HomeMy WebLinkAbout2006-P10242 - air conditioning ` PERMIT
CI�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10242
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
8/21/2006
SITE ADDRESS: 2475 Countryside Dr Unit#
Long Lake,MN 55356
P��� 04-117-23-11-0006
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: $ 35.00 valuation: $ 2,200.00
State Surcharge Fee: $ 1.10
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.60
APPLICANT: Midland Heating&Air Conditioning OWNER: Barbara Hite
6442 Penn Ave. S. 2475 Countryside Dr
Richfield,MN 55423 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 SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page ]
„ .
FOR(`ITY U5N;ONLF
��� Cit}�of Orono
P.O.Bar C6 Date Recciced: Yermit h
-- __ — __---
� 2750[tellcv Park��°a�
� �T^��'�, a ? Crystal}3a}�.A[N 5g�2� npproi�ed By: _ :lmount$:
t��"��"• ,�G�' (95�)�.�9-�1600
. � .`�trisiaU'�'
CI'i'Y OF ORONO�- MEC'HANIC'AL PERi��II'1'
(:�II('�,mmcrcial permi�s muc�bu appro4cd h� Ihe�.u�lding 011ioial or Inspcctnr and�or I�irc\far�hnlll
GENERAL INFORMATIUN ��
1. You ma��a}�ply for nicchanical permits bv mail or in person at the Cit��offices. Appli��itions���ill
be re�•iewed and a permit�i=ill bc issued�rilhin t���u�rorkin�Z ela}'s.
2. Yermit cards���ill he sent h� retum mzil aCter a re��ic�� is comj�leted PI�?P.MI'I�S ARI�: N()�I
VAI,II)Ui�i"l�Il, YOU [ZI�;CEIVI�; �Pf�:}�Ml�l�. WORK MUST NOT BEGIN UIVTIL'THE
PERMIT CARD IS POSTED ON THE JOB SITF..
3 Mech�nical llesi�;ns—C'��mple�c calculatiuns,�letails and specificali<ins are rcquired Cor cach
heating,�entilati�m,hurnidification-dehumidificati�m,anci air cunditi��ning installatic�n inuluding
l�eat 1os�/heat�ain caLculation,design temper�itures,equiprnent ratings and idei�tificati��n as to
type,manufacturer and model. D�ita shall he presented on form pro�idcd.
�1. When anv i1e��construction or remodeling i�involved,a separate building pennit must hc
obtaineci.
5. /\]1 work musl bc donc in accordancc���ilh thc [Jnii<>rm Mcchanical Codc/Statc liuildin�Code
requirements.
6. /111���ork must bc ins��cctcd(rou�h-in and final). Call (9�2)��t9-4600.
(2a-48 huar notice required)
7. 1[��use}ieating�l�est IZecord tnust be suhnuttr�]before final.
TYPE OF PERMIT
(Check All That Apply)
,
� Kesidential ❑Commercial (/�ppro��al Kequired)
❑ Nc��� ❑�ldditional ❑ Repairs Ilcplacc
Job Site/Owner Information:
.� /'
Site Address: , '' �” ' �' � l� P J L% ��
Owner:"����- �/�'� �l/(�i Mailing Address: �,����, 1� �
--� .
�" 3 r' ,
Ciry: , ,�D✓�(,� 7ip:
Home Phone: �-�� 1T'��`7 .�lteniate Phone:
Contractor Information:
Contractor: ���/��"'� N-���i r��•i��� Contact Person: � c�% ��"'
Address: y ���''��'d���T � ��
�`�� State Bond#: �� �J
� 4 n`
City: /�/[11�:�'� Zi�✓�' Expiration Date: ��r'2� � �
Phone: ���-"��t�`�:1/J Alternate Phone: _
� lnsur�nce -Current: ����f ��--
I
MECHAIVICAL SYSTEP>�S BEING INSTALLED �
HEATII�G SYSTEMS
(�uantit}: _ _
Make:
M<�del:
Fuel:
Flue Size:
Input R'Ti Js: _
Output 13"1�iJs:
CI�M:
COOLING SYSTEMS
(luantitv: _
Make: �l,.l��
Modcl: ��� ��s.,t��iJ�� — --
�c)tlti' c�'�
F L P����er
FIREPLACES
❑ Gas Tactori Fireplacc
❑ Wood 13urning Fircplace
❑ Wood Stove
❑ Wood Stove With l�luc
Rrand Name: Model No.:
VENTILATIOieI
❑ No. Kitchen l��haust duct recirculating cfm
❑ Na Bath I�,�haust(must h���c ducl outside) cin�
❑ No. _ Other Fans: Locati��ns_ __ _cfm
FUEL STORAGE(MUS"I'B}�,APPROVED BY I�llZE MAIZSI IAI.L)
❑ Installation ❑ Removai
Puel Oil: gallons ❑ Underground ❑Inside ❑()utsidc
1_,P(ias: _ gallons
Uther:
GAS LINE ONLY
❑ Outdoor Cirill ❑ Olher/L�st What&VJhere:
2
PERMIT FEE CALCULATION(5)
BASED OFF - 2002 STATE STATUE
❑ Ycs,this section applies
7'he replacemenl of a Residential fi�ture or a}�iiance th�t meets all three ot ll�e Lollo�ving requirements:
1. I)oes no�requir�e modification l��elcctrical or gas sen�ice.
2. I[as a total cost of$�00.00 or less;escludina the cost oF thc Pi�turc or a��pliancc: and
3. Is impro��ed,installed or replaced bv the home�wner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcl�argc $ 50
Maii-In Pee(If/\pplicable) $ 1.50
Total Permit Fee �
PERMIT FEE C�iLCULATiUN S —.iOBS OVER$SOO.OG
If above does nol appl}�;follow guidclines bclo��:
1. COIYTRACT PRICE * is 1.25%of contra�t pricc�vith a(Minimum Fee of�35.00)
.�
�T�V� � .0125 $_ ")�j , ��-
(co-�.raet price) (minimum�35A0)
2. STATE SURCHARGE ** !\dd thc State Bldg Cude Div. Surchai��T,c(!llinimum Fee of�.50)
2G'� '�> > .000� $ �.�Q
(contract price) (minimum$ .50)
3. NOS'I'A(iT?&l�/\NDLINU(Chil�� on Mail-In Ap}�licationsl � L�0
�t. TOTAL PERMIT FEE(Add I,incs 1-3 Abo�e) �i � / � � �
■ * CC)NfKACT PRICF�: or JO13 CUS"I� mcans tl�e actual or estimated dollar amount charged f�or the
permiticd work including ma[erials, lahor, profit, and other fixed costs. It is lhc amounl to be ch�ir�ed
to thc customer for the ���ork donc. If�inv material, equipment, lahor or installations are funiished b��
the o�tincr, lenant or an�' other party, the reasonable murket ��alue of such itcros must be added to the
estimated cost or contract price for permit lee purposes. In the e�ent that there is a dispute on the
amount of the job cost, the City may reque�t the suhmission of a signed copy� of the actual contract.
■ ** The STA1�E SURCIIA}Z(}l�,is.00qS of the T3uilding De}�artment at(952)249-d600 lor the}�ricc.
� � � MECHANICAL PERMIT APPLICAT`ION AGRE�MENT �
The undersigned hereb�� applies to the Cit.� i'or issuance of a Mechanical Pcr�uit, agrces lo do all
work in strict accorda�ice w ith the ordina�ices of the Cit�� and the regulatio�is of the State of
Minnesota, and certifies that all ' emen � uiade on tliis applicatioii are complete, tnie a�id
correct.
Applicant�s Signature: � Datc: /�� � _
Reset Form
3
�`� � (� DAT TIME �
CITY OF ORONO CALLED IN •01� '
INSPECTION I SCHEDULED ' � •-� '�
PERMIT NO. COMPLETED
ADDRESS � 1�� C�, I ����Y
OWNER CONTR.��IC��'1C�-FT Gt�YI
TELEPHONE NO.��� � � CI�� t"I 7�.P ��O�y
� DESCRIPTION I'�(J� C��� .
� 01 FOOTING �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
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
J 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/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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W i WORK SATISFACTORY:PROCEED ; PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED �'- ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED
C INSPECTION REQUIflED.CALL TO ARRANGE ACCESS.
Ca11 for the n t inspection 24 hours in advance. (J52� 249-4600
OwnerlCo r o ' ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice