HomeMy WebLinkAbout2006-P10545 - mechanical , PERMIT
CI�Y OF ORONO Permit ►vumber:
2750 Kelley Parkway- PO Box 66 P10545
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
11/9/2006
SITE ADDRESS: 2635 Countryside Dr W Unit#
Long Lake,MN 55356
P��� 04-117-23-13-0007
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Line Inspecrion
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Gas Line For Fireplace+2 Returns
FEE SUMMARY: Permit Fee: $ 15.00 valuation: $ 0.00
State Surcharge Fee: $ 0.50
TOTAL FEE: $ 15.50
APPLICANT: Peak Heating&Cooling,Inc. OWNER: David&Teresa Gross
12355 Utopia Avenue 2635 Countryside Dr W
Young America,NIN 55368 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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APPLICA PERM►TEE SIG E ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), ]-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page l
Foa crrY usE o��rL��
��,¢'0� City of Orono
P.O.Box 66 Date Received: Permit#
�� Q��' 2750 Kelley Parkway
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�� �t�'� r�� Crystal Bay,MN 55323 Approved By AniounC$:
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+�,�ar���o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be appro��ed b��the Building Official or Inspector�nd/or Firc Marshall)
GENERAL INFORMATION
l. 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. PERMITS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical 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 construction or remodeling is involved,a separate building permit must be
obtained.
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). 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 A 1 )
�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑Replace
Job Site /Owner Information:
� 1
Site Address: —��� '�>` ""��L� �� � ' `�' �i G�� t' � '�4��
\
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �����������'�z����� Contact Person: ��'� ���
�
Address: ���� ����i'� '�r�` State Bond#:
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City: ('���zl�-���;��i�'�C:' Zip:S�J -�1 Expiration Date:
Phone: �����,�-�- /���� Alternate Phone:
❑ Insurance—Current:
1
� � � MEGHANI�AL SYSTEMS BEING INSTALLED � ��� �
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
V ENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �j f(,�Y r ,�
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❑ Outdoor Grill � Other/List What&Where: ������1 f�,����
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� � PERMIT FEE CALCULATION{S) � � � ���
BASED OFI= - 2002 STATE STAT[]E
Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. 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, instailed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ ]5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ l.50
Total Permit Fee $
� ��� �P�RMtT FEE CAL�CULATION S}�-JtJBS pVER $SOfl.00 � � ��� �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(ATinimum Fec of 5.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted 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 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 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 contract.
■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PER.MIT APPLICATIQN AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accardance 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.
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Applicant's Signature: �' ' ��I � Date: ��— C' �'C�
Reset Form
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► DATE,l TIME
CITYOFORONO CALLEDIN f I�I`�'v�
INSPECTION N�TICE __!/` scHE�u�Eo l l-1 S O(.� � ' �
PERMIT NO. }' ��.� �1 J COMPLETED
ADDRESS '7?��% �� �C�c�L t 1 ��f Si�C�,� 1Z�I�
OWNER CONTR. G(-l� ��L1 `� ��'���.2�
TELEPHONE N0. ��7 � `7C� � ` ` I�S
� DESCRIPTION ��� �-� .5� � �� /V� S�� �-'�
� 01 FOOTING 11 MECHANICAL RI 18 E CAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBI 36 FOUNDATION/REMOVAL
� OWNER/ RACTO O MEET YOU:�ES_NO
� COMMENTS: �
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W WORK SATISFACTORY:PROCEED f � PROJECT COMPLETE
W�❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTIOtJ TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR W{LL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-4600
OwnerlContrac si
Inspector. -
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