HomeMy WebLinkAbout2007-P11313 - ventilation E ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11313
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
8/8/2007
SITE ADDRESS: 2108 Sugarwood Dr Unit#
Long Lake,MN 55356
P��� 34-118-23-21-0024
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 350.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: A-1 Heating&Air Conditioning OWNER: Micheal&Jacqeline Ricks
6090 Pagenkopf Rd 2108 Sugarwood Dr
Maple Plain,MN 55359 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.
.l -(`����� �T Y l i'� 1
APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
e "
FOR CITY USE ONLY
,�` City of Orono
O4O`�'O P.O.Box 66 Date Received: Permit#
�;,;+,� 2750 Kelley Parkway
� a '�j�`��`-' � Crystal Bay,MN 55323 Approved IIy: Amount$:
9a��'�r,��''j��..�o (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Conunercial perniits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Peimit cards will be sent by retuin 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�ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-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 reinodeling 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 subnutted before final.
TYPE OF PERMIT
(Check All That A 1 )
'�]`Residential ❑ Comrnercial(Approval Required)
❑ New �Additional ❑Repairs ❑ Replace
Job Site / Owner Information:
Zo
Site Address:
Owner: l'�.�� Mailing Address:
City: � ��`"`'�r Zip:
Home Phone: Alternate Ph�ne:
Contractar Information:
Contractor: � �( (� �-�� C-, Contact Person:
Address: 6 0 0 I� �� State Bond #: I �3 �'Y` ��S 3G' Z
City: �� �� Zip:�s 3-�`�EExpiration Date: ��� 7 � G ��S'
Phone: 76 3`Y7 �- 1 Y cQ :3 Alternate Phone: �� z ' 3 �`(- 7 b�'�3
❑ Insurance— Current: �.-� �'����
1
. _ ,. _ , . _... � �
� .,.1V1��I�4i�TCAL SYSTEM�'BEING�IST�L,I;LD� '' - -
HEATING SYSTEMS `�
�
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Toiis:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove �
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
� No. �— Bath Exhaust(must have d�u�ct�o�ut"sid�e) cfm
� No. ( Other Fans: Locations o�v��7 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 sectioi�applies
The replacement of a Residential fiYture or appliance that meets all tlu�ee of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less; exchidin�the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed conhactor.
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee 5 !�� S �
PERMIT FEE CALCULATION(S) —JOBS OVER$500.00 �
If above does not apply; follow guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
- �CjC� X .o12s $
(contract price) (minimum�35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .SOj
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, labar or installations are fiirnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or conhact pnce for perrnit fee puiposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a si�ned copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT-
The undersib ed 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: r�r��zf^-t Date: �� t� d
,
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� ��- D TIME
CITY OF ORONO CALLED IN ? �
INSPECTION NO SCHEDULED
PERMIT NO. COMPLETED
ADDRESS��fB� ���G
OWNER CONTR.
TELEPHONE NO.�,�`� ��7` ���
��C� /��, _ _ � l�Y.,�7`',l�� '�°�C.
� DESCRIPTION �`'`t'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING LING
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 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 PLUMB 36 FOUNDATION/REMOVAL
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� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
Owner►Contractor o site:
Inspector. ���„S
White Copyllnspector's File Canary CopylSite Notice