HomeMy WebLinkAbout2007-P11184 - mechanical PERMIT
CITY"OF ORONO
Permit Number:
275�0 Keliey Parkway- PO Box 66 P11184
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
7/2/2007
SITE ADDRESS: 2055 Salem Ct Unit#
Long Lake,MN 55356
PID: 27-118-23-34-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Duct Wark
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 600.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Anderson Cooling&Heating OWNER: Jeffrey&Mary Soderstrom
20 Hillcrest Dr � 2055 Salem Ct
Excelsior,MN 55331 Long Lake,MN 55356
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.
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APPLICANT P MITEE SIG A URE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
" , FOR CITY USE ONLY
�� City of Orono '
� O¢�'�O P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
� � Crystal Bay,MN 55323 Approved By: Amount$:
��,_ ' ' �o� (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by tlte Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION '
1. You may apply for mechanical pernvts by mail or in person at the City offices. Applicarions will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retuxn 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 Designs—Complete calcularions,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 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 A 1
�esidential ❑ Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
Job Site/Owner Information: .
Site Address: ���� � w
Owner: N Mailing Address: ��� �
c�ty: L�����4�f"� z�p: SS3-��
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �N����/� ��O��i►*�-`r��ntact Person: �v`Cl
Address: ZCj Ct`�«��Sl � State Bond#: '
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City: �/�t �1 Q'!g'rk Zi Expiration Date:
Phone: ��Z-�/o I- ��4�� Alternate Phone: �h-2�2-7�, ��
❑ Insurance- Current:
1 �
� �. , .''� :'': .. `:MLCHA�ITCAl SYS'i'EM�.SEING``I�ISTI�:LL�. _.: . :'� -�'�: � a
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
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 ` ��� " C 2�
❑ No. _� Kitchen Exhaust � duct recirculating `�v cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: � � ����
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❑ 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;excludinQ 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
�'''P,ERIVIIT FEE,CALCULATIOIV(S)=JOBS OVER$SOQ 00' , �.,.��
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
���— �� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE "`*Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 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 pernut 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 si�ned copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 far the price.
' . `' MECHAI�ICAL PERMIT f1PPL�CATION AGREEMENT ` ,
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 made on this application are complete, true and
correct.
Applicant's Signature: ' Date: �—2 � �
3
\ C�� i^ � DA TIME �
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`� CITY OF ORONO cA��E� �� I
INSPECTION N ICE SCHEDU�� � -�������C)C�
PERMIT NO.� ��/ � COMPLETED
ADDRESS �DJ`� ���-�� �C
OWNER CONTR.�CYE��.,�1/tY1 �" �G
TELEPHONE NO. ��� �d� ����
� DESCRIPTION ��� �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 COMPIAINT
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 ❑�SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OFDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next ins tion 24 hours in advance. (J52� 249-4600
OwnerlContractor o s .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� 1 DA T M f
CITY OF ORONO CALLED IN -�`����-�- �'�
INSPECTION N I SCHEDULED O '� 3I.Ol •�
PERMIT NO. COMPLETED
ADDRESS 1� � �
OWNER CONTR. �I�C l�I�
TELEPHONE NO. 1L��2- �p� SS�
� DESCRIPTION � � �� �'IJ(.�'l(/ll�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
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
J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cail forthe n t inspection 24 hours in advance. (952� 249-4600
OwnerlContr r o ite:
Inspector. -
White Copyllnspector's Fi e Canary CopylSite Notice