HomeMy WebLinkAbout2006-P09793 - mechanical • PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P09793
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/25/2006
SITE ADDRESS: 2538 Sandstone La Unit#
Long Lake,MN 55356
P��� 33-118-23-11-0017
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
also gas line for fireplaces and dryer
FEE SUMMARY: Permit Fee: $ 153.75 Valuation: $ 12,300.00
State Surcharge Fee: $ 6.15
Misc.Fee: $ 1.50
TOTAL FEE: $ 161.40
APPLICANT: Flare Heating&Air Conditioning OWNER: Dahlstrom Development LLC
9303 Plymouth Ave N. Suite 104 7745 Polaris Lane
Golden Valley,MN 55427 Maple Grove,MN 55311
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.
`�yCc�c,� �' ��� �
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
u� i �� �� _ �� �
�bb�l � , � � �
, f4 , ; 1
_ „ , , �; roa c[Tv usr oNL��
����� City of Orono
P.O.[3oa G6 Datc Rccci��ed�. Pcrmit#
27�0 Kelle�'Park�ct��'
� . ��'- � h��� Crystal Bay_MN»323 Approved 13v: Amow�t$�.
.������a', (952)249-46U0
CITY OF ORONO— MECHANICAL PERMIT
(nll Commercial pennits must be approved hy d�e Ruilding Offici,il or Inspector and/or Fire�4arshall)
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 workinb days.
2. Permit cards will be sent by retucn mail after a review is coi�ipleted. 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 condiCioning insCallation including
heat loss/heat gain calculation,design teinperatures,equipment ratin�s and identification as to
type, manufacturer and model. Data shal) be presented on forii� provided.
4. When any new constructioi�or remodelii�g is involved,a separate buildii�g pennit must be
obtained.
5. All work must be done in accordance with the U��iform 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 I )
�Residential ❑ C'onunercial(Approval Required)
[�] New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owi�er lnformation:
�
Site Address: ���� _��� ����� /��_ ��-Q�.
�
Owner:��_j �S'� ��'�� Mailing Address: ( �� �� � e I 11
��ty: �, Z�p: 5�S'1 '� I
Hoi�ie Phone: Alternate Phone:
Conti•actoc Infiormation:
�
� � �
Contcactor: � � � � Q � � �Contact Person: � � ✓L
nddress: I��� 1" ��� �% � State Bond #:
C ity: ������ �� � � �Zip:�7��Expiration Date:
Phone: ��� �� �' � � ��j� Alternate Phone:
❑ Insurai�ce—Cui-rent:
I
�
MECHANICAL SY�TEM�BEING INSTALL�I� '
HEATING SYSTEMS �
Quantity:
Make: l.�n �
ModeL• �� � V Q�I�
Fuel: , �
Flue Size:
I nput BTUs V �a
Output BTUs: D�d
CFM: �
COOLING SYSTEMS
Quantity: `
Make: l,F/U'Y� �V
Model: D� d�
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 o� cfm
[.� No. �_ Other Fans: Locations y�,� cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS L1NE ONLY ,�
❑ Outdoor Grill � Other/List What&Where: �� I� � � � �/
�
2
✓
PERMIT FE�CALCULATION(S)
' �A�EI�(��F-2002 STATE STATUE:
❑ Yes,this section applies
The replacement of a Residential fixture or ap liance 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;excludin�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 $ .50
Mail-In Fee(If Applicable) $ 1.50 �
Total Permit Fee $
FERI�IIT FEE CAL�LiLATION S '-�JOBS OVER$�4{�.fl�
If above does not apply;follow guidelines below:
I. CONTRACT PRICE * is 1.z�%of contract price with a(Minimum Fee of$35.00)
¢� b� ��
x .o125$ � .�
(co tract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum F�e of�.50)
� �p� �� >>
X .000s $ �—
{contract price) ( nimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 7��
■ * CONTRACT PR[CE 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 ofthe Building Department at(952)249-4600 for the price.
M��HANICAL PERMI'�'APPLI�ATIQN AGREElw1ENT
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: W`-'�- • Date: I `��
Reset Form
3
'���;. .�: ,...�,�'R'�"`'
HOUSE HEATING TEST RECORD
ADDRESS �=-" - APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE H7G. INST.
