HomeMy WebLinkAbout2008-P00912 (Mechanical) - PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11912
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952)249-4600 Date Issued: 3/11/2008
SITE ADDRESS: 2380 Abingdon Way Unit#
Long Lake,MN 55356
PI D: 03-117-23-23-0016
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type:
Mechanical Permits Pernut Sub-type(s): Venrilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line for Cooktop&Ventalation
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
TOTAL FEE: $ 35.70
APPLICANT: Hi Tech Heating&AC OWNER: John&Carol Busacker
10035 Pillsbury Ave S 2380 Abingdon Way
Bloomington,MN 55420 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.
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APPLICANT PERMITE ATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, i-Sepric) Page 1
.
� FOR CITY USE ONiI:'Y �
040�0 City of Orono , ''
P.O.Box 66 Date'Received: Pernut#' �
2750 Ke]]ey Parkway
� Crystal Bay,MN 55323 Approved By:' Amount$:
���� (952)249-4600 �
$
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL Il�TFORNiATION' � ,
- 1. You may apply for mechanical pernuts by ma.il or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pemrit 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 UNTII.THE
. PERMIT CARD I5 POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations, details and specifications are required for each
heating,ventilation,humidificarion-dehumidification,and air conditioning installation including
heat losslheat 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 ' :
Ch k All
( ec TYiat A, . 1� ;
[+�Residential ❑ Commercial(Approval Required)
❑ New ❑Addirional ❑Repairs ❑Replace
Jab S.ite!Owner Information: ' °
Site Address: ��U(V1 �01/.� W
Owner: �(�,�ZIGK�� Mailing Address: ��AN�� G� �
City: � �I�I� Zip: '�J�3 S�
Home Phone: Alternate Phone:
Contractar ITiformation: '' . ,
Contractor: �� ��c� nE�INC� �'�CContact Person: �Wl �oWS�I,
Address: (0�3s U �S�tate Bond#: '
City: RJ�Oo � Zip: � 4��Expiration Date:
� Phone: � S oZ, oZC('o� ���C� Alternate Phone:
❑ Insurance—Current:
1
��.,C �S� " a 4-�'I - �-�o I � �-�N� �Idc ��rt"
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I�IE��IA.NTG1�i.��STE�.I�B�'�NG�INS.�ALLED� .
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLJs:
• Output BTLJs:
CFM:
COOLING SYSTEMS
Quanrity:
Make:
Model: �
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTII.ATION
No. �_ Kitchen Exhaust �duct recirculating �'�cfin
❑ No. � Bath Exhaust(must have duct outside) �O �� p�,
❑ No. Other Fans: Locarions ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installarion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
�GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: C� �0���2 �C��a.�.
2
.
� =, - ��1�T�E��.�►��C�Ti..�2It�N(�}. : . -
- B:��'E.I�.:�F'F=�{302..'�T1�,TE ST.A'T`�.TE � - ....
❑ Yes,this section applies
The replacement of a Residential fixture or ap�liance 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;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor. �
Skip next secrion,if this applies; Cost of Pemut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
_ = .. P��:l��;F����;��T� �-=���fi:��R���:�. �� -_ -
If above does not apply;follow guidelines below:
1. CONTRACT PRICE �`is 1.25%of contract price with a(Minimum Fee of$35.00)
� � ��� x.0125$
contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the Sta.te Bldg Code Div. Surcharge(Minimum Fee of$.50)
" x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on 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
pemutted 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 cont�act 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 STA'TE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
]VI�CT3.AN���:'FE.'`6�1�IIT APPZI�C.ATT�N AGRE�MEN�' = ` , °
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: �v-�,� Date: d"�� � � �(�pj
3
� _� � DATE TIME �/
CITY OF ORONO CALLED IN 3�. !
INSPECTION N TIC SCHEDULED � �
PERMIT NO. �� COMPtETED
ADDRESS g �1l�L G3�
OWNER CONTR. �� '� C�
TELEPHONE NO._ �.J� '� ��� � �P��7�
� DESCRIPTION -��— ' '-(/`�'� 7z�C-f�t/�,✓
� ❑ FOOTING ECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC IfdSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATIOWREMOVAL
� OWNERICOAITRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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���RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
IIVSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL IPISPECTOR
�INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cail for the next ins�tion 24 hours in advance. (952) 249-46��
Owmer/Cantractor on site:
Inspe�tor. lt_/' (� ;_ _ _ ______
Whfie CopyMspector's File Canary Copy/Site Notice