HomeMy WebLinkAbout2007-P11358 - mechanical PERMIT
CITY�F ORONO
275a Kelley Parkway- PO Box 66 Permit Number: p11358
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts
(952)249-4600 Date Issued:
8/17/2007
SITE ADDRESS: 1940 Sixth Ave N Unit#
Long Lake,MN 55356
P��� 27-118-23-42-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernrit Fee: $ 205.38 Valuation: $ 16,430.00
State Surcharge Fee: $ 8,22
Misc.Fee: $ 1.50
TOTAL FEE: $ 215.10
APPLICANT: Ditter Inc. OWNER: Jim&Judy Pierpont
820 Tower Drive 1801 West Farm Road
Medina,MN 55340 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SIRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE IS D BY SIGNATURE .
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Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
` � City of Orono
4���`� P.O.Qox 66 Date Received: Permit#
q`�,y �'`i ?750 Kelley Parkway
l,� �4'` � - �*,�' Crystal Bay,MN 55323 Approved By: Amount$:
e ''�� „���o`;: (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennils must bc approved by the 13uilding Official or Inspector and/or Pire Marshall)
GENERAL INFORMATION
1. You�nay apply for mechanical pern�its by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL1D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB S1TE.
3. Mechanical Desi�ns—Ce:�plete calcu!atior.s,detai!s and specifications are require�for Pach
heating,ventilation,humidification-dehwnidification, and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type, mar.ufacturer and model. Data shall be�resented 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 Unifonn 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 )
'�esidential ❑ Commercial(Approval Required)
!
❑New ❑ Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: - �� % � �" �.0 ��`""
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Owner: � )��l'���'�l l,� �( ��� ��'�--��Mailing Address: � C ��' LC� �(,1-� �-.
City: �.�` 1,� � ��( � � Zip: �' ����> -`>�-�-��
,o
Home Phone: Alternate Phone:
Coiltractor lnformation:
Co�ltcactor: ��V � Coi�tact Person:
Address: ���� ,��Q�-'� ���State Bond #: _ ���
,.�--��% - �` `�
Cih�: l� � `Q-- � Zip:�`� Expiration Date: � ' �
�
Phone: Alternate Phoi�e: L�----
� ❑ Insurance—Current: �� ,�7 � �� ����
1
. .
� � MECH�INICAL��SYST�MS BE1NG�NSTALLED
HEATING SYSTEMS
Quantity: �
Make: �-� ������
Model: �-`�- �7 � Sti��:._ �U� ��;cJ2'`,
P
Fuel: �, lL,
Flue Size:
Input BTUs: -/�j ���
Output BTUs: ��L- '
CFM:
COOLING SYSTEMS
Quantity: �
Make: �-(? ���.
Model: � � � .`,.7 `��� �
�
Tons: `? ��_
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand tvame: Model No.:
VENTILATION
_--��
�— Na �_ Kitchen Exhaust uct ' �irc�irr .✓�dC�cfm
�_ _.. g
Na _L. Bath Exhaust(must have duci outside) cfm
❑ No. _� Other Fans: Locations f7,^; cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLI' � – ���"��^
'l�a ��,Ci�l�
❑ Outdoor Grill ❑ �ther/List What&Where: �, A� �j,��.�^
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. PERMIT FEE CALCULATION(S)
I3ASCD OFF - 2002 STATE ST'ATUE
❑ 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 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 $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Tota1 Permit Fee $
PERMIT FEE GALCULATION(S)=JQBS OVER �500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a�Minimum Fee of$35.00) �"�/�
1� � ��
_� —. _
� / --�� x.0125 $ �����-
( ntract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum ree of$.50)
.�2
� "`/
• x .0005 $ •
(contract price) (minimwn$ .50)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50
1�'/"
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �
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■ * 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
tl�e o�{;ner, tenant ar ai:y other party, tl-�e r2asunable markei vaiue oY such iiems must be added to tlie
estin�ated 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.
? MECHANICAL PERMIT APPLICAT]ON AGREEMENT
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 tl�at� all statements made on this applicatio�� are complete, true an
con�ect.
Applicant's Signature: Date: � `� �
ResetForm
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CITY OF ORONO CALLED IN .� I.�+-� �'I
INSPECTION NOTI SCHEDULED l�'I,�'lJZ 410��
PERMIT NO. �7� COMPLETED
ADDRESS I`7� �� l�'►'►' ) /�v� �
OWNER CONTR. �l�
TELEPHONE NO. �CD�3` �Z� �Sb
� DESCRIPTION ►V1�5J t �I�D• � � Z'�°�/'�l�h I �Dv�
� ❑ FOOTING ❑ MECHANI AL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOL�OW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �Q5Z� Z49-46��
Owner/Contractor on site:
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Inspector. �
White Copy/inspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN �� �
INSPECTION N T SCHEDU�ED 3-7—D�. �
PERMIT NO. � COMPLETED
ADDRESS l�`�D S�G� �'[h° ,�/(�.
OWNER CONTR. D���''
TELEPHONE NO. 7�0 3 '7-7t� ISS� �
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� DESCRIPTION � � �r ��
� ❑ FOOTING ❑ MECHA AL RI ❑ EXCAV/GR G/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
� ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. U pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector. / ��
White Copy/lnspector's File Canary CopylSite Notice
� � �+"�� TIME
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CITY OF ORONO CALLED IN � ����
INSPECTION NOTICE SCHEDULED ���—LF�GL)— �
PERMIT NO.�j� � � COMPLETED
ADDRESS 1 � 4-`!f� ���C���'1 �� N
OWNER CONTR. ��/�'�P �d�
TELEPHONE NO. �LP � `T�� ���
� DESCRIPTION �I��I / � "��-�^" ► '
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
y ❑ FRAMING ❑ MECHANICAL�INAL ❑ LAKESHORE/WETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:; YES_NO `
� COMMENTS: 1 ����/l�C�'�C-�l �f'��Y1C�1�
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O ❑ CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECT�ONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. r � � ��
White Copyllnspector's File Canary Copy/Site Notice