HomeMy WebLinkAbout2004-P07660 - mechanical CITY OF OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 P07660
Crystal Bay, Minnesota 55323 Permit Type: Me�t►anical Permi�
(952) 249-4600 Date Issued: 6/30/2004
SITE ADDRESS: 1435 Park Dr
Mound,MN 55364
P I D: 07-117-23-42-0020
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 312.50 Valuation• $ 25,000.00
State Surcharge Fee: $ 12.50
TOTAL FEE: $ 325.00
APPLICANT: Plymouth Plumbing&Heating OWNER: James Martinson
12270 43rd Street NE 1435 Park Dr
St.Micheal,MN 55376 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.
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-AssessinQ, 1-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 retum 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 Desiens - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning instailation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. Whe.i any new construction or remcdeling is involved, a separate bui:�ing permit must be obtained.
5. All work must be done in accordance with the Un�_orm 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 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 249-4600.
Please check one: ,��e Addition Repair Replace
/ Res'dential Commercial
JOB SITE: j �;�� � ���^ �,c� Zip:
Owner's Name: ����� �--{- Telephone Number:
Mailing Address: _ City: Zi�:
T`-PLYMOUTH PLUMBING INC.
Contractor's Nam�: Telephone Numbe�9;'�7 ,!��.,��c.x�
12270 43rd Street N.E.
Mailing Address:_ - 4��,r,,,f�1 ,nN �5376-917I _ ity:���ip:_ ;� , :�,�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ��
'Make:
'' Model: C�(n ( fU�PVQ.�' �-Gj,�
Fuel:
Flue Size: 3 �
�--- Input BTUs: �0,v l��
Output BTUs: �,2,, c��►�
CFM: 1 to o�
COOLING SYSTEMS
Quantity:
-� Make: �3'c*t��
--. ModeL• ��p q� 0�{-� �,n raer� 04�-
---� Tons: '-71/;���
H. Power
FIREPLACES /�'�w�"
---�-
Ga�factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name !�� �J�-.'�12- Model No.
VENTILATION
No. �_ Kitchen E�aust ducted recirculating �ObO cfm
�-No. Q Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations �EN thAfL �Ot�.� ��
q a�. �b� ��
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 Minimum Fee ($35.00)
X .o12s � 2 5,odc� `�
(contract price)
2. State Surchar�e. ** Add the State Building,Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contracc price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT 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 uistallation 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 with the ordinances of the Ciry 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:
✓
�AT�� TIME
CITY OF ORONO CALLED IN /
INSPECTION TIC SCHEDULED 'a %
PERMIT NO. D � O COMPLETEnD ,� '
ADDRESS !�3 S �u� a�'v
OWNER CONTR. `l '�"
TELEPHONE NO.
� DESCRIPTION /"I,�C'� _ �-�--
� 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
Z04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
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❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next i pection 24 hours in advance. (952� 249-4600
OwnerlC r s e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN �13� �Y
INSPECTION NOTICE SCHEDULED ' 'G� `7= '�> A,,,
PERMIT NO. l�''](�L�G� COMPLETED
ADDRESS �3 S /'"��- .
OWNER CONTR. '
TELEPHONE N0. '� � OO�
� DESCRIPTION l�-�=�'1�� ���-��t �(��
� 01 FOOTING i t MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (95Z� Z49-46��
OwnerlContraC�e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice