HomeMy WebLinkAbout2007-P11113 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11113
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
6/13/2007
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 Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 36.25 valuation: $ 2,900.00
State Surcharge Fee: $ 1.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 39.20
APPLICANT: Ditter Inc. OWNER: Barbara Hite
820 Tower Drive 2475 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 BUILD(NG CODE REQUIREMENTS.
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APPLICANT PE MITE IGNATURE SS D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' ��Y7- C�C/�C�
� FOR CIT1'USE ONI.Y
�/`� �'-���,, CityofOrono
%9 � � " P.O.Bo�66 Datc Rcceived: Permit#
�r�-�; ��«� 2750 Kclley Parkway
� ,�:ja� '.. ��' Crystal I3ay,MN 55323 Approved By: Amount$:
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, ,��o�; c9sz��a9-a600
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CITY OF ORONO—MECHANICAL PEI2MIT
(t�ll Commcreial permits must bc approvcd by thc Building Ot�ficial or Inspector and/or I�irc Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wiil
be revie�ved 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 RECEIVG A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PGRMIT CARD IS POSTED ON THE JOB SITE.
3. Mecl�anical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidificatioirdehumidification,and air conditioning installation including
heat loss/heat�ain ca(cula±ion,design temperatures,equipment ratings and identification as to
type,manufacturer 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 worh 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.
(24-48 hour notice required)
7. House Heating Test Record must be submi tedb�fore final.
TYPE OF PERMIT
(Check All That A 1 )
esi�dential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Re�ace
/ —
Job Site/Owner Information: �
�
Site Address: t � �-C/ Y�11 ��� "�� �
Ownec:�' Mailing Address:
City: � � G � � Zip: � �
Home Phone: '� ��� IAl�ernate Phone:
Contractor Information:
- ✓��/�, (-` �.'..�" '
Contractor: t � �'Contact Person: �l�
✓' r C��� �
Address: ����((1 � �Ul.��� ��State Bond #:
z �
City: �Y i � Zip:�i'�.�°� �Ypu-ation Date: � �
Phone: ' � 1l�_�� Alternate Phone:
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❑ Insurance —Cucrent:
1
MECHANICAL SYSTEMS`BEING INSTALLED
HEATINC Sl'STE1�1S
Quantity:
Make: O
Model: �-���T���L,���'��_�
Fuel: _ ��
Flue Size:
]nput BTUs: �\
.� �"_
Output BTUs:
CFM: � �
COOL[NC SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas Factory Fireplace
Wood Burning Fireplace
❑ ood Stove
❑ W s�l Stove With Flue
Brand 1�'amc: Nlodel No.:
VEN"rILAT10N
�....�.
���"��No�.- Kitcheu Exhaust duct recirculating cfi��
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
F STORACE (MUST BE APPROVED BY FIRE MARSHALL)
Q•.,. Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gailons
Other:
GAS LINC ONLI'
❑ Outdoor Griil ❑ Other/List What& Where:
2
PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fisture or appliance that meets all three of the following requirements:
I. 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 ofPennit $ 15.00
State Surcharge $ .50
Mail-In Fee Qf Applicable) $ 1.50
Total Permit Fcc $
� PERMIT FEE CALCliLA i ION(S)-JOBS O`vER$SOO.GG �
If above does not apply;follow guideli��es below:
1. CONTRACT PRICE * is 1.25%of contract price w��(Minimum Fee of$35.00)
� � x.0125 $ ����
(cont act pricc) (minfmum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code�,D�iv. Surcharge(�tinimum Fee of�.50)
� tf�
. � x .0005 $�,
(contract price) (minirfium$ .50)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMI'T FEE (Add Lines 1-3 Above) $
� .�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted 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, fabor 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 pennit 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.
Iv1ECHANICAL PERMIT 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 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.
✓' .-' , �P �
Applicant's Si�nature: �- --���� Date: �
Reset Form
3
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CITY OF ORONO �Al � � —�—,��
INSPECTION NO SCHEDULED � _���'"�`�
PERMIT NO. ` � �� l � COMPLET
ADDRESS
C �-L�L� . �.
OWN ER CONTR. _
TELEPHONE NO. ����`j�C���v�[�
� DESCRIPTION �1"1 � ���� ��� L I �;
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
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 SE IC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED C PROJECT COMP�ETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next i pection 24 hours in advance. �952� 249-46QQ
OwnerlContracto it :
inspector.
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