HomeMy WebLinkAbout2004-P07771 - mechanical PERMIT
CIT'�' OF ORONO
2�50 Kelley Parkway- PO Box 66 Permit Number: Po���l
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: s�2�2ooa
SITE ADDRESS: 1435 Park Dr
Mound,MN 55364
P I D: 07-117-23-42-002 0
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Worsbo Heating -Whole House
FEE SUMMARY: PernutFee: $ 62.50 Valuation• $ 5,000.00
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 65.00
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 STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMEN'TS.
(gyY1 Ce�'1 /�/�
APPLICANT PERMITEE SIGNATURE ISSUED SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Avplicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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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.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
iJNTIL YOU R�CEIVE A PERMIT. WORK MUST NOT BEGIN LTNTII.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 Ue presented on form provided. Identification of and specifications for water heating i
equipment shall also be provided. `'�
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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 Ue inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required. ;
7. House Heating Test Record must Ue 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. ��
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Please check one:t�New ❑ Addition ❑ Repair ❑ Replace [�esidential ❑ Commercial
JOB SITE: �� ,�j .� �` �`t-�C ��- Zip:
Owner's Name: f�' � �i�-�- �'�� Phone Number: ;
Mailing Address: City• Zip• -
Contractor's Name: Phone Number:
Mailing Address: City: Zi `?
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SYSTEM DESCRIPTION •
HEA'�iNG SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
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 Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
;'�" No. Bath Exhaust(must have duct outside) cfm
�--;
��-` No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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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 aUove does not apply, follow guidelines below: +i:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.001
��' L� ��X...0125 $ �
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
;�
x .0005 $
(contract price) (minimum$ .50)
3. Postage and Handling (Only tnail-in app[ications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $
*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 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. [n 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 co ct. �•:
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Applicant's Signature: � Date: D — � �Q�
Approved By: Date:
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V
ATE TIME
CITY OF ORONO C LLE IN ���`�
INSPECTION NOTICE Q�,�?'J�HEDULED � .�
PERMIT NO. � MPLETED
ADDRESS f `� � � ��-'Z �— �R •
OWNER CONTR.
TELEPHONE N0. �� � ���g� � �d r���'
� DESCRIPTION
� � �.� ��''�s�
� 01 FOOTING 11 MECH NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WEfLANDS
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 OEMO-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
Z OWNERICONTRACTOR TO MEET YOU:_YES NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOSJRS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952� 249-4600
Owner/Contractor n 't :
Inspector.
White Copyllnspector's Fil Canary Copy/Site Notice