HomeMy WebLinkAbout2008-P11884 - heating system PERMIT
CITY� OF ORONO
27.-�0 Kelley Parkway- PO Box 66 Permii Number: p11884
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
2/22/2008
SITE ADDRESS: 2735 Countryside Dr W Unit#
Long Lake, MN 55356
P��� 04-117-23-12-0018
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heahng Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Air Exchanger
FEE SUMMARY: Permit Fee: $ 35.00 va�uation: $ 2,583.00
State Surcharge Fee: $ 1.29
Misc. Fee: $ 1.50
TOTAL FEE: $ 37J9
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: Tim Alexander
410 W Lake Street 2735 Countryside Dr W
Minneapolis,MN 55408-2998 Long Lake, MN 55356
THE UNDERSIGNED HEREE3Y REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK [N STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITGG SIGNATURE I SUED BY SICiNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page I
' � FOR CITY US�ONLY
� � � City of Orono
� � ?a� �0,;, P.O.Box 66 Uate Received: Yermit#
�k �� 2750 Kelley Parkway
a �) ��, Crystal Bay,MN 55323 Appro��ed By: Amount$
� ' �`��rx�}">G��'�� (952)249-4600
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CITY OF ORONO—MECHANICAL PF,RMIT
(All Commercial pennits must be approved b��lhe 13uilding Otticial or Inspector and/or I�ire Marshall)
GENERAL tNFORMATION
1. You may apply for mechanical perntits 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 retum mail after a review is completed. PERMITS ARL NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN IINTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—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 remodelii�g 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 l ) �
�Residential ❑Commercial(Approval Required)
❑ New �Additional ❑Repairs ❑Replace
_ �
Job Site!Owner lnformation: '� �
Site Address: �—� � � �p/
Owner: P� �e��Y�CP�Mailin Address: ��rn0 �
City: �l'�,v Zip: �. �i �p
f�.^s��
I iome Phone:�"�-J�� � Q r ` �lternate Phone:
Contractor Information:
��N��EATIN('i.8�,41���{����. � Contact Person: ��--Z�.Q�
4y o w�sr�e������
���,APC)LIS, MN 554��98 State Bond #:
612-824-2656
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ lnsurance—Current:
l
. �
' � PERMIT FEE CALCULATION(S) ���
�� $ASED OFF -2002 STATE S"I"ATUE
❑ Ycs,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;excludinQ the cost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Pennit $ I5.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION S)—JOBS OVER$500.00 ��
If above does noi apply; 1��Ilow guidelincs below:
I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
�S" l x .0125 $_ ���- Od
(contract price) (mmimum$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(n1inimum Fee of$.SO)
� S�� X .000s $ /� �—
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $
■ * CONTRACT PR10E 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 F3�ai!ding�`ep�:-!±:ent:?{452}24�-45�0 fcr the pric:.
MF+CHANICAL PEKMIT APPLICATION AGREEMENI'
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: �,a� � � �
Reset Form
3
� MI3CHANICAL SYSTEMS f3EING INST�IILLD ��� ��� ��� � �
• • ,
HEATING SYSTEMS �,,� �l'���
Quantity: � _ a
Make: yt�(G��
ModeL• ����
FueL• Q����i —— —
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOL[NG SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Ki'chen 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
❑ Outdoor Grili ❑ Other/List What&Where:
2
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:%" � A� C� TIME
CITY OF ORONO CALLED IN /
INSPECTION NO ICE , SCHEDUL��I�{ �
PERMIT NO. COMPLETED /
ADDRESS � � ��,�
OWNER CONTR. C � � �
TELEPHONE NO. �� ��,,���� '� r'S �7�.�
� DESCRIPTION ��IC-� ����'��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPL4INT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FO�LOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEETYOU: YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTIOfV REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (g52) 249-46�0
Owner/Contractor on si e:
Inspector. � �� � S
White Copyllnspector's File Canary CopylSite Notice