HomeMy WebLinkAbout2000-P02632 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po2632
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: �i6ioo
SITE ADDRESS: 4345 North Shore Dr
MOUND,MN 55364
P I D: 07-117-23-43-003 0
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
Yp Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 142.50 Valuation: $ 11,400.00
State Surcharge Fee: $ 5.70
Misc. Fee: $ 1.50
TOTAL FEE: $ 149.70
APPLICANT: SEASONAL CONTROL, INC OWNER: M S PLOEN&A PLOEN
7620 LYNDALE AVE SOUTH 4365 NORTH SHORE DR
RICHFIELD,MN 55423 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.
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APPLICANT PERMITEE SIGNATUEZE ISSUED BY SIGNATURE (�//,/
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Copies: City,Applicant,Assessar, 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 permit will be issued within 2 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 ratinas 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATI NS WILL NOT BE PROCESSED. If you have questions, call 249-4600. '
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Please check one: New Addition Repair Replace
Residential Co er ial
JOB SITE: �� �%_,.� Zip:
Owner's Name: '� i STe��u'S c:rtf' � � ` elephone Number:�_5'� _�,%3�( .��� o
Mailing�ddress: l 5 �e � n� City:�'��:�,�y` ,����t Zip: S'r3 y
Contractor's Name: ���o d1�f2�tir�',.z'�. �►/�'- Tele one Number• � 6�- 3 �O
MailingAddress: ��ZC� LY,v�,�t�- ,�Il��.� City: � -Z Zip: <,a��3
SYSTEM DESCRIPTION
HEATING SYSTEMS O
Quantity:
r
�T,.,.�.
. ian.,. ,
Model: � �. �
Fuel:
Flue Size: ,
Input BTLTs: �.�
Output BTUs: �>�
CFM: i'�� —� �
COOLING SYSTEMS
Quantity: r
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 ✓ ducted � recirculating cfm
No. --v : Bath Exhaust (must be ducted outside) /t�0 � lv�} cfm
No. �J Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimu Fee 35.00 r ' �
' x .0125 $ � '7 �
s
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � � x .0005 $ 5�,7 �
or $.50, whichever is greater (co tract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � G�
* 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 are furnished 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 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.
� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance. i the ordinances � Ci�y and the regulations of the Minnesota
State Building Code, d certif es that all stateme s m�de on this application are complete, true
� and correct.
,
Applicant's Signature: , ���G- Date: � �� ��
,
Approved By: ���-C�:�— Date: (' �'�' ��
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N I SCHEDULED � ZS '
PERMIT NO. ��/C�� COMPLETED 1�—�5-� •'Oc�
ADDRESS 17�� rUG�SY ivi"�, � .
OWNER CONTR. ��5�� C�'1�I�
TELEPHONE NO. ��� (3�o
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� DESCRIPTION � ' ��--
� 01 FOOTING 11 HANICAL 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN
INSPECTOR WILL REfURN C' CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContra r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
CITY OF ORONO CALLED W �-� "` �`�
INSPECTION NOTICE SCHEDULED
PERMIT NO. ���" COMPLETED ` ^' � �
ADDRESS ���� ����r�"'� �Y'
OWNER CONTR. ���>"�� ec''��'_
TELEPHONE NO. ��a �'���`3«
� DESCRIPTION �.��a�rn�I
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ly� 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING HANICAL FINAL � 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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��ORK SATISFACTORY:PROCEED � PROJ ECT COM PLETE
W� C_1 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-46�0
OwnerlContract�r n site:
Inspector. ���(.�_�wS
White Copyllnspector's File Canary CopylSite Notice