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HomeMy WebLinkAbout2004-P07196 - mechanical . PERMIT CITY OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 Po�i96 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�its (952) 249-4600 Date Issued: ii29i2oo4 SITE ADDRESS: 195 Gystal Creek Rd LONG LAKE,MN 55356 PID: 33-118-23-32-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-rype(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 35.00 Valuation: $ 1,695.00 State Surcharge Fee: $ 0.85 TOTAL FEE: $ 35.85 APPLICANT: Heating&Cooling Two Inc. OWNER: BURTON&LESLIE,JOSEPH&KENNEDY-J� 18550 County Road 81 195 CRYSTAL CREEK RD Maple Grove, MN 55369 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. �_•� � \� �i APPL CA PER7vlT`P. ATURE I SUED BY SIG\ATURE ) Copies: 1-File(SiQrritures Rec�uiredl, 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 . . 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 UNTII.YOU RECENE A PERMIT. WORK MUST NOT BEGIN 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. 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: /yr C vy�%�/ �'<- �� �� Zip: Owner's Name: ToST� Phone Number: Mailing Address• City: Zip: HEATING b COOUNG TWO INC. Contractor's Name: �����'8� 231 Phone Number: Mailing Address: �d� 677 Ci Zi 63r-. 8-3 tY� P� 1 . ^ w . SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: 1 � e Make: /I�1-C�� Model: � �-- ('�? Fuel: � � r� Flue Size: Input BTUs: (0 C� 0� Output BTUs: CFM: COOLING SYSTENtS 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 Model No. 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; excludine 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 �� ^ x .0125 $ (coritract 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. 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 actuai 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 application are complete,true and correct. i � Applicant's Signature: Date: Approved By: Date: 3 V DATE TIME CITY OF ORONO CALLED IN 1 - ;-L'�� INSPECTION NOTICE SCHEDULED 1 - 4 !��� � PERMIT NO. (�L% 7/ y�' COMPLETED . � . , ADDRESS ` �I � � `�-i-=-(��-� � `t_� � /�. k � OWNER �,� ���_ -�i-T� CONTR. l�Xk�Y� '� Cz-�_.r�;.-� �� TELEPHONE N0. i S�� - �/ 7 G: �.� 3 y � DESCRIPTION��e ���- v�,��u�-r/�- —c'9ic.<, �c�� � 01 FOOTING 1 MECHANICAZ RI 18 EXCAV/GRADING/FILLING 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 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a j �/ � � O v � � O � W � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL�NSPECTOR ❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call forthe nex inspection 24 hours in advance. (952� 249-46�� OwnerlConV � n �i : � Inspector. � White Copylinspector's File Canary CopylSite Notice