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Home My WebLink About2007-P11228 - mechanical PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: p11228 Crystal B�y, Minnesota 55323 Permit Type: Mechanical Permits (952),249-4600 Date Issued: 7/18/2007 SITE ADDRESS: 2680 Pheasant Rd Unit# Excelsior,MN 55331 P��: 21-117-23-23-0020 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: Also,Installing Gas Line To Fireplace FEE SUMMARY: Permit Fee: $ 45.00 valuation: $ 3,600.00 State Surcharge Fee: $ 1.80 TOTAL FEE: $ 46.80 APPLICANT: Practical Systems OWNER: Matthew&Kathy Dolliff 4342B Shady Oak Rd. 2680 Pheasant Rd Hopkins,MN 55343 Excelsior,MN 55331 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. �� , � �j' / � � �� / /�� APPLICANT PERMITEE SIGNATURE ISS D BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 � FOR CITY USE O1VLY ,,-."��q��- City of Orono • %�� `��'� P.O.Box 66 Date Keceived: Pcrn�it�tt � ``� ��'' 2750 Kcllcy Parkway �a c°'�� .�;� Crystal Bay,MN 55323 r'lpproved By: Amount$: • ��!'ksexo$�G`5` (952)249-4600 --- C[TY OF ORONO—MECHANICAL PERMIT (All Commurcial permits must bc approvcd by thc Building Ofticial or Inspcctor and/or Firc Marshall) GENERAL TNFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. A�plications 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 PERMIT. 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. 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 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 T�st Record musl be submitted before final. TYPE OF PERMIT (Check All That A 1 �Zesidential ❑Commercial (Approval Required) ❑ New `�ldditional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: �l�(�! ��5� ��-� Owner: � ,� �1!� 1�' � Mailing Address: �C�.. c��: ��v�"' z�p: 55 33 � Hoine Phone: Alternate Phone: Contractor Information: Contractor: Kline Corp. rson: DBA: Practical Systems �� // „ Address: 4342B Shady Oak Road #: l�J Hopkins, MN 55343 � 1�, OT— Ciry: � 952-933-1868 �ate: — Phone: Alternate Phone: ❑ Insurance—Current: 1 MECHANICAI. SYSTEMS BE1NG INSTALLED " HEATING SYSTEMS , Quantity: � _ Make: �,(� Model: `i 5 Fuel: �� ,S � Flue Size: Input BTUs: �j�� Output BTUs: lU �� CFM: COOLING SYSTEMS Quantity: _ Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm � No. __�___ Bath Exhaust(must have duct outside) �"�j�°, cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BF,APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoar Grill � Other/List WhaY&Where: �` � � ��C 2 � � � PERMIT FEE CALCULATION(Sj � . BASED OFF- 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance thaY 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;exc1udin�the cost of the fixture or appliance:and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge S .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PE�MIT'�'E;�'�,�i�GULATION(S -JOBS OVER $500.04 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) IXV� x .0125$ "�✓ 'v `� (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ot$.50) 3�e�� X.000s $ 1- � (contract price) (minimum$ .�0) 3. POSTAGE&HANDLING(Only on Mail-In Applications) � L�0 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��f'" C� ■ * CONTRACT PRICE or JOB COST means the actua] or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the ainount 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 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 STATF SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AG1�:�E�ENT 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 State of Minnesota, and certifies that all statements Tnade on this application are complete, true and correct. Applicant's Signature: L Date: � � � �� L i t Reset Form 3 �( �J DATE TIME ✓ CITY OF ORONO CALLED IN T�� INSPECTION N TICE SCHEDULED � PERMIT NO. �� Z COMPLETED ADDRESS C� go ��a'� f OWNER CONTR. S TELEPHONENO. ��a -�'i33— 10 �O� � � DESCRIPTION �� /�� 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 FINAI 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W C � � O � � O � 4r � Q � Z W � W � � a W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. O PHOTOTAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe ext ins ion 24 hours in advance. (952) 249-4600 OwnerlContr site: Inspector. � White Copyllnspector's File Canary CopylSite Notice D TE TIME `� CITY OF ORONO CALLED IN �L�� INSPECTION�T/I SCHEDULED ! O _�, '�� PERMIT NO. / / l � COMPLETED ADDRESS �� /�-� OWNER CONTR. (�-�' TELEPHONE NO. �� -` �� a -'L R�C� � DESCRIPTION��s��l�� `� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING - v1ECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. � WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � j d � WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W `L7 CORRECT WORK 8 PROCEED ,^� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the n�xt inspection 24 hours in advance. (J52� 249-46�� OwnerlC�in ra r o �it�: Inspector. i � White Copy/lnspector's File � Canary Copy/Site Notice �