HomeMy WebLinkAbout2006-P09607 - mechanical PERMIT
��ITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P09607
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
2/17/2006
SITE ADDRESS: 1480 Sixth Ave N Unit#
Long Lake, MN 55356
P��� 26-118-23-32-0008
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:
Gas Line For Gas Range&Gas Fireplace
FEE SUMMARY: Permit Fee: $ 189.13 va►uation: $ 15,130.00
State Surcharge Fee: $ 7.57
TOTAL FEE: $ 196.70
APPLICANT: Serbus Heating&Cooling OWNER: Robert& Sally Hauser
272 Industrial Blvd. 1480 Sixth Ave N
Waconia,MN 55387 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 PERMITGE SIGNATURE ISSU D BY SIGNATURE
Copies: 1-File(Signatures Reyuired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
� ��'�FOR CITY USE UNLY� � ;�
,�0�, City of Orono ' ,
` P.O.Box 66 DateRecei�ed: Permit#
�"`ti � 2750 Kelley Parkway
� u�. ;- � Crystal Bay,MN 55323 Approved By: ` Ainount$:
` $o (952)249-4600
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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)
GENER.AL INFORMATION
1. You may apply for mechanical permits by xnail 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 Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilarion,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�F FERMIT
:(Check All That Ap 1
`�-Residential ❑ Commercial(Approval Required)
❑ New `�Additional ❑Repairs �eplace
(
Job Site/Owner Inforrnation:
Site Address: I ��v C-C�.w� �
Owner: ��e�, Mailing Address:
City: ��i �-�� Zip:
Home Phone: Alternate Phone:
Contractar=�iformation:
'3u-S
Contractor: Contact Person: �'�-�
Address: �Z '�`'°�P'"'�� ����' State Bond#: o3L77�'�
City: I.v�+tJ*'i�'i� Zip:�3�� Expiration Date: 7 /v/ o�
Phone: �Z��'� "��P Alternate Phone:
❑ Insurance-Current: � (,�v..�r-�
1
� �� ������� �������°,i'��'��� 1.x i •
/
HEATING SYSTEMS
Quanrity: � / �
Make: l��`� �.C-��� �-�-v29�/
Model: ��/�.�Y����'� (5.��!/<3613-a�o ��/�05�
Fuel: � � /���
Flue Size: � " �V�- Z r���
Input BTLTs: �d d�'� y��
outputBTus: g�,''`�' 7//°°-a �/�s�
CFM:
COOLING SYSTEMS
Quantity: � /
Make: �✓�K'
Model: �/3-0/�
Tons: . �yz
H.Power
FIItEPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation Q Removal
Fuel OiL• gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �
9� '�'F'`�
❑ Outdoor Grill ❑ Other/List What&Where:ql,a'3 �/�-����
2
.
' PERMIT FEE CALCULATION(S) `
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or a lpp iance that meets all three of the following requirements:
1. Does not requue 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERIVIIT FEE CALCULATION(S)—JOBS OVER$500.00 �
If above does not apply, follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with�Minimum Fee of$35.00)
� �l � �U x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bld Code D�urcharge(Minimum Fee of�.50)
-� �
� x.0005 $
(contr ct pri e) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT 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 signed copy of the actual contract.
• **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
� ���� MECHANTCAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
wark 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.
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Applicant's Signature: �if Date: ��7��
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DATE TIME
CITY OF ORONO CALLED IN a a �
INSPECTION NOTICE SCHEDULED c�� �;[TD
PERMIT NO.�l�'�oD� COMPLETED
ADDRESS /��� S�t �`t'7!`P �/'
OWNER CONTR. �S i� �
TELEPHONE NO. �'SZ �� _� a�� �'�'
� DESCRIPTION � � Z Gv� LC.+ti�
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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
� 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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� OflKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOH REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on ite:
Inspector.
White Copyll�spector's File Canary CopylSite Notice
� l � I ` � �� �J"� DATE /1J� TIME �
��CITY OF ORONO CALLED IN S� ��/G"'
INSPECTION NO ICE SCHEDULED "' =�'�
PERMIT NO. � � COMPLETED
ADDRESS_�/��� <1� � / �/
OWNER CONTR. �-C�G�f%n�i �
TELEPHONE NO. /� `��� �c�`� ��f��Z
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� DESCRIPTION �` " `-�- �-'Y( ` /i/!��-('
� 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 REMOVA�
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
� 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
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W��� ORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
W `�O`CORRECT WORK&PROCEED �: ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. � i—� ���.�` �
White Copyllnspector's File Canary CopylSite Notice