HomeMy WebLinkAbout2003-P06104 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6io4
C;rystal ay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 24 -4600 Date Issued: 3�i4�2oo3
SITE AD RESS: 3190 Sussex Rd
I.ong Lake,MN 55356
P I D: 04-117-23-3 2-0007
DESCRIP ION:
Proposed Use Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pe 'ts required:
NOTICES/ EMARKS:
FEE SUMM RY: Permit Fee: $ 35.00 Valuation: $ 1,712.00
State Surcharge Fee: $ 0.86
Misc.Fee: $ 1.14
TOTAL FEE: $ 37.00
APPLICAN : Ditter Inc. &Ditter Properties OWNER: John&Mary Kenney
820 Tower Drive 3190 Sussex Rd
Medina,MN 55340 Long Lake MN 55356
THE UNDE SIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGRE S TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOT BUILDING CODE REQUIREMENTS.
APPL CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
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ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
ox 66 (2750 Kelley Parkway)
rystal Bay, MN 55323
ENERAL INFORMATION
. 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 two working days.
. 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 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 r.eating
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)249-4600. 24-hour notice required.
7 House Heating Test Record must be submitted before final.
I structions
C mplete all items on this application. Compute the permit fee. Sign and date the certification.
COMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
( 52) 249-4600.
P ease check one: ❑ New ❑ Addition ❑ Repair � Replace �] Residential ❑ Commercial
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J B SITE:�1��L J�1.5���- IC-L%�C � Zip: :55.�.5�:
O ner's Name: � � �� Phone Number: �S' �� ?5 �- �(��Z�
iling Address: �`' � City: C`�r��'1�� Zip: � .S����
C ntractor's Name:l/j��' ( , Phone Number: '�/�� �`i �� ���
M iling Address: ��L ���.y�' �r`. City: �lry(�z-� Zip: _`_�5=3N�i
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SYSTEM DESCRIPTION
HEATING SYSTEMS �
Quantity:
Make: ��,
ModeL• �,��c��"� ��-�'�"'��
Fuel:
Flue Size:
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Input BTUs: �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with fl�e
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
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
❑ Other Gas opening
2
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ERMIT 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 contractor.
Skip next section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
I above does not apply, follow guidelines below:
. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
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� � �� � x .0125 $
(contract price) (minimum$35.00)
. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $ �L-'
�'.,
(contract price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
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. TOTAL PERMIT FEE (Add lines 1-3 above) $ `)7, �'�' �, '! ��
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*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
aterials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done. If any material,
e uipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items
ust 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
t e 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
$ ,000,000 call the Department of Inspectional Services for the price.
e undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
t e ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this
a plication are complete,true and correct.
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pplicant's Signature: � Date: 1� l�
pproved By: Date:
3
���� DAT TIME �
CITY O ORONO CALLED IN 9/�
INSPE ION N TICE SCHEDULEO 9/7-�.3 ��3c7
PERMI N0. �O COMPLETED
ADDRE S �19D SGL-S'SE'� ��
OWNE CONTR. C�L�t`(_�J'L1
TELEP ONE NO. 95-Z- �7J`� ���Z- /G/GL�y.� /
� DESCRI TION ���J ��
� 01 FOOTIN 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMIN 3 ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULA ION 4/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL B . 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO- ITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO- INAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBI G RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBI G FINAL 36 FOUNDATION/REMOVAL
� OWNERICO TRACTOR TO MEET YOU:_YES_NO
� COMME TS:
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� WORKS TISFACTORY:PROCEED PROJECTCOMPLETE ✓
W O CORREC WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORREC WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE OVERING PERMANENT
❑CORREC UNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INS ECTOR WILL RETURN
❑STOP OR ER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECT ON REQUIRED.CALLTO ARRANGE ACCESS.
II for the nex inspection 24 hours in advance. (g52) 249-46��
OwnerlC nttaet�r/o si e:
Inspecto . `
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