HomeMy WebLinkAbout2004-P08303 - mechanical PERMIT
CIT� O� ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos3o3
Crystal Bay, Minnesota 55323 Permit Type: Me�nani�al Pe�ts
(952) 249-4600 Date Issued: i2�t��2ooa
SITE ADDRESS: 825 Brown Rd S
L,ong Lake,MN 55356
PID: io-ii�-23-2i-000g
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Move Air Exchanger,Move furnaces
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.70
APPLICANT: Ray N.Welter Heating Company OWNER: steven&Elizabeth Bohl
4637 Chicago Ave. 825 Brown Rd S
Minneapolis,MN 55407 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 PERM[TEE SIGNATURE UEDBY SIGNATURE ���
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO 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 UIVTIL 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 model.
Data shall be presented on form provided. Identification of and specifications for w�ater 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 249-4600. 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 249-4600.
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Please check one: ;, �'3c�eV Addition Repair Replace
Residential Commercial
JOB SITE: S . ZiP: s�-��
�'-�`�ii3O�nei''sName:_��� �:�`s ; y - TelephoneNumber:��;�-- Li4%-�I�/��
Mailing Address: ��' City: % -�� r� " Zip: :�53�jf
Contractor's Name: � � �v. Telephone Number: ����-�,�2;�"��l�
MailingAddress: �j ' v City: ''� ;��j, Zip: �S�/D7
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SYSTEM DESCRIPTION�$ `�j�Z,cr' -;�jJ,��G'� ��/�,t,IV��L� /�lS��,Z/y� ����/hju`�,��,1 -
HEATING SYSTEMS �� ��L„� �{-�ifi�� L�n },�jl��;:,, ��`� ��-1�I�v: /h.��;L� /U�'�f���'#'l�1/�'�� ��'�lC�
Quantity: _
Make:
Model:
Fuel:
Flue Size: -
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove �
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen EJchaust 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) �
��1. ��G� , =�� x .0125 $ .,a�-�j , �=----
(contract price)
2. State Surchar�e. "" Add the State Building Code Division
Surcharge to each permit. ,��/��: '� x .0005 $ /, 'G�
or $.50, whichever is greater (concract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � �v
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, groiit, 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 parry 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 S1,000,000 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. '
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A licant s Signature: �� ,/ , / Date: / - °� �
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Approved By: Date:
G Cv 5� i ✓
DATE TIME
CITY OF ORONO CALLED IN � "� � �j
INSPECTION N ICE�+ y�� SCHEDULED� 1 ��CS �
PERMIT NO. � J�l� COMPLETED
ADDRESS ��S ��-�n ��
OWNER CONTR. ��-�-i �1-Q_L��tG�"'
TELEPHONE N0. 1 -Q �a ga � � ��� �-�
� DESCRIPTION �� / `�C��I
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL 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
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Q OS 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
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor o site:
Inspector_
White Copyllnspector File Canary CopylSite Notice