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 is 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 51,000,000 or$.50-whichever is greater.For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Pemut,agrees 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: �t�— ��/C.�l�v`�' Date: ��Q"� ` Approved By: Date: 3 � v J `/ ' � T TIME CITY OF ORONO CALLED IN � ��` INSPECTION N j�IC SCHEDUL D " :30 PERMIT N0. U 0 Z COMPLETED ADDRESS���� /II. �Sk�Q- �'�J OWNER d/ �� CONTR. TELEPHONE NO. Z �72 O 7d� � DESCRIPTION ��2��`�.0 — l� 01 FOOTING 11 MECHANICAL RI 18 DCCAV/GRADINC3/FII.UNG Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORFJWETU4NDS y 03 INSULATION 24/25 WOOD BURNEFVFIREPLACE 34 TREE REMOVAL Z �4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FlNAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC AAAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPi7C INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL J 10 PLUMBING FlNAL 36 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: a j 0 � 0 W � � Q � W W � � d W� WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORREGT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN(3 PERMANENT O CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTORYII{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OvmerlContractor on ' Inspector. WhRe Copy/lnspector's Flle Canary Copy/SRe NoUce DATE TIME V CITY OF ORONO CALLED IN � �- � O 3 INSPECTION NOTI �/ SCHEDULED � 2�°c�� PERMIT NO. D COMPLETED � �� ADDRESS G�G��O� � • J � �L- OWNER CONTR. M �j� r�4(':��„�C�T) TELEPHONE NO. � '�J a `��I���� J � DESCRIPTION (��A� /� (}�C�GI `���`� � 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 Z 04 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 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPT C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: YES_NO � COMMENTS: � � �` a "— e/%�i'}AT?-er� �fl-�►�(�� /� 7E��/l,�� j o '-_� �'R.�2 cn.,� s- G'�-e orse�vt�s t.� �. � 0 � W � Q � Z W � W � � d � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnedContra r on s' . Inspector. White Copyllnspector's File Canary Copy/Site Notice