HomeMy WebLinkAbout2005-P09106 - ventilation � PERMIT
CITY�OF ORONO Permit Number:
'2750 Kelley Parkway- PO Box 66 Po91o6
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-46G�
Date Issued: 8/30/2005
SITE ADDRESS: 4030 Elm St Unit#
Long Lake,MN 55356
PID: 06-117-23-41-0072
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Ventilation
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Venmar A/A Exch 2.0
FEE SUMMARY: Pernut Fee: $ 39J5 valuation: $ 3,180.00
State Surcharge Fee: $ 1.59
Misc. Fee: $ 1.50
TOTAL FEE: $ 42.84
APPLICANT: Select Mechanical OWNER: Mr&Mrs George Roscoe
6219 Cambridge St 4030 Elm St
St.Louis Park, MN 55416 Long Lake NIN 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.
`�I'l_Il��( �i�,
APPLICANT PERM[TEE SIGNATURE 1 SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� '
Fo�cir��USE a�Ly
��%� City of Orono
� �" '� P.O.sox G6 � Date Received: Permit r
��;; �„ � 27�0 f:elley Pai��n�ay
i': `� 41y f,�- �s,�l Ci}�stal Bay,M\��323 �PProved By: .Atnount�:
�' \�������,�o' (952 j?-t9--t640
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� CITY OF ORONO -17ECHA\TICAI. PER:�TI'I'
.
(All Coinmercial permits must be appro��ed by the IIuiidine Ofticiai ur{ns}�ector andlor Fi�e�tarshail)
GE1vTERAL NFORMATION
l. You may apply for mechanical pernuts by mail or in perso�l at the City offices. Applications will
be reviewed and a permit���itl be issued�vithin t�ti�o �i-orking days.
2. Pernvt cards�vill be sent by return mail after a re��ie�v is completed. PERI'v1ITS ARE I�'OT
��}� VALID UI�'TIL YOU RECEIVE A PERiti1IT. �VORK 1�IUST\TOT BEGIV U!��TIL THE
PERNITT C'ARD IS POSTED ON THE JOB SITE.
3. �Iechanical Desinns—Cornplete calculations, details and specifications are required for each
heating,ventilation, hunudification-dehunudificarion, and air conditioning installation includin�
heat loss/heat gain calculation, design temperanires, equipment ratings and identifcation as to
type, manuraciurer and model. Data shall be presented on form provided.
4. When any ne«�conshuction or remodelin�is invol��ed, a separate building permit must be
obtained.
>. All��-ork must be done in accordance tivith tlle Uniform?Vlechanical Code!State Buildin�Code
requirements. �
6. All work must be inspected(rou�Il-in and final). Call (9�2)249-4600.
(24-�8 hour notice required)
7. House Heating Test Record must be subnutted before finaL
TYPE OF PERMIT
� (Gheck All That Apply} �
�esidential ❑ Conunercial (Approval Required}
❑ i`Tetiv �ldditiona��w isi,� ❑ Repairs ❑Replace
.,
Job Site/Owner Inforn�ation:
Site Address: �d�o ��-�ti S�T
O��ner: ��S�� Mailinj Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
' �A �
Cozitractor: ��� Ir1�'���� Contact Person: �sA l� �Sp�i�
Address: Coa��l C��M�a-�0� S�. State Bond = ���j�i �J�f�-
. ��/
�ity: ����S r�f�- Zip:S�J�'��� E�pii�ation Late: /� G�
i
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Phone: CI S3-ld-�o- ��(g 4J Alternate Phone: ���`�'f` ����
� � Insurance- Current: �Cc.�svy - ��1��-�d'
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MECHANICAL SYSTEI�ZS BEING INSTALLED
HEA'3'ING SYSTEtiiS
Quantity:
�iake:
Model:
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLIi�`G SYSTE��IS
Quantity:
Make:
Model:
Tons � �
H.Po.;�er
FiREPLACES
❑ Gas Factory Fireplace
❑ �Vood Bu�nin�Fireplac�
❑ Wood Sto��e
❑ Wood Stove Vl'ith Flue
Brand Name: �Iodel�10.:
VENTILATION � ��"��j,�L�y�,,� �!W lS �—
❑ No. Kitchen Ethaust duct recirculating cfm
❑ \o. Bath Exhaust(must have di�ct outside) cfin
� �o. _�_ Other Fans: Locations �f3"/faq,ti ,�Q,� �c.�/, cfm
-� SAto
�'�.TET ST(3RAGE(VIUST BE APPROb'LD BI'FIRE�I.aRSHALL)
❑ installation ❑ Remo�•al
��� Fuel OiL Rallons ❑ Under�round ❑ Inside ❑ Outside�
LP Gas: ;allons
Qi�i�i:
::;: . : :: :
('�A CT �� ` ;
.
