HomeMy WebLinkAbout2005-P09492 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09492
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4G00 Date Issued: 12/19/2005
SITE ADDRESS: 1261 Briar St Unit#
Crystal Bay,MN 55323
PID: 10-117-23-31-0042
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,390.00
State Surcharge Fee: $ 1.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.70
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: Gary&Linda Printup
410 W Lake Street 1261 Briar St
Minneapolis,MN 55408-2998 Crystal Bay MN 55323
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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APPL[CANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Sig�ratures Reguired), 1-Applicant, 1-Monthly Reports, 1-Asscssing,([f Septic, 1-Septic) Page 1
' FOR CITY USE ONLY
�,�-" � City of Orono
• � � ����'��� P.O.Box 66 Date Keceived: Permit#
`��: ��i' 2750 Kelley Parkway
� a� ��' � ►�>>� Crystal Bay,MN 55323 Approved By: Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Comiliercial pennits must be approved by the Buildin�Of�ficial or lnspector and/or Pire 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 N07'
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 modei. 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 A 1 )
�Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �eplace
7ob Site/Owner lnformation: � �
.
Site Address: Ct
Owner: ��G1 �(�(�'f�(,(� Mailing Address: Gj� �
City: � Zip: �s���_
Home Phone: � — �lte�rnate Phone:
Contractor Information:
� � `
��1��AT1N Contact Person: � Q,UQ� � Ylt(��,
410 W�ST�.At�� ��R�E'1` '
���,APULIS, MN 554c��e State Bond#:
612-824-2656
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance–Current:
1
� MECHANICAL SYSTEMS BEING INSTALLED
' HEATING SYSTEMS
Quantity:
Make:
Model:
FueL• � C�GS
✓
Flue Size:
Input BTUs: _
Output E3TUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
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. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(N(LJST 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
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� PERMIT FEE CALCULATION(S) �
� ' BASED O��F -2002 STATE STATUE � �
❑ 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;excludin�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 $
;— pE�ziT�LF���,c�uLATlo��s}—1oBs cvE��soc.00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� l t-/ x.0125$ �J •0�
(contract price) (minimum$35-00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
�� ` v 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
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 eony of the actual contract.
■ **The STATG SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
, ' MEC "� �.:�;PERMIT APPLICATION A��;��1�lENT "=:
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: ��
Reset Form
3
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r�� DATE r TIME
tl/ CITY OF ORONO CALLED IN �' a�`QS
INSPECTION NOTICE SCHEDULED Z �-�`S l(�•� �
PERMIT N0. .�C�'�`�qZ COMPLETED
ADDRESS ) Z� i �1�� C�Y� S�-f-
OWNER CONTR. �fi��✓1c��'�
TELEPHONE NO. ��� —� �S ` �� �v� �� '
� DESCRIPTION /��-�`' � � /�-� ( ��«-,�'-��\
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING J
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTORTOMEETYOU:' YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, PHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTIOfV REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContr si e:
Inspector. —
White Copyllnspector's Fi Canary CopylSite Notice