HomeMy WebLinkAbout2003-P07049 (mechanical) ' ''' PERMIT
CITY OF �R N� Permit ►vumber:
2750 Kelley Par ay PO Box 66 P07049
Crystal Bay, Min �so 55323 Permit Type: Mect�anical Permi�s
(952) 249-4600 ' Date Issued: i2iii2oo3
SITE ADDRESS: ! 3120 Sussex Rd
Long Lake,MN 55356
PID: 04-117-23-32 q09
DESCRIPTION: '
Proposed Use: Re ential
Permit Class: e ral
Permit Type: Me anical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolutio #�:
Separate perxnits requir dE
NOTICES/REMA S
FEE SUMMARY: I ermit Fee: $ 35.00
Valuation: $ 2,200.00
te Surcharge Fee: $ 1.10
' TAL FEE: $ 36.10
APPLICANT: A li�d ' eside OWNER: Brett&Stephanie Anderson
BiA: ' eside Hearth&Home 11244 Cedar Pointe Dr S
2 Op F ' iew Minnetonka,MN 55305
�evi ,MN 55113
T'HE UNDERSIGNE BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO O'AL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUIL I1�TG DE REQUIREMENTS.
_ e� �V "
APPLICANT I SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQni r Re ired), 1-Atyplicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
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CITY O ORONO APPLICATION FOR MECHA.NICAL PERMIT
Box 66 2750 Kelley Parkway)
Crystal ay, � 55323
GENERA TNF RMATION
1. You m y ap�(y for mechanical permits by mail or in person at the City offices. Applications will be
review d and a permit will be issued within two working days.
2. Pernut ards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNT YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CA.FtD IS
POST D OIvT THE JOB SITE.
3. Mecha ical esi s- Complete calculations, details and specifications are required for each heating,
ventilat on, h midification-dehumidification, and air conditioning installation including heat loss/heat
gain ca ulati n, design temperatures, equipment ratings and identification as to type,manufacturer and
model, ata hall be presented on form provided. Identification of and specifications for water heating
equipm nt sh�ll also be provided.
4. When a y new construction or remodeling is involved, a separate building permit must be obtained.
5. All wor must be done in accordance with the Uniform Mechanical Code/State Building Code
require ents.
6. All wor mus�be inspected (rough-in and final). Call (952)249-4600. 24-hot�r notice required.
7. House eating Test Record must be submitted before final.
�
Instructio s
Complete 11 iteKns on this application. Compute the permit fee. Sign and date the certification.
INCOMP TE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249- 600.
Please che k on�: ��New ❑ Addition ❑ Re air
�� p ❑ Replace [� Residential ❑ Commercial
�
.iOB SITE _�' �� Su SSQk., �.'�
Owner's N me: ����f2 , Phone Number: ���� � � �,� _ '1-�� �
Mailing A dres r. City: _Zip:
i
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a,.r�e.+as+�esnn a ti�ome
(,iconq 1t20090911
Contractor s Na�me: ��o�".Fe'"+�"'""s. Phone Number:
IVlailing A res5: eb�r83�� Cit
Y� Zip:
1
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SYSTEM DESCRIPTION �
SEATING SYSTEMS
Quantity: 1 �
�
Make: � " ti �-l� �� r�
Model: ��—}—�'l��� —�( 1- 1 3.
Fuel: � �_�
Flue Size:
Input BTUs:
OutpuY BTUs: ��� ����'
CFM: __-,
; �
COO G SYSTEMS
uantity: �_
/
Make:
�
� Model:
Tons:
/
H.Power �
FIREPLACES GAS LI'_'v'E ONLY
� Gas actory fireplace � ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
"❑ Wood Stove
❑ Wood stove with flue
Brand Name� (S!���� � Model No.
VEN'I,�LATION
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
❑ Fliel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
, . .
PERMI FEE CALCULATION S
2002 Sta e St tute ❑ Yes This Section Appiies
The repla ememt of a Residential fixture or appliance that meets all three of the following requirements:
1 Does not require modification to electrica] 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 do s not apply, follow guideIines below:
1. Contra t Pri e* is .012�% of job with a Minimum Fee of($35.00)
�--� L-�-� x .0125 $ ?>
(contract price) (minimum$35.00)
2. State Su har e. ** Add the State Building Code Division a Minimum Fee of($ .50)
I '��=��-� � x .0005 $ � I��
(contract price) (minimum$ .50)
3. Posta e a d Handlin (O�tly mail-ira appdicatiorts) $ 1
4. TOTAL P RtYLIT FEE (Add lines 1-3 above) $ �?�' .�_
*CONTRACT ICE pr JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,labor, rofit,�nd other fixed costs. It is the amount to be charged to the customer for the work done. If any material,
equipment,labor or inskallation is furnished by the owner,tenant or any other party the reasonable market value of such items
must be added to the estfmated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of
the job cost,the ity ma�request the submission of a signed copy of the actual contract.
**The STATE S RCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over
$I,000,000 call t e Department of Inspectional Services for the price.
The undersigned ereby Rpplies to the City for issuance of a Mechanical Pern�it,agrees to do all work in strict accordance with
the ordinances of he City and the regulations of the Minnesota State Building Code,and certifies that al]statements made on this
application are co plete„true and correct.
� ' ����;�' �i 1!c �� n�
Applicant s Si aturo: �� 1 `� � ` '—��__
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Date: '�. >
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN �^
INSPECTION NO ICE SCHEDULED -y— _,���)
PERMIT NO.��' ' � COMPLEfE� ,�
ADDRESS _ .�%� C� ,—Sv S�� f4�
OWNER CONTR. F�'�' S G�`'-'
TELEPHONE NO. � � �—�� �.��'S�p f
� DESCRIPTION .� � C�
� Ot 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 OS 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
J 10 PLUMBING FINAL �� 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_�'NO
� COMMENTS:
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� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (95Z� Z49-46��
OwnerlContractor site:
Inspector.
White Copy/lnspector's Fi Canary Copy/Site Notice