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HomeMy WebLinkAbout2008-P12206 - mechanical PERMIT CITY�OF ORONO 2,—�5U Kelley Parkway- PO Box 66 Permit Number: p122o6 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/26/2008 SITE ADDRESS: 2140 Sixth Ave N Unit# Long Lake,MN 55356 PID: 27-118-23-31-0026 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 36.00 APPLICANT: Practical Systems OWNER: Paul&Mary Phillips 4342B Shady Oak Rd 2140 Sixth Ave N Hopkins,MN 55343 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 BUILD[NG CODE REQUIREMENTS. !--__..___.__ ����/� -____ -�� C C`)'j'1(�/'� ��� APPLICANT PERMITEE SIGNAT[IR6.____'` ISSUED BY SIGNATURE Copies: 1-File(SignaturesRequired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(IfSeptic, 1-Septic) Page 1 �• �► ' Ft}R C1fiY t7SE C#NLY � O,$0�o City of Orono P.O.Box 66 Date Reoeivcdi 1'ermit 1� � 2750 Kelley Parkway �� � ,;:, t� Crystal Bay,MN 55323 Approved$y: Amcrunt$: �b� (952)249-4600 CITY OF ORONO—MECHA1vICAL PERMIT (All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall) GE1�tERAL IN�'C�R.MATIQhT 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 THE JOB SITE. 3. Mechanical Desiens—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. 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 fmal. TYPE�F PETtM�T C�ck Al1 That A 1 ❑� Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site!Qwner I�f�rm�tian: Site Address: 2140 6th A"e N Owner: Mary Phillips Mailing Address: sa"'e Clty: Orono Zlp. 55391 Home Phone: (9sz�a�3-s�3� Alternate Phone: Cvntt�ractor Information: COrilT1CtOT': PT�ctical Systems Contact Person: Jo�'° Address: 4342B Shady Oak Rd State Bond#: ssasi6 Hopkins 55343 09/16/08 City: Zip: Expiration Date: Phone: (952)933-1868 Alternate Phone: � oiroiio9 Insurance—Current: 1 ,.. . , � ' HEATING SYSTEMS Quantity: 1 Make: RUUD Model: UGPN-OSEAUER Natural Fuel: Flue Size: Input BTUs: 50,000 Output BTUs: 40,000 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . � 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: 1. Does not require modification to electrical or gas service. 2. Has a total cost of�500.00 or less;excluding 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 � P�RMIT F'E��ALCfiTLA,TIC?N S -JOBS 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$35.00) 2,000.00 x.0125$ 35.00 (contract pricc) (minimum$35.00) 2. 5TATE SURCHARGE **Add the State Bldg Code Div. Surcharge(:�iinimum Fee of�.50) 2,000.00 x .0005 $ 1.00 (contract price) (minimum$ .50) � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50 36.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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 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 di5pute on the amount of the job cost, the City may request the submission of a sib ed copy of the actual contract. ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. I�IECHANICAT� PE�MiT APPLT��;`I"ION AGREEP+�IENT The undersigned hereby applies to the Gity 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: ,—��.�._�� Date:—��=�-' ._-. Reset Form 3 �( <� ' AT TIME CITY OF ORONO CALLED IN ' � INSPECTION N IC SCHEDULED - � .�� PERMIT NO. �a��c COMPLETED ADDRESS ��� c����IG�i S'�'t!-� /V OWNE�/"`��'-,Y� CONTR. P/Y�e�1CG.� 6��y,N'��! TELEPHONENO. Q5Z 7.3 ��37 � DESCRIPTION / U���� � ❑ FOOTING ❑ MECHANICAL•RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a J � 1 ��C s �a 6 c� � 0 � W � Q � 2 W � W � � d W� �WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �J ,/`7� White Copyllnspector's File Canary CopylSfte Notice