HomeMy WebLinkAbout2002-P05044 - mechanical CITY �OF ORONO PERMIT
275v Kelley Parkway - PO Box 66 Permit Number: Poso44
Crystal Bay, Minnesota 55323 Pet-mit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 4i16i2oo2
SITE ADDRESS: 165 Crystal Creek Rd
Long Lake,MN 55356
PID: 33-118-23-33-0005
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: Pernut Fee: $ 37.50 Vatuation• $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Automatic Garage Door&Fireplace OWNER: Lakewood Development, Inc.
9210 Wyoming Ave.No. 2354 West Wayzata Blvd.
Brooklyn Park,MN 55445 Long Lake,NIN 55357
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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APPLICANTPERMITEESIGNATURE IS UEDBYSIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 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 pernut 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 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
model. Data shall be presented on form provided. Identification 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(952)249-4600. 24-hour notice required.
7. House Heating Test Record 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.
Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: �C�S Cv,�=1-c�l C��.Le..IG dL� Zip: �S3CiI
Owner'sName: Lc�k-ZatiL,c,�1. (�pu.���,Prr�.�:�+- PhoneNumber: �,tv2 7����Q'Q�j�' �
Mailing Address: � �S� ���� �� �;��—� City:�G vtc� t,��,i� Zip: SS 3»C:.
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Contractor'sName: ►�v�-c1�t:lct,��(;� a���' PhoneNumber: `7fv3 3J5 7S
Mailing Address: �L( 4 W vr►-� �v� -i'tVj� City: l Y� Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES GAS LINE ONLY
Gas factory fireplace ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
Wood Stove
❑ Wood stove with flue
Brand Name ►�1��t,�Q.`��-f C�S Model No.����o� 1�'c�%
��+(�1.�Z, �
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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; excludinQ 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($35.001
fJ�'�� x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Divis� n a Minimum Fee of($ .50)
x .0005 $
(contra price) (minimum$.50)
3. Postage and Handling (Only mail-in applicatior:s) $ 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 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 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
apptication are complete,true and correct.
Applicant's Signature: ���'C'��j-CCr�— Date: �(o c7�
Approved By: Date:
3
2 � �� DATE TIME
CI OF OR�
CALIEd�fN
INSPECTION,.�`�OTICE SCHEDULED �� �
PERMIT NO.Y� ���� COMPLETED
ADDRESS � (�� �,/ �,�C- r-�'�� �
OWNER CONTR. '
TELEPHONE NO. }
� DESCRIPTION � ���v� ��1�l:L �'f.. � ��
� 01 FOOTING CHANICAL RI 18 EXCA�//GRADING/FI�LING
Q 02 FRAMING 13 MECHANICAL 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 OS 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 FINA� 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� MENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN p CITATION ISSUED
❑SjOP ORDER POSTED.CALL INSPECTOR
�rvSPECTION RE�UIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Ownerl ctor on site:
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Inspector.
hite Copyllnspector's File Canary CopylSite Notice
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DATE TIME
CITY OF ORONO � CALLED IN
INSPECTION NOT}�E , SCHEDULED �:�3 � C� �1
PERMIT NO. �"�� }`�� COMPLETED
ADDRESS___ O��'`J (_.%?t i�� ��t�c�.�C�/��
OWNER CONTR._z� �Ct�.Cs.�r�l�'i�.c
TELEPHONE N0. �� 3 3/_S� 7S/(1� �'"���
� DESCRIPTION `� /�� � �� ����6u.rNQi I �
� 01 FOOTING �MECHANICAL RI 18 EXCAV/GRADING/FILIING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNERICONTRACTO MEET YOU:_YES_NO
� OMMENTS: ��
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� ❑W�3ATtSFAC�RO ED / � L � . ❑ ' O CT C�
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR
�CITATION ISSUED
�SPECTION REQUIRED.CALLTO RANGE CCESS.
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Call for the next`�i� ection 24 hours in a ance.
P ( 249-4600
OwnerlC ctor or�site:
\
Inspector.
Wh e pyfinspector's File Canary CopylSite Notice