HomeMy WebLinkAbout2007-P11520 - mechanical PERMIT
CITY OF ORONO
2750 KelleWarkway- PO Box 66 Permit Number: P11520
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 10/2/2007
SITE ADDRESS: 2480 Watertown Rd Unit#
Long Lake,MN 55356
PID: 33-118-23-44-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,941.00
State Surcharge Fee: $ 0.97
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.47
APPLICANT: Differ Inc. OWNER: Richard Wagman
820 Tower Drive 2480 Watertown Rd
Medina,MN 55340 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT TEE SIGNATURE
D BY SIGNATURE
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, I-Septic) Page 1
l q
FOR CITY USE ONLY
Q City of Orono
d Q P.O.Box 66 Date Received: Permit#
+yi4 2750 Kelley Parkway
} ti Crystal Bay,MN 55323 Approved By: Amount$:
e , (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 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 two working days.
2. Permit cards will be sent by return 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 Designs—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.
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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
'Rta dential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs YReplace
Job Site/Owner Information:
Site Address: e
Owner:
Mailing Address: �T))
City: Zip:
Home Phone: _6,5,§1ernate Phone:
O
Contractor Information:
Contractor: e r Yl(. Co tact Person: I G
Address: State Bond #: M5 7
City: �—� `►l �-\ Zip: ration Date: S
Phone: ?� 5&Alternate Phone:
t
❑ Insurance—Current: NAQ
HEATING SYSTEMS J
Quantity: (/
Make:
Model: � � —
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fir lace
Wood Burnin ireplace
❑ od Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
�D1e:- Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STOR R APPROVED BY FIRE MARSHALL)
❑ In allation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS GNE ONLY
Outdoor Grill ❑ Other/List What&Where:
4�
MM, t
❑ 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. Hasa total cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
r
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price yah a(Minimum Fee of$35.00)
x.0125$
c tract rice) (minimum$35.00)
2. STATE SURCHARGE ** Add the State BldgC�pd�iv.Surcharge(Minimum Fee of$.50)
(J� 7
x .0005 $ • /
j(contr ct price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * 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 installations are 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 Building Department at(952)249-4600 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 Stat of
Minnesota, and certifies that all statements made on this application are com fete, true and
correct.
Applicant's Signature: Date:
3
(Tct, E/4 F-W
DATE • TIME
TY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 'SS ,,CfOMPLETED fl/�
ADDRESS Is �`t �,0
OWNER C t- I.kh!Q EMLITELEPHONE NO.
CONTRACTOR
DESCRIPTION ` -� _ c
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v 1:1PLUMBING RI ElSEPTIC FIN A ElFOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES NO
o COMMENTS:
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OW 49'YQRK SATISFACTORY:PROCEED D PROJECT COMPLETE
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W ❑CdRRECT WORK&PROCEED F1ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on It -
Inspector.
White CopylInspector's File Canary Copy/Site Notice
19� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT CE , SCHEDULED "
PERMIT NO.420/1— � COMPLETED
ADDRESS 07 1FO
OWNER AF60 � TELEPHONENO. 952- y73 5272
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
El POURED WALL El MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ FRAMING ❑ MECHANICAL FINAL F1 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
El FINAL El SEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:—YES_NO
COMMENTS:
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OW ❑WORK SATISFACTORY:PROCEED d�_PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice