HomeMy WebLinkAbout2003-P06266 - mechanical t �� ' PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P06266
Crystal Bay, Minnesota 55323 Permit Type: Me�n�ni�atPe��
(952) 249-4600 Date Issued: 5/5/2003
SITE ADDRESS: 460 Sussex La
Long Lake,MN 55356
P I D: 04-117-23-31-0012
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pemut Sub-type(s): Mechanical Undefined
Pernut Type: Mechanical Pernuts
DETAILS:
Approved per resolution#:
Separate permits required: •
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 765.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 35.50
APPLICANT: Plymouth Plumbing&Heating OWNER: Daron&Kerry Meyer
6909 Winnetka Avenue N 460 Sussex La
Brooklyn Park,MN 55428 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIGT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Atrolicant, 1-Monthlv Renorts, 1-Assessin¢, 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 City offices. Applications wiil be
reviewed and a permit 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 DesiQns - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation includin�heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be provided.
4. Whe�i any nev✓ construction or remcdeling is involved, a separate bui:ding permit must be c;,tained.
�. All work must be done in accordance with the Un::orm 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 fmal.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROC SSED. If you,have questions, call 249-4600.
L`'�C._�I� L lc L�� � r\�L'l��
Please check one: �New Addition Repair Replace
�� Residential Commercial
JOB SITE: � Zip:
Owner's Name: ������s , �` Telephone Numbe .`7(��)5��_ '���j.�
Mailing Address:���{(; ��� �� . � City: i�u;�,)�)��`�'�.I� Zip: `�j)y�{
Contractor's Name:-(�► . ��'�`. ' ty� ; � 1 �-��- Telephone Number�7C��)5,�,��u 3�]
Mailing Address: (� �' 1�.;; ���� �-�� ` � �, ; City: �' :�l �- Zip: ��;��^
SYSTEM DESCRIPTION L�;� ��� �-s-'�-� �� ��,�,�
HEATING SYSTEMS
Quantity: � �O ��� �'�C �� v'? �-
Make: r
Model:
. - �-
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
* . a
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�chaust 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 under�round inside outside
LP Gas: gallons
Other Gas openin�
PER'VIIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��''�
l �i��"j . �J _ x .0125 $ �� :C�.�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. �l��� � x .0005 $ � ��
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���c� , � � _
* 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 parry the reasonable market value of such items must be added to the estimated cost or con[ract
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 on this application are complete, true
and correct.
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Applicant's Si�natu : /' r �. Date: `� - —CJ
Approved By: Date:
. ✓
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT N0. COMPLETED �rL- /��
ADDRESS ylo� ��5�� L-�'�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION
� -81 FOOTING ECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL 19 LAf(ESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FlNAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPWNT
`� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W O CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR W{LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
Owner/Contract o .
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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�/ � DATE TIME "
CITY OF ORONO c"�,LLeD IN �/�ld
INSPECTION N TICE SCHEDULED v� Z � --�`l�
PERMIT NO. O COMPLETED �� %
ADDRESS__ �--I lQ �� ��-S�� �N .
OWNER CONTR. ���'lc1l.
TELEPHONE N0. � �' � — "�J � .,'� L/,�j��
� DESCRIPTION �`� � C-�'
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 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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��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContra o
Inspector.
White CopyllnspectoPs File Canary CopylSite Notice