HomeMy WebLinkAbout2004-P07279 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�2�9
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3i2i2oo4
SITE ADDRF�SS: 2980 Sussex Rd
� Long Lake,MN 55356
P I D: 04-117-23-31-0015
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:
Also installing gas line,other furnace,dryer,stove
FEE SUMMARY: Permit Fee: $ 195.00
Valuation: $ 15,600.00
State Surcharge Fee: $ 7.80
TOTAL FEE: $ 202.80
APPLICANT: Heating&Cooling Two Inc. OWNER: Scott Weisberg&Claudia Mitchell
18550 County Road 81 2980 Sussex Rd
Maple Grove,MN 55369 Long Lake,MN 55356
THE UNDERSIGNID HIIZEBY REQUESTS PERMISSION TO MAKE THE REAI.IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND Sl'ATE OF
MINNESOTA BUILDING CODE REQLJIREMENTS.
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APPLICANT R EE TURE ISSUEDBYSIGNATURE
Conies: 1-File(Sienitures Reauired), 1-Anplicant 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
� G$NERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ns-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 pernut must be obtained.
5. All work must Ue done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must Ue inspected(rough-in and final). Call(952)249-4600. 24-hour notice required.
7. House Heating Test Record must Ue suUmitted 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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE:__ o���� r �v�'S,�}� �� Zlp: ;
Owner's Name: Phone Number:
Mailing Address: City: Zip:
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Contractor's Name: e :� „ Go i'w w� Phone Number:,�� `��'-v �'6 77
Mailing Address: /,��� /Z,� � !' City: �7 �. Zip•s�.��l
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SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity: /
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Make: ,�/� �9/`�� +
Model: �,���� �� �
Fuel: /�'�� "
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Flue Size: �i�C�
�� Input BTUs: ��U/ �' ""a�
Output BTUs: ���
CFM: E� �
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,`�� COOLING SYSTEMS ¢
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� Quantity: '
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,�,. � Make: �� •�/''�
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Model: � p f n�
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Tons: �
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�.r FIREPLACES GAS LINE ONLY -
� ` ❑ Gas factory fireplace �Installing a Gas Line Only
�. . ; ❑ Wood buming factory fireplace with flue
>_ .. ❑ Wood Stove
�. ❑ Wood stove with flue
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Brand Name Model No.
F:.
VENTILATION
'� ° No. / Kitchen Exhaust�duct recalculating�cfm ;�
No.�_Bath Exhaust(must have duct outside) _�cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
°' Q Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
� The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
� ,d�' x .0125 $
(co ract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$.50)
:;
3. Posta�e and Handling (Only niail-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 is 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$1,OOQ000 or$.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.
Applicant's Signature: �✓� Date: �%
Approved By: Date:
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� DAT TIME
CITY OF ORONO CALLED IN 3'
INSPECTION OTICE SCHEDULED �- -0 :3
PERMIT NO. COMPLETED
ADDRESS a9�� G� �
OWNER CONTR. -�C fiW d
TELEPHONE NO. 7�O 3 �� 3�07 7
� DESCRIPTION �eG� � � �-Ir'� Marn, �P RO�.
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING '�'
Q 02 FRAM�NG 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 OS 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 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next in pection 2a hours in advance. (952) 249-4600
Owner/Co a t i e:
Inspector.
.
White Copyllnspector's File Canary Copy/Sfte Notice