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Home My WebLink About2007-P11522 - mechanical PERMIT C �T'�( OF ORONO 27# Kelley Parkway- PO Box 66 Permit Number: P11522 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-460U Date Issued: 10/2/2007 SITE ADDRESS: 2811 Farview La Unit# Long Lake,MN 55356 PID: 04-117-23-34-0003 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved perresolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 110.00 Valuation: $ 8,800.00 State Surcharge Fee: $ 4.40 TOTAL FEE: $ 114.40 APPLICANT: Countryside Heating&Cooling OWNER: Kathryn Tabner&Micheal Boardman 6511 Hwy 12 2811 Farview La 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 W[TH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. . / � ,� �1�4�/�/ /��- APPLICANT PERMITEE SIGNATURE SS ED BY SIGNA7URE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 • FOR CITY USE OIVLY ,�` City of Orono � ^' O4O`�'O P.O.Bo�66 Date Received: Permit# y,�- 2750 Kelley Parkway a '�{y��'f Crystal Bay,MN 55323 Approved By: Amount$: 9 1��':y„s" �' t�;��, ��..o (952)249-4600 ��Ho$�' CITY OF ORONO —MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Ofticial or[nspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pemuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID LTITIL 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,hunudification-dehunudification, and air conditioning installation including heat loss/heat gain calculation, design temperattires, equipment ratings and identification as to type,manufacriirer and model. Data shall be presented on form provided. 4. When any new consmiction 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 subnutted before final. TYPE OF PERMIT (Check All That A pl ) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: � lJ � � � � V' { `� /'� Owner: /j�G` �J 1'''``�� Mailing Address: %� �� `�"' �'•�� City: � �Cl- �v Zip: �5�..2� Home Phone: �./;,�- 8i�---��1�a Alternate Phone: `�''''�'��f�� Contractor Information: Contractor: �v��yS�� T� ��'�' �ContactPerson: %�a``��l l�' �1�� Address: ��1� �� State Bond #: � City. � ��0 /`'��' Zip: ��f rY Expiration Date: %��'- ij/�'�/"� Phone: Alternate Phone: ❑ Insurance— Cui-rent: 1 MECHANICAL SYSTEMS BEING 1NSTALLED j � _ � HEATING SYSTEMS Quantity: � Make: ��f%� s� t Model: 3 S�j3�Y�b�� Fuel: Flue Size: Input BTUs: /�d /1 Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buming 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) 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 ❑ Other r List What&�Vhere: 2 ,� i ' PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE i ❑ Yes, this section applies The replacement of a Residential fiYture 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; excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, if this applies; Cost of Pernut $ 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$35.00) �� X.oi2s � %/a �� (contract price) (minimum�35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �'a�� , l i x .0005 $ � (contract price) (minimum$ .SOj 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 yC%, /��/ � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the peimitted �vork including materials, labor, profit, and other fixed costs. It is the am�unt to be charged to the customer for the work done. If any material, equipment, labor or installations are,fiirnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee puiposes. In the event that there is a dispute on the amount of t:�e job cost, the City m.ay request the submissior. of a si�ned copy of the actual centract. ■ ** The STATE SURCHARGE is .0005 of the Building Department 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, true and correct. --� Applicant's Signature: Date: �� ''� 3 DAT TIME � CITY OF ORONO CALLED IN �O' I� '�I INSPECTION NOT C SCHEDULED ID•l�•Ul Q✓.4:� PERMIT N0. � � COMPLETED ADDRESS ZD I 1 �I�V�CNV (�I/'�� OWNER K�dl�l�k�JI1� CONTR. TELEPHONE NO. Q� `T�V� �� / � DESCRIPTION � vt�� / 4ilJ - � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ �NSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WIIL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (J52� 249-46�� OwnerlContract o si Inspector. � White Copyllnspector's File Canary CopylSite Notice