HomeMy WebLinkAbout2004-P08075 - mechanical PERMIT
CI�T����F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08075
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioiisi2oo4
SITE ADDRESS: 330 Silver Meadow Dr
LONG LAKE,MN 55356
PID: 33-118-23-42-0006
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General r �e _ 0 - �}C�
Pernut Sub-type(s): 7b 4.'�-•�"'`'�
Permit Type: Mechanical Permits L1
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 42.26 Valuation• $ 3,381.00
State Surcharge Fee: $ 1.69
Misc.Fee: $ 1.50
TOTAL FEE: $ 45.45
APPLICANT: Flare Heating&Air Condirioning OWNER: J D OFFERMAN&V H OFFERMAN
9303 Plymouth Ave N. Suite 104 330 SILVER MEADOW DR
Golden Valley,MN 55427 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(SiQnitures ReQuired), 1-Aunlicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 p � � � n � D
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GENERAL INFORMATION '>a�
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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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON TF-�JOB SITE.
3. Mechanical Designs-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. Identification of and specifications for water heating
equipment shall also be 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair (�] Replace ❑ Residential ❑ Commercial
JOB SITE: ��� S �V� � 1 �Vl��� ���Pi' Zip: �� J�
OFvner's Name: � � Phone Number:
Mailing Address: ��+ � City: �✓UY� Zip: "
Contractor's Name: (�/� �� Phone Nu ber: �� J ���' � b
Mailing Address N� City: p ip: � t��
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SYSTEM DESCRIPTION �
34
HEATING SYSTEMS
Quantity: �
Make: ���I {/�
Model: � �V�"'u�' Vv
Fuel: �`�' 7J
Flue Size:
Input BTUs: v�
ouc�ut BTus: ��r D 0 J
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIItEPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
�`;` No. Bath Exhaust(must have duct outside) cfm
��. No: Other Fans: Locations cfm
�:+ FLTEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
�.> ❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
�'� ❑ LP Gas: gallons
;� ❑ Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or aQpliance 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; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
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X .o12s $ �/ �,,
(con ract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
�l';�i� .��x .0005 $ I ��%
(cont act price) (minimum$.50)
3. Posta�e and Handlin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ / ��
'CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 installation is fumished 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 contract price under$1,000,000 or$.50-whichever is greater.For valua[ions over
$I,000,000 call the Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signatu : Date: �
Approved By: Date:
3
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� DAT TIME
CITY OF ORONO CALLED IN ��/
INSPECTION NO SCHEDULED ��/ �
PERMIT NO. d�U�� COMPLETED
ADDRESS ���0 ��f I(IC.� .�`'`������ t�,G"��—.
OWNER V��-k; CJ�r�1.c�rL� CONTR. � I�%�- I—���r •
TELEPHONE NO. � �o( � 3�( V �� 3 C�
� DESCRIPTION � r�c;��c�--
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FR,4MING 13 HANICAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOO RNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 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� ORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� G Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContr�cto� �Site:
Inspector �l� ��+l�
White Copyllnspector's File Canary CopylSite Notice