IJYJ L�;`�r��Z Lr : .
,���,, � � ;�+�� '� ,",' ,
������,' '���� , i '" , ,• ��;'���',r'��'',''',,,'��'�,�'���,,,�������;,°,�,',"�',��I1 II�;'��
� I I I I I �I�I I� � I I �� I � �I I��I i� � '��
'nil � I I ''u 'iill ',�I II���I �u�;�iiii�'uil�ll I � �I I�I��I I '��
� � � � � �� II I I I� I I i
I 'i� II '� ' I
_ ' I PERIv1IT FE� CALCULATION(S)
� BASED OFF — 2002 �TATE STATUE
❑ ZTes, this section applies
The replacement of a Residential fixture or appliance diat meets all three of the folIowina requirements:
1. Does not require modification to electrical or;as service.
2. Has a total cost of��00.00 or less;eschidin�tlle cost of the filture or appliance:and
3. Is improved,installed or replaced by the homeo��zer or licensed contractor.
Skip next section,if this applies, Cost of Fernut � 15.00
State Surcharge � .�0
Mail-Ii1 Fee(If Applicable} � 1.50 ���
Total Permit Fee 5
i PERIVIIT FEE Cc�LCUL�iTIUN(S) —J�BS OVER �50�.00
If above does not apply; fallo���guidelines belo«�:
l. CONTR4C'�'�'RICE �'is 1.25% of contract price with a(Minimuin�'ee of 535.00)�� ��
3j ��'� X .oizs� ���`��
� (coi�tract price) (mii�imurn S3�.00j
2 STATE SURCHARGE **Add the State Bld�Code Div. Surcharge (�tinimum Fee of 5.50)
t
�i�� �� � .00a� � / � 9
(contract price} (mi�iimufn S .�0)
3.� POSTAGE R,HAi�'DLIl��G(Oiiiy on 1'�SaiI-In Appiications) $ ` �� L�0
4. TO'I'AI..PERi1�IIT FEE(Add Lines 1-3 Above) � �� �"'r
� * CONTRACT PRICE or 70B COS'I' means the achial or estimated dollar amou»t charged for The
� pernutted�vork�includir� materials, labor,profit, and othe�r fiaed casts. It is the arnotiuzt to be charged
to the customer for the w�ork done. If any material, equipmznt, labor or installations are fiiriushed by
the owner, tenant or a�ry other parry, the ��easonable market value of sucli iten�s nnist be added to the
estiinated cost or contract price for pernut fee purposes. In the event that there is a dispute on the
amaunt of the job cost, the City may tequest tlie subnussion of a signed copy of the actual contract.
� **The STATE SURCFIARGE is.Q00� of the Buildin�Deparhnent at(9�2)?�9-�1bQ0 for the price.
MECIiANICALPER�v1IT APPLICATION AGREEMENT
Tlze iindersigned hereby applizs to the City• for issuai�ce of a 1��lechanical Pez-mit, am-ees to do all
.��orl< in strict accordance �vith the ordinances of the City and the re?ulations of the State of
Minnesota, and certifies that all statements made on this application are com�lete, true and
coi�-ect.
Applicant's Sib ature: Date: lJ '�J�L��
3
% ✓
� DATE TIME
CITY OF ORONO CALLED IN �� �-�"OS
INSPECTION N TICE SCHEDULED l� -.1/ -� ��O
PERMIT NO. � 9 � 6 � COMPLETED
ADDRESS � a 3� S�,
OWNER G'u-�— CONTR.��� 1�1�r.G�u%wc-«-Q-
TELEPHONE NO. q-5 �— �g 2 ` -5 -3�'�
� DESCRIPTION
� 01 FOOTING 11 MECHA A I 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 3 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED _� PROJECT COMPLETE V
W ❑CORRECT WORK R PROCEED '-, ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne 'ns ection 24 hours in advance. (J52� 24J-46��
Owner/Contra r s'
,
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice