HomeMy WebLinkAbout2007-P00425 - mechanical PERMIT
���Y C�F ORONO
275'0 Kelley Parkway - PO Box 66 Permit Number: p11425
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/10/2007
SITE ADDRESS: 2435 Countryside Dr Unit#
Long Lake,MN 55356
P��� 04-117-23-11-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 36.90 valuation: $ 2,952.00
State Surcharge Fee: $ 1.48
Misc. Fee: $ 1.50
TOTAL FEE: $ 39.88
APPLICANT: Ditter Inc. OWNER: Micheal&Carol Swenson
820 Tower Drive 2435 Countryside Dr
Medina,MN 55340 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 PLRMITEIi SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Sig�:atures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(lf Septic, 1-Septic) Page 1
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� City of Orono
�g��'`' P.O.Bo�66 Date Received: Permit#
il�; ��`!'i 2750 Kellcy Parkway
a .��" q �' Crystal l3ay,MN 55323 Approved 13y: Amount$: �
�a :,�"�,,,�: p�' (9�2)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial pcnnits must be approved by thc Building Ofi'icial or Inspcctor and/or I�ire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is coinpleted. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UNTIL 7'HE
PERMIT CARD IS POSTED ON THE JOB SIT'E.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,marufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Cali(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PF,RMIT
�Check All That Apply) �
esidential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs Replace
Job Site/Owner Information: '
n
Site Addcess: � � ��' ��� �� - �'� j � � � �
G�wner: ��V��I�., 1',l!� �V� Mailir.g Address: _���j���/a��{e�i �,-
c�ty: � F ✓��I � � z�p: .-��'���.s���
Home Phone:�J��- 7" �[�" - C���� Alternate Phone:
Contractor Informatio��:
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Contractor: Contact Person: � G
CCa�LIN� � �lEATING Cp�����`-�-���C._/
Acldt'ess: .,�„-rs����eo noiVE Slate BOnd �#:
�{�L,�AN 553�0 ��
City: � ����i�$ ___ EYpiration Date: �
`r,�..�
Nhone: AlTernate Phone:
❑ Insurance-Currcnt:
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� MECHANICAL SYSTEMS BEING INSTALLED
HEA"I'INC SYSTEMS
Quantity: _�._
Make: V�Y'� � �
Model: ��� �"� �
Fuel: �
Flue Size:
Input BTUs:
—__�_��_�
Output BTUs: � � � �
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL
Tons:
H.Power
F[REPLACES
❑ Gas Factory Fireplace
� Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: ivtodel No.:
VENTILA"TION
❑ No. Kitchen Exhaust duct recirculating cfm
[�-- - No. Bath Eahaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BG APPROVED BY FIRG MARSHALL)
� ❑ Installaiion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: t�allons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What R Where:
_ , _
4
� PERMIT FEE CALCULATION(S)
F3ASCD 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;excludin�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-In Fee(If Applicable) $ 1.50
Total Permit Fee $
� �� PERMIT FEF CALCULATION(S) '-JOBS�OVER $500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is ].25%of contract price wi�(Minimwn �ee of$35.00)aC
� �
x .0125 $ ���
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(A4inimum Fcc of$.50)
`� 1 =-
. _�"�r�_X.000s � . —__
(cdntract price) (minimum$ .50)
3. POSTAGE R HANDLING (Only on Mail-In Applications) $ 1.50�
/� /
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ "G
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work includin�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 o�i�ner, tenant or any ether party, the :easonable 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 sibned copy of the actual contract.
■ ** The STATE SURCHARGC is.0005 of the Buildin�� Deparnnent at(953)249-4600 for the price.
MECHANICAL I'ERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the �rdinances of the City and the reguiati�ns of the State of
Minnesota, and certities that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date:
Reset Form
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� � DATE TIME
�p_ �-�p� V
CITY OF ORONO CALLED IN �
INSPECTION N I � SCHEDULED �-' �1
PERMIT NO. COMPLETED � �
ADDRESS f
OWNER CONTR.
TELEPHONE NO. �� r Y ���1 �� �
� DESCRIPTION 1"�-�- t�['l �/,��r-� I
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ S P C FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: i���� �1 I� i" l U// �C
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W � CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for th� t i pection 24 hours in advance. (952� 249-4600
OwnerlCont�act s e:
Inspector. �
White Copy/lnspector's File Canary CopylSite Notice