SO�D BY INSTALLED BY
El�ctricol Work By C�s Lin• By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION �
MAKE MAKEOFBURNER /
Mod�l Model �
S�riol Mox. BTU Raring
INPUT MAKE OF FURNACE ��
Model
CONTROLS
THERMOSTAT Heat Plup Vsnt Size
Volve KIND OF LINER SIZE NONE
Limit Draft Hood Rsgularor ���'"
Limit S�ttiny Filters $ize Number
Fon $etting Chimnsy Locatio� Insids Outside
Pilot Type Chimney Construction
Pilot Moke '
Pilot Model $moke Bomb 'Miring
Pilot Timing Draft _ Test Ta9
L.M�. Cut Off Door Pressure Lightiny Inst.
Pressure Percent CO2 l.' `� Date 7ested —
I�put CFH Percent Q� � � � Company Testing --
$tock Temp. 4� Peresnt CO Name of 7ester
Form 235
r
�
A TIME v
CITY OF ORONO C LED IN ����
INSPECTION N TICE SCHEDULED '
PERMIT NO. 7 � COMPLETED
ADDRESS A�S�� �� �UC��
OWNER CONTR.
TELEPHONE NO. � ��a l � T
� `
� DESCRIPTION � --� � �
� 01 FOOTING 11 MECHA C RI 18 EXCAV/GRADING/FIU.ING
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEEf YOU:_YES_NO
v�, COMMENTS: _ � �' I�S1 l /l.� —1 ' I CI "�b
�
W
a
o � � ��5 .�. � i r >� �
� �,' �7 P > S /7 i�/V�L►.� �
o �' � ..s
W
� � � � �
Q
�
Z
W
�
W
�
�
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� RRECT WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CAII TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
V� � �� � �'��' � DATE TIME �
CITY OF ORONO CALLED IN 5-/S"D�
INSPECTION NOTICE SCHEDULED �7
PERMIT NO.P�� 7 9 3 COMPLETED
ADDRESS �� cSQ���i'�EYY/ /--.��
OWNER CONTR. �IC�.hf�� �nr�F-
TELEPHONE NO. � � a- I C.o
� DESCRIPTION �L—/ ! ( ,� � �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINA� 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 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 FINAL 35 HARD COVER REMOVAL
� 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
C
o L -L . � � t �. ���
�.
�
0
�
W
�
Q
�
z
W
�
W
�
j
d
W� y�WORKSATiSFACTORY:PROCEED f.7 PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� ZQ9-46QQ
OwnerlContractor on siye:
Inspector. �� >''/ ����
White Copyllnspector's File Canary CopylSite Notice
� � ��� DATE TIN�
CITY OF ORONO CALLED IN ` I�� � '
INSPECTION ���� SCHEDULED ��L.��
PERMIT NO. connP�ErEo
ADDRESS � �J�
OWNER CONTR. � -f' ��_ i �
TELEPHONE NO. � - � �- � �
� DESCRIPTION � � 1 t� C_
� 01 FOOTWG �i.1�MECHA ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
o + t� ��v - .�e �"re �s� �a�r
� �.� 7"� ►G�. y,�����9'��S
0
� '�T��,�,� 5 v�..L c�G•.A T
Q l��.� ��-r,� c� -�� --� Z� r�e -f--
z f� �� ►��c�cce�
W
�
W
�
�
d
W� ❑WORK SATlSFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED C7 ISSUE CERTIFICATE OF OCCUPANCY
Q ❑C RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
0 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor o site:
Inspector.�,L� �`, � �
White Copyllnspector's File Canary CopylSite Notice
���� C� /� DATE TIME �
CITY OF ORONO � I��/ CALLED IN %�{�
INSPECTION I�OTICE..�� _, ., SCHEDULED �',� //'�
PERMIT NO.�f � ' COMPLETED
ADDRESS =. �=, ^ �' `�' `�r�'1`�-R%1'��
�/
OWNER CONTR. fl G�ur�- ��-I��-'�
TELEPHONE NO. ��� � � �� � l� � �
� DESCRIPTION �� ��I ���-`7
Ly 01 FOOTING 11 MECHA 18 EXCAV/GRADING/FILIING
� 02 FRAMING MECHANICAL FIN 19 LAKESHORE/WETLANDS
�
Q 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 FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
C
o r . �; 5-�--�`.�
�
�
� � . fc� �.J� `—!� 5 l��v t ��`T ,�,�-���,l
W
�
Q
� 3 I-�v M. c�/ ��� e� e o ��d i
z
w
�
� l,�� 11 10 0 �. �,5� �rv � �-- r;� ,4 1
�
GW WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
��ORRECT WORK 8 PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. � 1 �
White Copyllnspector's File Canary CopylSite Notice