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Home My WebLink About2003-P06941 - mechanical PERMIT . CI=!"Y OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06941 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits � (952) 249-4600 Date Issued: io�2��2003 SITE ADDRESS: 4425 North Shore Dr Mound,MN 55364 PID: 07-117-23-34-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 153.13 Valuation• $ 12,250.00 State Surcharge Fee: $ 6.13 TOTAL F'EE: $ 159.26 APPLICANT' Henricks Mechanical LLC OWNER' David&Denise Dickey � 16730 County Road 6 � 4425 North Shore Dr Plymouth,MN 55447 Mound,MN 55364 TI�UNDERSIGNID HIIZEBY REQUESf S PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MIl�iNESOTA BUILDING CODE REQUIREMIIVTS. � i �� f� � �� APP ERMTI'EE SIGNATURE ISSUED BY SIGNATURE Conies:l-File(Si.enitures Required), 1-Anvlicant,l-Monthlv Revorts,l-Assessin�,l-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 two working days. a 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LTNTIL �'OU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi ns -Complete calculatior�s, details and specifications are required for each heating, veniiiation,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 wark 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. z 7. House Heating Test Record must be submitted before final. Instructions Co:�iplete 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. �^�� re Please check one: New ❑ Addition Repair ❑ Replace '' Residential ❑ Commercial JOB SITE: Z� /�� S C1,p � �G'� Zip: ��3 6 C Owner's Name: � � rC Phone Number: 11�Iailing Address: ZS� � ' City: b�UV4� Zip: �,�{ � Contractor's Name• ��1� �,eC��Phone Number �, �Z—� � Mailing Address: C City• Zip•��.�6 � � 1 ' , , _ e s 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .012�% of job with a Minimum Fee of($35.00) �� x .0125 $ � (contract price) (minimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �S�l-�� x .0005 $ (contract price) (minimum$.50) 3. Posta�e and Handlin� (O�ily n:ail-in applications) $ 1.50 4. TOTAL PERNIIT 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 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 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 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� Date: `��-- Approved By: Date: , 3 � . -�, , SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: UNI+� Make: Model: ��(�,1�� Fuel: /� �� i Y Flue Size: ��, ��-- Input BTUs: $ �� Output BTUs: ��,�,9Q '� CFM: COOLING SYSTEMS Quantity: �T Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand I�Tame Model No. VENTILATION rr No.�Kitchen Exhaust � duct — ' ' *� �S� cfm No. �_Bath Exhaust(must have duct outside) �cfm No. _�^Other Fans: Locations�O � �0(7 cfm FUEL STORAGE (MUST BE APPROVED BY FIlZE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 ' �s�-� �� - � DATE TIME CITY OF ORONO CALLED IN �D_� INSPECTION N�JZI�E9 SCHEDULED !d''3�-03 /T D� PERMIT NO. f`fJ COMPLETED ADDRESS `T!-2� ��cS^�-dZ2 �./ OWNER CONTR.��a��r''� L-D�,�'�� TELEPHONENO. �� ' �� 7-3� ��"J � DESCRIPTION �ty�� ^- �� /�^T�L�St � 01 FOOTING 11 ECHANICAL RI 18 IXCAV/G ING/FIWNG Q 02 FRAMING 3 MECHANICAL FINAL 18 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 O6 PROGRESS � 07 DEMO-SITE 27 SEP77C AAAINT. 21 COMPUUNT � 07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FlNAL 36 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a J OO � O � W � Q � 2 W � W � � O W� ORKSATISFACTORY:PROCEED ❑PRWECTCOMPLETE w O CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERINd PERMANENT ❑CORRECT UNSAFE CQNDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RENRN ❑CITATION ISSUED ❑STOP ORDER POSTED.GALL INSPECTOR ❑INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for next inspection 24 hours irt advance. (952) 249-4600 OwnerlContracto n site: Inspector. White Copylinepector's Flle Canary Copy/Sfte NoUce ✓ � �9T�� TIME CITY OF ORONO CALLED IN �/ INSPECTION NO CE SCHEDULED -� �0 � PERMIT N0. �� COMPLETED ADDRESS � f I 1� � OWNER� ' �� CONTR. � eS � TELEPHONE NO. D�- ��' � DESCRIPTION `• T�/� L� 01 FOOTiNG 11 MECHANICAL 18 D(CAV/GRADINC3/FIWNG � 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS Q O03 INSULATION 24 2 D BURNER/FIREPLACE 34 TREE REAAOVAL Z U4 WALL BD• 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PRQGRESS � 07 DEMO—SITE 27 SEPTIC AAAINT. 21 COMPLAINT Q 07 DEMO—FINAL 15 SEP'fIC IN3TALL 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL J 10 PLUM 36 FOUNDATION/REMOVAL 2 OWN CONTRACTOR O MEETYOU: YES_NO y COMM � W � j O � � O � W � Q � W � W � , � O W WORKSATISFACTORIf•PROCEED ❑PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pyOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next spection 24 hours in advance. (952) 249-46�� Owner/Contr n s t . Inspector. 1 WhRe Copy/lnspector's File Canary Copy/Site Notice