HomeMy WebLinkAbout2001-P03441 - mechanical � - � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po344�
Crystal Bay, Minnesota 55323 PeC'1111t Typ@: Mechanical Permits
(612) 249-4600 Date Issued: ii3i2oo�
SITE ADDRESS: 3465 Eastiake st
LONG LAKE, MN 55356
PID: OS-117-23-13-0037
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: Permit Fee: $ 35.00 Valuation: $ 2,500.00
State Surcharge Fee: $ 1.25
Misc. Fee: $ 1.50 MAIL [N
TOTAL FEE: $ 37.75
APPLICANT: SUPERIOR CONTRACTORS, INC. OWNER: DIANE M PEREZ
6121 42ND AVE N 3465 EASTLAKE ST
MINNEAPOL[S, MN 55422 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STR[CT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P�RMITEE SIGNATURE ISSUEDBY SIGNATURF,
Copies: City, Applicant,Assessor, Finance Page 1
f , �
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT �
Box 66 (2750 Kelley Parkway)
Cry�stal Bay, MN 55323
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GENERAL INFORMATION , . .. - =-�s��i;";'�')
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 2 working days.
2. Pernut cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns - 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. �Vhen any new constructior, ar remodeling is involved, a separate building permit must be obtained.
5. .\11 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: New Addition Repair � Replace
� Residential Commercial
JOB SITE: ��/(�j �AS r L�1-�r�'F ST ZiP� •7 .��5 �L�'s
Owner's Name: T�I��� p���=� Telephone Number: �;;;r � �-�/y -�,,=�y
Mailing Address: 3�CnS �A-�-- t_A,�� s� City: L��`��'�"�� Zip: �,s 35-4
Contractor's Name: S�����e•� C'���Fk��es rti�� Telephone Number: %6�-�,3'1-�'`f�/
Mailing Address: (r l�► y� ;� �}-��� �-'� City: C'k�s��2. Zip: ,5:��-2
SYSTEM DESCRIPTION �'`;� ,� ,��.� /��: F����,�, `k:� �;,, ? �4,�c,�.�t �`�%}-<==
HEATING SYSTEMS
Quantity: �
Make: �Q��n
Model: ��PK�7
Fuel: �rw-
Flue Size: Y "
Input BTUs: '7S a���
Output BTUs: C=c� ����
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power �
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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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
`,`�'��a�"�=� x .0125 $ ����
(contract price)
2. State Surchar.�e. *�` Add the State Building Code Division
Surcharge to each permit. ;'A S�Ett+_ e�: x .0005 $ /•�J�
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �% 'I�S
* 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 installation are furnished by the owner,
teaant or any othe, party thc reasor.able market value of such items must be added to the :.stimated 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 certif that all statements made on this application are complete, true
and correct.
Applicant's Signature: �� Date: G - �9� `��
Approved By: Date:
AT TI �
CITY OF ORONO CALLED IN �l �TL
INSPECTION NO ICE `/_ SCHEDULED � � �
PERMIT NO. �0 ��T/ COMPLETED '� '�� 3 ���
ADDRESS .�Lf�n� �� ��-k� S t'
OWNER /�--�J��" CONTR. ��/�� �02 ���
TELEPHONE NO. —
� DESCRIPTION �C`� ' Y� !�'�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING �.�E AL FINAL � 19 LAKESHORE/WETLANDS
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03 INSULATION �-�/25 WODU BUHNERiFiREPiACE 34 TREE REMOVAL
Z04 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
v 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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d �>110RKSATISFACTORY:PROCEED f�OJECTCOMPLETE
� ��� CORRECT WORK R PROCEED I:; ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C; INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
Owner/Contra tqr on site:
Inspector. �" � ��� �
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