HomeMy WebLinkAbout2005-P09226 - duct work � '
PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09226
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/27/2005
SITE ADDRESS: 35 Crystal Creek Rd Unit#
Long Lake,MN 55356
P��� 33-118-23-33-0002
DESCRIPTION:
Proposed Use: Residenhal
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Duct Wark
DETAILS:
Approvcd per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 2,100.00
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 36.05
APPLICANT: A-1 Heating&Air Conditioning OWNER: Steven&Anne Koehler
6090 Pagenkopf Rd 35 Crystal Creek Rd
Maple Plain,MN 55359 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFfED
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 SIGNATURE ISSUED BY SIGNA7'URE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
• '
FOR CITY USE ONLY
,���\ City of Orono
P.O.Box 66 Date Received: Permit#
��; .� � 1 2750 Kelley Parkway
a ��y��z�' � Crystal Bay,MN 55323 Approved By: Amount$:
�� �{����''�o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMIT. WORK MtiST NOT BEGII�'UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each
heating, ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Commercial(Approval Required)
❑ New �Additional ❑ Repairs ❑Replace
Job Site/ Owner Information:
Site Address: �3-� ( ��.� ��c' G�
Owner: � Q C�� 1�-�►.�� Mailing Address:
City: � �-�u*-�-c�-- Zip:
Home Phone: Alternate Phone:
Contractor Inforniation:
Contractor: /� '� �� Y��`�. �-.;-�� c, Contact Person: «i�r
Address: � �( � �c��� � State Bond#:
City: ��LQ.c�.�..:, Zip: 5�535 yExpiration Date:
Phone: 7 6 � �t(7`� "��/ � �' Alternate Phone: �/ � ` 3$'y`S�3' S 3
� Insurance—Current: ���� ���z-�
1
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING 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 �C�Ski�lki� -�;(� i.S�ti - <.%�-C.�\ 1 zov� � �`-'Q�I;eS
S (e 1-v�'ns,
❑ No. Kitchen 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 Grill ❑ Other/List What&Where:
2
� � PERMIT FEE CALCULATION(S) � � � �� � � ��
� BASED OFF - 2002 STATE STATUE � � �
❑ Yes, this secrion 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,if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Pernvt Fee $
� � � PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� �.
�-- � (� � ^ �_ x.0125 $
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum� .50)
3. POSTAGE&HANDLING(Only on 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 installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
esrimated cost or con�act price for pernut 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 Building Department at(952)249-4600 for the price.
i � � MECHANICAL PERMIT APPLICATION AGREEMENT j
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: ���'�� Date: �7I � 7�OS-
3
G�� DATE TIME V
CITY OF ORONO CALLED IN ��r� �
INSPECTION N TIC SCHEDULED /�- � 3 5`6
PERMIT NO. �D �'2-� COMPLETED
ADDRESS 3S �Jt�t-�a-Q ��-/C�
OWNER I'��-e� CONTR. �� �� 'f" �"C�
TELEPHONE NO. � �L� .3�`f—S�43
� DESCRIPTION �EJ �
ly 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 L FINAL 19 LAKESHORE/WETLANDS
�
Q 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
� 07 DEMO-FINAL 15 SEPTIC INSTALI. 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: �,(.�.�t �� ��
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W WORK SATISFACTORY:PROCEED [; PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
� ❑CI�RRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WIIL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR r� CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlContrac � ite:
Inspector. i
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