HomeMy WebLinkAbout2000-P02220 - mechanical � '� PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Po222o
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 3i2oioo
SITE ADDRESS: 2590 Countryside Dr
LONG LAKE, MN 55356
PID: o4-1i�-23-�t-oo�o
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
yp Air Conditioniing
Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
3 HTG SYSTEMS,2 A/C&2 BATH EXHAUST
FEE SU1111MARY: Permit Fee: $ 21g•�5 Valuation: $ 17,500.00
State Surcharge Fee: $ 8.75
Misc. Fee: $ 1.50 1�{�4 I 1�-- ���
TOTAL FEE: $ 229.00
APPLICANT: Kleve Heating&Air OWNER: G STICKNEY&J OLIVERIUS
13075 Pioneer Trail 2590 COUNTRYSIDE DR
Eden Prairie,MN 55347 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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Copies: City,Applicant, Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICA�-PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 � �7 ����
GENERAL INFORMATION , :.s
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 2 working days.
2. Permit cards will be sent by retum 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. Ideatification of and specifications for water heating equipment
shall also be provided.
4, VVhen aay r.e�v c�nstruction or rer:iodeling is ir_��ols�ed, a separate b��itdiub per.�it must b:, o�;a:ned.
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 473-7357. 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 473-7357.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: Z'P� ��=���.--�
Owner's Name: �,-Y, ���P 1 I Telephone Number:
MailingAddress: '�GG S Lc,1�.e ,re �i City: _��jp ;,-��,, Zip: � S� 3S�
Contractor'sName:� rP I�-P�;�ivlr�3 �� �,r�r1� 1 N r _ TelephoneNumber:���-q y �-ya��
MailingAddress:��o�� `�, ,orPp f i�o,; � City:� ,���.��,r, Zip: 553��
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: —� __._------ _---�— �
Make: �L �,�,�,,�.�� � �iY,mT a,�Ji r.sl��
Model: ('T�roc�31N-I� �za(o��,��n
FUel: Y�}-.,� ✓1/:�- Nr.
Flue Size:
Input BTUs: ��,�_ �n,r�,�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: l �
Make: L�v,,-,6�, �-►�r�yc —
Model: ��s �(Q t�..i�-��� .
Tons: 3 .�
H. Power
' ' . .
WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating �cfm
No. �_ Bath Exhaust (must be ducted outside) ,�_ cfm
vo. Other Fa:�: Lo�ations cfm
Total
FUEL STORAGE (MU5T BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
1 '7,5���— x .o�2s $ � � �,�7�
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. - , x .0005 $ ���S
(contract price)
or $.50, whichever is greater
3. Post�e and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �a� �(,��_
* CONTRACT PRICE or JOB COST means the actuai or estimateu doti��ount�h�ged for t1e Fermitted
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 installation are fumished 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 conuact.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
T'he undersigned hereby applies to the City for issuance of a Mechanical Pemiit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and certifies that all state ents made on this application are complete, true
and correct. .
Applicant's Signature: Date: "I
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N C��� SCHEDULED ' r \ 1��
PERMIT NO. � COMPLETEO S �� 3
ADDRESS � � � 'd
OWNER CONTR. �l�1,�-�
TELEPHONE NO. Q�j— `10�I
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� DESCRIPTION C.Li ✓ �f S f {�t�1 cti i s-1 ,i�"-�-f���Y �L'r�(at�
Ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVA�
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q O5 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAWT. 21 COMPLAINT
v 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d�ORKSATISFACTORY:PROCEED �; PROJECTCOMPLETE
��C CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Caii for the next inspection 24 hours in advance. 249-460�
OwnerlContr t on site:
Inspector.�;��� �
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN '�-1�'G� �'�
INSPECTION NOTICE SCHEDULED �-/�S"� %'."v�
PERMIT N0. ���z-d COMPLETED � 9-�
ADDRESS 2�cI� C��c.,n�ry S� �.�e D��
OWNER CONTR. l' �',� �L���'^f:-.e� 't' �� �
TELEPHONE NO. %�//� y�I�
� DESCRIPTION ('�rn,OI�1��' -t���'1 G. �
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
= 09 PLUMBING RI 23 SEPTIC FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W� 60XNORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlConira or on site:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
L I DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED ' ,l ijG
PERMIT NO. � Z Z �� COMPLETED ��/'�� �
ADDRESS 2 ��C3 �CJI � ,�'fvz �_ o�� �r ,
OWNER CONTR. u2--e.C�
TELEPHONE NO. � �� � - C �a � f
� DESCRIPTION
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 ME I L FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAL�. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR MEET YOU:_YES_NO
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❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN
C7 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-460�
OwnerlContr r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice