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Home My WebLink About2007-P10839 - duct work CITY OF ORONO � PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P10839 Crystal Bay, IV'(innesota 55323 Permit Type: Mechanical Permits (952)24�-4600 Date Issued: 3/21/2007 SITE ADDRESS: 4209 North Shore Dr Unit# Mound,MN 55364 P�� 07-117-23-43-0005 DESCRIPTION: � Proposed Use: Residential Permit Class: General Pernvt Type: Mechanical Permits Pemut Sub-type(s): Duct Work DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernrit Fee: $ 70.69 valuation: $ 5,655.00 State Surcharge Fee: $ 2.83 TOTAL FEE: $ 73,�2 APPLICANT: Statewide Gas Services OWNER: William&Mary Titler - 201 West Main 2184 Shadywood Rd Waxonia,MN 55387 Wayzata,MN 55391 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 REQUIItEMENTS. ��--'�--'� �=�Y��-/� �(.-�"c.� PLIC ATURE ISSUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1 �c ��'• FOR CITY USE ONLY ,��, City of Orono . P.O.Box 66 Date Received: Pern�it# , ��f�, � 2750 Kelley Parkway ` �;�' � Crystal Bay,MN 55323 Approved By: Amount$: ��o (952)249-4600 CITY OF ORONO—MECHAI�TICAL PERMIT (All Commercial 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 pernut 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 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 shall be presented on form provided. 4. When any new construction or rernodeling 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. (24-48 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) ❑New ❑t�dditional ❑Repairs ❑Replace Job Site/Owner Information: � Site Address: `�� 'r�� S�or� �j 1/� Owner: �� ` I I�� Mailing Address: a � � s��w�� city: `�rov�u zip: 5 S 3�'t � Home Phone: ��a-��, � S�>� Alternate Phone: , Confiractor Information: Contractor: S�� ,� ��S Contact Person: {�� Address: o�� W• �I Ir� State Bond#: ��'�0 �� / City: w�4 Zip:5�7 Expiration Date: �/a a.1�'7 Phone: �5�-�'��-"��'�3 Alternate Phone: �a - ��¢� ❑ Insurance-Current: ru Iti��(�� 1 � . y r � Y . '- MECHANICAL:SYSTEIVIS BE1NG IN5TALLED '' � HEATING SYSTEMS � Quantity: Make: � Model: Fuel: Flue Size: Input BTUs: Output BTUs CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES � [� Gas Factory Fireplace ❑ Wood Burning Fireplace ❑❑ Wood Stove �el(`�� ^� s�,s-�-ew� 6v�1� \1ns��.2� Wood Stove With Flue Brand Name: �C9 W 1'� "clP,tC�r�, Model No.: I G y' � � VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL ST012AGE(MUST BE APP1tOVED 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 � ! ` .PERMIT FEE CALCULATION(S) ` ` ` , . ,_ , . : � � . = : BASED OFF-2002 STATE STATUE ` : . . . �` ❑ Yes,this section applies The replacement of a Residential fixture or ap�,liance that meets all three of the following requirements: ]. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance:and 3. Is improved,rnstalled 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 $ PERIVIIT FEE'CALCITLATION S)—JOBS,OVER$500:00 � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) S�� x.0125$ contract price) (miuimum$35.00.) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. PG�TAGE&f�iANDLING(Only ot�Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � * 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 furnished by the owner, tenant or any other party, the reasonable rnarket 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 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 Permit, agrees to do all work in strict accoidance 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. Applicant's Signature: Date: ��I,��- IG 7 3 �� ATE TIME � CITY OF ORONO CALLED IN �1 '� INSPECTIO�OTIC� SCHEDULED � +�'�d PERMIT NO. �� COMPLETED ADDRESS �`'��Oq ��r\��'• OWNER CONTR, �� TELEPHONE NO. �5�O - �I'4'a- ��I'7 3` `�.�, � DESCRIPTION �- ly 01 FOOTING 11 ME HANICAL RI 18 IXCAV/GRADING/FILLING h� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAIVDS O 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 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC M�JNT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC IfdSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ,� Yi t'� �IC�� ,�fl'�� l o�CP' ^ e T , a �� 0 � W � Q � Z W � w � � � �ORKSATISFACTORY:PRO�EED ❑ PROJECTCOMPLETE W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCGUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTtOM1{ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑I IVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlCorrtractor on sit • Inspector. `�� /`°��J White CopyMsp�tor's File Canary Copy/Site Notice V D TE TIME CI OF ORONO CALLED IN � o�� INSPECTION NOTI ��Q'`29 SCHEDULED / �� _� PERMIT NO. Q•>/ OMPLEfED ADDRESS � -! ��J i a /rJ2 OWNER CONTR. �C`'� TELEPHONE NO. �.`�a tri �� 7 l C� � DESCRIPTION �C�— �-� �� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 � 07 DEMO-FINAL 15 SEPTIC IIVSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEP C FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET Y _YES_NO � COMMENTS: � W C o � � � 1� I�C'C� �/"a P � 4�d�`T � 1�C� �-t� � ��y ' � � (��i��E� ° �t"'S �� +�t � ��- �` 1�; l P S W Q �C� � � /1st � � W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJ ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 RRECT WORK,CALL FOR REINSPECTION TEMPORARY V�@EFORE COVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � � � •. � f� White CopyllnspectoPs Flle Canary CopylSite Notice