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HomeMy WebLinkAbout2002-P04822 - mechanical PERMIT - CIfiY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po4822 Crystal Bay, Minnesota 55323 P@1'llllt Type: Mechanical Permits (952) 249-4600 Date Issued: tiiv2oo2 SITE ADDRESS: 4365 North Shore Dr Mound,MN 55364 PID: 07-117-23-43-0031 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 225.00 Valuation: $ 18,000.00 State Surcharge Fee: $ 9.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 235.50 APPLICANT: ST. MARIE SHEET METAL INC OWNER: �'�'�lliam & Laura Stoddard 7940 SPRING LAKE RD 4365 North Shore Dr SPRING LAKE PARK, MN 55432 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. /,� � �--�' �� �� �`' _,,�y��1� ,�c� j� C��?��t c,�- ,��--j; Lc_ AP LICANT PERMITEE SIGNATURG ISSU BYSIGNATURE Cooies: 1-File(SiQnitures Reauired). 1-Aoolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 � [�� . n � "I ; , ��' � CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT Box 66 (2 i 50 Kelley Parkway) Crystal Bay, MN 55323 GEN�RAL INI+ORMATION 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 DesiQns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidi�cation, and air conditioning installation including heat loss/heat gain calculation, design t:,mperatures, 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 C�de requirements. 6. All work must be inspected (rough-in and final). Call 473-7357. 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 473-7357. Plcase check one: � New Addition Repair Replace Residential Commercial JOB SITE• %�.s��5 /1�. ��k-rc �r. Zi�: Owner's N.:t�e: S�„c h�r t� (C+-s�„ f�n rs Telephone Number: Mailing Address: City: �ip: Contractor'sName: S•f� 1�}'lQ,�"� ,�j�eet Il'k.�i+.l ,�Tti�_ TelephoneNumber: ��,.j--•�y_5-�y./ MailingAddress: '?9'� r�h« /.�!<e f�r� �L City:�f...���Zip: �s�3-�- SYST�M D�SCRIPTION HEATING SYSTEMS Quantity: /� � Make: 1 sh�►y s � � Model: ' � ' 3 i' G[�q��uv��z�� Fuel: �-�''/G�cs� /�'�t�!G�s� I�lue Size: fli�L' 3�' �v'C` _3" Input BTUs: jls;o�� _�7v� �-�_ Output BTUs: i �, _�'�:� ����1� CFM: COOLING SYSTEMS Quantity: / I Make: ns�i^✓�� �►s�fi Model: i�, �c�r'c,� i�,S�c�� Tons: 3 � H. Power ! WOOD BURNING EQUIPn�ENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. / Bath Exhaust (must be ducted outside) cfm No. / (3�ker�€'^ans: Locations cfm �Y� FUEL �T(J��iAG� (IviiJST �E AFPRUVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside , LP Gas: gallons � � Other - Gas opening ,, p� �' i PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee (�35.00) ,. a , , .� �,� ,-f.;, 1 s�%��'��=-" x .0125 $ �"`'s�� � ., (contract price) 2. State Surchar�e. ** Add the State Building Code Division - o� Surcharge to each permit. x .0005 $ -�:T�' or $.S�J, which�ver is greater (contract price) 0 / � � 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 /�� 4. TOTAL PERMIT PEE (Add lines 1-3 above) $ ��-�G"".� •- �,L> �:%��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, eq_uipment, 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 S'fATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations ovcr $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby appl i,:� to the City for issuance of a Mechanical Permit, agrees to do all work in strict accurc!ance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. � ; ,_ Applicant's Signature: 1'`'`�- I � ' 't--� Date: I � D•z Approved By: Date: DATE TIME CITY OF ORONO ALLED IN INSPECTION NO E uu 2 SCHEDULED �` C �� " PERMIT N0. � � t " "� COMPLETED � �%� ADDRESS �'3�v �� �,f �V�L�r-.P ��2 . OWNER CONTR. ��� 1-�-� '�Y��h TELEPHONE N0. ��-����— c��'�, � � � DESCRIPTION p S� � 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLAND� y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAI Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS ��Y1� � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � J %� Q 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: � W C O � � � � O � W � Q � Z W � W � � O'� �.�"' �r�`ry_hnrORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE Wf7rCORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 Owner/ConVactoron site: Inspecto�����'G�`� White Copyllnspector's File Canary Copy/Site Notice / /, � �� �v1 --�c�rrcr��n� \/ ` DATE TIME CITY OF ORONO (� CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N0. � OMPLETED <<' Z "S'� ADDRESS !-��ls.� I�I Ut/-�- � - �' l()P 1 Z, OWNER CONTR.__�'� . Yl/C��-�" � TELEPHONE NO. ��,� � ��S � — � � DESCRIPTION _ _ �s �-I ��' �j���T_/ t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FiNAL � ���- 35 HARD COVER REMOVAL v 10 PLUMBING FINAL ���6 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�O -�r•��, � COMMENT : �, � a S � � O � � O � W � Q � Z W � W � � a W �1`yVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��❑vCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnedContr�ct r on site: Inspector.����rLZ- �.�1� White Copyllnspector's File Canary CopylSite Notice V DATE TIME CITY OF ORONO CALLED IN INSPECTION N�ICE ,(�. SCHEDULED " ' PERMIT NO.�� ���T �� COMPLETED � � � � ��� ADDRESS �3C0 S� �U/���/ �7.�`/-� OWNER CONTR.cS�,��t{:,'�.�-1-c.�.,�"Oc�(��t' TELEPHONE NO. ��� c�", �T� .S�o �/�/ �'� "� �z.��: � DESCRIPTION_Ld�l/l� 1�-e/1.� r ��T� �-� G�G-S� � %��rLvJ�-� � Ot FOOTING 11 MECHANICAL RI 18 EXCAU/GRADING/FILLING Q 02 FR,4MING 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 OS FINAL 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: � a ��l � _. vI �E' L� `' /,� ' j S _ j.� -. _ _ O '' � ��� �-r� �..� �� � 0 � W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � W,'�9�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46Q� OwnerlContr tor on site: Inspector. /L� White Copyllnspector's File Canary CopylSite Notice