HomeMy WebLinkAbout2007-P10729 - mechanical PERMIT
� CITY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10729
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
~(952) 249-4600 Date Issued:
1/29/2007
SITE ADDRESS: 4209 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 650.00 Valuation: $ 52,000.00
State Surcharge Fee: $ 26.00
TOTAL FEE: $ 676.00
APPLICANT: Upper Midwest Radiant OWNER: William&Mary Titler .
5115 Industrial Street 2184 Shadywood Rd
Maple Plain,MN 55359 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPUANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICAN'T PE ITEE SIGNATURE ' ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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� FOR CITY USE ONLY
�gQ�,4 City of Orono
P.O.Box 66 Date Received: Pertnit#
, . 2750 Kelley Pazkway
��} r�` Crystal Bay,MN 55323 Approved By: Amount$:
�� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(Ap Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshafl)
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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 shall be presented on form provided.
4. When any new construction or remodeling is involved,a sepazate 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.
(24-48 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)
0 New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address' 4209 North Shore Drive
Owner: Bill&Mary Titler Mailing Address: 2184 Shadywood Rd
Cl : Wa�� Zl 55391
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Home Phone: �952)261-2211 Alternate Phone: �
Contractor Information:
Contractor: UMR Geothermal Contact Person: Chad Alsaker
Address: 5115 Industrial Street State Bond#: 929289728
City: Maple Plain Zlp: 55359 Expiration Date: 09/16/07
Phone: ��63)479-6325 Alternate Phone: ��63)238-8444
09/O 1/07
�✓ Insurance—Current:
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HEATING SYSTEMS
Q��;ty: z i
Make: WaterFumace Trinity
Model: NSV060 NTIZ00
Fuel: Electric Natural Gas
Flue Size: N/A 3"PVC
Input BT'LJs: 60000 200000
Output BTUs: 60000 188000
CFM: 2000 N/A
COOLING SYSTEMS
Quantity: 2
Make: �'daterFumace
Model: NSV060
Tons:
5
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑✓ No. I Kitchen E�chaust 8�� duct recirculating 900 ��
❑� No. 6 Bath Exhaust(must have duct outside) 90 cfm
Q✓ No. 1 Other Fans: Locations Dryer 120 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:
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❑ Yes,this section applies
The replacement of a Residential fixture or analiance 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 homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
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If above does not appiy;follow guidelines below:
1. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$35.00)
52,000.00 x.0125$ 650.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
52,000.00 x.0005 $ 26.00
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
676.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
_ 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
esnmated cost or contract price for permft 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 Building Department at(952)249-4600 for the price.
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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 Sta.te of
Minnesota, and certifiss that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date:
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PERMIT NO.�I���' 1 COMPLETED
ADDRESS �'�Oct f�nr-� Shor2 p�"- /
OWNER CONTR. u r J'� �m.cs
TELEPHONE NO. -3� �
� DESCRIPTION -
lL 01 FOOTING 11 CHANICAL RI 18 E CAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 KESHORE/WETLANDS
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O 03 �NSULATION 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBING RI 23 SE TI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOUi�YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne�t inspection 24 hours in advance. (952� 249-4600
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TY OF ORONO ��CALLED IN —�� v 1
INSPECTION NOTI E , , � SCHEDULED �`t 7�
PERMIT NO. � U � �' � COMPLETED
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OWNER CONTR. �:�,�,�Y3r m I r1f �t��-
TELEPHONE NO. CS � � -� ���% - �� ���
� DESCRIPTION �CL-F' � ►�`C� T t ✓��l I
Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 06 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� ❑ RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑CdRRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next in pection 24 hours in advance. (952� 249-4600
OwnerlContra si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice