HomeMy WebLinkAbout2006 - P09696 - mechanical a
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09696
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
3/23/2006
SITE ADDRESS: 1849 West Farm Rd Unit#
Long Lake,MN 55356
PID: 27-118-23-43-0016
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: $ 300.00 Valuation: $ 24,000.00
State Surcharge Fee: $ 12.00
TOTAL FEE: $ 312.00
APPLICANT: Heating&Cooling Two Inc. OWNER: Joseph&Inger Cerny
18550 County Road 81 1849 West Farm Rd
Maple Grove,MN 55369 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.
AY 4,1111:.----"11111":411,
6)7 (�Jv (--
APPLICANT PERM r E SIGirdir ISSUED BY SIGNATURE /
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
r 1 k
1 O City of ..: :!,-::..:F01; TY $EONliY
(3:-N
Orono .,.. ;_; �,..,; : .. .:;' • r
P.O.Box 66 �y.� [�
Q DateRecerved ✓ If,A[crmrt#'
2750 Kelley Parkway C, _, • . ..
1, 4. t Crystal Bay,MN 55323 Approved By:;:'. .! ... Amount,. I, .1
#tt , `,oc (952)249-4600
s
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
. _ ..
I:GENERAL;INFORMATION _,.. � . .=: .:. ::... ,. . _ :�+ r ; -- ' . . . .
L 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.
' , ; OF P TYPE ERMIT .
(Check All That A l
Residential ❑ Commercial(Approval Required)
IR New ❑Additional
❑Repairs ❑Replace
Job Site/Owner Information: ,
Site Address: ) g'yq 1,�Ez, .Vein,,_ -(1
•
Owner: a ; 1 _ . . Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information ;I
Contractor:HEATINC. Contact Person:
INMMOLINCITWOAddress: 18550 County Rd. 81
M 4231 State Bond#:
(763) 428-3677
City: www•heatcoolgnn Expiration Date:
Phone: Alternate Phone:
_ Insurance—Current:
1
sH• , s
� i� { - io ,4oa-4LAS�lf. lvKs i} 8* ..,5,_
:a' .- 1r :' a v :i
r HEATING SYSTEMS Q.
Quantity:
Make • " '?irl
Model .
n . • '560100 r . 5 Ili°;
Fuel iv a
Flue Size
t -,-.''4'-'r-z
}
Input BTUs `�"� 1,C3bto6 -
p
Output BTUs 9 3 }
C
IY
CFM: °QC .
COOLING SYSTEMS
Quantity:. t f
make:
Zt 'a
. _ ., , l: '
Model: h9 l ii 11/1\0'/ . 1 g7/ p/ ,
Tons:
H.Power
FIREPLACES
I:=1Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. t Kitchen Exhaust duct recirculating �va0`cfrn
❑ No. BathExhaust(must have duct outside) cfm
LI No. Other Fans: Locations cfrn
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons I:=1Underground 1:1Inside 1-_-_;1 Outside
LP Gas: gallons
Other:
GAS LINE O
❑ Outdoor Grill ❑ Other/List What&Where: V i 2 to\
2
f k
� r
.,f, x r�a .E f-Q �� .����t��C���`���y?j��l�l`7��� i N,��� �-w`.,�• `�krA`a �.��},''�y.F.��(fd �b�
� s` ; 2'�B • ;�� � 3m lL n i tD.` rc�9F-�4"
0 .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 r ` .
}' n State Surcharge • ,
t
Mail In Fee(If Applicable) • $ 1 50
Total Permit Fee $
If above does not apply;follow guidelines below.
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
: J c x.0125$ �.'
tract
('Aprice)P •. (minimum$35.00) x
• 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge (Minimum Fee of$.50)
x.0005 $
(contract price) (minimum S .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 V
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.
g1 CA PER1V1 I`A LTCATrO 1EEIVtEl �
The undersigned hereby applies to the City for issuance of a Mechanical Pert, agrees to do all
work in strict accordance with the ordinances of the City and the regulatimions of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
/111111' /r-
Applicant's Signature: —� Date:
•
3
tLW(/ DATE/
, TIME V
CITYOFORONO CALLED IN �/�. �(
INSPECTION NOT // � SCHEDULED __ .►;:SIA �, /l
PERMIT NO. ` VK f l� / 0 COMPLETEDla}virl
/��
ADDRESS / '4 q LL A /eC,
OWNER �''� CONTR. ,OCe /79 <7
TELEPHONE NO. `�Y/ - 3b3-- .5--2y (c v '.L
DESCRIPTION /15/- v J
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ct 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 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
cC
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
✓ 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
<--- OWNER/CONTRACTOR TO MEET YOU:_YE\NO
ot..) COMMENTS: N
cc
W
C
o A Cot.,/C G'I ci-( P- S. vi+ t y
(_.) A r *C S7—
cc0
W
cc
Q
W
Z
W
CC
Lu �J` WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CCW
L l ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
• ❑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 the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on tte:
Inspector. l (-/ 8'-5
White Copy/Inspector's File Canary Copy/Site Notice
I ("/al C 4.D TIME\/
1 CITY OF ORONO CALLED IN
INSPECTION N5,1/^Q 0 SCHEDULED l -0►, —9:d0
PERMIT NO. �[J�I�F//G�! 'F�/, COMPLETED r�L�i" ` '- 7t
ADDRESS /t t l u -Fa
OWNER ! �,�, CONTR. 771-1014-94
TELEPHOP�I�T k (01a ^ 363"'5574 Ail 6. 7-- U
• DESCRIPTION F J i '_cL 0-9/ liter-s Q'ti--e.t__,
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
La.• 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
O 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
LLJ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
W
C
� 1
jfli
/1-4 bye 4-Cr- TCS-1—
o -E11 0 g
t
0
4.
W
CCQ ,:7)
6--A Si -i des �i<
W
z
W
cc
2 ]'WORK SATISFACTORY:PROCEED N PROJECT COMPLETE
W RRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI 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. 5
White Copy/Inspector's File Canary Copy/Site Notice