HomeMy WebLinkAbout2005-P09526 PERMIT '
CITY OF ORONO �
Permit Number:
2750 Kelley Parkway- PO Box 66 Po9526
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) ,�,49-4600 Date Issued: �
12/1/2005
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SIfE ADDR�'SS: 2010 Sugarwood Dr unit#
Long Lake,MNS5356
P��� 34-118-23-21-0007 -
DESCRIPTION: '
Proposed Use: Residenrial
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Venrilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,100.00
State Surcharge Fee: $ 0.55
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.05
APPLICANT: Suburban Air OWNER: Ronald&Kimberly Meshbesher
1290 B Osbome Rd.NE 2010 Sugarwood Dr
Fridley,MN 55432 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 PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
�' `Box 66 (2750 Kelley Parkway)
;. Crystal Bay, MN 55323
GENERAL INFORMATION
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 2 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 Designs - 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. Identification of and specifications for water heating equipment
shall also be provided.
4. When any i�ew construction or remodeling is involvPd, 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �Addition Repair Replace
_� Residential Commercial
JQB SITE• �C=�/C> S� - �,�; ' � 1-- �xp: S>�S�s s
Owner's Name: n�t� ,..� Telephone Number: ;S,� - y y9. ,�����
Mailing Address: > ' �:.��� �t__ City: �%1-; rLt�� Zip: S�sJ�-
Contractor's Name: �,�c� �.,l,�-,� ��� Telephone Number: J�r,� - 7d'y-�/�
Mailing Address: ��G (� C���' �P�.��� �'� City; �1 t Zip: �SY�'L
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel: •
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �
Model: �
Tons: �
H. Power � ���
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WOOD BURNING EQUIPMENT �
Wood stove with flue " �'
Wood combination or add-on 4
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. � Kitchen E�aust r/ ducted recirculating y��+ cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
/ /U�° j x .o12s � 3S.o�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division � �
Surcharge to each permit. x .0005 $ S-�
or $.50, whichever is greater (contract price)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 � �r
* 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 installation 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 contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota
�°� State Building Code, and certifies that all statements made on this application are complete, true
and correct.
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�� Applicant's Signature: �'.�c_ Date: ����U
Approved By: Date:
a�te: 7/5/2005 Revision Date: 7/5/2005 Existing Construction: Pre 1994.
< Site Information
,
Address 1: 2010 Sugarwoods Dr Project#:
v Address 2: Lot: Block:
City: Orono County: Hennepin Subdivision:
Application Information
Business Name: Suburban Air MN Contractor License#:
Contact Person: Mark Sims
OfFce Ph: 763.784.6100 Fax: 763.784.4694 Cell Ph: 763.286.4037
Address 1: 1290-B Osborne Rd NE
City: Fridley State: MN Zip Code: 55432
Square Feet
Square Feet: 6000 sq. ft.
Combustion Appliance
Water Heater 1: Natural Draft Input BTUs: 40,000 Common Vent
Water Heater 2: Natural Draft Input BTUs: 40,000 Common Vent
Furnace/Boiler 1: Natural Draft Input BTUs: 75,000 Common Vent
Furnace/Boiler 2: Natural Draft Input BTUs: 75,000 Common Vent
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): Two or more
Exhaust Equipment
Exhaust Fan Rating (cfm): 400
Make-Up Air
Total Make-Up Air Required (cfm): 20
Passive Make-Up, Round Rigid: 5 inches or Insulated Flex: 6 inches
Applicant Name (print): Signature/Date:
Code Official (print): Signature/Date:
0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1
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�DA�E TIME
CITY OF ORONO p�� LLED IN _�
INSPECTION N TICE � SCHEDULED �� �
PERMIT NO. COMPLETED '-�
ADDRESS Gl�D�O � �J
OWNER CONTR. c�Gt.�-8
TELEPHONE N0. 7�0���(�`�`' �I��
� DESCRIPTION T/v�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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 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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� ❑WORKSATISFACTORY:PROCEED r�OJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on sit -
Inspector. �•�. � %L�
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