HomeMy WebLinkAbout2005-P08474 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Pog4�4
Crystal Bay, Minnesota 55323 Per'mit Type: Mechar�ical Permits
(952) 249-4600 Date Issued: 2i2gi2oos
SITE ADDRESS: 825 Brown Rd S
L.ong Lake,MN 55356
PID: io-ii�-23-2i-000g
DESCRIPTION:
Proposed Use: Residential
Pemut 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: $ 75.00 Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 79.50
APPLICANT: Ray N.Welter Heating Company OWNER: Martin&Bridgett Paradise
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 PERMITEE SIGNATURE 1SSUED BY SIGNATURE
Copies: 1-File(Si�nitures Requirecl), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEiVERAL INFORI�IATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut 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 Desiens - Complete calculations, details and specifications are required for each heating,
ventilation, humidification-ciehumidification, 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.
a, VVhPr. any r.e�v const*�uction 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 pernrit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New 1/ Addition Repair Replace
✓Residential Commercial
JOB SITE: c{5��� � ��,��� _?.j�, � "�-J y . Zip: ,�%���
Owner's Narne: S�c?Ui��U � �la�-- _Telephone Number:
City: C's,`� . � � ' p: �_
MailingAddress: 'vwi � ;�-�u Zi � ��
� ' � > � � Tele honeNumber: !��,��<<' �����
Contractor sName: 2 �' p '��'-
MailingAddress: � '' - �l�/� �'�� t/..', City: I'7�f'=._l ZiP� ���%�;%�
SYSTEM DESCRIPTION �/��7 �� �C�J/�/,�j7/�/!J ,t�
A ""�"J-.
_-�
HEATING SYSTEMS
Quantity: _
Make: —
Model: 0
Fuel: `\
Flue Size: �� � �
Input BTUs: 0 ) —
Output BTUs:
CFM:
COOLING SYSTEMS
,
Quantity: '
Make: �'
Model: �
Tons: �
H. Power -
, '� �
l��s� 1 r��. �� ��l� �"�� e�.�
WOOD BURNING EQUIPNIENT
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 Exhaust 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 ($35.00) �S Q�
(adD�O.$ x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
1
Surcharge to each permit. (sDOd x .0005 $
or $.50, whichever is greater (contract price)
3. Postaae and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ����k1� 7'�� ,�
* 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 pany the reasonable mazket value of sucii iteuis must be added to ihe 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 $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct. �
Applicant'sSignatur�:���-�'��� �l�'�"� � Date: �"��/�1�.
Approved By: �� Date:
D� DATE TIME �
CITY OF ORONO CALLED IN ��'�
INSPECTION NOTICE SCHEDULED � �!
PERMITNO. PC� ��-7� COMPLETED �
ADDRESS �'Z.�� ���U.,7Yt �Q�S
OWNER CONTR. �,,�,�/ •��
TELEPHONE NO. �/a` ��� R� � .�� G�_ .
� DESCRIPTION - s �-�-� �� �>
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l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES,�NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th next inspection 24 hours in advance. (952� 249-4600
OwnerlCo n ite:
Inspector.
White Copyllnspector File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN�'l �' �� ��
INSPECTION NOTICE - / SCHEDULE � �1�
PERMIT NO. i��$t{7 Y' COMPLETED
ADDRESS S�-5� ��'� �� �
OWNER � ' CONTR. �`�k
TELEPHONE NO. � l.� - ��-�- �d'��- J
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� DESCRIPTION �-��R'�' `f s ` jt"2 � G`'���-Y�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 HANICAL 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
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (952� 249-4600
Owner/Contrac fb s te:
Inspector. �
White Copyllnspector's Fil Canary CopylSite Notice