HomeMy WebLinkAbout2006-P10342 - mechanical � . PERMIT
� CITY OF ORONO Permit Number:
- 2750 Kelley Parkway - PO Box 66 P10342
� Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/19/2006
SITE ADDRESS: 3067 Farview La Unit#
Long Lake, MN 55356
PID: 04-117-23-33-0007
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
gas line only to fire pit on patio and hot tub heater on side of house
FEE SUMMARY: Pernut Fee: $ 35.00 valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
TOTAL FEE: $ 36.00
APPLICANT: Roger Wiley Inc. OWNER: Jon&Diane Rappaport
4935 155th Lane 3067 Farview La
Ramsey,MN 55303 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 BU[LDING CODE REQUIREMENTS.
, �
LIC , T SI SSUED BY SIGNATURE
Copies: l-File(Signatures Required), 1-Applicant, l-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
r
FOR CITY LtSE ONLY �/�?��
' O¢��O City of Orono 3/_ � �
P.O.Box 66 Date Received: � Permit# V' 1
, 2750 Kelley Parkway �
4 a r'''�'• �' Crystal Bay,MN 55323 Approved By: Amount$:
�� '•L '': =`o� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
1 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL iNFORMATION
l. 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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERM[T. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioni�g 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.
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(952)249-4600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
�'New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: ���� �fE�j�'� ) G-/{'�t1�
Owner: �?� 1��Pr��Pa�T Mailing Address: 3c`��" f'�I(�(f i�u.J ��✓
��ri: �;?�o,�� � z�p: 5� 3 s�
Home Phone: Alternate Phone: QS z�' 3 I ' �
��1�n-' —. �e�t�r►.�, ( 6�e>v���
Contractor Information: j�p.�,
Contractor: �� �J t��. J.�,_ Contact Person: �_�
�� 3� � ��T��-"� State Bond#: �. s I (�,��-�'i
Address: �
City: ��i�lS�� Zip:�$3�3 Expiration Date: ��.
Phone: �o ��- �(� l"3�q(� Alternate Phone: ��5� ��� " �5 2C7
� Insurance-Current:
1
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' MECHANICAL SYSTEMS BEING 1NSTALLED
` HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
[nput BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
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 cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ [nside ❑Outside
LP Gas: gatlons
Other:
GAS LINE ONLY
1
❑ Outdoor Griil � Other/List What&Where: G�� �'�Q� ►� I � �'v ��4r1 O
`�� No+ -��6 ��4e��,�� 5.� �� �r�
2 l�l�s�
• 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 req�ire modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludina the cost of the fixhue 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([f Applicable) $ l.50
Total Permit Fee $
PERMIT FEE CALCULATION S -JOBS OVER$500.00
If above dces not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
�,d(:�(� x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
�, C>O C� x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PR[CE or JOB COST means the actuaf or estimated dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. [t is the amount to be charged
to the customer for the work done. [f any material,equipment, labor or installations aze fumished by
the owr�er,tenant or any other parly,the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. [n 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 Building Deparhnent 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.
ApplicanYs Signature: + Date: � 2'}�0�
Reset Form
3
�/ � ����� �
DATE TIME
CITY OF ORONO CALLED IN ��� � ��
INSPECTION NOTICE �/ SCHEDULED /- -� .�-:'�
PERMIT N0. �% �`3�7� COMPLETED � 3' �-� �� /�
ADDRESS ���� '7 �-�Jr✓/e�' � /'�
�
OWNER CONTR.�/'S /'���e�:
TELEPHONE NO.���� `��D/ -- _ S� / ��
� DESCRIPTION �✓/`�, � �a 1��� ' �
l� 01 FOOTING '11 M HANICAL 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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:
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W WORKSATISFACTORY:PROCEED f_7 PROJECTCOMPLEfE
❑ ORRECT WORK&PROCEED i-I ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 tor the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor site:
Inspector. ��(,J �/J
White Copyllnspector's File Canary CopylSite Notice