HomeMy WebLinkAbout2005-P09303 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: po9303
Crystal Bay, Mtnnesota 55323 Permit Type: Mechanical Permits
(952)24&-�600 Date Issued:
10/14/2005
SITE ADDRESS: 2550 Sixth Ave N Unit#
Long Lake,MN 55356
P��� 28-118-23-41-0005
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Pemvt Type: Mechanical Permits Pemvt Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 185.00 valuation: $ 14,800.00
State Surcharge Fee: $ 7.40
TOTAL FEE: $ 192.40
APPLICANT: Michal's HHH,Inc. OWNER: Ed&Tess Rice
P.O.Box 814 2550 Sixth Ave N
Anoka,MN 55303 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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APP AN PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) . Page 1
J
f FOR CITY USE ONLY
` City of Orono
�O� P.O.Box 66 Date Received: Permit#
�" � 27j0 Kelle Parkwa
�,;,;r�,� Y Y
p�':��;�.`�> � Crystal Bay,MN 55323 Approved By: Amount$:
' �������.�o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working days.
2. Peimit cards will be sent by retuni 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�—Complete calculations, details and specifications are required for each
heating, ventilation,hunudification-dehunudification,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 pernut must be
obtained.
�. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requn�ements.
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 Apply)
�Residential ❑ Conunercial(Approval Required)
�New ❑Additional ❑ Repairs ❑Replace
Job Site/ Owner Information: �
Site Address: ���� ��� /� L� � � � C� � �
Udv er: V i n-c vu ��� / �Wl�� ��C'��/'�1's'�`�c�- ✓-�►^
�rs Mailing Address: �
City: !��/t��L>t-�' /' Zip: S�S �C����
' j
Home Phone: 7�_��— 7��'���-� Altenlate Phone:
Contractor Inforn�ation:
Contractor: � � h/S �/�`i r� � Contact Person: ��l l I /�`I��s`���
Address: P(� ���c ��� State Bond #: ��� �f 9���
; �30�/� . /
City: l Zip��3 Expiration Date: � �/ ��
Phone: �� �����11��� Altelnate Phone: ����' ���'����
❑ Insurance—Current:
1
�
- MECHANICAL':SYSTEMS BEING INSTALLED �
HEATING SYSTEMS � �
Quantity: �
Make: r� (�� Y' /►—�-
Model: U � � U� �
Fuel: / " e-
Flue Size: � l� � /' l��
Input BTLJs: ����
Output BTUs: ��� 7� �
CFM: � �
COOLING SYSTEMS
Quantity: /
Make: ���m�A�'
Model: ��s^�`l��S'
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 cfin
,�` No. ? Bath Exhaust(must have duct outside) cfm
❑ 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: ��'� ��-C 7°
2
': PERMIT FEL CALCLTLATIfJN(S) .,: `
° BASED OFF- 2402 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;excludinQ flie 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 $
PERMIT 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 a(Minimum Fee of$35.00)
�� �� O x.0125$
( ontractprice) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (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
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 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.
MECHANICAL PERMIT AFPLICATION 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 that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: � � ���
3
� ' DATE TIME �
CITY OF ORONO CALLED IN ��- I�
INSPECTION N �I�C�� SCHEDULED /D -/9-QS �oa
PERMIT NO._S�-u��0.3 COMPLETED
ADDRESS c�SSD 1���?L�����.
OWNER CONTR. /�//C/EQ�2�S J����
TELEPHONENO. ��a 7�9 l9/�
� DESCRIPTION /y - L�C�- �
� 01 FOOTING 11 MECHANICA 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ,.
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS.
Call for the n xt inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor ite:
� .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� ,,�,���,� �,�.--'
`-� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION N TI SCHEDULED - '
PERMIT NO. � COMPLETED ��
ADDRESS���� ���7�`f'CU`Y
OWNER CONTR.
TELEPHONE NO. 7��30 ��'t'
� DESCRIPTION /'�l� � ��►'`��C
� 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 2� SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑C RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on si : �
Inspector.
White Copyllnspector's File Canary CopylSite Notice