HomeMy WebLinkAbout2001-P04592 - mechanical PERMIT
C���Y OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P04592
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: lli6i2ooi
SITE ADDRESS: 1120 Cox Farm Rd
LONG LAKE, MN 55356
P��: 27-ll 8-23-31-0021
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: $ 35.00 Valuation: $ 1,430.00
State Surcharge Fee: $ 0.72
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.22
APPLICANT: Vogt Heating&Air Conditioning OWNER: ERIC&LISA BERT
3260 Gorham Ave 1120 COX FARM RD
St. Louis Park,MN 55426 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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A L ANT ERMITEE I NAT RE [ ED BY S[GNATURE
Copies: 1-File(Signitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page l
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMTT
, Box 66 (2750 Kelley Parkway)
Crystal 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. Pemut cards will be sent by retum 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 DesiQns - 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 moc�el.
Data shall be presented on form provided. Ideatification 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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
Residential Commercial
Jt3B sI i�� C r �i�,:
Owner'sName• � CC� � � TelephoneNumber:
Mailing Address: City: Zip:
Contractor'sName: 3260 GORHAM TelephoneNumber:
MailingAddress' LOUIS PRRK,MN 55426 Clt3': ZIP:
SY�TEM �����'c�'TION
HEATING SYSTEMS `
Quantity: 1
Make: ��
Model: c��
FueL• �c.e
Flue Size:
Input BTUs: (j C�0
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
. �
WOOD BURNING EQUIPMENT -
Wood stove with flue .
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VFNTILATION
I�To. Kitchen Exhaust ducie�i recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or 1Vlinim m Fee 35.U0�
�
� x .0125 $ �J� �'
(contract price)
2. State Surcharge. ** Add the State Building Code Division ,��
Surcharge to each permit. � 1�: , r^ x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage 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 fumished 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 Ciry 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 $1,000,000 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 the City and the regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
ar.d correct. �
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Applicant s Signature: � Date:
Approved By: Date:
(�-�� -� �-��`�� �����
HOUSE HEATING TEST RECORD
ADDRESS I��� COx �QI^7 �d�rD �If��`�
APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE NTG. INST.
SOLD BY INSTALLED BY ��`7 '� � �
El�chical Work By fias Lin• By .�/ S�W�
TYPE OF HEAT GA FA HW STEAM SPACE HTR. _1LUN1T HTR. OTHER
GAS DESIGN CONVERSION
MAKE D��r MAKE OF BURNER
Mod�l AAod�l
$K;a� 0 ' 0 6,bx, BTU Rotinq
INPUT �'v MAKE OF FURNACE
Mod.l _
CONTRO�S �II
THERMOSTAT u� H.at Pluq V.nt 5i:•_
Valv. � � KIND OF LINER SIZE N NF �
Limit S �� � Droft Hood �r R�quloror r`� ��"�
Limit S�ttiny Filt�rs Siz• ►rumb�r
Fan S�ttina � � L � � C]�imn�y Location Insid� 'x Outsi�i
�i
Pilot Typ� J � � Chlmn�y Construetion 4 G �SJ
Pilot Mak• J1�UP U`^ �
Pilor Mod•I ��� S�nok. Bomb Wirinq ��
Pilot Timiny � Sr� Oroft T��t Taq
L.W. Cut Off �r poor Pr�ssw� Liphtinq Inst.
-7 � r �/�/
Pr�ssw� J� P�rc�nt CO ��.�� Dat� T�at�d � v
loput CFH � L P�ro�nt 0� LL� CornVony T�stiny OG � �" /
Swck T.mp. P•.c.nt CO U�� No�n.of T.sr.r `�
�� DATE TIME
CITY OF ORONO �ALIED IN
INSPECTION OTICE � SCHEDULED � __���
PERMfT NO. ' �� COMPLETED
ADDRESS �� .�C` ��C��%X �-�:[ r'YY) ,���
OWNER CONTR. L"t�t�
TELEPHONE N0.__ ��� `/:�F� — �/ %�' /
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� DESCRIPTION %� �--�-�--� -� �� `" � ��'�f
� 01 FOOTING 11 MECHANICAL R 18 EXCAV/GRADING/FILLINCy ,
Q 02 FRAMING 13 MECHANICA�FINAL 19 IAKESHORE/WETLANDSI,��
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL �
Z 04 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 SEPTI FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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�/�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector. `���'�'��"���
White Copyllnspector's File Canary Copy/Site Notice