HomeMy WebLinkAbout2001 - P04284 - mechanical PERMIT
CI`,Y OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04284
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/4/2001
SITE ADDRESS: 1065 Willow View Dr
Long Lake,MN 55356
PID: 28-118-23-41-0009
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: $ 162.50 Valuation: $ 13,000.00
State Surcharge Fee: $ 6.50
TOTAL FEE: $ 169.00
APPLICANT: Heating&Cooling Two Inc. OWNER: Mr.&Mrs. Holmers
18550 County Road 81 1065 Willow View Dr
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.
/.C ( 07'1A 719
APPLICA T PERMITEE SIGNATU'1 ISSUED BY IGNATURE
Conies: 1-File(Sienitures Required), 1-Applicant. 1-Monthly Reports, 1-Assessinc. 1-Finance Page 1
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CITY OF ORONO 0 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 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 473-7357. 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 473-7357.
Please check one: y New Addition Repair Replace
Residential Commercial
JOB SITE: JO( �� �r IJi t& ` �0' i3 r . zip: 553?-3
Owner's Name: fiz, iy je,-s Telephone Number: A04Mailing Address: j �y1E City: Zip:
Contractor's Name: ( C b� wD Telephone Number: (7G 3y;*-.??77
Mailing Address: / `; D (fM ,F; r3/ City: )� Zip: 5 5 3
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SYSTEM DESCRIPTION
HEATING SYSTEMS I
Quantity:
Make: ' s,t
Model: _ vial: '�D
Fuel:
Flue Size: �,[)
Input BTUs: /r,U,Oo 0
Output BTUs: •
CFM:
COOLING SYSTEMS
Quantity:
Make: 6 -
Model: ,
Tons: `71, e piS
H. Power /Q SeLi--
41
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name fv(Ah f i y U ‘4-..r Model No. ,,) "
Mfgr's MM., Clearances, side , rear__, min. flue dia.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. c3 Bath Exhaust (must be ducted outside) 70 cfm
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)
'e'er 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 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 Si: :tune: 'L Lc-4_YY Date: ,c5 -020-el
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED q-13 4q
PERMIT NO. w(-g- COMPLETED '-'13,--6/
ADDRESS tO CPS' GJr l(o 6,i kits fa„,)
OWNER CONTR. f-(}y Car-(, 2
TELEPHONE NO. 7 CP 3 64 5' (P 7 7
-5:: DESCRIPTION ^. F-j_, �' /�f, S 1- ^� -1 S�i
� 01 FOOTING i1"MECHANICAL RI > LLL//J 18 EXCAV/GRADING/FILLIN Z
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Q
• 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
Q
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
‹.---• OWNER/CONTRACTOR TO MEET YOU:_YES NO
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❑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. ,D
White Copyllnspector's File Canary Copy/Site Notice
f / DATE TIME
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Z 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
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
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ILI 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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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 t r on site,,:rryy
Inspector. &i•-, C.ti - 'i r
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
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Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IL 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con
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Inspector. fel LoeL 4.,p
White Copyllnspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTIONNOTIC SCHEDULED .),-/- 9 3, v
PERMIT NO. O COMPLETED /-0 7- 3• 3c1
ADDRESS / S u'-1--e- -`-cti-- II.0-L. -
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DESCRIPTION
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y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
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LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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✓ BEFORE COVERING PERMANENT
0 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 site:
Inspector. iM-� C
White Copy/Inspector's File Canary Copy/Site Notice