HomeMy WebLinkAbout2001-P03438 - mechanical t .
PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: po�4�s
Crystal Bay, Minnesota 55323 P2fllllt Typ2: Mechanical Permits
(612) 249-4600 Date Issued: 1i2i2ooi
SITE ADDRESS: 930 Cox Farm Rd
LONG LAKE, MN 55356
PID: 27-118-23-33-0013
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00
State Surcharge Pee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: �ACK& FREDA KLINGERT OWNER: JACK&FREDA KLINGERT
930 COX FARM RD 930 COX FARM RD
LONG LAKE,MN 55356 LONG LAKE, MN 55356
THE UNDERSIGNED HEREBY 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 NfINNESOTA BUILDING CODE REQUIREMENTS.
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/i APPLICANT PE ITEE SIGN TURE ISSUBD BY SIGNA'I'URF.,
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Copies: City,Applicant,Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Cr3-stal Bay, MN 55323
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 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
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 heatin�,
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. Identification of and specifications for water heating equipment
shall also be 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 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOVIPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: New ��Addition Repair Replace
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Residential Commercial
JOB SITE: �� .`� �' C �-' ?� F�;� l� 1�� t� \� Zip: .S S � ��
O�vner's Name: �R� i� 1� � � (� G �= t� � Telephone Number: � � � —7 `�j �
Mailing Address: <l 5 � �o v �� City: Zip:
Contractor's Name: `� �� �.- t— Telephone Number:
NTailing Address: City: Zip:
SYSTEI�Z DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: _.>��/�-!�� I
Model:
Fuel:
Flue Size:
Input BTUs: � � �"��U
Output BTUs: �i"G' v��r�iG
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
- H. Power
;
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERVIIT FEE CALCULATION
1. 1.25% of Contract Price�` or Minimum Fee ($35.00)
�, c��U x .0125 $ �5 . ��
(contract price)
2. State Surchar�e. "* Add the State Building Code Division
Surcharge to each permit. x .0005 $
or $.50, whichever is greater (con�ract price)
3. Posta�e and Handlin� (Only 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 installation 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 contract price under$1,000,000 or $.50 - whichever is greater.
For valuations over S1,000,000 call the Department of Inspectional Services for the price.
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 t e City and the regulations of the Minnesota
State Building Code, and certifies that all statemer�s made on this application are complete, true
and correct. '� /f
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Applicant's Signature: e..- ��hiL� C�_ � � . Date:
Approved By: / ` Date: 1 -Z - � (
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DATE T E
CITY OF ORONO CALLED IN - �' �' � C'��
INSPECTION N TICE , SCHEDULED /-�7 c , � �
PERMIT NO. n �� � COMPLETED '0� L= 3 �
ADDRESS `� � C �1'�rn ^,
OWNER���� ����y f' CONT . �-% �-��
TELEPHONE NO. 7 �-'� `t�" 7 �� �' � �-�k'
� DESCRIPTION - -- - ---_
ty� 01 FOOTING 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
Cl CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
[7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra t r on site:
Inspector. U/��,v�� l .f'�,I/1 �
White Copyllnspector's File Canary CopylSite Notice
✓ pATE y TIM�j�j�,
CITY OF ORONO CALLED IN � '-�' / �l' ✓"
INSPECTIO TICE/ / SCHEDULED � --�� • G�
PERMIT NO� ��-Z� 3 � COMPLETED `'9--�( �' o O
ADDRESS/ .3� C�%X ��t%'�,'' ���
OWNER ,' G� �� CONTR.
TELEPHONE NO. � � � � /
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
AL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN
INSPECTOR WILL FIETURN
��STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
i::; INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra t on site:
Inspector. ��
White Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN � �`7 �� � �� y Z �T
INSPECTION NOTI E „ (� SCHEDULED `'2�����' � /G '0���
PERMIT NO. U COMPLETED �� �
ADDRESS `"�J�C� �GX �"c� ���"1 ��C�•
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l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
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V BEFORECOVERING PERMANENT
I7CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
[� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra to
Inspecto
Whiie Copyllnspector's File Canary CopylSite Notice