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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. �/'� } ' ; �, �C,(�i 1 ;�, i j�_ �.� �;"����''.t.�'/ ��•% 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 ..'uC�pP'4:./ 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 �� ��.,,-� -, � C{TY��QFi��� ,ti��Eo ii� _�7 �.��� - 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 � 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-,,,� z I�'�CVt �(.:�/� ` �'Y�iln � COMMENTS: �i � W a j O � � O � ti � Q � Z W � W � � d W KSATISFACTORY:PROCEED CI PROJECTCOMPLETE � C ECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W � 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 i �� <!/ �l �L��ia AT� TIME ✓ 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: � � � ��- a o � � �Jz �� ��'l - �� a � 0 � w s Q � Z w � w � � d W � WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE � ❑ ORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY W 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