HomeMy WebLinkAbout2002-P04847 - mechanical � �
ITY PERMIT
C OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P04847
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii2ai2oo2
SITE ADDRESS: 395 Sussex Lane
L,ong Lake,MN 55356
PID: 04-117-23-24-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 231.56 Valuation: $ 18,525.00
State Surcharge Fee: $ 9.26
TOTAL FEE: $ 240.82
APPLICANT: Heating& Cooling Two Inc. OWNER: Jon Campbell
18550 County Road 81 395 Sussex Lane
Maple Grove,MN 55369 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEN�NTS 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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APPLICANTP R TEESI ATURE ISSUEDBYSIGNATURE
Cooies: 1-File(SiQnitures Repuired), 1- policant. 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, NIN 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 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 Desiens - 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 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 fmal). 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: }� ���1 � ' '� Zip:
Owner's Name: —r���, � ;�i;�,� ` �; , Telephone Number:
Mailing Address• City: Zip:
Contractor's Name: � , Telephone Number:
Mailing Address: 1��R,�:81 City: Zip:
AI�N(�y�MN 56369-923�
SYSTEM DESCRIPTION ��jj
HEATING SYSTEMS
Quantity: 1 /
Make: -� f✓IG�,���
ModeL• ,��y,�1Cc? _ •SZ' `/ i;�'C 1�.la �' 7�
Fuel: �����.�� ���u iZ�\ �v� f'
Flue Size: ,�, '' � '� ,�✓i
Input BTUs: ICC,F�G�' �i OC�C� �7 = o
OutputBTUs: ��0 7���c� .'zf;•��z`_=:
CFM: ����;
COOLING SYSTEMS
Quantity:
Make: „ � + ��
Model: ,�� ,S33
Tons: 5! _�,S
H. Power f�, �/.,� �
,
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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 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
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)
��,�;�2�;: ,>--� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) y ,�� $ 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 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 permit 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 o I�is application are complete, true
and correct.
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Applicant's Signature: "�� �r�-�--- Date: ��? �' p�
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED ��C� ' C1
PERMIT NO.��� COMPLETED �LO—OZ ' '~
ADDRESS �3`>S� �L��..��e--�� . �'�"L-
OWNER CONTR. � R�C��%T,.�y Grvl��
TELEPHONE NO:�`�.�3�i�:� �5�� 7 T.r�
� DESCRIPTION l-��t��� ff/7� .
lL 01 FOOTING / 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING �� r 3�ANICAL FINAC-'-' 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24tP�W96 CE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAI 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAL�FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� Z49-4600
OwnerlContr tor on sit -
Inspector.��v/�' ��,�1
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