HomeMy WebLinkAbout2006-P10496 - mechanical ' PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P10496
Crystal Bay, Minnesota 55323 Permit Type:
(952) 249-4600 Mechanical Permits
Date Issued: l0/25/2006
SITE ADDRESS: 2630 Countryside Dr W Unit#
Long Lake,MN 55356
PID: 04-117-23-12-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pentiit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 157.50
APPLICANT: Binder Heating&A/C,Inc. OWNER: Todd&Katherine Urness
222 Hardman Ave.N. 2630 Countryside Drive W.
South St. Paul,MN 55075 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 PERMITEG SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing(If Septic, 1-Septic) Page 1
F'OR C[T]�L'SE O�I.I'
�¢��O City of Orono
P.O Boz 66 Date Received: Permit#
� 27�0 Kelley Parkway
� 1` �` h,+ Crystal Bay,MN 55323 Approved By Amo�mt$:
��{�'� ���o',� (952)249-4600
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CITY OF ORONO–MECHANICAL PERMIT
(�111 Commercial permits must be approved by tha Building Official or Inspector and/or Fire Marshall)
I—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. PER�9ITS ARE NOT
VALID UVTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UN7'IL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Nlechanical 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,manufacturer and model. Data shall be presented on form provided.
4. When any new�onstruction or remodeling is involved,a separate building permit�nust be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State B�iilding 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 submitted before final.
TYPE OF PERMIT �
(Check All That Appfy) �
❑� Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ✓❑ Replace
Job Site/Owner [nformation:
Site f�ddPeSS: ��'30 Couutryside Dr W
O��ner: Urness Residenec ]�lalllrig Addt'eSS: samc
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
�OIltClCtOt': B�nder Heating&AC COIlt1Ct PeCS017: Karissa
222 Hardman Ave N
Address: State Bond #:
South St.Paul 55075
City: Zip: Expiration Date:
Phone: ��s�>4s�-s�s�
Alternate Phone:
0✓ Insurance–Current:
1
MECHANICAL SYSTEMS BEING INSTALLED —j
HEATING S1'STEMS
Quantity: � _ _
Trane
Make:
Model: TUX I BO60A
Natural Gas
Fuel:
Flue Size:
60000
Input BTUs: _
Output BTUs: 55200 — — —
CF'M:
COOWNG SYSTE�VIS
1
Quantity: -- - --
Tranc
Make:
Model:
2TT63030A
Tons:
2 1/2
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculatin� cfm
❑✓ No. 1 Bath Exhaust(must have duct outside) �0 cfm
❑ No. Other Fans: Locations cfm
F UEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY _
❑ Outdoor Grill ❑ Other/List What& Where:
2
� PERMIT FEE CALCULATION(S) �
BASED OFF - 2002 STATE STATUE __�
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requiren�ents:
1. Does not require modification to electrical or gas service.
Z. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appiiance: 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 $ .�0
Mail-In Fee(IfApplicable) $ 1.50
Total Permit Fee $
� PERMiT FEE CALCULATION(S)—JOBS OVER $500.00 �
If above does not apply;follow guidelines below:
1. CON'i'RACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
12,000.00 x .O l 25 $ �50.00
(contract price) pninimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.�0)
12,000.00 x.0005 $ ��00
(contract price) (minimum$ SO)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.5Q
157.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
per�nitted �vork 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 installations are fwnished by
the owner, terrant 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 �ost, the City may request the submission of a signed copy of the actua! contract.
■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
� _ MECHANICAL PERMIT APPLICATION AGREEMIENT �
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.
�
Applicant's Signature: ' '—� � Date: � � _
Reset Form
3
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INSPECTION NO ICE SCHEDULED -J��� �..�
PERMIT NO. j�� �� COMPLETED
A D D R ESS ~L L���C> �` c�. r��f—Jl,l� i (�,Q ��Z (�l� •
OWNER CONTR. R � ►'2''i�r I�—�-F�'Fi l�
TELEPHONE N0. ��G�I ���r"J� -���� `�
� DESCRIPTION �a-� � �� CL`� °
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLA�S
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION� r--
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS �
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT T�-��
07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP �Q�i�
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER R�EMODAL�"
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNER/CONTRACTOR TO MEET YOU: YES_NO a��a-,,,�
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� ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V FORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ; PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ex inspection 24 hours in advance. (952� 249-4600
OwnedCo ac o t •
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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CITY OF ORONO CALLED IN �
INSPECTION N I SCHEDULED 1r��L.� /�
PERMIT NO..���Z_ COMPLETED
ADDRESS �� -----�/ -
OWNER CONTR.
TELEPHONE NO. �J✓! �`'� 7 a Z�P�
� DESCRIPTION 1�[y�- �������
ly� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GR DING/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 OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W � WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETUFN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on s' e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice