HomeMy WebLinkAbout2003-P07029 - mechanical CITY �F ORONO PERMIT
275� Kelley Parkway- PO Box 66 Permit Number: Po�o29
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii�2o�2003
SITE ADDRESS: 2080 Salem Ct
Long Lake,NIN 55356
PI�: 27-118-23-31-0016
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernut Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 149.31 Valuation• $ 11,945.00
State Surcharge Fee: $ 5.97
Misc.Fee: $ 1.50
TOTAL FEE: $ 156.78
APPLICANT: Total Comfort OWNER: Laura&Robb Hirschberg
12800 Highway 55 2080 Salem Ct
Plymouth,MN 55447 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Requiredl, 1-Anplicant 1-Monthlv Renorts. 1-Assessine, 1-Finance Page 1
Nov-12-1003 01:OTPm From-CITY OF ORONO +A5224A4616 T-409 P.002/004 F-602
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CITY �F 4FtON0 APPLICATION POR MECHANXCAL PERMIT
Box 66 (2750 Kclley Parkway)
Cxystai Fay, N1N 55323
G�RAL IIVZ'ORMATION
1, You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewec!and a pezmit will b�issued within two workin�days.
2. Pcrmit cards will be sent by return mail after a review is completed.pERMITS ARE NOT VAL1D
UNTII..YOU RECENE A PERMTT.WORK NiLJST NOT BEGIN UNTIL THE PERMIT CARb IS �
pO�TRD ON TFiE JOB SITE.
3. M�c }�... e ' s-Complete calculations,details and specifications are required fer each heating,
�;.:ti.'..ii�.rii,i 4�e�,�i2i�;.I�0i1-C�C:IU�i.1�ffIC3LI0f1.and ai:COAdiflOfiill$1riSt��siion in�iu4iam i�.eat los�i�r,eac
g�i:i Calculadon,d�sign temptratures,equipm�nt ratings and idtn[ification as to type,manufactuYet an�i .
model.Data shall be prescnted on form provided.Identification of and specifications for water heating
equipm�nt shall also be provided. �
4, W'he:i any�ew construction or remodeling is involved,a separate building permit must bc obtained.
5. �',.:1�:c�rk must be done in aecordance wirh the Uniform Mechanical Code/Stace Buildi.-�g Code
reqttirwn:ents.
6. All art�r�:xnust be inspeeted(rough-in and final),Call(9S2)249�600.24-hour notice zc�uired.
7. Ho��sc Heating Tes-t Record must be submitted before fmal. �
Xns:ructions '
Complete �cll items on this application. Compute the permit fee. Sign and date che cer.tification.
INCONll'LFTP AP:�LICATTONS WII.L NOT BE PROCESSLD. If you have questians, call
(552� Z�A-4b00. 2
P.ease check one: ❑New ❑ Addition ❑ Rapair�Reptace[] Residcr.tia! [J Cornmercial
JOB SITE:��U`J � Zip: ����
['�wrQ!�'� NRrne.. UfO�a- b t Ph��e�:.�r.:t���:(�0���3—��� _
i'Iaiiin�.�ddress: a°�v� City:�'��p�1 zip:�5�_
Contractur's Name: P6one Number: � �
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Mailing Address: City: Zip: '� �I
1
Nav-12-2003 OI:OTpe F�o�-CITY OF ORONO +A5224A4616 T-40A P.003/004 F-902
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SYS'PEM DE3CRIPTION `
AEA'Y"iNG SYST�MS I
Quanrity:
Make: �
Model: ► „`� ��
Fuel: _
Flue Size:
Input BTUs:
Out+�ut BNs:
CFM:
COOLYNG SYSTEMS
Quantity: I �
h'Gike: � 1
ModeL• `T —1 0�1��� _
?ons: .
H.Power
FIREpY.ACES GAS LT1V'E ONLY
❑ Gas factory fueplace ❑ Installing a Gas Line Only
❑ Wood buming factory fireplaee with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Modol No.
iiii"�'r1.�.T'�^`"
No. Kitchcn Exhaust duct rccalcula[ing cfm
No. Bath Exhausc(must have duc�outside) cfm
No. Other Fans:Locations Cfm
FYJEL STORACE (MU57 BE APPROVED BY FIRE MARSHAL)
❑Installation or ❑Removal
❑Fuel vil: gallons ❑urderground ❑inside ❑outside
[]LP Gas; gallons .
❑ Othor Gas opening
2
Nov-12-2003 01:08pm From-CITY OF ORONO +9522404616 T-40A P.004/004 F-601
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PERMIT FEE CALCULATYQN(S�
2002 State Statute ❑Yes This Section Applies '
The replacement of a Residtntial f xmre or appIiance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service,
2) Has a total cost of 5500.00 or l�ss;excludina the cost of the fixture or app�iance:
and
3) Ts improved,installed or rcplaced by�he homeowner or licensed conrractor.
Skip nextsCct;o;�; Cost of.Pemiit �i�.00 .. �
State Surcharg�S .SO
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Coatract Price'` is .0125%of job wit�►a Minimum Pee of(S3S.00�
I t ��0 X .o�Zs �, l�lq, � I
-o
(c ntract priee) (fninimum 535.00)
2.State Surchar�e. ** Add thc State Building Code Division a Minimum Fee of(S.50)
�J �
� x.0005 $ � .��
( oncract price) (minimum S.50)
3. Posta e and Handlin (Only nr�ai!-1»applicatia�s) $ ].50
4.TOTAL PERMIT FEE�(Add lines 1-3 above) $ �� -� 6 �
•C�JI�'TRAr`f PRCE et JO'3 rnST r.uans the ac�ual or atimated dollar amoun�charged for the petmitted work including
meterinls,labor,profit,and other fiztd coscs. (t is thc emount to bc chargcd to the eustomer for the wotk done.If any material;.
equipmcnt�labor,or installation is fumished by the owner,tensnt or any other party the re�sonable market value of such ittms
musr be added to the estimated cosc or contract priee fot permi�fee purposes.ln[he event tha�there is a dispute on che amaunt oF
tht job eost,the Ciry may«quest the submissian of a signed copy oF the actual contract. •
+r The STATE SURCHARGE is.0005 of the tonRact price unde�S 1,000,000 or$.50-whichever is greoter.Fo�valuatiaas ovcr
51,000,000 call rhe Depertment of[nspeccianel Serviccs for the price.
Thc undersigned hercby applies to the City fo�issuanec of a Mechanical Pecmit,agrees to do all work in strict accordtnee with
the ordinances of the Ciry and fhe regulations of the Minnesota S[ace Building Code,and certifies that all statetnents made on this
applicacio�are eompleie,ttue and eorcect.
Applicant's Signatt�rc: bate:
Approved By: Date•
3
i
V
�TE/A/ TIME
CITY OF ORONO LLED i ��
INSPECTION NOTICE SCHEDULED
PERMIT N0. p�' �7�'2�� COMPLETED
ADDRESS Z-C' $G �c:�_ �.c_n� C�� .
OWNER CONTR. � �v � �
TELEPHONE NO. ��1��`� C�'7 (�-/�-'
� 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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SERTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YO�I:_YES_NO
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W� '�1LVORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
� I SPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspectio 24 hours in advance. (952� 249-46��
OwnedContractor on��
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice