HomeMy WebLinkAbout2006-P09559 - mechanical • PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09559
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
1/26/2006
SITE ADDRESS: 4203 North Shore Dr Unit#
Mound,MN 55364
P��� 07-117-23-43-0008
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 300.00 valuation: $ 24,000.00
State Surcharge Fee: $ 12.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 313.50
APPLICANT: Seasonal Control Mechanical Division Inc. OWNER: Jeff Gustafson
6225 Cambridge St. 4420 Shoreline Dr
St.Louis Park,MN 55416 Spring Park,MN 55384
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 PERNIITEE SIGNATURE S UED BY SIGNATURE '
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
� FOR CITY USE ONLY
, 4p� City of Orono
. . P.O.Box 66 Date Received: Permit#
� � . 2750 Kelley Parkway
y r:�'�• � Crystal Bay,MN 55323 Approved By: Amount$:
� � �� � •-�• o` (952)249-4600
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CITY OF ORONO—MECHANICAL 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 per►nit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—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 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 1
QQ Residential ❑ Commercial(Approval Required)
� New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Slte AC1C�T'eSS: 4203 North Shore Drive
�WT1eT: Jef�ery Gustafson Mailing Address: 6020 Loring Drive
C1Ty: Minnetrista Zlp: 55364
Home Phone: Alternate Phone:
Contractor Information:
COritT1CtOT: Seasonal Control MDI Contact Person: Bruce Williams
AC�dTeSS: 6225 Cambridge Street#29 State BOrid#: 9432099
Clty: St.Louis Park Zip: 55416 Expiration Date: o3i2s�o6
Phone: (952)929-4423 AlteTriate PllOrie: �612)670-9002
02/12/07
Q✓ Insurance—Current:
1
• MECHANIC.AL SYSTEMS BEING INSTALLED
� .
HEATING SYSTEMS
���,: 2 i
Make: �ox garage heater
Model: G43LTF-36C-090
Fuel: natural gas
Flue Size:
2"
Input BT[Ts:
88,00(?
Output BT[Js: 82,300
C�: 1200
COOLWG SYSTEMS
��Ty. 2
Make:
Lennox
Model: 13ACE-036
Tons: 3T
H.Power
FIREPLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
0 No. 1 Kitchen Exhaust duct recirculating cfm
0 No. 4 Bath Exha.ust(must have duct autside) cfm
❑✓ No. 1 Other Fans: Locations Down Draft 300 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
� � PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or apnliance that meets all three of the following requirements:
1. Dces not require modification to electrical or gas service.
2. Has a total cost of$500.00 ar less;excludin¢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 $
PERMIT FEE CALCULATION 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)
24,000.00 x.0125 $ 300.00
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
2a,000.00 x.0005 $ �2•�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
31350
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
• " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 of the Building Department at(952)249-4600 far 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 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
conect.
Applicant's Signature• Date: � —' ��� ��
Reset Form
3
(�c!!GLl� G� ✓
- DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TI E SCHEDULED - /0:3?,7
PERMIT N0. ss COMPLEfED
ADDRESS � 7 ZC�?J /U� e5i�-� 7L _
OWNER CONTR. O�Q�7tA$�
TELEPHONE NO. � " (Ol2 �o�D �'DOa.
� DESCRIPTION � �"��t������
� 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 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC IfdSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 WARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/COPITRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REft1RP1
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
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�n ��e,� o T ^ /� TIME ✓
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� DESCRIPTION K(.1_ 0 (� ,�,�
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAI. 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
� OWNER/CONTRACTOR TO MEET YOU:' YES_NO
� COMMENTS:
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor o
Inspector.
White Copyllnspector's File Canary CopylSite Notice
; � DATE T
CITY OF ORONO CALLED IN O�t1
INSPECTION TICE SCHEDULED ` �� � � �6 .'�
PERMIT NO. C C —� COMPLETED
ADDRESS ���-� ,�G%2 ,� S���1 e.., � /� �
OWNER CONTR. � �: �e�� ��:�k�,
TELEPHONE NO. �v �.� �.�� �����Lp
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� DESCRIPTION � �/(��L�C.
� 01 FOOTING 11 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION B-Bt}�fE PLACE 34 TREE REMOVAL
Z4 12 WATER HOOK-UP 17 SITE INSPECTION
F 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 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C; PHOTOTAKEN
INSPECTOR WILL RETURN i_;CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-46��
OwnerlContractor ite:
Inspector.
White Copyllnspector's 'le Canary CopylSite Notice