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Home My WebLink About2004-P07230 mechanical - A/C � ' PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�23o Crystal Bay, Minnesota 55323 Permit Type: Mechan�cal Permits (952) 249-4600 Date Issued: 2iizi2oo4 SITE ADDRESS: 1940 Country Club Rd Long Lake,MN 55356 PID: 2�-i ig-23-42-ooi g DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 62.35 Valuation: $ 4,988.00 State Surcharge Fee: $ 2.49 TOTAL FEE: $ 64.84 APPLICANT: Palo, Inc. OWNER: M�-. & 1v�rs. Smith 14208 Hwy 12 East 1940 Country Club Rd Cakato,MN 55321 Long Lake MN 55356 Tf�UNDERSIGNED HIItEBY REQUESTS PIItMISSION 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. _�fs�/ � � � � ., r,� �/�' ��-- /`. ��ZC�.._� �/ �.- - , //f APPLI�ANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(Siz�iitures Rec�uired). 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 , CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 1 of 3 C1TY 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 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 Designs - 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 shal( 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 (952) 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 (952) 249-4600. Please check one: New Addition Repair Replace Residential Commercial JOB SITE: � �1��) ��(�L:.,�1 Y tv � I(.�1-� �c� � (?l<<'l �-(.� C� Zlp: _S`�3�tP Owner's Name: _j�(�r v,,� �5�,;�L, Phon Number: 1�� - I�,/S- C�>�� Mailing Address: ��/D ��,c� C'l�� rZ cl City: L c?<« �_<<�-i Zip: S�:�5lc� Contractor's Name: �Q.-l�� (1�� ua�� E Phone Number: 3�c�- ��CP -Cr/53 Mailing Address: i d C$ �[� " ��.i j 2�� City: (�r�,�Ca_�z� Zip: 5S��3-/ SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: �( nC�.�� Model: ��-j%U'�O/�L�.i�f-� http://www.ci.orono.mn.us/mechanical%20permit.html 2/11/04 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 2 of 3 Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: _ � Make: �, �.1�'!�'�i� ModeL• ��'�gC-' 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 Exhaust duct recalculating cfm No. i Bath Exhaust(must have duct outside) �� cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION(S) 2002 State Statute Yes This Section Applies The repiacement of a Residential fixture or a�pliance 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; excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: http://www.ci.orono.mn.us/mechanical%20permit.html 2/11/04 � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3 1. Contract Price* is .0125%of job with a Minimum Fee_of($35.00) `�`7��:� C-�� ,3�- x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) �. -1`j 4 f7 x .0005 $ � y� (contract price) (minimum$.50) 3. Postage and Handling(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ *CONIRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work i�cluding materials, labor,protit,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 is 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. ** Thc STATE SURCHARGE is.0005 of the contract price under$1,00Q000 or$.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 Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. � , � i �,' ; Applicant's Signature: C '-�-_<--� •� _ _ _ Date: ,�-�'�"`� _ ___ Approved By: Date: _ http://www.ci.orono.mn.us/mechanical%20permit.html 2/1 l/04 % � , �� ✓ � DATE TIME CiTY OF ORONO CALLED IN ' `� ".-"I INSPECTION NOTICE SCHEDULED �� 3-�'�� '�— PERMIT NO. ,' �� -�C connP��Eo ADDRESS '`� ! i � i � f� ,✓c.��'. OWNER , CONTR. �� c ..! ��C' � TELEPHONE NO. ��-� ��.. � <<-�� '. �� `� � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAi- -. ' 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO EEf YOU:J�YES_NO � � � �,.._ __-- � Ci�M . � a � � O � � O � �u � Q � 2 W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR FiEINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the nex�in�pection 24 hours in advance. (952� 249-4600 Owner/Contracto si e: Inspector. '� White Copyllnspector's File Canary CopylSite Notice