HomeMy WebLinkAbout2001-P03526 - mechanical � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P03526
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2it3�2oo1
SITE ADDRESS: 2103 Sugarwood Dr
LONG LAKE, MN 55356
PID: 34-118-23-21-0018
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: $ 600.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Practical Systems OWNER: R 7& S G HOGAN
14226 Norden Dr 2103 SUGARWOOD DR
Rogers, MN 55374 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 CI'IY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI ANT PE TEE SI NATURE IS ED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
. �.
CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wiIl be
reviewed and a pernut 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 new construction or remodeling is involved, a sepazate building pernut 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
�>C Residential Commercial
JOB SITE: ��;I C�� �l;�l�,rl 1.�;��DU'��� QJL�.i_i�. ZiP� F��J 35�v �
Owner's Name: ��� �,� � Telephone Number: t�1�• �{�;�,p • a`►ub
Mailing Address: �� �� � � City: ',t�C:�� � �L Zip: �a3F�
Contractor's Name: � � �• �u, Telep ne Number: �(��, y,a�; a�L�l„
Mailing Address: lu�U� �ll����V�1 �llr i�LQ. City: � Zip: `J`j3`{�i
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: \
Make: j� �:YSOh
Model: C1k51Q- ��il I�l
Fuel: y1C�;�,c�,Q
Flue Size: �
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
� ,, �
� '�' . � � : .
. . . � i�_ , . .. . . . . ... '. . h....,., - .
' � WOOD BURNING EOUIPMENT
Wood stove with flue
'�`,` Y Wood combination or add-on
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 Exhaust ducted recirculating cfm ��
,:
° "-".� " No. Bath Exhaust (must be ducted outside) cfm �>
,<
No. Other Fans: Locations cfm °�
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FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) �=
f Installation Removal �
�� ��: Fuel oil: gallons underground inside outside
LP Gas: gallons
;,�
Other Gas opening
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P, PERMIT FEE CALCULATION
k�; 1. 1.25%o of Contract Price* or Minimum Fee ($35.00) �
� " ,-� �?�x .0125 $ ,��
�
` (contract price) "'
;�:
�_ �' 2. State Surchar�e. ** Add the State Building C . Division
, � Surcharge to each permit. ? ^��� x .0005 $
�Y ,,-:: �' or $.50, whichever is greater (contract price)
:
r �•' ' 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
i` 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
i;
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted ' r�
' �' 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.
Applicant's Signature: L � Date: .�-r'3�%
Approved By: Date:
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✓
DATE TIME
CITY OF ORONO CALLED IN � �� ��
INSPECTION NOTICE SCHEDULE�(�C �
PERMIT NO. ,��.35� COMPLETED ���� ' g 3 � l
ADDRESS ��d 3 �a y�'�D'� b� .
OWNER CONTR. ��'�fi'�� �y��
TELEPHONE NO. �r �� '3 �yZ� �Z�
� DESCRIPTION � �S'�J S �- i!-� /�%r /�S7`
�
l� 01 FOOTING 18 EXCAV/GRADING/FILLING
� 02 FRAMING �j� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION �� 4/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW �VORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
� �❑ CORRECT WORK&PROCEED ' ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. -. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR f CITATION ISSUED
G INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContractor on site:
Inspector. !'/�/o s� ��7/I�
White Copyllnspector's File Canary CopylSite Notice