HomeMy WebLinkAbout2006-P10158 - mechanical PERMIT
C,�TY OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P1o158
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 7/31/2006
SITE ADDRESS: 2655 Countryside Dr W Unit#
Long Lake,MN 55356
P��� 04-117-23-13-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 6231 valuation: $ 4,985.00
State Surcharge Fee: $ 2.49
Misc.Fee: $ 1.50
TOTAL FEE: $ 66.30
APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Neail&Irene Levy
8910 Wentworth Avenue S 2655 Countryside Dr W
Minneapolis,MN 55420 Long Lake MN 55356
THE UNDERSfGNED 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 PERMITEE SIGNATURE [SSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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�^�'� �� �gt�1�tC� �'�'LiCA��31�t �O�N���L�NICAI, PE��
Box fi6 (2750 Kelley Parlcway)
C�s�a.l �ay, N�N 55323
G�1��,L �'o�A'�C�iv
1. You may apply for mechanical pernuts by mail ar in person at the City orfices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum ma.il after a review is completed. PERMITS ARE N4T VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD I5
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns - Complete calculaticns, detaiis and specifications are required for eacn heating,
ventilation, humidification-ctehumidirication, and nir conditioning installation includin�heat loss/heat gain
calcula�ion, design�emperatures, equipment ratinas and identification 3s[o type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specificatians for water heating equipment
shall aiso be provided.
4. When any new consiruction or zemodeting is in�olve�, a sepz.*ate bui?dLn; permit must be obtained.
5. A11 work must be done in accordance with the Uniforrn Mechanical Code/State Building Code
requirements.
6. AlI work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Ins#:uc�tions Complete all items on this application. Compute the per�it fee. Sign and date the certification.
INCt�MPLETE APPLICATIJNS �'ILL NOT BE PROCESSED. Tf you have questions, call 473-73�7.
t�lease check one: New .4ddition Repair � P.eplace
� Residential Commercial
��� s��: �-l�sS C�-n 5 ic�.� �->�' � vv' z�p: 55 3s �
�?�e�'s I�a�e: ��q,�� �v ��1�����e 1 dua�ber: �!S'L- ti��- 3 I 7 Z
l�a.i��g Add��ss: Sct.✓� � City: Zip:
��r��r�c#or'�I�taar�: � LC '�el�g���eNair�ber:
I`�ai�ng�.o�€irzss• ' Ciiy: Zip:
, _
�,YST�I�€ DES��I�',�'IO?�T (952} 881-9000
HEATING S`�STEMS
Quantitv:
Make:
Iv�odel:
Fuel:
Flue Size:
Input B`TUs:
Output B'I'Us:
CrM:
C0C7LZNG SYSTEIviS
�uantity: �
Make: (�,✓1►'► o X
ModeL• NSx P j 5 G�/d
Tons: �
I�. Pawer
, . _ .
•
9V iJ�3J L'V�� ��,(�'iJLl4nn'��
Woc�a stove with flue
Wood combination or adci-on
Factory fueplace witii flue
�actory �ireplace (s) �re�sianciing Ivlasonry
W'ood Stove (s j i ranklin, other
Bra�d Name Model No.
IvlfQr's Iv�in., Ciearances, side , rear , min. flue dia.
Total
�1�'�'�A�'I�?�t
No. Kitchen E;haust dueted recirculating cfm
No. �ath E;.�aust (musz be ducted out�ide) cfin
No. �ther Fans: Locatians cfin
'a'otaf
�'IJ�L ST�kgAGE (ivIUST BE A�'PROVED B�' FIRE MARSHAL}
Installation Removal
Fuel oiL• gallon.s underground inside outside
LP C�as: gallons
Other Gas opening
����I'�' F�� C�I.ICUI.ATI�I�
l. 1.25% of Cortract Price* or i�=�i��a€� ��� ��35,G�)
`1 ��5 x .ol2s � �2 . 3 �
(contract price)
2. State Surchar�e. ** Add the �tate Building Code Division
Surchar�e to each permit. �-t �v S x .00�S $ 2 • `'� `�
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications} $ 1.50
4. TOTAL PERMIT FEE {Add lines 1-3 above) $ l� (�, , �3�
CONTRACT PRICE or 3d�COST means the actual or estimated dollar amount charged tor the permitted
work including materials, labor, proiit, and other fixed costs. It is the amount to be charge� tn the
customer for the work done. If any material, eauioment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable market value oi such items must be added to the estimated cost
�r�rJntrgr( n,-;�P t'�,r ner_mit fee nurooses. In the event that there is a dispute on the amount of the,job cost,
r
the Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 af the contract price under �SI,Oa0,000 or $.50 - whichever is
greacer. For vaivations over $1,000,000 call the Department af Inspectional Services for the price.
The undersigned hereby applies to che City for issuance of a Mechanical Permit, agrees to da
all work in strict accordance with the ordinan�es of the City and the regulations of the Mi.�.nesota
State Buiiding Code, and cert�es that all statements made on this appiication are complete, true
and correct. -�
1 �!�g�lica�t's Signature: Date: � Z`-1 G�
���
?apt�roved�y: Date:
� � DATE TIME �
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CITY OF ORONO CALLED IN �O �
INSPECTION NOTICE SCHEDULED �'�'`
PERMIT NO. COMPLETED `
ADDRESS �� • /
OWNER CONTR. `
TELEPHONE NO. I-J� - �5 O ( ' -I���
, 6� ��
� DESCRIPTION �� �� I
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTtON
Q�8� FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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 ORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED
❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 249-4600
OwnerlCont n i e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice