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Home My WebLink About2000-P03395 - mechanical PERMIT C I � � F O RO N O Permit Number: 2750 Ile Parkway- PO Box 66 P03395 Cryst I a Minnesota 55323 Pe�mit Type: 1�echanical Permits (612) 9 00 Date Issued: 12iiai2o SITE A SS: 305o Sussex Rd LONG LAKE,MN 55356 PID: 4�11 23-32-0010 DESC I TI N: Proposed e: Residential Permit Cl s : General Permit T Mechanical Permits Permit Sub-type(s): Heating Systems DE7AIL Approve p r r olution#: Separate e it equired: NOTIC /R MARKS: FEE SU Y: Permit Fee: $ 35.00 Valuation: $ 1,975.00 State Surcharge Fee: $ 0.99 i Misc.Fee: $ 1.50 I TOTAL FEE: $ 3'7.49 APPLI SEDGWICK HEATING&AIR CONDIT OWNER: L U FEUSS&C E FEUSS 8910 WENTWORTH AVE SOUTH 3050 SUSSEX RD i MINNEAPOLIS,MN 55420 LONG LAKE MN 55356 THE E IGNID HEREBY REQUFSTS PERMISSION TO MAKE THE REAL IMI'ROVEMENTS SPECIFIED AND RE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STAT F NNESOTA BiJII�DING CODE REQUIREMENTS. � , �k>��li � E SSUED BY SIGNATURE Copies:C'ty, pplicant,Assessor,Finance Page 1 i �_ �� ._ � - �.� �� C Y OF ORONO � APPLICATION�'OR MECHANICAL PERIV�T B 66 (2750 Kelley Parkway) - C stal Bay, MN 55323 G 'ERAL 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. �<i 2. Perrr�it 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 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 oe 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 final). Call 473-7357. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Ins uctions Complete all items on this application. Compute the pemut fee. Sign and date the certification. IN OMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357. Ple e check one: New Addition Repair Replace � Residential Commercial JO SI'TE• c� Zip; �� L�� - O� er's Name: Telephone Number: �>�;,� .;-,�� -/Ivl�� M g Address: _� �� _ City: Zip: Co tractor's Name: �.:,�,�'��.4�ti��v�4.�ti. ,��.�� '�ey�hone Number: ��. �1-�'�!-��: M g Address: ��F��.3�?�� Crty: Zip: ��..�T ; �z��• ` SY TEM DESCRIPTION HE TING SYSTEMS r ; � Q ariTlty: � ` ; ?�� ke. �' G rll'Id X /.�n�;G_ _ �J M del: ��•�Ll-7�� F 1: Fl e Size: '� ' In ut BTUs: � � O tput BTUs: IC NI: � { CO LING SYSTEMS Q antity: M ke: M del: ' To ls: H. Power ' - � , � WOOD BURNING E�OUIPMENT 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: L,ocations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside � LP Gas: gallons Other Gas opening PERMIT �EE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee 35.00 1 • �F� X .oi2s $ .��5-0� (contract price) 2. State Surcharge. "* Add the State Building Code Division , Surcharge to each permit. x .0005 $ : �GJ or $.50, whichever is greater (contract price) _- 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _ �'. �� T— * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pemutted 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 reas�nable rsarket value of such items must be added to the estimated cost or contract price for pemut 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 Ciry 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: �_ %/-� �''/,2!�R� Approved By: Date: , ' � ( � j ! CITY OF ORONO CALLED IN / �/f-dD �OT� INSPECTION N SCHEDULED l�—dCs __� � PERMIT NO. �� COMPLETED �/L '2C��r� �- 3d ADDRESS �Gsd Svs�� OWNER CONTR. �GI'� + i 1C-. TELEPHONE NO. ��a - �-�� r�� DESCRIPTION ��`� �S�' r'�-✓ �� 1�=s'�'� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING _ MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q OS FINAL 14 SEWER HOOK-UP 06 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 J 10 PLUMBING FINA� 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � GW `'�WORKSATISFACTORY:PROCEED .�ROJECTCOMPLETE � l❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN ' CITATION ISSUED C�STOP ORDER POSTED.CALL INSPECTOR C; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlContractor on site: Inspector.��L� � �j) White Copyllnspector's File Canary CopylSite Notice SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. �� 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420•• (612) 881-9000 TEST RECORD ADDRESS ��d S��S S�� P1 O CITY Q��'�n v OCCUPANT C,`k r I(�� / �`tSS OWNER S G �y.G SOLD BY ��VLi�tJ �%"q INSTALLED BY 6 G�`!.G i MAKE "' �^�� MODEL � r ��'s' " - / �"� SERIAL NO. (Y�0O �� INPUT � e'�' � ' T-flYov h'S : ��,;.,_ THERMOSTAT VENT SIZE .:G : %� `�+�v�k�� VALVE ��YGJC�� TYPE OF LINER i✓4 t'�� LIMIT �� L '�"1�v X LINER SIZE v LIMIT SETTING �` X��O FILTERS: SIZE hOn� NUMBER FAN SETTING r' �^"z� WIRING s ��"��v• � � PILOT TYPE Iv �'�� f�' �' TEST TAG X IGNITION MODEL � �n�J� LIGHTING INST. l` PILOTTIMING /` ��-7 /`'�< ��-�d -G�� DATE TESTED PRESSURE 3 "s�h �'�L PERCENT COz ��D �j COMPANY TESTING SC�"7 u�1�' � INPUT CFH 7� PERCENT O 2 T �. �� STACK TEMP. 3 �V PERCENT CO l� NAME OF TESTER FORM 235(REV.11/89) FORM DISTfiIBUTION: WHITE COPY-J08 FILE YELLOW COPV-CITV DATE TIME CITY OF ORONO CALLED IN �� D �C�/ �,��"� INSPECTION NOTI � SCHEDULED - � - '� �` � �� PERMIT NO. �� COMPLETED "�j - j d ADDRESS �� -�� OWNER CONTR. ��'�w/�G�� TELEPHONE NO. C�� "" ��— ��U� � DESCRIPTION " ' �`�"' ��-�� ly� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 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 COMPL4INT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL J � OWNERICONTRACTOR TO MEET YOU:_YES_NO _, � COMMENTS:�.�-�'l / ''� G'�P�='T�' J G�C�_f.-�c,��' W a � J O � � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑ CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. _ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� Owner/Contr or on sitg• Inspector.��'��"'�� White Copyllnspector's File Canary CopylSite Notice