HomeMy WebLinkAbout2005-P08798 - mechanical PERMIT
CI�"Yr-�OF ORONO Permit Number:
2750 KeHey Parkway- PO Box 66 P08798
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4000 Date Issued: 6/1/2005
SITE ADDRESS: 752 Boulder Dr Unit#
Long Lake,MN 55356
PID: 33-118-23-11-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
I �
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,750.00
State Surcharge Fee: $ 0.88
i
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.38
APPLICANT: Condor Fireplace&Stone Co. OWNER: Dahlstrom Development LLC
8282 Arthur St NE 7745 Polaris Lane
Spring Lake Park,MN 55432 Maple Grove,MN 55311
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.
`/ '�-GLC� �''� �%r�l'�.-G�1'�.
APPLICANT PERMITEE S[GNATURE SSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
� �
` FOR CTI'Y USE ONLY
' `� � City of Orono
;�'Q'LL���`�
P.O.Box 66 Date Received: Permit#
'Q.„-,, Q`', 2750 Kelley Parkway
� si' p• ��� Crystal Bay,MN 55323 Approved By: Amount$:
.,���"' `� ��.�`� (952)249-4600
��no�'� ."
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications wili
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 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-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 foirr�p�ovided.
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 Buiiding 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
�esidential ❑Commercial(Approval Required)
�New ❑Additional' ❑ Repairs ❑Replace
Job Site l Owner Information:
Site Address: ��� .��c:���� � ,
Owne . ✓� Mailing Address:
City: �ip:
Home Phone: �dJ���73 �/CJ �� Alternate Phone:
Contractor Information:
C ��;o (��)�'I)OIZ Contact Person: .
q 8282 Arthur Street NE State Bond#: �J J� �P
Spring Lake Park, MN 55432
C 763-786-2341 Expiration Date: f�����`�
Phone: • Alternate Phone:
❑ Insurance—Current:
1
�' �!
,,
a �n �; ;
��� ��:�����,r;��r'�7"E�� ��!�`- ,;; �
�, �;,- ��a ,,�� ,�
• HEATING SYSTEMS
Quantity:
Make: .
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: �
Model:
Tons:
H. Power
FIREPLACES /
�- Gas Factory Fireplace c��v �G 0 '
❑ Wood Burning Fireplace `%�,�R �
❑ Wood Stove r�� �
❑ Wood Stove With F ue �
" Brand Name: Model No.: �(� �.�0�-1[ _
VENTILATION
� No. Kitchen Exhaust duct recirculating cfin
� ❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LIP[�ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
, 2
J
K '
PERMIT FEE CALCULATI�3N(S) � ��
BASED OFF -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;excludinQ 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-[n Fee(If Applicable) $ 1.50
Total Permit Fee $
PE3�i1��'����E CALCT�TLATT�3��{��'��{�����,, ��t1��U ��
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
���� "� x.0125$ ��J .�d
(contract price) (mi mum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
���� � x.0005 $ ,�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50
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 copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERM�T rv ' �
,,`�'ION AGREEMENT ''
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: Date: J'✓���`-�
!.
Reset Form
3
�,ti �. � �
� DA E TIME
CITY OF ORONO CALLED IN � �� ��
INSPECTION TICE C� SCHEDULED �n'7'65� �j-.'3df�M
PERMIT NO. L � COMPLETED
ADDRESS �SZ �a(��� r ,�/�
OWNER CONTR. ��nc�dr Ff�
TELEPHONE NO��p � 7�C.P o�3 7 �
� DESCRIPTION � ��
ly 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 03 INSULATION 24/25 WOOD BUR 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-FINAI 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:
�
W
a
o ! � jeA- ) - vP �r-�� 1 ,,
� 1�� �� �-/� �-Ir� ��
0
�
W � �a�"�
°� 1� - s- ����� �.
Q
�
z
W
�
W
�
�
GW �YVORK SATISFACTORY:PROCEED L7 PROJECT COMPLETE
�
� ❑CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CI�RRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� Z49-4600
Owner/Contractor on site:
Inspector. ( � � /
White Copyllnspector's File Canary CopylSite Notice