HomeMy WebLinkAbout2000-P03314 - heating system t PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po���4
Crystal Bay, Minnesota 55323 P2Cr711t Typ@: Mechanical Permits
(612) 249-4600 Date Issued: Ili2�i2o
SITE ADDRESS: 730 Dickey Lake Dr
LONG LAKE, MN 55356
PID: 34-118-23-22-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
TOTAL FEE: $ 35.70
APPLICANT: FIRESIDE CORNER OWNER: � D RICK&J H RICK
2700 N FARVIEW LANE 730 DICKEY LAKE DR
ROSEVILLE, MN 551 13 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 SIGNATURE
Copies: City, Applicant, Assessor, Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GEi�TERAL INFORi�IATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
liNTIL YOU RECEIVE 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 rype, manufacturer and model.
Data shali 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 473-7357. 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 473-7357.
Please check one: l4 New Addition Repair Replace
� Residential Commercial
JOB SITE• ' �.�.� � Zip:
Owner's Name: '- Telephone Number:
Mailing Address:i . �, City: Zip:
Contractor'sName: AtHedFirostd� TelephoneNumber:
MailingAddress: ba fi�eside ComM City: Zip:
2700 N.Fairoiew Aw.
SYSTEM DESCRIPTION�s�ilk,MN 5511�
651/633-2561
HEATING SYSTEMS
Quantity:
Make: � ;��
Model: ��'i" ��°�
Fuel: ....�t �—
Flue Size:
Input BTUs:
Output BTUs: ,�a z r,�:�>
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
r
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERIVII'� l EE CALCULATIOI'�
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�yoo.�_� x 1.25 $ .����
(contract price)
2. State Surchar�e. ** Add the State Building Code I�i�isi�r�= ���
Surcharge to each permit. /�r��.� ��'°"'� :0045= $ ��
(contract pric � °
3. Postage and Handlin� (Only mail-in applica�ions) _ � ' $ �
4. TOTAL PERMIT FEE (Add lines 1-3 above)� �A -,_. , , $ >;. 7�
* 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 instaliation are fumished by the owner,
tenant or any other party the reasonable mazket value of such items must be added to the estimated cost
or contract price for pernut 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.
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Applicant's Signature: �r�l. � �� ,--� Date: ��:�� C��
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Approved By: Date:
DATE T�ME
CITY OF ORONO CALLED IN 1/—� l f�
INSPECTION NO CE SCHEDULED lC ' ;C}
PERMIT NO. ���� COMPLETED ��� l�!. �f�
ADDRESS �,��� �% � � -
OWNER CONTR. /�c'S t c�P_ C c��i�c'r
TELEPHONE N0. (��! � �� �3 3�>(�, �
� DESCRIPTION �Z � ��re�icz c.� �`S Cr,�
lu 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREP�ACE 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
� 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
Q OWNEflICONTRACTOR TO MEET YOU:_YES_NO
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d �>WORK SATISFACTORY:PROCEED �OJECT COMPLETE
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� ❑ CORRECT WORK&PROCEED r� ISSUE CERTIFICATE OF OCCUPANCY
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O C7 CORRECT WOflK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
il CORRECT UNSAFE CONDITION WITHIN HOURS. ;, PHOTOTAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
fl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContractor on site:
Inspector. /�������--��
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