HomeMy WebLinkAbout2002-P04818 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 KeII�;�Parkway - PO Box 66 Po4ais
Crysta� Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: iii�i2oo2
SITE ADDRESS: 776 Brown Rd I�1
I.ong I.ake,MN 55356
PID: 34-118-23-11-0001
DESCRIPTION:
Proposed Use: Residenrial
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: PermitFee: $ 106.03 Valuation: $ 8,482.50
State Surcharge Fee: $ 4.24
TOTAL FEE: $ 110.27
APPLICANT: Flare Heating&Air Conditioning OWNER: Richard Benson& Barbara Luikens
9303 Plymouth Ave N. Suite 104 776 Brown Rd N
Golden Valley,MN 55427 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEk:SIGNATURE ISSL'ED l3Y SIGNATURE
Copies: 1-File(SiQnitures Re�uired), 1-Aoplicant, 1-Monthlv Reoorts, 1-Assessing, 1-Finance Page 1
.
' CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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� � 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 DesiQns - 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: New Addition Repair x� Replace
� Residential Commercial
JOB SITE: --i-��� (,�jr �:�. � � 1�11 . �; � Zip: �>�j�.>>�C'
Owner's Name: Telephone Number:
Mailing Address: City: Zip:
Contractor's Name: Telephone Number: i �L: •.� � !� i ,� 1 !�_; �-
Mailing Address: ' ' ' City: Zip:
SYSTEM DESCRIPTION GOIdei1 V�iJ��►�MN. 55427
HEATING SYSTEMS
Quantity: c�i
Make: (`«.� ;,
Model: ���"��X1-�(��-
Fuel: ��,��- ���.�.� >
Flue Size:
Input BTUs: �'G,�-� t
Output BTUs: �`--� �1c �:
CFM:
COOLING SYSTEMS
Quantity: ,�
Make: �c�.�'��._� i
Model: �j�„_ �t__ �,)`�
Tons:
H. Power �
. '
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 Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen Elchaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) 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)
� - x .0125 $ ',l,�: .
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ � � ,�t`i
or $.50, whichever is greater (contracc price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 1!;; , -,�: (
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materzals; labor, nrofit; and other fixed costs. It is the amount to be chareed 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 pernut 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 wark 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 Signature: J�;�; , � r< . 't i % Date: � '
Approved By: Date:
� � . / DATE TIME
CITY OF ORONO � v CALLED IN
INSPECTION N I�E/� / SCHEDUIED `� -o�- � �
PERMIT N0. G '(� [ � COMPLETED �"��"�!'� �Y- �C/
ADDRESS_+�7� �-'2.L`r`C''�--� /f`� �✓�
OWNER CONTR. f -�9�� ��{�_
TELEPHONE N0.
� DESCRIPTION - --
l� 01 F 1 MECHANICAL RI 18 EXCAV/GRADINGIFILLING
AL FINAL 19 LAKESHORE/WETLANDS
y TION 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� �l IORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION RE�UtRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlConU r on site:
Inspector��t
White Copyllnspector's File Canary CopylSNe Notfce
3 � 3
DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOTI� scHE�u�E� 5-.�� CG �(�t
PERMIT N0. ` ' COMPLETED �'�"�z- �
ADDRESS � � ��^ �� •
OWNER CONTR. � � �-�� �`
TELEPHONE N0. 7C_.c% � S ��� � I �P� 1
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� DESCRIPTION �'�--(:/t�J �' E/ '
� Oi FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING �, 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTORTOMEETYOU:_YES_NO
� COMMENTS:
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� /�''�WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
Wl ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RE7URN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContr ctor on site:
Inspector.����(�-'�l.�J
White Copyllnspector's Ffle Canary CopylSite Notice