HomeMy WebLinkAbout2004-07299 - mechanical CITY OF ORONO PERMIT NO.: 2004-07299
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 03/11/2004
952 249-4600 FAX: 952 249-4616
REPRINTED ON 10/14/2010
ADDRESS 270 NORTH SHORE DR W
PIN : 06-117-23-23-0019
LEGAL DESC IDYLLVALE FARM
LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL PRE 7/1/2008
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
APPLICANT PERMIT FEE SCHEDULE 246.25
HEATING&COOLING TWO INC. STATE SURCHARGE(VALUATION) 9.85
18550 COUNTY ROAD 81 TOTAL 256.10
MAPLE GROVE,MN 55369
OWNER
TASTAD,JOHN M&KIMBERLEY
210 NORTH SHORE DR W
MOUND,MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will k
expire and become null and void if construction authorized is not 0-
commenced
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
PERMIT
C I°TY OF O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P07299
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 -1v Date Issued: 3/11/2004
SITE ADDRESS: 0 North Shore Dr W
Mound,MN 55364
PID: 06-117-23-23-0018
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: $ 246.25 Valuation: $ 19,700.00
State Surcharge Fee: $ 9.85
TOTAL FEE: $ 256.10
APPLICANT: Heating&Cooling Two Inc. OWNER: Lundgren Brothers Const.
18550 County Road 81 545 E.Indian Mound
Maple Grove,MN 55369 Wayzata,MN 55391
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.
APPLICA&T PtRMfTEE SIGN ISSUED BY SIG ATURE
Covies: 1-File(SiQnitures Required), 1-Applicant,1-Monthly Reports, 1-Assessine, 1-Finance Page 1
Mar-10-2004 03:03pm From-CITY OF ORONO +9522494616 T-899 P.001/003 F-339
Or
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CITY OF ORONO APPLICATION POS.MECHANICAL PERMIT
Box 66 (7750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL UTFQRjAAnON
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.
2. Permit cards will be sent by return mail after a review is completed.PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERNf1T. 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.
Please check one:E]New [] Addition ❑ Repair ❑ Replace❑ Residential {] Commercial
3013 SITE:_ —� i c 161,7�2� ►� ,S'l� ef _ D�. zip:
Owner's Name: 4-") 4L,1_ 8 1'3112S . Phone Number:
Mailing Address: City: Zip;
Contractor's Name: HEATING 9COOLING TWO II�C, Phone Number:
Mailing Address: Mapie-L+rsve,MW r City: zip:
J63)42`
1
4r;19,-2004 03:04pm From-CITY OF ORONO +9622494616 T-999 P-002/003 F-339
SYSTEM 1DESg0MON
HEATING SYSTEMS
Quantity:
Model: 3gbylido b® e /moo
Fuel; Bv
3 11 �G /
Floc Site: /
Input BTUs: �0,®� m• o-�—o
Output BTUs: l �� �J '
COOLING SYSTEMS
Qumintr• r
Make:
Model:
Tons:
M Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace g l'nstalling a Gas Line Only 7
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating chn
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans:Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIitE MARSHAL)
❑Installation or []Removal
❑Fuel oil: gallons ❑underground ❑inside ❑outside
❑LP Gas: gallons /
ElOther Gas openings
Mar-10-2004 03:04pm From-CITY OF ORONO +9522494616 T-699 P-003/003 F-339
9 ,
PERMIT FEE CALCULATION(Sl
2002 State Statute 0 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.
Slip next section; Cost of Permit $ 15.00
State Surcharge$ .5-0-
Mail-In
50Mail In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract price*is.0125%of job with a Minimum Fee of(S35.00)
ZZ 6'0 x.0125 $
(contract price) (minimum$35.00)
2.State Surcharee.**Add the State Building Code Division a Minimum Fee of($.5y)
X.0005 $
(contract price) (minimum$.SO)
3.Postage and Handling(Only mail-us applications) $ 1.50
4.TOTAL PERINUT 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,hnd other fid costs.It is the amount to be charged to the customer for the work done.Yf any material,
equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items
must be added to rhe estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of
the jab can,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 ofa Machanical 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
Ut " DATE TIME
Y
CITY OF ORONO CALLED IN
INSPECTION N T CE SCHEDULED 7-22'�
PERMIT N0. 'Z7 COMPLETED
ADDREe7��y cS`LD?.P ,iQt/4/ .
OWNER CONTR. Ay
TELEPHONE NO. eO,7
DESCRIPTION /�.�� —/"`�' /v/ �J
4401 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
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 06 PROGRESS
07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
t 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Z09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES—NO
COMMENTS:
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W WORKSATISFACTORYZOCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Ci BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contra te:
Inspector.
White CopyMspector's File Canary Copy/Site Notice
DATE / TIME
CITY OF ORONO CALLED IN L
INSPECTION NOTICE SCHEDULED
PERMIT NO. /0& -2,�_,1919 COMPLETED
ADDRESS N �hore D�
OWNER CONTR.
TELEPHONE NO. -ARD- S -7 CR -
DESCRIPTION I, x
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS f
O 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 FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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W� WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY
C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING
PERMANENT rfh(p/Q
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
L1 CITATION ISSUED
C3STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe nxt inspection 24 hours in advance. (952) 249-4600
Owner/Con ite:
Inspector.
White CopylInspector's ile Canary Copy/Site Notice