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HomeMy WebLinkAbout2007-P11686 - mechanical ,CIT� OF ORONO PERMIT ' 2750 Kelley Parkway- PO Box 66 Permit Number: p11686 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 11/15/2007 SITE ADDRESS: 4205 North Shore Dr Unit# Mound,MN 55364 P��� 07-117-23-43-0004 DESCRIPTION: Proposed Use: � Pernut Class: General Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 243.75 Valuation: $ 19,500.00 State Surcharge Fee: $ 9.75 Misc.Fee: $ 1.50 TOTAL FEE: $ 255.00 APPLICANT: Genz-Ryan Plumbing&Heat OWNER: Mary Jo Peterson 2200 W Highway 13 4205 North Shore Dr Burnsville,MN 55337 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. ` c `�►'�°-t-C � ,(.P APPLICANT PERMITEE SIGNATURE D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 ' �o�crr�i�sE oivi.� ,�p� City of Orono �n 4 P.O.Box 66 Date Received: Pernrit# ,y,� 2750 Kelley Parkway � t��;.� Crystal Bay,MN 55323 Approved By: Amount$: ��� (952)249-4600 CITY OF ORONO—MECHA1vICAL 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 pernuts 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 cazds 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 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). Ca11(952)249-4600. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERIVIIT Check All That A 1 �✓ Residential ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace "Job Site/Owner Information: Site Address: 4205 NORTHSHORE DRIVE Owner: HIGHMARK BUILDERS Mailing Address: 12245 NICOLLET AVE S C1Ty: BURNSVILLE Zip; 55337 Home Phone: (9s2)ssz-s9oa Alternate Phone: Contractor Information: Contractor: GENZ-RYAN PLB&HTG Contact Person: � Address: 2zoo w�i3 State Bond#: 929298827 City: BURNSVILLE Zlp: 55337 Expiration Date: os�ta�os Phone: (952)767-1000 Alternate Phone: �952)767-1863 ❑� Insurance—Current: oaiovos 1 �_....,. : ��. :IVIE�„ ,,.,,,�C�`�Il..s`�°5r"�`T`��w,�.,�r��"1"� , .I��"T`AAI�� ��: ' . _ ' , I3EATING SYSTEMS Quantity: 1 Make: LENNOX Model: G61MPV60D Fuel: NAT.GAS Flue Size: Input BTUs: 135,000 Output BTUs: 126,900 CFM: COOLING SYSTEMS Quantity: 1 Make: LENNOX Model: 13ACD060230 Tons: 5 H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION �✓ No. 1 Kitchen Exhaust duct X recirculating 300 �� 0 No. 5 Bath Exhaust(must have duct outside) 110 cfin 0 No. I Other Fans: Locations DRYER 300 cfin 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: FIItEPLACE,FURNACE 2 s . r r-� �5:�+�\�1 s���„✓ . : - � . . �� ;'�. 'c�,�..�', _,. ::iL7�����I'i'„�, ���F,. :����.�1���,�r:: 3�'����y ��� � »�..5�... ., �t ❑ 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 homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ ����,. ���''��. �'�T�VIT����� . � ��'�'�� �. -»�t�!B�i�,,,, . �� � ��.:� �.. ;:__ . � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 19,500.00 x.0125$ 243.75 (cont�act price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 19,500.00 x.0005 $ 9.75 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 255.00 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 fumished by the owner,tenant or any other party,the reasonable mazket 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. � .. ..', ����'���.:�����`�"�P�����`�'�{��:��' �;...._... _. � : ���- ' 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. Applicant's Signature: ���'�'LU Date: l i/o7/o7 , „. � 4 �...... ...... . .. .. ���E'' : t���, �PtSk��.�i7��tlf1 �� i a �......�: _�......: _,.._.:����.�.�.�'w ...__� 3 � � �^'" ATE TIME CITY OF ORO CALLED IN 7' D� � INSPECTIO TI�'i SCHEDULED `3 «� ��� PERMIT NO. / COMPLEfED � ADDRESS OWNER CONTR. TELEPHONE NO. 5 - 7 ' � DESCRIPTION !� � ❑ FOOTING .�MECH AL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ LAKESHORE/WEfLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAI. Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a j O � � O � W � Q � � W � � /�/. � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RR ECT WORK 8 PR�EED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REIIdSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURId ❑STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED �INSPECTtONREQUIRED.CALLTOARRANGEACCESS. Cal)for the next inspection 24 hours in advanca (952) 249-4600 Owrner►Cantractor on sfte• Ins�ctor. ,�� � White Copylinspector's Flle Canary CopylSlte Nottce �=- 7 � DATE TIME � CITY OF ORONO CALLED IN g INSPECTION TICEQ� SCHEDULED 8� 8' 3�D� PERMIT NO. �� �/ COMPLETED ADDRESS `�O��J /1/O�f7'L� �5�2�-� b�� OWNER CONTR. � TELEPHONE NO. � � �� �o � DESCRIPTION_� �n— `� �-� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBiNG RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWN MEETYOU:�YES_NO � COMMENTS: � a � z ^ iS C-uSS 0 a � 0 � W � Q � z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the ne inspection 24 hours in advance. (J52� 249-4600 OwnerlContr o te: Inspector. White Copy/lnspector's Fi e Canary CopylSite Notice �� � ,.o�A T�E� TIME � CITY OF ORONO CALLED IN J'Go INSPECTION N TICE SCHEDULED �_D� � PERMIT NO. COMPLETED ADDRESS �o7DJ /U117"�`7C s��v OWNER CONTR. �Z TELEPHONE NO. �Sy 7�7 �S�`f'7 � DESCRIPTION �C_C�- 7'-��"�-C � ❑ FOOTING ❑ MECHANICAL RI 0 EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL 0 SEWER HOOK-UP ❑ FROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 01AINERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a o ,�. , ��i� �/�( � ✓�1c1� � �� ���►�' � � ° �r�� 1 �..� s W � Q � Z W � W � � � �VORKSATISFACTORII:PRQCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK 8�PRO�EED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURPI ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL IPISPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspectian 24 hours irt advance. (952) 249-46�� Owrner/CoMractor on s e: Inspe.ctor. I�J� White CopyMspecto�'s Flle Canary G