HomeMy WebLinkAbout2002-P04851 - mechanical � . ' �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04851
Crystal Bay, Minnesota 55323 Permit Type: Mecna�icat Permits
(952) 249-4600 Date Issued: ii3ii2oo2
SITE ADDRESS: 395 Sussex Lane
Long Lake,MN 55356
P ID: 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: $ 35.00 Valuation• $ 1,000.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $35.50
APPLICANT: Guyers Builders Express OWNER: Jon Campbell
13405 15th Avenue N 395 Sussex Lane
Plymouth,MN 55441 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLI T PERMITEE SIGNATURE ISSUEDBY SIGNATURE
Conies: 1-File(SiQnitures Reauired). 1-Aunlicant 1-Monthlv Renorts, 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 IlVFORMATION
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 return mail after a review is completed. PERNIITS 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 conditioninQ 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. Vb"hen 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 final). Call 249-4600. 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 249-4600:
Please check one: ,� New Addition Repair Replace -
� Residential Commercial
JOB STTE: J�`-1 S ���5',S;=x Lr�l�/t' Zip: �
Owner's Name: Telephone 1\umber:
Mailing Address: City: Zip: �
Contractor's Name�'��4��'� �U i��C� S�;�p�y Telephone Number: �����4 y yi.l�3
MailingAddress:�� � �';� �YE� l�o . City:j=��✓tfe�v;b- ZiP: -=��yr�I
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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FIREPLACES -
/ Gas factory fireplace
� Wood burning factory fireplace with flue ���,�=r�i c��/�—���- `� ��-`-r
Wood Stove
Wood stove with flue
(� ✓f-5 Brand Name�/�'`��I�S 5��h i Model No. :3�v J V�+--{�J�-I Z
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfrn
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation • Removal
Fuel oil: . gallons underground inside outside
LP Gas: T gallons -
Other � Gas opening
PERMIT FEE CALCULATION �
1. 1.25% of Contract Price* or Mi ' um Fee 35.00 �
, �'� j x .0125 $ .
- (contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each pernut. x .0005 $
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) $ __
* 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 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 Ciry for issuance of a Mechanical Pernut, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the Mirinesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
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Applicant's Signature: �_ - ' ��� �1��� Date: ' �� 'o z
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N T CE�1 �(.,,._� SCHEDULED Z- c�t- ll• �3��
PERMIT N0._��� —1 U✓I COMPLETED — Z�'�-- �'�3G
ADDRESS � l �5 4�c.�.:Le.�/ �5 ��,- ,,
OWNER CONTR. c1- 't2' �
TELEPHONENO. 7�G.� �P �� �C�' 1a�
� DESCRIPTION �' �� l,�- �
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING AL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PFiOGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING Fil 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
��ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEM PORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContra n site:
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Inspector.; ���' ��-�-�"��
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