HomeMy WebLinkAbout2004-P07314 - mechanical C�1"Y�OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: Po�314
Crystal Bay, Minnesota 55323 Permit Type: Me��ni�a1 Pe�,i�s
(952) 249-4600 Date Issued: 3�22�2ooa
SITE ADDRESS: 4215 North Shore Dr
Mound,MN 55364
PID: 07-117-23-43-0006
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
D�AILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
BTLJ Hanging Heater for Garage
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 1,450.00
State Surcharge Fee: $ 0.73
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.23
APPLICANT' Sabre Heating &Air Condirioning Inc. �WNER: Douglas Waldoch
� 3062 Ranchview Ln.N. 4215 North Shore Dr
Plymouth,MN 55447 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 REQUIREMII�ITS.
/ VILL,� `
�L_..�.
APPLICANT PERMI'TEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Apnlicant,1-Monthlv Reports, 1-A�essin�, 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 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 Desi�ns-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.
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. ������ ���9�
Please check one: New ✓ Addition Repair Replace
Residential Commercial
JOB SITE: 4215 North Shore Dr. Zip:
Owner's Name:_ Doug Waldoch Phone Number: (952) 472-6427
Mailing Address:�,�a 5 �to�h Sf�ore Dr CitY�Orono Zip:
Contractor's Name: Sabre Heating &Air Phone Number: (763) 473-2267
Mailing Address: 3062 Ranchview Ln. N. City: Plvmouth zip: 55447
SYSTEM DESCRIPTION
HEATING SYSTEMS
Q�nty: 1
Make: 11�C�.�. � 1��J
Model: __l��'���(�'�� � !�`�e� � ��
Fuel: ���`�.'
/r
Flue Size:
Input BTUs: ��
Output BTIJs:
CFM:
COOLING SYSTEMS
Qaantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locarions c�
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installarion or Removal
Fuel oil: gallons underground inside or, outside
LP Gas: gallons
Other Gas opening
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;excludin�the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Pernut $ 15.00
Stafe Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price*is .0125%of job with a Minimum Fee of(535.00)
l���C�D X.oi2s $ -�5-�
(contract price) (minimum$35.00)
2.State Surchar�e. **Add the State Building Code Division a Minimum Fee of(S.501
I vr J v'W x.0005 $ �(�
(contract price) (minimiun$.50)
3.Postaee and Handline(Only mail-in applicatio�zs) $ 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 installation is furnished 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 pernvt 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$1,000,000 or$.50-whichever is greater.For
valuations over$1,000,000 call the Department of Inspectional Services for the price.
T'he 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 regularions of the Minnesota State Building Code,and certifies that
all statements made on this appticafion aze complete,true and correc�
�
Applicant's Signature: �����i11 C���,�'�"�7 Date: o � D
Approved By: Date:
�� �'� � � � s�
�� .�� R� ��Ir�� l� �f
�.�.:�� �.:�:.�.� _n � wvv�
�" ✓
�;�,�o y TIME
CITY OF ORONO CALLEO IN =`�� �L
INSPECTION N TICE --7 SCHEDULED
PERMIT NO. � %�! � COMPLETED
ADDRESS �? �.1 Y��- �
OWNER ��,�-l�C�' CONTR.
TELEPHONEN0. � � Cc�.� � � � 7 - �� D I X �f�iC'�
� DESCRIPTION ��� �'��'�t�� —�x`���'�--���
� O7 FOOTING 11 IG4 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 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 FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL � 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:L\YES_NO
� COMMENTS: `�-�9�n I �?Gcd�t--�-g ; ,�� i •�-
a �,�;�,� ~�--c:r ` y � �t; ,�. `t r� (
j
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlCon o s�et
Inspector.
V�
White Copyllnspector's File Canary Copy/Sfte Notice