HomeMy WebLinkAbout2002-P05033 - mechanical CITY OF ORONO PERMIT
2750 Ottley Parkway- PO Box 66 Permit Number: P05033
Cristal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/12/2002
SITE ADDRESS: 10 Willow Dr S
Long Lake,MN 55356
PID: 03-117-23-22-0010
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: $ 91.25 Valuation: $ 7,300.00
State Surcharge Fee: $ 3.65
TOTAL FEE: $ 94.90
APPLICANT: Serbus Heating&Cooling OWNER: Bill&Ann Bowman
1476 Steoger Lake Road 10 Willow Dr S
Victoria,MN 55386 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.
PLICANT PERMITEE SIGNATURE ISMED BY SIGNATURE
Covies: 1-File(Sienitures Required). 1-ADDlicant, 1-Monthly Reports. 1-Assessing. 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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, l-,umidification-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)249-4600. 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 M ReplaceK Residential ❑ Commercial
JOB SITE:T� ���/��, �� r`✓ v Zip:
Owner's Name: 0(a ,�13 2 j Phone Number:
Mailing Address: City: 0_1L— 4 4, Zip:
se.4_ u.S /4s l M'
Contractor's Name: 2t rJ, �„H,c6 Phone Number: 2-
Mailing Address: � q-21, S fes,o r. City: U!c Tv i-i a_Zip: J 3
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: /
Make: Z e= N
Model: G - o;c?q—j'I vZV 3oZ "7S
Fuel: A17
1 r
Flue Size: PV ' V
Input BTUs: 02 j,, 9b °i'q
Output BTUs: /
CFM: Keg Z)
COOLING SYSTEMS
Quantity: / /
Make: LGl1h o X
Model:
Tons:
H.Power
FIREPLACES
❑ Gas factory fireplace
❑ Wood burning tory lace with flue
❑ Wood Stove
F-1Woodstove flue
Bran ame Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE( ST BE APPROVED BY FIRE MARSHAL)
E] Installation or FE-11
❑ Fuel oil: gallon erground F-1inside ❑outside
❑ LP Gas: gallo
❑ Other Gas opening
2
t
l
PERMIT FEE CALCULATIONS)
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;excluding 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 Minimum Fee of($35.00)
? 30U x .0125 $
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $
(contract price) (minimum$.50)
3. Postage and Handlins(Only 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 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.
Applicant's Signature: Date: Z Z -z—
Approved
Approved By: Date:
3
DATE TIME
CITY OF ORONO LLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. SD'1 Q_"2 COMPLETED ` U
ADDRESS
OWNER CONTR��ri-buS
TELEPHONE NO. �5r�- I4 LfC7, U.
DESCRIPTION ' "` �Ascb
W 01 FOOTING 11 MECHANICAL RI_c 18 EXCAWGRADING/FILLING
02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
09 PLUMBING RI 23 SEP C FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
W
C
J
O
cc
O
LL
W
cc
Q
2
W
Z
W
cc
LOU
ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 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 forthe next inspection 24 hours in advance. (952) 249-4600
Owner/Contract s'
Inspector
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TI�E�33 SCHEDULED �f 3 0
PERMIT N I ,,�� COMPLETED
ADDRESS
OWNER ih L12 rn ari CONTR. S�rZ R u S
TELEPHONE NO.
DESCRIPTION C � -
01 FOOTING N16Alz&L� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 BURNER/FIREPLACE 34 TREE REMOVAL
Z 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
J
O
c
O
2
W
Qc
Q
2
W
Z
W
cc
J
/FORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY
C� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Cont�tm
Inspector.
White CopylInspector's File Canary Copy/Site Notice