HomeMy WebLinkAbout2002-P04914 - mechanical � �.
PERMIT
CITY �?F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4914
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 2i22�2o02
SITE ADDRESS: 525 Sussex Circle
L.ong Lake,MN 55356
PID: 04-117-23-32-0012
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Sub-type(s): Mulriple Mechanical Items
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 226.25 Valuation• $ 18,100.00
State Surcharge Fee: $ 9.05
TOTAL FEE: $ 235.30
APPLICANT: Heating&Cooling Two Inc. QWNER: Jon&Susan Campbell
18550 County Road 81 525 Sussex Circle
Maple Grove,MN 55369 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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APPLICAN���RMITEESIGNA7'URE ISSUE YSIGNATURE �
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance 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 Ciry offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cazds will be sent by retum 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 Desisns - Complete calculations, details and specifications ue 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 permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work musf be inspected (rough-in and finalj. 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
JOB SITE: ,�25 S� s s�-�c.�,�c Lre Zip:
Owner's Name: y,•�/Q„ r o„ S Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: �Q t,�,�,g ..� ��/,�4 T�Telephone Number: 7�3 -y�g_��7
Mailing Address: /�sso Ca�nfy ��/" �� Cit3'� 1�*o k G�o.-c Zip: Ss 3 Co ,�
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 2
Make: l3vy �,n-E-
Model: 3sa Y S�n qo
FueL• G As
Flue Size: P� c
Input BTUs: Q'o,nUa
Output BTUs: ?�, oa o
CFM: /� o00
COOLING SYSTEMS
Quantity: �
Make: (3ry�a.n-f`
, Model: 533�3, s r�,✓ - S" 3_ 3,� T,✓
Tons: 3. s T� ,✓ � T
H. Power .
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
� Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name 1VIode1 No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
1�10. �_ Kitchen Exhaust �eS_ ducted recirculating cfm
No. � Bath Exhaust (must be ducted outside) ?S 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)
r 9� �o o x .o12s $ �."�6 . Z5�
(contract price)
� 2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ q• �S
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ a3�� 3c�
* CON1TtACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor, or installation are fumished 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may requesf 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 Buildi.ng Code, and certifies that all statements made on this application are complete, true
: and correct.
A licant's Si ture: �.E���— Date: v"�' �` d Z
PP �
Approved By: Date:
DATE TIME
CITY OF ORONO CAL ED IN � �
INSPECTION NOT SCHEDULED
PERMIT NO. I COMPLETED
ADDRESS �� o �����_
OWNER CONTR.
TELEPHONE N0. �� L � �� �
� DESCRIPTION __ �� ��C„Q�, •
� Oi FOOTING 11 MECHANICAL RI 18 EXCA�//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 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
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMM TS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL AEfURN
O STOP ORDER POSTED.CALL INSPECTOR
❑ CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
all tor the next inspection 2a hours in advance. (952) 249-4600
Owned tra or�n site:
�pector.
ite Copy/lnspector's 'le Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTlIC,E ( / SCHEDULED � .� ���'��
PERMIT NO. `���'1 COMPLETED
ADDRESS _Sv?,� SUS'�X �"2 •
OWNER CONTR. /`-IF�,���t.t���� IGo
TELEPHONENO. �Co3 �c� ,�jCp� 7
� DESCRIPTION
� 01 FOOTING 11 MECHA �CAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING ��3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION �2�-s^�1'SQF{R�q/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
J 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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 ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnedCont t on site:
Inspector. '
hite C yllnspector's File C ary Copy/Site Notice