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2003 - P07069 - mechanical
ITlli OFORONOPERMIT CPermit Number: 2750 Kelley Parkway - PO Box 66 P07069 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 12/8/2003 SITE ADDRESS: 870 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0015 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: $ 161.25 Valuation: $ 12,900.00 State Surcharge Fee: $ 6.45 TOTAL FEE: $ 167.70 APPLICANT: Heating&Cooling Two Inc. OWNER: RVC Homes 18550 County Road 81 1003 Twelve Oaks Circle Maple Grove,MN 55369 Wayzata,MN 55391 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. /--// (6130 APPLICA T ERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Required). 1-Applicant, 1-Monthly Reports, 1-Assessinc, 1-Finance Page 1 1Obc 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,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 (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: IN New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: Rill 0 w%\\O t�ti E- ` ,JC__ Zip: Owner's Name: AVG \\ W �-� 0 OIC S Phone Number: Mailing Address: City: Zip: HEATING&COOLING TWO INC. 18550 County Rd.81 Contractor's Name: Maple Grove,MN 55;6°- 231 Phone Number: Mailing Address: cl63)428-3677 City: Zip: 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: Rid-' Model: 3'/D 60/do Fuel: h'\-• •a.. 3 ,I Flue Size: Input BTUs: /a0,000 Output BTUs: M 6 O) I CFM: c9 600 COOLING SYSTEMS Quantity: I. Make: --tN Model: 6` /p ' Tons: S i H.Power r9 FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ON Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No. / Kitchen Exhaust duct recalculating„„1,80 cfm No. .4-ii Bath Exhaust(mus have duct outside) 70 cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 IUB PERMIT FEE CALCULATION(S) 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) /02) /DO x .0125 $ (corfiract 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 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 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. loe r Applicant's Signature: _ Date: / `• m� Approved By: Date: 3 V. DATE TIME CITY OF ORONO CALLED IN /6' �3'i INSPECTION NOTI SCHEDULED % —/ 9 3c PERMIT NO. / 229 COMPLETED/ ADDRESS '70 /- //O i J l/'c- c /), OWNERCONTR. /-7 fc- 4 C=r; 7/ TELEPHONE NO. P DESCRIPTION u 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING La.c 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WO-07801METFIREPLACE 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 ct 14 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: \ Q. N. 1 4. , i VI/I.!, 0 tNI itAt N kOvt—s ..- 1('- - Ct i.O vtA€CP.�" ±es`7" O►1 a qa.c ,iiike re) eW Cc Q W Z W CC d W0; 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 1 Owner/Contr n site: Inspector. White Copy/Inspector's ile Canary Copy/Site Notice © G3TIME�Q� CITY OF ORONO CALLED IN / DAT INSPECTION NOTICE SCHEDULED I r /C 0--3 CJ 1 PERMIT NO. 70(;9 COMPLETED ADDRESS 110 Cwt'(( V('Q l�2. OWNER CONTR. 119 "` (��r j 2 ? TELEPHONE NO. _ 3 '�/ J DESCRIPTION '"' / SC7 4, 01 FOOTING 11ECHANICA 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHA NAL 19 LAKESHORE/WETLANDS " 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION • 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 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO C,)• COMMENTS: cc 0. cc 0 cc 0 0. W C CC GW WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE CC0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CZI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT 0 CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspe tion 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White Copy/Inspector's File Canary Copy/Site Notice