HomeMy WebLinkAbout2003-P06891 (mechanical) , _ -�
� � PERMIT
CITY F ORONO Permit Number:
2750 Kell y Parkway- PO Box 66 P06891
Crystal B y, Minnesota 55323 Permit Type: Mechanical Permits
(952) 24 -46a0 Date Issued: io�ia�2oo3
SITE AD ESS: 3120 Sussex Rd
Long Lake,MN 55356
P I D: 04-117-23-32-0009
DESCRIP ION:
Proposed Us : Residential
Pernut Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved p resolution#:
Separate pe 'ts required:
NOTICE RE ARKS:
I
FEE SUM A Y: PermitFee: $ 251•28 Valuation: $ 20,102.00
State Surcharge Fee: $ 10.05
I
TOTAL FEE: $ 261.33
APPLIC NT: Merit HVC,Inc. OWNER: Brett&Stephanie Anderson
7801 Park Dr 11244 Cedar Pointe Dr S
Chanhassen,MN 55317 Minnetonka,MN 55305
THE DE IGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND A REE TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNE OTA UILDING CODE REQUIREMENTS.
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PPLI ANT P RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: -File �'iQnitures Required). 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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i
ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
ox (2750 Kelley Parkway)
ryst 1 Bay, MN 55323
ENE L 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.
Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII..YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
P05TED ON THE JOB SITE.
3. Mechanical Desi r�ls -Complete calculations, details and specifications are required for each heating,
ver�tilation,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.
. When any new construction or remodeling is involved, a separate building permit must be obtained.
. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
. All work must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice required.
. House Heating Test Record must be submitted before final.
I structions
omplete all items on this application. Compute the permit fee. Sign and date the certification.
CO�MPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
( 52)�49-4600.
leas� check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
OB SITE: 3 / 2�� � ��e� ,�o�}D Zip: �S.3S�
wner's Name: L'-Ck�-mC�,� -�Np�;�st,.� �S; Phone Number:�� —9�s-�%���
ailiug Address:,�uv Lr�vc-��,✓ 0�2 City: �O�n�i�- !'nn/ Zip:s5 Y�
ontractor's Name: 1�"1��-' � � �� Phone Number: JS� - �7�--/ 7�-S
ailipg Address: 7�'U� �/� D� City: C��-'��-s�c��Zip: SS�3 i Z
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SYSTEM DESCRIPTION a` �e� �"V'"�' `�
HEATING SYSTEMS
/� t�`'� �
Quantity: / V /
Make: J bJ � ���
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ModeL• � �C j (,� � Q�' �� _L�
Fuel: � � �J0�.
C \\ �� �� is � „7�
Flue Size: Y`1 ' i(/
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Input BTLTs: �Q 7fj � QQGG
Output BTUs: �� �" _ �
CFM: �l,J - — _���
COOLING SYSTEMS
Quantity: /
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Make:
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Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace Installing a Gas Line Only
❑ Wood burning factory fireplace with flue �C�
❑ Wood Stove u�
❑ Wood stove with flue n/��/GU)?�
C_l•v-'
Brand Name Model No. n Q`G���
VENTILATION ��C
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No. ..�Kitchen Exhaust duct recalculating��fm �n�
No. ,�Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm � �Ce�
FUEL STORA E �� �, �
G ST BE APPROVED BY FIRE MARSHAL �
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❑ Installation or ❑ Removal
�Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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I
E IT FEE CALCULATION S
002 State Statute ❑ Yes This Section Applies
he 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 contractar.
i�
, Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
abo�e does not apply, follow guidelines below:
. Co tract Price* is .0125% of job with a M�imum Fee of($35i00) _ ��
, �
� o X .0�25 $ a� �
(contract price) (minimum$35.00)
. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50) O ��
V � � x .0005 $ �v �
� (contract price) � (minimum�.50)
3 Pos�age and Handlin� (O�:ly mail-in applications) $ 1.50
1 �3
4 TO"�'AL PERMIT FEE (Add lines 1-3 above) $
* ONT�tACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
terial$,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material,
e uipmept,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items
m st be dded to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of
th job c st,the City may request the submission ofa signed copy of the actual contract.
* The S ATE SURCHARGE is.0005 o contract pric er$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,0 p call the Department of I ecti af Service r the price.
e und rsigned hereby applies the Cit for iss e of a Mechanical Permit,agrees to do all work in strict accordance with
th ordin�nces of the City a the regula ons e M' esota State Building Code,and certifies that all statements made on this
ap licatimn are complete, e and corr t
A plicant's Si ature: Date: �/V ''��
A proved By: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN 1��"
INSPECTION NO ICE SCHEDULED lD'!S-G� S�M
PERMIT N0. ����� COMPLETED ,g�
ADDRESS �3 I'�`C� � �l SS�� X �
OWNER CONTR. �p�t' �'I""
TELEPHONE N0. / n Ir-�. � ( � �C� C �t�s �u--f I-L('>
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� DESCRIPTION �� � �r r��S
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING FINAL 19 LAKESHORE/WETLANDS
y
Q 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
OwnerlContr n ite:
. ,
Inspector.
White Copy/lnspector's Filel� Canary Copy/Site Notice
(i�� DATE TIME
CITY OF ORONO CALLED IN �/�
INSPECTION N IC SCHEDULED -�l-D //:D�
PERMIT NO. COMPLETED
ADDRESS 3/Za •
OWNER CONTR. /"`��
TELEPHONE NO. ��Z �l � �5���
� DESCRIPTION v"-�`�dY y�'"'�'�'�i -'/ �as���-�
� 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
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 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
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe nex#inspection 24 hours in advance. (952) 249-4600
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OwnerlContraGtor"` ��e
Inspector.
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White Copyllnspector's File Canary CopylSfte Notice
�G�1 ��� � DATE TIME �
l' .,-
CITY OF ORONO � CALLED IN �
INSPECTION N TICE G� SCHEDULED f� _�_�L
PERMIT NO. `� r COMPLETED
ADDRESS �� l��� ��--� S S�-;�_��
OWNER CONTR.�l.C_s�>2 y� �I��C
TELEPHONE NO. �'�-
� DESCRIPTION � �%f�t �{�� �
Ly 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA 14 SEWER HOOK-UP 06 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU• YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contract n e:
Inspector. -
White Copylinspector's ile Canary CopylSite Notice