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Home My WebLink AboutP08601 - mechanical PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P08601 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 4/12/2005 SITE ADDRESS: 575 Oxford Rd Long Lake,MN 55356 PID: 05-117-23-41-0029 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 303.13 Valuation: $ 24,250.00 State Surcharge Fee: $ 12.13 TOTAL FEE: $ 315.26 APPLICANT: Serbus Heating&Cooling OWNER: Mark&Kristen Anderson 272 Industrial Blvd. 575 Oxford Rd Waconia,MN 55387 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 BUILDIN CODE REQUIREMENTS. APPLIliPERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 1 FOR CITY USE ONLY City of Orono 1070:-4 P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway t Crystal Bay,MN 55323 Approved By: Amount$: Qc" (952)249-4600 �vos 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) Residential ❑ Commercial(Approval Required) -1/-New ❑Additional ❑Repairs ElReplace Job Site/ Owner Information: �7 .0 , Site Address: Owner: G"h eco- Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: 4 Contractor: cc,/,....7 ! ' C Contact Person: ai\, Address: Z7? je Al -gi d State Bond#: OS L7 7,61 City: C.ck-c.)A;143"- Zip. Expiration Date: 034 Phone: 2- W3-2-9"P Alternate Phone: ❑ Insurance-Current: ,� �- 1 MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: Make: 657/10°- -2+70 5/'u o/3S— Model: (X--A/>1""K (-C-7✓fira Fuel: 044-04 p4`""-4 Flue Size: Z e/C qtr 0!C Input BTUs: lad`'c /3),G.rt' Output BTUs: 7 y�" 17114 Rev) CFM: A5 o a 16 61J COOLING SYSTEMS Quantity: / Make: ZhOlic7C _475_ Model: A/5 2tig t'2/ I (to Z � Tons: k"ktit H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. / Kitchen Exhaust duct recirculating 100 cfm ❑ No. 3 Bath Exhaust(must have duct outsi e) 2/o cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY z -- f e S ❑ Outdoor Grill ❑ Other/List What&Where: / , //1-°61/4-1 E-J k-Cr 2 PERMIT FEE CALCULATIONS) BASEDOFF 2002 STATE STATUE ❑ 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;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 $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 2V, 0C- ' x.0125 $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 2y Z 55 x.0005 $ (contract 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 Depaitment at(952)249-4600 for the price. MECHANICAL PERMITAPPLICATION AGREEMENT 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 State of Minnesota, and certifies that all state re eras made on this application are complete, true and correct. //?/!) Applicant's Signature: Date: 3 Dtb TIME CITY OF ORONO CALLED IN 9- (��J r l INSPECTION TI SCHEDULED 9-01b-Q o' f 3-0 PERMIT NO. (4.r/03 00 I COMPLETED ADDRESS 575- qY f / OWNER CONTR. S t:17 (,5 �7 L + G TELEPHONE NO. 9�Z q(7/3 ,Qg l q DESCRIPTION 4 t-ComN- 1' ("` W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W cc VACtv‘014A,e)re.f d cc O cc z ccd W WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY t:::)O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 then xt inspection 24 hours in advance. (952) 249-4600 Owner/Con r n site: Inspector. White Copylinspector's File Canary Copy/Site Notice 6DA TIME CITY OF ORONO CALLED IN /J Qa INSPECTION TICE SCHEDULED7 ! ,� ._./� i air PERMIT NO. /Dg�pO l COMPLETED 111 ADDRESS 5 7cr- L' J-aYcI gg OWN ER CONTR. o ,; 7A J (', '?-5-2-'?-5-2- c1 TELEPHONE NO. [ `74 3 21/ of E DESCRIPTION Aed ,e,eT L 4- u, ref/ L 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 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 IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS: g(JPit -Q LI rn-21--e—<cc < Q. cc cc O cc Q cc W� _ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑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 ext inspection 24 hours in advance. (952) 249-4600 Owner/Contr site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice