HomeMy WebLinkAbout2006-P09636 - mechanical PERMIT
CITY OF ORONO
Permit Number:
27�0 Kelley Parkway- PO Box 66 P09636
Cry�tal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Mechanical Permits
Date Issued: 3/3/2006
SITE ADDRESS: 665 Sandstone Cir Unit#
Long Lake,MN 55356
PID: 33-118-23-11-0036
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
also gas line to dryer,fp and furnace
FEE SUMMARY: Permit Fee: $ 122.50 Valuation: $ 9,800.00
State Surcharge Fee: $ 4.90
Misc.Fee: $ 1.50
TOTAL FEE: $ 128.90
APPLICANT: Flare Heating&Air Conditioning OWNER: O.T.Development,LLC
9303 Plymouth Ave N. Suite 104 10300 lOth Avenue N#101
Golden Valley,MN 55427 Plymouth,MN 55441
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 UED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY LISE ONLY
City of Orono
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� �T� P.O.Box 66 Date Received: Pennit#
Q�;,h� �F`= 2750 Kelley Parkway
a ti� �r � Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation inc(uding
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
� 6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before finaL
TYPE OF PERMIT
Check All That A 1 )
�Residential ❑Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
I Job Site/Owner Information:
Site Address: VV � �ds�l�.�- ���'�-c
Owner:�� (if'Jy1,��1/t�/�U� Mailing Address: /0 J�� �d�` �/�/V
City: U' Zip: �
Home Phone: Alternate Phone:
Contractar Information:
Contractor: � ��G Contact Person: �`�'�"
Address: g3�3 �, /v,,State Bond #:
City: 'LJDI�V�I , Zip���''Expiration Date:
/
Phone: ! D J� ��d ' ���� Alternate Phone:
❑ Insurance—Current:
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. 1�C�iA� ,�:L�Y�T�h{IS.$���I�1G INSTALLED :
HEATING SYSTEMS
Quantity:
Make:
Model: J�� � ' ' �
Fuel:
Flue Size:
Input BTUs: O�
Output BTUs: � �b� _
r�
CFM: 1 a
COOLING SYSTEMS
Quantity: �
Make: �+�✓i'�) �
ModeL• � �
Tons:
H.Power
FIREPLACES
� Gas Factory Fireplace
Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
� No. � Bath Exhaust(must have duct outside) f���fm
No. Other Fans: Locations Y p�,�(� _�cfm
FUEL STORAGE(MUST BE APPROVED BY FI E�M�ALL)� "" � ��
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: � � ^ �� ���
2
. �
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' �'���'FEE`��L+�ULATI�.Il`�(��: , i ,
' BA���U�� -��}�� �'T'ATE STATtTE:
❑ 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 ar gas service.
2. Has a total cost of$500.00 or less;excludine 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 Pennit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) � $ 1.50
Total Permit Fee $
P��t�T''�`E�� �;�t�I..�'�`T��1� ---J�1B� �V'�R�FSt�����}
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
° 6n0 �� �'�1, ��
X.oizs $
(c ntract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
uo °D �o
� X.000s $�=..�
( ontract pric ) (mm�mum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ , `�
■ * 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 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
M����CAL PE�:��"AFPLI�A.TI�1"� AGI�EENI��T`
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: (i I/� `� l�
Reset Form
3
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� Date: 9/27/2005 Revision Date: 9/27/2005 New Construction
Site Information �� �,���P
Address 1: Willow Drive & Hwy. 12 Project#: ZB Companies Building BB End
Unit
Address 2: Lot: Block:
City: County: Subdivision:
Application Information
Business Name: Flare Heating &Air Conditioning, MN Contractor License #:
I nc.
Contact Person: Randy
Office Ph: 763-542-1166 Fax: 763-542-3101 Cell Ph:
Address 1: 9303 Plymouth Avenue North
City: Golden Valley State: Minnesota Zip Code: 55427
House Details
Square Feet: 2598 sq. ft. Avg. Ceiling Ht: 8.5 ft. Number of Bedrooms: 3
Ventilation : Balanced
Total Ventilation Capacity : 97 cfm.
Minimum Continuous Ventilation :60cfm.
Intermittent Ventilation: 37 cfm.
Combustion Appliance
Water Heater: Power Vent Input BTUs: 40,000 Independently Vented
Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 80,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No
Exhaust Equipment
Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cfm): 300
Make-Up Air
No Make-Up Air Required by Code
Combustion Air
Minimum Combustion Air Requirements Met.
Applicant Name (print): Signature/Date:
Code Official (print): Signature/Date:
�?004 CenterPoint Ener�y Minnegasco. 2004 Mechanical Code Guidelines. Page I
cv�u-�� �r- ✓
TE TIME
CITY OF ORONO � CALLED IN �
INSPECTION TI SCHEDULED D � 80
PERMIT NO. � � COMPLETED
ADDRESS ���[1ZL!S�� LJ`'�
OWNER CONTR. I
TELEPHONE NO. 7�v3 S�Z � r�P�v
� DESCRIPTION ! 1 ClM �� ��(�/�-J
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑C . RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContractor on site:
Inspector. �,i����� �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO ALLED IN ��� --��,,
INSPECTION N IC �j� SCHEDULED _'��=LL=—! -�..L`��
PERMIT N0. D `+� COMPLETED
ADDRESS ,��J �Q'''`o�'a')'"�"'��
OWNER CONTR. CLLL
TELEPHONE NO. 7��5�����P�
� DESCRIPTION 7 7"C�.v`P /-'�`�/l.
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 COMPLAINT
� 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 ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY
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O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V� �FORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
inspector. t�c.�
White Copyllnspector's File Canary CopylSite Notice