HomeMy WebLinkAbout2006-P10527 - mechanical PERMIT
CITY OF ORONO
Permit Number:
275� Kelley Parkway- PO Box 66 P10527
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 11/3/2006
SITE ADDRESS: 720 Dickey Lake Dr Unit#
Long Lake,MN 55356
P��� 34-118-23-22-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Typc: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 103.99 Valuation: $ 8,319.00
State Surcharge Fee: $ 4.16
TOTAL FEE: $ 108.15
APPLICANT: Countryside Heating&Cooling OWNER: Mr. &Mrs. Henry Radintz
65ll Hwy 12 720 Dickey Lake Dr
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 C1TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPI.1 � , �
CANT rGRMITEE SIGI�ATURE � ISSUED B IGivATURE
Copics: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page I
FOR CITF I�SE 01'1.1'
� O4D�O City of Orono -- —
PO [3u�66 Dat�Received� Penmt#
�7�0 I<cllc��Park�c[n
a ��. � Cr)'stal B�)�.MN��323 � Appro��ed li�� Amount$-
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CITY OF ORONO— MECHANICAL PERMIT
(All Coinmercial pennits must be approved b��the Building Utticial ur InsG�ecwr and/or Fire Marshull)
GENERAL INFORMATION
I. You may� apply for mechanical permits by mail or ii� person at the Cih� otfices. Applications will
be reviewed and a permit will be issued within two worl<ing days.
2. Permit'cards will be sent by return mail after a review is completed. PERMITS .4RE NOT
VALID �'NTIL YUU RECEIVE A PER:�-11"f. ���ORK :�Il�S7� ��O�l� l3EGlN U�V"I�IL"I�HE
PERi�11"T CARD IS POS"I'EU ON "I'HE JOB SI"1'E.
3. ti�lechanical Desi�ns—Complete calculations, details and specitications are required for each
heatin�,ventilation, humidification-dehumidification,and air conditioning installation including
heat loss!heat gain calculation,design temperatures,equipment rati��gs 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(95?)Z49-4600.
(24-�18 hour notice required)
7. I louse Heating Test Record must be submitted before final.
TYPL OF PERMIT
(Checl: All That Apply) �
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site /Own�t� Infiocmation: �
Site Addr�ss: ��v '-�' � k`-J )7r
Owner: ���-k R��%�t� MailingAddress: 7�0 �.�K�y ►��.
City: �o�� �.Uk� Zip: S�S�S',�
Home Phone: `%s�" `��E ' °"�6 Alternate Phone:
� Contractor Intormation:
Contractor: ��•�F�rs.�JE N�iG-�'-�.:..�.,� ContactPerson: j�ar�rl 17�'il�n
Address: �� �� ��'Y �d" State Bond #:
City: ���'�` p�'����- Zip: �SfTy Expiration Date:
Phone: �76i' ��� '��`�� Alternate Phone:
❑ Insurance—CurrenC
1
� MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTE111S
Quantity: — � ----- ---- — ----
Make: �3�Y�^�"
Model: "35SAH�'O6�1��
Fuel: N/(�
Flue Size:
Input E3TUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: /3 r Y�r`�
'vlodel: /�`�Ar» o NJ�
"I�ons:
H. Power
FIf2EPLACES
❑ Gas Factory Fireplace
❑ Wood Bw-ning Fireplace
❑ W'ood Stove
❑ Wood Stove With Flue
Brand l�ame: '�lodel ��o.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FL'EL STOR.aGE(IVIUST BE APPROVED BY FIRE MARSHALL�
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ lnside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY'
❑ Outdoor Grill ❑ Other;List What& Where:
�
; PERMIT FEE CALCULATION(S)
� BASED OFF - 2002 STATE STATUE j
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that���eets all three of the following requirements:
1. Does not require modification to electrical or gas seivice.
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 conh-actor.
Ship next section, if this applies, Cost ot Permit � 1�.00
State Surchar�e � 50
Mail-In Fee(If�Applicable) $ I.�O
Tot:�l Permit Fee $
PERMIT FEE CALCULATION S —JOBS OVER $�00.00
lf above does not apply; follow guidelines below:
I. CON"1'RAC"1' NRICE * is I?�°ro of contract price with a(Minimum Fee of$35.00)�
� � sa 9
��3 `� . .oi�� � /03
(cuntract pnc�) I ininimum b3�UU1
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�linimum Fce of�.�(I)
� ���19 °' � 6
X .000s � /
(cuntrac[pricrl lnunimum$ SOl
3. POS��AGE& HANDLING (Only on Mail-In Applications) $ 1.50
IS
4. TOTAL PERn11T FEE(Add Lines 1-3 Above) $ ���
• * COI�TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
�ermitted work including materials, labor, profit, and other tixed costs. It is the amount to be char�ed
to the customer for the work done. [f a��y material, equipment, labor or installations are furnished bti
the owner, tenant or �ny other party, the reasonable market val�ie 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 oYthe Quildin�Department at(9�2)249-4600 for the price.
MECHANICAL PERMIT APPLICAT[ON AGREEMENT
�l�he undc:rsigned hereby applies to the City for issuance of a Mechanical Permit, agrees to c10 all
wurk in strict accordance with the ordinances of th� 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: �� i ��
Reset Form
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\ �AT��/ TIME
CITY OF ORONO CALLED IN �`
INSPECTION NOT E SCHEDULED �(v � • O
PERMIT N0. 1-v.5�'7 COMPLETED I I"�P1�� I�:�J �N.�
ADDRESS ��� C�� 1��G �C..�i�f L�� l�e- ��.
OWNER �/���-e� CONTR.�'�/1 f7��S�C-EP_
TELEPHONE NO. F� h�'� C S� Y �L� C�U�Gi
� DESCRIPTION �"-v'�'��GC'c'.
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ��3-MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION /FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 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 ING FINAL 36 FOUNDATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W �CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor o site:
Inspector. l..-=t ���,� �
White Copyllnspector's File Canary CopylSite Notice