HomeMy WebLinkAbout2002 - P05500 - mechanical PERMIT
c!TY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05500
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/16/2002
SITE ADDRESS: 340 Willow Dr N(Fire Station)
Long Lake,MN 55356
PID: 34-118-23-32-0003
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
New Contractor as of 10/25/02-was Fisher(Out of Business)-0
FEE SUMMARY: Permit Fee: $ 1,505.00 Valuation: $ 120,400.00
State Surcharge Fee: $ 60.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 1,566.70
APPLICANT: R&S Heating&Air Conditioning,Inc. OWNER: City of Orono
12600 Creek View Avenue 340 Willow Dr N
Savage,MN 55378 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 PERMITEE SIGNATURE ISSUED&I.A-I-URE
6 �y� 2
Copies: 1-File(Siinitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
10/24/2002 THU 12:28 FAX 952 894 0377 R&S HEATING & AIR D 2 002/003
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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 2 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 BI;OIN UNTIL THE PERMIT CSD IS POSTED ON
THEJQB 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. 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before fmal.
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 249-4600.
Please check one: f Ncw Addition Repair Replace
Residential Commercial
JOB SITE: � v.� (,, 4-4-1L..6 OP-/ Zip:
Owner's Name: Telephone Number:
Mailing Address:_ 3z-40 Li Lit,„ —J' City:to, Zip: 34-7,
Contractor's Name: 1 w.t-ti 6, A-it Telephone Number: qS 19 ql- ,
Mailing Address: 1 , C-R,ek-I4t_cm„ 44.0%.1 City: , Jig yZip: �S17$
SYSTEM DESCRIPTION ----rFkc...w(, true — t sr-,,..,2—
HEATING SYSTEMS •
Quantity:
Make:
Model: _
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
•
Quantity:
Make:
Model:
Tons:
H. Power
10/24/2002 THU 12:28 FAX 952 894 0377 R&S HEATING & AIR 1 j. 003/003
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with clue
Brand NameModel No. •
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfzn
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. _ x .0005 $
or $.50, whichever is greater (contract price)
3. postage and Handling (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 are furnished by the owner, tenant or
any other parry 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 51,000,000 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: 017 Date: ID Z5
Approved By: '4 Date: to - 2 -o Z
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P05500
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 8/16/2002
SITE ADDRESS: 340 Willow Dr N(Fire Station)
Long Lake,MN 55356
PID: 34-118-23-32-0003
DESCRIPTION:
Proposed Use:
Pecurit 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: $ 1,505.00 Valuation: $ 120,400.00
State Surcharge Fee: $ 60.20
Misc. Fee: $ 1.50
TOTAL FEE: $ 1,566.70
APPLICANT: Fisher Sheetmetal Company,Inc. OWNER: City of Orono
1441 Iglehart Avenue 340 Willow Dr N
P.O. Box 40009 Long Lake,MN 55356
St.Paul,MN 55104
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.
/1
A PLICANT PERMITEE.41t /SIGNATURE I D BY SIGNATURE
Conies: 1-File(S&nitures Re(mired). 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
+9522494616 1-462 P.002/004 F-405
�b
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
CEMRAI,I1 ORMA�JON
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 Ioss/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 0 Addition D Repair [Replace D Residential [] Commercial
JOB ME:Zi' L�9 6 A-C-4�T/ � 3�o W rc�o p: �2r.�1�, l-d�✓4
Owner's Name: e«y Zip: 3 Seo
Mailing .- ---- �' Phone Number: � fit 73- 6.96/
Mailing Address:Mye_y_0z4,2_ x,�,c City:
/41-44.t� Zip: 55354,--filidZ
Contractor's Name: e SNge7 fl Phone Number: (,S/.60417. D irS
Mailing Address: / City: 57 _e_, Zip:
/0D .60)1
1
Jun-1T-2O02 03:24pm From-CITY OF ORONO +9522494616 T-462 P 004/004 F-405
PERMIT FEE CALCULATIO„Nja)
•
2002 Sate Statute ❑Yes This Section Applies
The replacement of a ResidentiaLfixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has 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 $ J5-00 •
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)
70)Z/00 x .0125 $ r__
(contract price) (minimum$35.00)
2.Mate Surcharge. *'" Add the State Building Code Division a Minimum Fee of($.50)
/?O, WO X .0005 $ Q o xY
(contract price) (minimum$.50)
3.Postate andHandling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ - J Co X
'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 fot 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,nue and correct. -
Applicant's Signature: '�L�. Date: 1! //9/0 - •
Approved By: SCJ — ... Date: •
3
Jun-17-2002 03:24pm From-CITY OF ORONO +9522494616 1-462 P.003/004 F-405
S'TE pESCRIFTLON
IDEATING SYSTEMS 104C.Q 12-1(A
Quantity:
Make: -/l
�/ / `'
Model: j 560 l04'(
Fuel:
Flue Size:
•
Input BTUs: /, )m
output BTus: /03 ma) •
CFM: o 0
COOLING SYSTEMS
Quantity: s �
Make:
Model:
Tots¢: <70I/
4.Power
' REPLACES GAS LINE ONLY
Gas factory fireplace ❑ Installing a Gas Line Only .,
ood burning factory fireplace with flue
.,•d Stove
0 Woos 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 . P w- sek cfm
DUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑Installation or CI Removal
❑Fuel oil: gallons ❑underground ❑ inside Doutside
0 LP Gas: gallons
❑ Other . Gas opening
2
/ ,,\\ TIME
I
CITY OF ORONO V CALLED IN �v
INSPECTION SCHEDULED jCI c�`.CYJ
PERMIT NO. 155-(1- COMPLETED
ADDRESS Lk) 1/k(A.4 . LD. f
OWNER CONTR. 5(c rick
TELEPHONE NO. (10 -1 Zi-t)?
DESCRIPTIONI rA T L
4, 01 FOOTING X11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
O
cc
0
W
cc
W
z
W
cc
LXORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
.1 BEFORE COVERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
0 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 site
Inspector. -�
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NQZICE SCHEDULED 1i, /A-y?_ C ,t, A-A4
PERMIT NO. ' >>00 COMPLETED
ADDRESS 3 g C C) JI I(O cv 0 2 — 1=irt a p.
OWNER CONTR. c/c 4,-;m
TELEPHONE NO. ice% ( LI C C SCS' 17
E DESCRIPTION r -1-- Lam)0.- I M H1/24 C
01 FOOTING (11 MECHANICAL RF" 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL- 19 LAKESHORE/WETLANDS
h 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
sZ
41 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES✓NO
COMMENTS:CC
ai G � 4 Pmt (1,2,+„L
CC
0
N.
CC
0
U.
W
cc
Q
cna
W
Z
W
4`
d
W2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner!Cont iton site:
Inspector. r (,CJmi
White Copy/inspector's File Canary Copy/Site Notice
6DATE E
CITY OF ORONO CALLED IN
INSPECTION NMIC SCHEDULED 1/-/ -02- 9 30-'
PERMIT NO. ' ,5 Cr) COMPLETED
ADDRESS 3 /O ��i ��GCt/ j :'C
OWNER CONTR. LC,,-,-c-`-< � Sf�
TELEPHONE NO. (v/ -r Y 9vCict
DESCRIPTION /` `1-- /7/74C, a- c
01 FOOTING MECHANICAL18 EXCAV/GRADING/FILLING
• 02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
cc
a — O + l,0 d6( Chid—Wer
cc
cc
O
W
c
W
W
cc
WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
W
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
• 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 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 s't :
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice