HomeMy WebLinkAbout2005-P08360 - mechanical ' ` PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 Pos3�o
Crystal Bay, Minnesota 55323 Permit Type: Me�halli�a�Pe�ts
(952) 249-4600 Date Issued: lit4i2oos
SITE ADDRESS: 325 Crestview Ave
Long Lake,MN 55356
PID: OS-117-23-14-0031
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: $ 193.75 Valuation: $ 15,500.00
State Surcharge Fee: $ 7.75
TOTAL FEE: $ 201.50
APPLICANT: Robert's Repair&Maintenance OWNER: Wendy Sullivan
3702 Yates Ave. N 3409 26th. Ave. S
Crystal,MN 55422 Minneapolis,MN 55406
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVENIENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMI'I1:G SIGNA 1RE 1.SUED BY SIGNATURE
Cooies: 1-File(SiQriitures Renuire�ll, 1-Applicant, 1-Monthlv Reoorts, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 two 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 Designs-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.
Identification of and specifications for water heating equipment shall also be provided.
4. Wben 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(952)249-4600. 24-hour notice
required.
7. House Heating Test Recard must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
have questions, call (952) 249-4600.
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Please check one: Ne Addition Repair Replaee
esidenti Commercial
JOB SITE: ��� � reS`'�'V � '�'i� TT�, Zip:
Owner's Name:^ �'�'�1 �-�• �S"��, 1 t ,lY��'�Phone Number:
Mailing Address: City: f7�G�'1 CV Zip:
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Contractor s Name: Ub�� ��( .� *�hone Number:
Mailing Address: '� �-L�� �/"c-1tY: C �'y,�{-c�-t—Zip: ,SS�2 Z
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SYSTEM DESCRIPTION
HEATING SYSTEMS
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Quantity: _�_
Make: � �h .�
Model: (���� lV���.J���f'/
FueL• Iv:a��� t-�'"S nf'-��-✓%^-�- ��"j
�l �J:. �-1�i..r��
Flue Size: �ir 'Z"���k�
Input BTUs: c��:�� ��
Output BTUs: � � �G��i ��
CFM: � PG �r� �Ia" F �
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COOLING SYSTEMS��
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Quantity:
Make: �C-O
Model:
Tons: V �r 1
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H. Power
FIREPLACES
� Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name ���� C� � �� � Model Na c� �
7,.� .a �v r_�.;•=r
VENTILATION
Na Kitchen Exhaust' duct recalculating ���cfm
No.�Bath Exhaust(mu t have duct outside) �cfm
No.�Other Fans: Locations �Y1C�e� ,�'a�;�vy���i1, c� i.�l-•.;•�'"
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) �S�G �-��
Installation� � or Removal_ �-����� ��� �
Fuel oil: 1 s 'J�-
���deLgttLund---- mside or outside
LP Gas: lons [ �
Other — �'��'�-�- ��Sdas opening
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PERMIT FEE CALCULATION(S)
2002 State Statute Yes 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;excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
c� l �� �.
is. �� � . 5 $ ���
contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
x .0005 $ - �� �"��
(contract price) (minimum�.50)
3. Posta�e and Handling(Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �! � " (.J
*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 is 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 ofthe 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 e Ciry and the regulations of the State Building Code,and certifies that
all statements made on this appl' on are c p te,tru nd corc t.
A licant's Si nature: ��- ' Date: / / �J�
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Approved By: Date:
Reset Form
�� AT TIME �
CITY OF ORONO CALLED IN ��
INSPECTION TI SCHEDULED ��
PERMIT NO. COMPLETED
ADDRESS
OWNER CONTR.�lC�t�J a�U-C�t�
TELEPHONE NO. �� �- ��� �� 7�
� DESCRIPTION l "��U'l ���'i��-��C
ly� 01 FOOTING 11 fv1ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREM/ETLANDS
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Q 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATtON ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (J52� 249-460�
OwnerlContract it :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice
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, DATE TIME
CITY OF ORONO CALLED IN � � - �
INSPECTION NOTI SCHEDULED �•� '� yl
PERMIT NO. �U���G COMPLETED
ADDRESS ��� ��1�Sh'e�
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TELEPHONE NO. ��� �(.Ci� �� 7� ��6zrf
� DESCRIPTION �� �( �L�/'���° ,Q�-5��-(Y'2 ��S
� 01 FOOTING 11 ECHANICAL RI 18 EXCAV/GRADING/FILLING
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Q 02 FRAMING 13 ME NICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (J52� 249-4600
OwnerlContr� site:
Inspector.
White Copyllnspect 's File Canary CopylSite Notice
� DAT TIME V
CITY OF ORONO CALLED IN �
INSPECTION TI SCHEDULED - �,3%4''O
PERMIT NO. ��3�D COMPLETED
ADDRESS 3d5 �2�v iec� �(-v�P
OWNER CONTR.�� ��[il�
TELEPHONENO. �O�o� 3�03 3 � � 1
� DESCRIPTION �-1-- � �v�
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
O 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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETIJRN
❑STOP ORDER POSTED.CA�L INSPECTOR �7 CITATION ISSUED
Ci INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next in ection 24 hours in advance. (952� 249-4600
OwnerlContractor e
Inspector.
White Copyllnspector's File Canary CopylSite Notice