HomeMy WebLinkAbout2008-P12140 - mechanical PERMIT
CITY QF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: p12140
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
6/5/2008
SITE ADDRESS: 2875 Deer Run Tr Unit#
Long Lake,MN 55356
PID: 04-117-23-24-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 51.25 Valuation: $ 4,100.00
State Surcharge Fee: $ 2.05
Misc. Fee: $ 1.50
TOTAL FEE: $ 54.80
APPLICANT: Sabre Heating&Air Cond Inc. OWNER: Mark&Christine Robbins
3062 Ranchview Ln N 2875 Deer Run Tr
Plymouth,MN 55447 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 C[TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
�� !� C��;YLt.�-,ti-
APPLICANT PERMITEE SIGNATURE ; pED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
� ,¢���, Citv of Orono
P.O.Box 66 Datc Rcccived: Pcmiit#
'�� ���� ?750 Kclicy Parkway —
.� �`� �'• +���� Crystal f3ay,MN 55323 Approvcd By: _ Amount$:
�i� ��t , ,.o�' (95?)249-�600
��R�p��;, - —---_ -----
CI1'Y OF OKONO- MECHANICAL PERMIT
(:�II Cummcrcial perinits must bc approvcd hy thc Ruilding Official or Inspcctor ancf'or Firc Marshall) �
j GL:NCRAL INFORMATION
1. You may apply for mechanical permits by mai)or in person at the City offices. Applications will
bc revicwed and a permil will bc issued within two working days.
2. Pennit cards will bc sent by return mail aftcr a review is completed. PERMITS ARIi NOT
VnLID UNTIL YOU RECENE A PERMIT. WORK MUST NO"C BECIN UN"1'IL THE
PF;)t!�117'CARU IS POS"1'ED ON THE JOB S17'E.
3. Mechan_ical l�esi,�ns—Complete calculations,details and speeifications are required for eaeh
hctiting, vcntilation,hw�iidification-dehumidification,and air conditioning installation including
heat loss/heat�ain calculation,design temperatures,equipment ratings and identification as to
type, manuCacturer�nd modeL Data shall be presented on fonn provided.
4. When any new construction or remodeling is imolved, a separate building permit must be
obtained.
5. All work must be donc in accordance with the Uniforn�Mechanical Code/State Buildin�Code
rcquircmcnts.
6. nll work must be inspcc[cd(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. Housr lieating�Cest Kecord must be submitted before final.
I� TYPE OF PERMIT
I� __ __ (Check All "That App1y) ____ __
�Rcsidrntial ❑ Commcrcial(Approval Required)
❑ New ❑ ndditiunal ❑ Repairs Replace
Job Site/ Owner Information: �
Site Address: �1�_�„1t"C� ���
Owner:M�y � �( ►�j�� Mailing Address: �,���'1 �
City: �,1�_��Y-W�- __——-___ "l.ip:
Home Phone: �����`����,(� Alternate Phone:
____ __ _ _ --- - �
�� Conti-actor Information:
Contractor: ��,��Contact Person: �U. � _
Address: �y,���). �U,1�1(�"1��� �State I3ond#: Gh �1\-C' �
City: "I.ip�,�"SL�L�.'� Expiration Date:
Phone: 7�;,;�'� �1�3' ZZ��G � Alternate Phone:
.� Insurance- Current: v��
1
� �__ MECHANICAL SYSTEMS BETNG iNSTALLED
HF.:��I'ING SYS'TEMS
Quantity:
Make: ����IC� ---
Modcl: _���_� _
I�ucl: ___ � �--
Hlue Sizc:
Input t3'I�Us (ll/���l-V--Vv-- -- -- - -
Output E3"fUs: ����----
Cl Ni.
COOLINC SYSTEMS
Quantity:
Makr:
Modcl:
I ons:
H. I'o���r
FIKh:Y1.:10ES
❑ Gas Factory Firepldce
❑ Wood Burning Fircplace
❑ Wood Stove
❑ Wood Stove With }�lue
Brand Name: Modcl No.:
VEN'I'ILATION
❑ No. Kitchcn tixhaust duct recirculating _ cfm
_----- --- --
❑ No. Hath I;xhaust(must havc duct outside) cfm
❑ Na Othcr l�ans Locations cfm
FUEL STOR.�CE(MUS'I' Bt:APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outsidc
I.P Gas: gallons
--__
Othcr:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where: ____ ___
2
__ ___ — --
� ��� PF,RMIT FFF CAI CULI�TION(S) �
BASED OFF �002 STATE STATUF.,
�� --— --- -------- - --- _..- --
❑ Ycs, this section applics
�fhr repldcement of a Rcsidcntial IixtUrc or appliance that meets all three of the following requirements:
1. lloes not require modi�cation to electrical or gas service.
2. fias a tot_�I_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 Permit $ 15.00
Statc Surcharge $ .50
Mail-InFee(IfApplicable) � 1.50
Total Permit Fce $
_ ___�- - —
� _ _ _ __ PERMIT FEE CALCULATION�=;10BS OVER$S'00.00 _____�__�_
If�above does not apply; f�ollow guidelines below:
1. CON7'RAC'T PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� ����j. 1.1�.Z- x .0125$ ��� • Z�
(contract pricc) (minimum$35.00)
Z. S"i'ATF,SUKCHARGF. ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of$.50)
���'��►��- x .0005 $ ��_
(contract pncc) (minimum$ .50)
3. POS"I�AGI? & HANDLING (Only on Mail-In Applications) $ 1.50
4. TOTA1. PF.RMI'1' FEE(Add Lines 1-3 Above) $ ``�J����
■ * CON��RAC'I' PRICE or JOB COST means the actual or estimated dollar amount charged for the
permiued work including materials, labor, protit, and other fixed costs. It is the amount to be charged
to thc customer for thc �vork done. If any material, equipment, labor or installations are furnished by
the o�vner, tenant or any other party, the reasonable market value of such items must be added to thc
estimated cost or contract price for pern�it fee purposes. In the event that there is a dispute on the
amount of the job cost, �he City may request the submission of a signed copy oC the actual contract.
� '*lli�S"I�,1�!f�: SUiti'llr\�:Gi: is .000� of thc F�uilding Dcrartn;c��t zt(952;249-,600 ior!he�rcc.
---- - _ _. ____ __._ ___—_ _— _-- — -
MECHANICAL PERMIT APPLICATION AGREF,MENT
�--- ---- --- -------
The undcrsigi�ed hcreby applics 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.
n��licant's Signahirc�: '(����. � ' 4.._m �. _ Datc:
t� ��
Reset Form
3
E �� ✓
DAT TIME
CITY OF RONO CALLED IN
INSPECTION NO SCHEDULED �D
PERMIT NO. �� �� COMPLETED
ADDRESS �-� �J
OWNER CONTR. �•U�-e-�
TELEPHONE NO. — ��1�
� DESCRIPTION �-LLC�`�L.(-P- ��Z/�"�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING �S�MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
�
� � _
� c�Fnr��� �Srn�ll �c�vt� � c> ��
0
a
�
° �.z.' �}�+eJr C�n C v� ��e -f-� �^ ds�r
W
� �J (n A� .P �a�X3 i� ✓
Q
�
z
w
�
W
�
j
d
W f�lORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CA��TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnedContractor on sit :
Inspector. � �/ / �
White Copyllnspector's File Canary CopylSite Notice