HomeMy WebLinkAbout2002-P05392 - mechanical �
PERMIT
C I Y O F O RO N O Permit Number:
275 Kelley Parkway - PO Box 66 Pos392
Crys al Bay, ��/linnesota 55323 Permit Type: MechanicalPernuts
(952 249-4600 Date Issued: �i9i2oo2
SITE DDRESS: 316o Sussex Rd
L.ong Lake,MN 55356
PID: 04-117-23-32-0008
DESC PTION:
Propose Use: Residential
Pernut lass: General
Pernut ype: Mechanical Pernuts Pernut Sub-type(s): Multiple Mechanical Items
DETAI S:
Approv d per resolution#:
Separat permits required:
NOTI S/REMARKS:
FEE S MMARY: PernutFee: $ 251.25 Valuation: $ 20,100.00
State Surcharge Fee: $ 10.05
TOTAL FEE: $ 261.30
APPLI ANT: Heating&Cooling Two Inc. OWNER: Thomas Forsythe
18550 County Road 81 3160 Sussex Rd
Maple Grove,MN 55369 Long Lake,MN 55356
THE DERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND GREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
M SOTA BUILDING CODE REQUIREMENTS.
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APPLIC ERMITEE SIGNATURE I SUED BY SIGNATURE
Cooies 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply far mechanical permits by mail or in person at the City o�ces. 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 BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desig�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 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 (952)249�600. 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
(952) 249-4600.
Please check one: [�New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �/ (Q c> ;v�'S.-�x � Zip:
Owner's Name: ��n y r;d e„/ ,�-�3,.;f Phone Number:
Mailing Address: City: Zip:
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� �ATMaiC00LINOTVIl01NC. �
Contractor's Name: �8560 COUrt Rd.81 Phone Number: l��3 " ���,��� j� �� �
g N 55369-9�City: Zip: '-�
Mailin Address: +
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: `
Make: Y' ✓�
ModeL• �.S�d 1��
FueL• ���.
Flue Size: ��
Input BTUs: / 2-v i v���,
Output BTUs: I� D��
CFM: v�csc'�
COOLING SYSTEMS
Quantity: �
Make: ,7�js�v��
Model: ,S��y �NS���C'z�
Tons: S
H.Power
FIREPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove `
❑ Wood stove with flue I
Brand Name Model No.
VENTILATION
No._�Kitchen Exhaust ✓duct recalculating cfm
No._�Bath E�chaust(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
❑ Other Gas opening
2
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PERMIT FEE CALCITLATION(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 Mini um Fee of $35.00
�Z�, /� � x .0125 $ '��� ��
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
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c� ���' x.0005 $ f�. � ,,��
(contract price) (minimum$.50)
3. Posta�e and Handlin�(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �� / , �L�
*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$1,000,000 or$.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,and certifies that all statements made on this
application are complete,true and correct. -�
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Applicant's Signature: ��� Date: /' � �C�� ..
Approved By: Date:
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DATE TIME
CITY OF ORONO p —7—
INSPECTIOI�'I)I�TI � �� SCHEDULED ��D-'��'1- _ .�75 ���i
PERMIT NO�� COMPLETED
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ADDRESS
OWN ER CONTR. `�
TELEPHONE NO. 7�0 .� ��� �t6�� �
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� DESCRIPTION A�,t,.�
� 01 FOOTING NICA I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANIC 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
05 FINAL 14 SEWER HOOK-UP O6 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
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIEfE
W ❑ ORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORE COVERING
PERMANENT
❑ ORRECT UNSAFE CONDITION WITHiN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O S OP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
� I PECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next' spection 24 hours in advance. (g52) 249-46��
Own Contract n site:
Insp cto
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s ite Copyllnspector's Ffle Canary Copy/Site Notice
DATE TI E
CITY OF ORONO CALLED IN
INSPECTION NOTICE 53�2 SCHEDULED /D�`I-0� -C���'�LI
PERMIT NO. � COMPLETED
ADDRESS CP S S e �
OWNER CONTR. " - f /�' �.
TELEPHONE NO. �� � `-t�� ��v 7 /
� ESCRIPTION � �
l� 1 FOOTING 11 M RI 18 EXCAV/GRADING/FILLING
� 2 FRAMING 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 3 INSULATION OOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 4 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 5 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 7 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
`� 7 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 9 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 0 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� WNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor 't :
Inspector.
White Copyllnspector's Fi Canary CopylSite Notice
� �� �DATE TIME
CITY OF ORONO CALLED IN
INS ECTION NOTIC�E��,� SCHEDULED �U� 31 �02 `. �3 o_r4-�
PER IT NO. ib"Z!v COMPLETED
AD RESS��Lf�� �.SU.�Se x ��
OW ER CONTR. �-�" � � �✓�.:>
TE EPHONE N0. �
� DE CRIPTION i� k� - ( �1
ly 01 OOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 RAMING 1�HANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 NSULATION 24 URfd FIREPLACE 34 TREE REMOVAL
Z 04 ALL 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i0 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 1 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� NERICONTRACTOR TO MEET YOU:_YES_NO
� OMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVEflING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WtLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnedContra site:
Inspector.
White Copyllnspec r's File Canary CopylSite Notice