HomeMy WebLinkAbout2006-P10374 - mechanical .. PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P10374
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 9/27/2006
SITE ADDRESS: 35 Crystal Creek Rd Unit#
Long Lake,MN 55356
P��� 33-118-23-33-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 69.95 valuation: $ 5,596.00
State Surcharge Fee: $ 2.80
TOTAL FEE: $ 72,�g
APPLICANT: Counh-yside Heating&Cooling OWNER: Steven&Anne Koehler
6511 Hwy 12 35 Crystal Creek Rd
Maple Plain,MN 55359 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 SIGNATURE � ISSUED BY SI NATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, ]-Septic) Page 1
�OR CIT'Y USE OIVLY
�� City of Orono ;�/1 �1 ,� '�'S��
� � � P.O.Qox 66 Date Received: �� ; U,�v Permit H ' J,
i�,,, � ?, 2750 Kelley Parkway ��,� �'�� �
�a � '1� +��+' Crystal[3ay,MN 55323 Approved By: Amow�t$'�'
'��'e ' ���� ��-` (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 INFORMATION
l. 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.
?. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VAL[D UNTIL YOU RECEIVE A PERMIT. VVOIiK 1�1UST NOT BEGIN UNTIL THE
PEKMIT CARD IS YOSTED ON"I'HE JOB SITF,.
3. Mechanical Desi�;ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dchumidification, and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type, manufacturer and modei. 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 Buildin3 Code
requirements.
6. All�rork must be inspected(rough-in and final). Call(952)249-4600.
(2d-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
��Residential ❑ Commerciai (Approval Required)
� r]eW ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 3> e�%r�Q� C�< <k ��
O��mer: St�✓� Koe.1,e � Mailing Address: " �
c�ty: 0 ����°� ss3d�
Zip:
I-(ome Phone: `3 s�"`���� �' �� Alternate Nhone: G�� -j 3u `°`�g�
Contractor Information:
Contractor: ���+rf�-vr�d� /����,^9 �"•�•'�o% ContactPerson: /�a�''✓� n'��"�
Address: 6��' ��"l �d` State Bond #:
City: �aP�� ����� Zip: ts�fy Expiration Date:
Phone: �6 j"`r�`� "��"`' Alternate Phone:
❑ Insurance—Current:
1
_ MECHANIC�L SYSTEMS BEING INSTALL�D
}iEATING S1'STEI��IS
Quantity:
Make: — ----
Model: _ - �
Fuel: —
Flue Size:
Input BTUs:
Output BTUs:
CFM: ---
COOLING SYSTEMS
Quantity: —
Mal<e: —
ModeL•
Tons: — —
H. Power - —
FIR�PLACES
� Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: l-�c�� ,� Gi v Model No.: b��U C'L x
VENTILA'CION
❑ No. Kitchen Exhaust duct _recirculating ctin
❑ No. Bath Exhaust(must have duct outside) _���»
❑ No. Other Fans: Locations_ _�f����
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Puel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other: _
GAS LINE ONLY �
❑ Outdoor Grill ❑ Other/List What&Where: _
2
PERMIT FEE CALCULA'I"ION(S) �
BASED OFF - 2002 STATF STATLIE ��
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ 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 Pennit $ I5.00
State Surcharge $ .50
Mail-li� Fee(ff Applicable) $ I.50
Total Permit Fee $ _
PERMIT�EE CALCULATI�N S -JOBS OVER $SOQ.00
If above does not apply; follow guidelines below: �
1. CONTRAC"I'PRICE * is 1.25%of contract price��ith a(Minimum Fee of$35.00)
�' %
� i,�c� x .0125 $ ��
(contract price) (mimmum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Pec uf5.50)
,� %/ �
7�� x .0005 $ � ___
(contract price) (minimwn$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 _
��%
4. TOTAL PERI�IIT 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, ai�d other tixed 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 nnist be added to the
estimated cost or contract price for permit fee purposes. ln the event that there is a dispute on the
amount of the job cost, the City may request the submission of a si;ned copy of the actual contract.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952j 249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT '
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 thc State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
�, �2rD�
Applicant's Signature: Date:
Reset Form
3
,'/� DATE TIME���
CITY OF ORONO �iN Z-
INSPECTION TICE-7 SCHEDULED -�� %�—
PERMIT NO. � ` COMPLETED
ADDRESS S �
OWNER CONTR.� � ��'
TELEPHONE N0. `5 Z L-7�o O S �7
� DESCRIPTION p""� -' ' �`-" � ���
l� 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 05 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 AI 23 SEPTI FINAL 35 HARD COVER REMOVAL
J PLU BING FINAL 36 FOUNDATION/REMOVAL
OWNE CONTRACTOR TO MEET Y :�YES NO
�., OMMENTS:
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W WORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑ CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINC� PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ; PHOTOTAKEN
INSPECTOR WILL RETURN
_� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlCon r o ite:
Inspector.
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