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Home My WebLink About2005-P09487 - mechanical PERMIT CIT e OF ORONO Permit Number: 2�50 Kelley Parkway- PO Box 66 P09487 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 12/15/2005 SITE ADDRESS: 4445 North Shore Dr unit# Mound,MN 55364 P�� 07-117-23-31-0001 DESCRIPTION: Proposed Use: Residenrial Permit Class: General . Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 196.50 APPLICANT: Riccar OWNER: James&Margaret Kelly 2387 Station Parkway NW 5240 Nolan Dr. Andover,MN 55304 Minnetonka,MN 55343 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. �/�'u.�-(,�� /�l- ��,�'�VI APPLICANf PERNIITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 FOR CITY USE ONLY ,�` City of Orono � 4�"�' � P.O.Box 66 Date Received: Permit# ' ��,,;,,,, � 2750 Kelley Parkway .� "�'�z'�:._ Cr stal Ba ,MN 55323 Approved By: Amount$: D`-': > �" Y Y �� i�.�a` (952)249-4600 �$eH�$ CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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. Pernut 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 PERivIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation, hunudification-dehunudification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratiilgs and identification as to type,manufacriu•er and model. Data shall be presented on foim provided. 4. When any new conshuction or remodeling is involved, a separate building pernut must be obtauled. 5. All work rnust be done in accordance with the Unifornl Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be subnutted before final. TYPE OF PERMIT (Check All That A ly) �Residential ❑ Commercial(Approval Required) �I�Tew ❑Additional ❑ Repairs ❑ Replace - Job Site/ Owner Infornlation: Site Address: `1`�� \�-�� --�� v `�_. Owner: 1 � � `t \�� IVl.��1 Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infornlation: � Contractor: \ 1��C`�'l Contact Person: �C q � Address: �� t'�en d#: �� T-\ ` � U City: � Zip��Piration Date: Phone: ��Q��""` '�-t� Alteiziate Phone: ❑ Insurance—Current: 1 __,�.._ ,._ ....�u. .�.�.. _. .. _..�. ..._. ..a. . __. __. _._ . _ .._.. _ MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: \ Make: �� Model: - ��Z�,� Fuel: �� il Flue Size: Input BTUs: � � Output BTUs: �� CFM: COOLING SYSTEMS Quantity: ' Make: ��L� Model: - �i1V Tons: � H. Power FIREPLACES ❑ Gas Factory Fireplace � > ❑ Wood Buniing Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin �'� No. Other Fans: Locations cfm V e�'1 '(`(1 C�--� -� �-\� FUEL STORAGE(MUST BE APPROVED BY FIRE MARS ALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside t LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: � , . PERMIT FEE CALCULATION(S) i BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements: 1. Does not require modification to electrical or gas seivice. 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 conh�actor. W Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMITFEE CALCULATION(S)—JOBS OVER $500.00 � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ��,�� x.0125 $ � b�� (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �� C�� x.0005 $ t �� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ � `1�Q • ��V ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar aniount 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 installations 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 puiposes. 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. ; MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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 Signat e: Date: 1� � � , 3 � _ _ �- ✓ DATE TIME �CITY OF ORONO CALLED IN �-�� INSPECTION N IC SCHEDULED /- -O � PERMIT NO. � COMPLETED ADDRESS �� OWNER CONTR.� TELEPHONE NO. 7� � 7�� D � DESCRIPTION � 1��' �� ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 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: � W � � � O a � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE � ❑CORRECT WORK&PROCEED !-1 ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next i spection 24 hours in advance. (952� 249-46�� OwnerlContra t : Inspector. � White Copyllnspector's File Canary CopylSite Notice V� D TIME � , CITY OF ORONO �r�CALL'ED IN /—�� INSPECTION NO IC SCHEDULED � �i� PERMIT NO. D COMPLEfED ADDRESS �� /V��"� � OWNER CONTR..��.C�� TELEPHONENO. �� 3 7S� ��ZS � DESCRIPTION w �� 01 FOOTING 11 MECHANICAL RI 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a J cQ O �. � O � w � Q � z W � w � � � O W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONWTIONWITHIN HOURS. p pHOTOTAKEN IIVSPECTOR WtLL RETURPI ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IIVSPECTION REQUIRED.CALLTO ARRA GE ACCESS. Call for the next inspe '0 2a hours in advance. (952) 249-4600 Owner/Contra or s' : Inspector. White CopyMspectoPs Flle Cana Copy/Site Notice DATE TIME ✓ CITY OF ORONO CALLED IN ��7 -L�'�c INSPECTION NO�CEp,,/�j SCHEDULED 1�"Ck ��'U ,1� PERMIT NO.—__�O / 7 0 � COMPLETED ADDRESS ��15^ .�VC�i`' '7�� Sf��iP2 �r?. OWNER CONTR. ��`� �u r TELEPHONE NO. 7 C1' �� S �� DESCRIPTION � L � � �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 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 J 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/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � � O >. � O � ti � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CAL�TO ARRANGE ACCESS. s Call for the nex ..i��spection 24 hours in advance. �95Z� Z49-46�� OwnerlContr��i si Inspector. � White Copylinspector's File Canary CopylSite Notice ✓ AT TIME CITY OF ORONO CALLED IN � INSPECTION TI SCHEDULED - o?:d� PERMIT NO. OMPLETED ADDRESS � ��-�� OWNER CONTR. �l�C1�C� TELEPHONE NO. �� ?.�� 7`'�� DESCRIPTION L.f2�,� f � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FIILING 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 v 07 DEMO-FINAL 15 SEPTIC IIVSTALL. 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 �7-l�s I�ri.� �Vbl0.vt0�l� �L� j O >. � O � W � Q � W � W � � / � [�WORKSATISFACTORY PROCEED ❑PROJECTCOMPLETE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOM1{ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUPISAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIOMREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContract ite: Inspector. White CopyMsp�tor's Ile Canary Copy/Site Notice