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Home My WebLink About2005-P08550 - mechanical ITY F RONO PERMIT �' � � Permit Number: 2750 Ke!!ey Parkway - PO Box 66 Possso CryUtal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits (952) 249-4600 Date Issued: 3i29i2oos SITE ADDRESS: 3407 Eastlake St L.ong I.ake,MN 55356 P I D: 0 5-117-23-13-003 5 DESCRIPTION: ,P�� g j ' ��'� � �Proposed Use: Residential •�°b'�ddr°'a � Permit Class: General ��°°�"9�O"�"�Of � Permit Type: Mechanical Pernuts •Testen/Siyneturs ' Pounds Date Time Pressure DETAILS: •c�u�e Approved per resolution#: P.assurized Inspected Separate permits required: PERFORMANCE TEST •Percent CO� _ �� ''�� •Peresnt Cdt�� — //�.,��T N OTI CES/REMARKS: •Percent 02 'Stack Temp.(1� Finallnapection Date j�� Plus Gas Line Main From Meter To Furnace FEE SUMMARY: PermitFee: $ g1.25 Valuation: $ 6,500.00 State Surcharge Fee: $ 3.25 TOTAL FEE: $ 84.50 APPLICANT: Legend Services(See Comments) OWNER: Rebecca Holzem 615 Clarence Ave. 3407 Eastlake St Mound,MN 55364 Long Lake MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN SI'RICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. >�-- � = /� �'�--C_h--E---'< <�Y1 C_��l /c,� A ANT PER ITEE SIGNATURE ISSUE BY SIGNATURE Copies: 1-File(SiQnitur•es Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 FOR CITY USE ONLY r O,�D�,O City of Orono P.O.Box 66 Date Received: Permit# �;,,,,, 2750 Kelley Parkway ' '�t��,��. Crystal Bay,MN 55323 Approved By: Amount$: ��^�� '�"�o`� (952)249-4600 . �,,��o$� CITY OF ORONO—MECHANICAL PERMIT (A11 Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 two working days. 2. Pemiit 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 PERNIIT 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 forni provided. 4. When any new consn-uction 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Q�Residential ❑ Commercial(Approval Required) �'New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: Site Address: � �� L�uv'Cc �� Owner: R e��ca �t>1 Ze� Mailing Address: City: �f c�v�v Zip: Home Phone: Alternate Phone: Contractor Information: ��i;� � + �. Contractor: � �r � Contact Person: �r� L Address: 6�SS' Ktd��o•tCe /T��- State Bond#: City: /'Y)d�� Zip:-�s.36 y Expiration Date: S� �� Phone: ��Z^y7Z� 736a AlternatePhone: �/�Z'��/�--�.�1� ❑ I�zsurance—Current: 1 Y ' MECHANICAL SYSTEMS BElNG INSTALLED , ' HEATING SYSTEMS Quantity: Make: V t�C7 Wl0.v� Model: � Fuel: �� `J�,`J � �� Flue Size: Input BTUs: �,f)�U Output BTUs: Ci'C3C� CFM: (.�Z� COOLING SYSTEMS Quantity: I Make: �iX� t�{v� ModeL `� � Tons: ,� H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION �No. �_ Kitchen Exhaust_�duct recirculating �cfm �-- No. �_ Bath Exhaust(must have duct outside) 8� cfm No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Othe�List What&Where: �G(1'I,1 �L✓� ��e� � TG � T" '��-2 4 2 i PERMIT FEE CALCULATION(S) � • BASED OFF - 2002 STATE STATUE ❑ 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 flle 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 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) �� x.0125$ �� 'S� v (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) 6 5� X.000s $ 3. �s (contract price) (minimum� .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ /�� 5 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perxnitted 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 installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the esrimated 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 flie submission of a signed copy of the actual contract. ■ **The STATE SURCHARGE is .0005 of the Building Deparrinent at(952) 249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT 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 State of Minnesota, and certifies that all statements made on this application are complete, h-ue and correct. r Applicant's Signature: Date: �`��p O5 3 � C � (� �DAT�E'��./ TIME `" CITY OF ORONO CALLED IN �(�� INSPECTION NOTI E SCHEDULED d�L�c�S�—� PERMIT N0. U �S.S�C� COMPLETED �� `� ADDRESS 3 � 7 �«�'� ��- ' OWNER CONTR. � TELEPHONE NO. 7� � � � � DESCRIPTION , �� l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 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 v 10 PLUMBING FINAL n/ 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�ES_NO � COMMENTS: � a - /-�f� 1��+ C�-c� o �� -� � � 0 � W � Q � z w � W � � d WORK SATISFACTORY:PROCEED f i PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contract r o site� Inspector. White Copyllnspector's File Canary Copy/Site Notice D� DATE TIME CITY OF ORONO �iN INSPECTION N IC SCHEDULED — � ;o D PERMIT NO. Ss� COMP�ETED �� " ADDRESS 3 b� �57�� - OWNER CONTR. c.G�. TELEPHONE NO. �� t�ST S S3l � DESCRIPTION �C� —/"� C-� � 01 FOOTING 11 MECHANICAL 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 � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � f��!`r� � �".�� -., G�s �� o ' �yLo✓�2P i4-�2 �--s i� . � � 0 � w � Q � z W � W � � d W ❑WORKSATISFACTORY:PROCEED f,� PROJECTCOMPLETE W ,�CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY 0 G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. �; PHOTO TAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContract Inspector. %�^-% - White Copyllnspector's File Canary CopylSite Notice