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Home My WebLink About2005 - P08666 - mechanical PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P08666 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/2/2005 SITE ADDRESS: 945 Willow View Dr Long Lake,MN 55356 PID: 28-118-23-44-0009 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: $ 237.50 Valuation: $ 19,000.00 State Surcharge Fee: $ 9.50 Misc. Fee: $ 1.50 TOTAL FEE: $ 248.50 APPLICANT: Kleve Heating&Air OWNER: Timothy&Brenda Wicks 13075 Pioneer Trail 945 Willow View Dr Eden Priaire,MN 55347 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. VW--44"(--f LIQ APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Si¢nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 AP / 616 • FOR CITY USE ONLY /� O\ City ofBox Orono /O¢ P.O Permit# / 1 2750 Kelley Parkway 14, ti_Vc r'ry i Crystal Bay,MN 55323 Approved By: Amount$: (952)249-4600 Date Received: 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) gC Residential ❑Commercial(Approval Required) ®New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: q 4 5 WI i l O W v i e_vv D ei i V e Owner r two fE I I f1 Qn1eMailing Address: 4052 0 OKI and 1r. City: 5t. Bail.fa C i US Zip: S(-75 2 l.i) 4 Home Phone: Alternate Phone: Contractor Information: Contractor:Kleve IHtg. Fs, A/c' inc Contact Person: ri-mr1enP Ma tick Address: 6365 Carlson Dr . Ste GState Bond#: RLI-561165 City: Eden Prairie Zip: 55346Expiration Date: 8/14/05 Phone: 952-941-4211 Alternate Phone: 952-345-7242 F] Insurance-Current: 1 r ;�� ECHANYCAL SYSTEMS:BEING INSTALLED �; : t < _0r. HEATING SYSTEMS Quantity: Make: Ltl`l/10- Model: QO/M1)(c0Q "I!O Fuel: ( Flue Size: 12 1, Vt, Input BTUs: / 10 10, 000 Output BTUs: Qq 000 CFM: COOLING SYSTEMS Quantity: I Make: LQ.i')YIOk Model: H S'Z(a-04S Tons: 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 cfm []' No. �j Bath Exhaust(must have duct outside) (VQ.rvt oily) cfm D- No. / Vis: Locations cfm s'r Y C.Parigeir FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: (2.) P1 r 2 p /d.e-v l dv-yQr 2 c' ) r arc'. • PERMIT FEECALGULA IONS), , BASED OFF,< 002:ST' TES. ❑ 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%off"1 contract .Jprrice with a(Minimum Fee of$35.00) 000 x.0125 $ 2 7. 50 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 1 G 000 x .0005 $ Q.50 (contract price) (minimum$ 50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 24(6. 00 • * 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 Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordanc- t the ordinance of the City and the regulations of the State of Minnesota, and certifi; that a statemen . •'.- on this application are complete, true and correct. I Applicant's Signature: Date: 4 - 2(1- Reset " 2`7Reset Form DATE TIME V CITY OF ORONO CALLED IN 5 23-0 INSPECTION NOTE SCHEDULED PERMIT NO. (i ) Ad/(o COMPLETED ADDRESS q5 k)/ i((71/1.) (i Q ll OWNER CONTR. l� r'Glr' i ' b`/7/Z TELEPHOfiE NO. -0 /<_ F6?-7 _<'3rr'-41 Ske /( r6 S DESCRIPTION /(` 1"1 4, 01 FOOTING 1 MEC CAL RI 18 EXCAV/GRADING/FILLING 4. Q 02 FRAMING - ANICAL 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO oCOMMENTS: cc Lct, Attiv 4.6cc 0 cc 0 Q cc WU ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE w CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY c 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 n t inspection 24 hours in advance. (952) 249-4600 OwnerlContrap ite: Inspector. White Copy/Inspector's ile Canary Copy/Site Notice , ATE TIME CITY OF ORONO F-1 Set-- TIME IN INSPECTION NQ�IQ SCHEDULED 'Il 9r/4069,' � PERMIT NO. f�� t/ o ' Q7COMPLETE/D� ADDRESS ! s W//l V L ,& i OWNERCONTR. ��++ TELEPHONE NO. TS2 9(7/ DESCRIPTION F7-1(.2/ /1 W 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING 4.. 02 FRAMING ECHANICAL FINAL I' 19 LAKESHORE/WETLANDS 03 INSULATION 4/25 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cc • COMMENTS: �,,j[_ ��ZZb om0Wle -e cc 0 {{ cc , I lel VVAO wA9 Nn a(AO vu&ker cc z cc • W2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ 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 next inspection 24 hours in advance. (952) 249-4600 Owner/Contra s te: Inspector. - (UM/ White Copy/Inspector's File Canary Copy/Site Notice