HomeMy WebLinkAbout2000-P03467 - mechanical PERMIT
C�T�OF ORONO
2750 Keiley Parkway - PO Box 66 Permit Number: Po346�
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 1�16�200
SITE ADDRESS: 48o Sussex La
LONG LAKE, MN 55356
P ID: 04-117-23-31-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits Air Conditioning
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUII�MARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
TOTAL FEE: $ 156.00
APPLICANT: HEATIN�&cooLiN�Two iNc OWNER: N w&D c wir.DMaN
18550 COUNTY ROAD 81 480 SUSSEX LA
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 OE ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[ ANT PE I IGNATURE ISSU BY S[GNATURE
Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT
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 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 DesiQns - 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. Ideatification 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 fina]). 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: �ew Addition Repair Replace ,
Residential Commercial
JOB SITE: S�a�- Zip:
Owner's Name• �� , ^ Telephone Number:
Mailing Address: City: Zip:
Contractor'sName: `'� ° ' TelephoneNumber:
MailingAddress: City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity: �
Make: �d�t�.�,t..'�.�
Model: `�
Fuel:
Flue Size:
Input BTUs: 'l`�?�D b0
Output BTUs: l�'��UL(�
CFM:
COOLING SYSTEMS
Quantity: �
Make: F
Model:
Tons:
H. Power
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WOOD BURNING EQUIPMENT
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.
Total
VENTILATION
No. �; Kitchen Exhaust ductecl recirculating cfin
No. ��_ Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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) ,
�`�„,�,h C� x .0125 $ L'1f� � �i �
(contract price)
2. State Surchar�e. ** Add the State Building Code Division ��
Surcharge to each permit. �'�. ,�;� x .0005 $ �
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ '�:5�-
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ __�„ �d�
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged 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 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,_an ertifies that all statements made on this application are complete, true
and conect. �� �
Applicant's Signature:- � � Date: �- �,�`�`
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Approved By: Date:
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CITY OF ORONO CALLED IN �,a T UI '�E ��
INSPECTION NOTICE ^� SCHEDULED a- �''�4�/ ����M
PERMIT NO. 3�� ! COMPLETED �_
ADDRESS y�� �SU SS�� �-ar1�2.-
OWNER CONTR. � �AA/ �.`�Le�.—.
TELEPHONE NO. 7�3 ya� 3� �7 �� � c p u 1:� �
� DESCRIPTION �/�I"� /'�� � �
l� 01 FOOTING MECHANICAL R 18 EXCAV/GRADING/FILLING
� 02 FRAMING �ECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, C MENTS:
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W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-460�
OwnerlContract on site•
Inspector.
White Copylinspector's File Canary CopylSite Notice
✓
DATE TIME
CITY OF ORONO CALLED IN �'G=-"v� �` U��
INSPECTIO,.,�OTIC SCHEDULED -2� 7� �l ./ �' �
PERMIT NV:� "� � COMPLETED "Z�� L� ��
ADDRESS � g� ����- ��'���
OWNER ��u ���'�- CONTR. �� -���` �
TELEPHONE N . 7 �� `f� y k� 7,7
� DESCRIPTION -h�_ -
LL 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV RADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE FiEMOVAL
Z04 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
[7CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
Cl STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
C i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr tor on site:
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inspecto G.!/Ll��c/I �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLEO IN
INSPECTION NO C�i SCHEDULED � !1�'�D
PERMIT N0. `-� � COMPLEfED "-d� �/_'s�
ADDRESS PO �S(/SSE� LC�rC.�,
OWNER CONTR. CDU � �a
TELEPHONE N0. � 3�o
� DESCRIPTION �C � • �/ ��"
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL FI 19 LAKESHORE/WETLANDS
y 0.3 INSULATION 24/25 D BURNER/FIREPLACE 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-FINAL 15 SEPTIC INSTALL. 22 FOILOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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V BEFORECOVERING
PERMANENT
D CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlConUactor on site:
Inspector.—��=l�� ��t-
White CopyMspector's File Canary CopylSite Notics