HomeMy WebLinkAbout2005-P09189 - mechanical ` PERMIT
C�TY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09189
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
9/16/2005
SITE ADDRESS: 1580 Sixth Avenue N Unit#
Long Lake,MN 55356
P��� 26-118-23-32-0006
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:
FEE SUMMARY: Pernut Fee: $ 112.50 valuation: $ 9,000.00
State Surcharge Fee: $ 4.50
Misc. Fee: $ L50
TOTAL FEE: $ 118.50
APPLICANT: Little Igloo H.V.A.C. OWNER: Robert Mack
1829 135th Ave. 1650 North Farm Rd
Andover,MN 55304 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
MINNESOT ILDING CODE REQUIREMENTS.
APPLICA�I�' GN TURE SUED BY SIGNAi URE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
K
� FOR CITY USE ONLY
.� • City of Orono
¢�'� P.O.Box 66 Date Received; Permit#
��,;.,,,, � 2750 Kelley Park�vay
1
w 11'�?%�,�'�'. � Crystal Bay,MN 55323 Approved By: Amount$:
�����'�i�$o` (952)249-4600
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CITY OF ORONO–MECHANICAL PERMIT
(All Commercial pern�its must Ue approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical peinuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut 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,ventilation,hunudification-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 foini provided.
4. When any uew construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordaiice 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 subnutted before fuial.
TYPE OF PERMIT
(Check All That Ap 1 )
� �Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑Repairs ❑Replace
Job Site/ Owner Information:
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Site Address: ��.S�C' L> ��,�"�,�t;� �t-%���_-;�,�'�'
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Owner:T��;�;��� t/� Mailing Address:
City: Zip:
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Home Phone: Alternate Phone: �� ._ .��� _1 � i '%�
Contractar Information:
Contracior: �,` .�.� ContactPers�n: ��/�/ �c���
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Address: i 3s� 5
f ��2 y �v� State Bond #: !v`>(y D�:� "
City: 2�Np0✓e� Zip: S 5�0�/ Expiration Date: y '��3 ``�SJ `
Phone: ���" `���`y'3'�� Altei�late Phone: -� G �� 3�c 3 - 5i �U
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Insurance–Current: ;�,j �
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MECHANICAL SYSTEMS BEING INSTALLED . �� '
HEATING SYSTEMS '��
Quantity: � �,�
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Make: L�.�SD,rs����7��.L/i
�'' Model: � �b l�T//Q L '-1�G _ �:
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' Fuel: r✓�J"-
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Flue Size: �� �
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Input BTUs: / �[`J i��`�� t%%•'r �
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Output BTUs: �f BC� �p.;J �"//�y ��
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CFM: �(�✓G� `=�
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COOLING SYSTEMS '�
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� ' Quantity: / �
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Make: ����ti'
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Modet: f-"1�:3 � p�6 (�
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� Tons: .S To.0 ``
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H.Power � y 5�_ ;�
FIREPLACES J ��
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❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
�. ❑ Wood Stove
� ;�. ❑ Wood Stove With Flue
t.:
Brand Name: Model No.:
VENTILATION
4 . ❑ No. l Kitchen Exhaust duct recirculating ��cfm
'� : _ ❑ No. � Bath Exhaust(inust have ct outside) ��cfm -�
� ❑ No. Other Fans: Locations ��YP✓� cfm
1 FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) "
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[� Installation ❑ Removai
x�:
``� � Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
' � LP Gas: gallons
Other: �,�,��.r
GAS LINE ONLY ��'
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❑ Outdoor Grill ❑ Other/List What&Where: � ���y��
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PERMIT FEE CALCULATION(S) "
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements: 'i
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; excludinQ 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 $ `;j
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PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 '°
.;�
If above does not apply; follow guidelines below: ;���
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1. CONTRACT PRICE *is 1.25%of contract pri�th a(Minimum Fee of$35.00)
�IDD�J X.oizs $ ����_��
(contract price) (minimum�3�.00) `'
tr
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �
�
x.0005 $ '''"
(contract price) (minimum$ .�0) '�'
3. POSTAGE&HANDLING(Oi�ly on Mail-In Applications) $ 1.50
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4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * COI`TTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 fiu-nished by
the owner, tenant or any other parry, the reasonable market value of such items must be added to the
estimated cost or contract price for perrnit fee puiposes. 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 conri�act.
e **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. `��
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MECHAI�IICAL PERMIT APPLICATION AGREEMENT
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
worl: 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 �
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correct. `�;�
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Applicant's Signature: �r,+-���Gt/ Date: 9��y��.-5 �
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CITY OF ORONO CAl�E01N /%�
INSPECTION TICE SCHEDULED �0�0�(��
PERMIT NO. COMPLETED
ADDRESS lS�L5� � �
OWNER CONTR. Ll�Y� � !�D
TELEPHONE NO. ��� �g a ��a �
� DESCRIPTION /=l�� ��
� 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CAIL INSPECTOR
O CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-460�
OwnedContra st
Inspector.
White Copyllnspector's File Canary CopylSite Notice
C� DATE TIME ✓
CITY OF ORONO CALLED IN ��
INSPECTION T SCHEDULED /D-/D OS . �077
PERMIT NO. �� COMPLETED /V "��%"�S �
ADDRESS �S�D OwY�Y�1 � �
OWNER ' CONTR. LlfiS� lG,j�Op f�U,¢�
TELEPHONE NO. ��a �G.3 376`7"
� DESCRIPTION ' —' ��
� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHAN�CAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 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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W���WORKSATISFACTORY:PROCEED Cl PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. r�/ ����s
White Copyllnspector's File Canary Copy/Site Notice
�I !%� DATE TIME ✓
CITY OF ORONO CALLED IN l �CSIO�j
INSPECTION NOTICE SCHEDULED Co �
PERMIT NO.�(�9'/ R�9 COMPLETED � �"" ��
ADDRESS ,���'/� � ��I .
OWNER CONTR. Qf�f�,�r7�
TELEPHONE NO. ��� ' < ��5����c�
� DESCRIPTION c��UD/� %6�
l� 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 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
Owner/Contractor on site:
Inspector. c..�/��r L� S� S
White Copyllnspector's File Canary Copy/Site Notice
�' DATE TIME �
CITY OF ORONO CALLED IN �l
INSPECTION NOTIC SCHEDULED ,�-� `BO
PERMIT NO. 9 COMPIETED
ADDRESS I�J�v c�'��'L � �,
OWNER�!2/1/�Q.� CONTR.
TELEPHONENO. �D�a a3[lo? �3c��
� DESCRIPTION -' Q.�L��
� 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
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
� OWNER/CONTFiACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on sjte:
Inspector. � �/
White Copyllnspector's File Canary CopylSite Notice
�v� L��./� �—D 9TE TIME v
CITY OF ORONO CALLED IN �
INSPECTION N ICE SCHEDULED ?-7 DG� �
PERMIT NO. COMPLETED
ADDRESS ,/SBD -�'�� 1�l/'P � .
OWNER CONTR./�E�l^'D SJ�/t� ,(�mG
TELEPHONE NO. l0�Z- -3(�Z �3� ���
� DESCRIPTION �/� tf��n
l� 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 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 24J-4600
OwnerlContr�et site:
Inspector. -
White Copyllnspector's File Canary Copy/Site Notice