HomeMy WebLinkAbout2007-P11575 (Mechanical) PERMIT
CITY QF ORONO
275G Kelley Parkway- PO Box 66 Permit Number: P11575
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: l0/15/2007
SITE ADDRESS: 2180 Abingdon Way Unit#
Long Lake,MN 55356
PID: 03-117-23-24-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
Pool Heater Gas Line
FEE SUMMARY: Perniit Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Metro Gas Installers OWNER: Rick&Britt Gage
685 141st Lane NW 2180 Abingdon Way
Andover,MN 55304 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERIvIITEE SIGNATURE ISSUED BY SIGNATURE
Copies: l-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
� FOR CITY USE ONLY
� � 0,�` City of Orono
� ¢ `�' P.O.Box 66 Date Received: Permit#
��,_,� � 2750 Kelley Parkway
y �!'ly��� � Crystal Bay,MN 55323 Approved By: Amount$:
a���j��$�o (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved Uy Ihe Building OfYicial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernliCs by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Peimit 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 1'HE 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 pernut 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
,�esidential ❑ Cominercia] (Approval Required)
�New ❑ Additional ❑Repairs ❑ Replace
Job Site/ Owner Information: .
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Site Address: � t,•t ,'
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Owner: � �/✓�'� ailing Address: �! �� �`G. G�
City: �.,/J,,� '1^� Zip:
Home Plione: �� �" ��'� I� Alternate Phone; ���' � r����1�
Contractor Informatioil:
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Contractor: �G �ontact Person: a:t -�
Address: .��" ��'� �/ y�State Bond #: ��� S���� / 1'
1v ,�y �F.�A G�3�'
City: ���` Zip�✓C/�xpiration Date: f���V C�
Phone: �lp� �.��`,,,���� Alternate Phone: ���fl J` �J�^��/�
❑ Insurance— Current: _,�� ,,��'��/(,�'�,�(,�'.�
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MECHANICAL SYSTEMS BEING INSTALLED . ` �
HEATING SYSTEM
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Quantity:
Make: �
Model:
Fuel:
Flue Size:
t���ut sTus:
L � �p�
Output BTUs
CFM:
COOLING SYSTEMS
Quantity:
Make: —
Model:
Tons:
H.Power _._._
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove Witli Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirctilating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F[JEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Inslallation ❑ Removal
I'uel OiL• gallons ❑ Underground ❑ lnside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:_ � �
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� PERMIT FEE CALCULATION(S)
BASED OFF '-i2002 STATE STATUE
❑ Yes,tliis sectiou applies
The replacement of a Residential fixture or appliance that meets all ttn-ee 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 fixhire or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE GALCULATION(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)
3D�'�/ • �� X .0125 $
a . (contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x .0005 $
(conUact price) (minimum$ .JO)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TO'TAL PERMI'T FEE(Add Lines 1-3 Above) $
■ * CONTRACI' PRICE or JOB COST means the actual or estimated dollar amotmt charged for the
permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
io the customer for the work done. If any material, equipment, labor or installations are fiirnished 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
aiii�ii7ii vf i}'iC jOt'i C^vSt, i::e Citj� TTi3� rCC�U�St the subnLSStOri Cf a sigr,ed copy of the 3Ct!]3� rnptrg�T.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREENIENT
The undersigned hereby applies to the City far 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 made on this application are complete, true and
correct.
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Applicant's Signature: � �� Date: - �� � ��
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INSPECTION NOTICE SCHEDULED / �
PERMIT NO. coMP�ETEo
ADDRESS �
OWNER CO R. ��0-�-�—�����
TE�EPHONE N0. �� � �9����
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� DESCRIPTION
� ❑ FOOTING CHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ OEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TQ MEET YOU: YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED C� PROJECTCOMPLEfE
❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO A ANGE ACCESS.
Ca11 for the next ins ion 2a hours in advance. (J52� 249-4600
Owner/Contractor on ' e^ �
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� �(J ' Dq� TIME ✓
CITY OF ORONO s CALLED IN ll�-/�7
INSPECTION NOTIC SCHEDULED ����7 �
PERMIT NO._,��1��� COMPLETED
ADDRESS a�� , !/�J� ���/
OWNER CONTR. �I�7�'D �4/��
TELEPHONE N0. (O�c� Cg3� .�`�`"��'
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� DESCRIPTION /���-t,.
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILI.ING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
= p PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiTION WITHiN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on site:
Inspector.
White CopyMspector's File Canary Copy/Site Notice