HomeMy WebLinkAbout2007-P10969 - mechanical PERMIT
CITY CF ORONO
2750�Kelley Parkway- PO Box 66 Permit Number: P10969
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 5/7/2007
SITE ADDRESS: 930 Cox Farm Rd Unit#
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): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 224•25 Valuation: $ 17,940.00
State Surcharge Fee: $ 8.97
Misc.Fee: $ 1.50
TOTAL FEE: $ 234.72
APPLICANT: Select Mechanical OWNER: Mr. &Mrs. Killingstad
6219 Cambridge St 930 Cox Farm Rd
St. Louis Park,MN 55416 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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APPLICANT PERMITEE SIGNAT E ISSUED BY SIGNATURB
Copies: 1-Filc(Sig�:arures Reguired), 1-Applicant, 1-Monthly Reports, ]-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY'C�SE O:�LY
;� City of Orono
• � Q\ P o.s�x G6 Date Recei�zd: Ferrni[f ��
� , � ?7�G 1:e':ley Pa;kn•ay C1
i� �1��}��;,.,: �;�� Cr�stat Bay,\-fN��323 APProti�ed By: i�mount$:� �: ��
f 4�x�'v.�a`� (9�?�249--}64�J `- ;� ` `�
. L�qEs8o8 . . � � .
CIT1'flF OROtiTO—YIECHA�iICAL PEI�III'I' �� ��Q�
(A!1 Commercial pe�mits must be approczd by the Building Ofiicial or fnspectar andior Fi;e:�tarshaJl j �O
GENE.RAL LNFORMATIC3I�T �O
1. You may apply for inechaiucal pernuts by mail or in�aerson at the Ciri�offices. Applications«�ill '
bz reviewed and a pernut t;�ill be issued within t»�o�y�orkin�days.
2: Pernut cai�ds��-i11 be sent by i-eturn maii after a re�=ieti��is completed. PER�IITS ARE NOT
V.aLID II�TIL YOU RECEIVE a PERitgIT.� �i'ORK ibIUST NOT B�GIiV Li�TIL THE
PER'�IIT CARD IS P�STED O\T THE JOB SITE.
3. Mechanical Desi�is—Gomplzte calculations, details and specifications a;e requu��d for each
Ileatin�.ventilation,humidification-dehunudification,and air conditionin�instailation including
heat loss.%heat gain calculation,design temperatures,equipment rarings and identification as to
h�pe, manuTacturer and model. Data shall be prese�zYed on form provided.
4. lt%hen any ne��r consn-uction or remodelina is invol�•ed, a separate build'u1�pern}.it mttst be
obtained. `
�. All�i�ork must be done in accordance�ith the Uniform Mechanical Code;'State Building Code
requirements.
6. all R�ork must be inspected(ro�s,h-in and rinal). Cail(9�2)2�9-�600.
(24-�8 hour nfltice required} �
7. House Hearin�Test Record must be submitted befare final_
TYPE �F PER�'�1IT
(�'lieck All That Apply)
�Residzntial ❑ Commercial(Approval Required}
❑ Ne«� ❑ Additional ❑Repairs '�Y,eplace
/ �
� 3ob Site;Oti��ner Inforn�ation_
Site Address: �3� ��� ��c� `��
O���ner; �-�A�`� ���t L�-i,�S�!) lti'Iailitlg address:
City: �ir:
Home Phone: �S�-��J �� j Aiternate P11oi�e:
` ' Contractor Ii�forn�ation:
�
Contractor: ��LL�r ���'��,�;���on[act Person: ��L�,.,T
�ddress: �c.�lq �-�YYI('���y.::��State Bond �: (�� �..., (���c`�`f�
C'ity: S: LZu�S ��.�+N�Z.ip;'�-Flk> E��iratioi3 Date: ��t�1�`�
Phone: �S�-��a--�-(�-(�� Aitzrnate Pilone: �J��- d/,S- �t�Pj
� Insuranc�- Cunent: ��.,/� ��S-,��
1 � �
_. ___
NIECHANICAL SY STEMS BEING INSTALLED
�
HEATING SYSTEI�IS
Quantity: � '
Make: `,C-.vJpl�`� ��'r _
ModeL• �Cs,�\ (��d-6�x--�� : ��iiwd'�J-3�c�S:>>.� - -
FueL ��S _ - ��" — —
Flue Size: �t'd"�L — t�JC.� '—
Input BTUs: �aj�� _ � '70 J�c� - —
Output BTUs: ��-(�� "-- �S(��� `
CFM: l�u'J '— I.�n�:? —`
COOLING SYSTER3S
Quantity: � ,
Make: ��'�1n�'�� l.t.l�►^'uy�
ivlodel: ���� -O�(2 ��Qs�. ^vzy
Tons � j�2- 2--
H.Po���er ` �
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Sto��e
❑ ��ood Stave With Flue
Brand Name: �iodel No.:
VENTILATIOv
❑ i�To. F:itchen Exhaust duct recirculatina cfm
� Itio. Bath E�haust(must have duct outside) � cfm
�o. Other Fans: Locations cfm `
FUEL STORAGE(MUST BE APPROV'ED B�'PIRE��ARSHALL)
❑ Installation ❑ Remo��al
Fuel Oil: �aIlons ❑ Undergrotmd �Inside ❑ Outside
LP Gas gallons
O�I�er:
��S LI?VE 01LY
❑ Outdoor Grill ❑ Other i Lisi��'hat c�:��r'�Iere:
�
:
PER�'vIIT FEE CALCULATIOI�F(S)
Br�SED OFF - 2002 STATE STA'I'UE
❑ Yes,this section applies
The;replacemei�t of a Residential fixture or appliauce that meets all three of the follo�vin�requirements:
1. Does not require modification to zlectrical or gas set��ice:'
2. Has a total cost of S�OO.OQ or less; excludin�t�ie cost of the fi�ture or appli�nce: and
3.', Is improved, installed or replaced by the homeowner or licensed contractor.
Skip ueat section, if this applies; Cost of Permit � 1�.00
State Surcharge S .�0
�fail-In Fee(If Applicable) S 1.�0
Total Pernvt Fee S
;' � ' ' PERMIT FEE CALCULATION(S}-JaBS OVER SSG0.0� �
If above does not appl}; follo��r guidelines belo�v:
1. CONTR�CT PRICE *is 1.2�°/o of contract price�vith a(i�'Iinimum Fee �f 535.00)
j��G/�f'J x .0125� d��� i�J
(conffaCt pricc) (mininwn�53�.�0)
2. STATE SURCH:�RGE **Add the State Bid�Code Div. Surcharge(.liinimum Fee of 5.�0) ''
�'I���J x.00Q� � �!`�
(contraciprice) (minimum S .�U}
3. POSTAGE 8:HANDLING(Only on�1ai1-In Applications) S L�0
4. TOT.3L PER�IIT F'EE(Add Lines 1-3 Above) � ��`� 7�`
° * CONT'Rr1CT PRICE or JOB COST means the actual or_estimated dollar amomit chareed for the
penlutted �vork includino materials, labor, profit,and other fixed costs. I2 is the amo�uit to be chatged
to the customer for the ���ork dane. If any material, equipment, labor or instailatious are furrushed by
the o��mer, tenant or any other pari}�, the reasonable market value of such items must be added to the
estimated cost or contract price for pernut fee purposzs. In the e��ent thai tliere is a dispute on the
amount of the job cost, the City may request the subnussion of a signed eopy of,he actuaI contract. '
� �r* T'he STATE SLTRCHARGE is.000? of the Building Department at(9ti2)249-46�0 for the price.
I, MECHANICAL PER'�IIT APPLICATIQN AGREE�IEItiT'�'
The undersi�led hereby applies to the City ior issuance of a 1Ylechanical Pern�it, a�rees to do all
�vork in sTrict accordance «�ith the ordinances of the Cin- and the reaulations of the Siate of
Nlinnesota, and certifies that all statements made on this a�plication are complete, h-ue and
corr�ct. �
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A licant's Si�nature: G�-1; � Date: �/���
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� "` ATE i TIME V
��ITY OF ORON� A LED IN �/��
INSPECTION N IC SCHEDULED ��7 ��
PERMIT NO. COMPLETED
ADDRESS Q 3C� �—� �0-r'rr�l�
OWNER�I I�r�G �_ CONTR.�,`�,���L.
TELEPHONE N0. �� ��"�S '`l ZC�
� DESCRIPTION ��-rr��A
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING �3-�v1g NICAL FIN^�� 19 LAKESHORE/WETLANDS
ti
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 SE IC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YO • YES_NO
� COMMENTS:
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W� ❑ ORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE
W CORRECT WORK&PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on sit : �
Inspector. lG. L '�� �
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