HomeMy WebLinkAbout2005-P09452 - mechanical PERMIT
CIT* OF ORONO
�;50 Kelley Parkway - PO Box 66 Permit Number: P09452
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
11/28/2005
SITE ADDRESS: 3090 Farview La Unit#
Long Lake,MN 55356
PID: 04-117-23-34-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pern,it Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 48•75 valuation: $ 3,900.00
State Surcharge Fee: $ 1.95
Misa Fee: $ 1.50
TOTAL FEE: $ 52.20
APPLICANT: Kleve Heating&Air OWNER: R K&S P SCHMIDT
6365 Carlson Drive Suite G 3090 FARVIEW LA
Eden Priaire, MN 55346 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 BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
� —��` City of Orono
¢�`�'O, P.O.Box 66 Date Received: _ Permit#
��*�ti„ 2750 Kelley Parkway
�,1�Zh,r;` f' Crystal Bay,MN 55323 Approved By: Amount$:
a(� :��o G` (952)249-4600
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permiu must be approved by the Building O�cial or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECENE 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,ventifation,humidification-dehumidification,and air conditioning instaflation 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 ne�v 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. r".II work must be inspected(rougn-in and fmal). 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 A 1
,�,J Residential ❑Commercial(Approval Required)
i �
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �� ��J �r v� �w L�r-��
O�vner: � 1�(JG1 � �l:t l��C..�� Mailin� Address: ��� �� �v
City: ����� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:KlPVP Ht� � A/r Inc ContactPerson: C�rarlPnP Ma��c-k
Address: 6365 Carlson Dr . Ste GState Bond #: gl,T-561 1 65
City: Eden Prairie Zip: 55346EYpiration Date: 8/14/05
Phone: 952-941-4211 Alternate Phone: 952-345-7242
❑ Insurance-Current:
1
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• . ., _ _ . ... . .. . ... _ , .... . r .. .
' ° ;� ���T��;�r . �},�;�:1VIECHANICAL�;SYST'EIvIS:•BEING`II�ISTAL;LED ._'.�F..;,: ,��..:'"..r�{ .. ,
a.�
HEATING SYSTEMS
Quantity: �
Make: L—-Q 1 1
Model: � IJ�I M 0V �
Fuel: �/��
Flue Size: L j, r V�
Input BTUs: 8 0 W
Output BTUs: 0 � v�
CFM:
COOLING SYSTEMS
Quantiry:
Mal:e:
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 outsidej cfm
❑ No. Other Fans: Locations cfm
FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL)
❑ [nstallation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ [nside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
A
, ` ;;r tf , PERi'�IIT FEE.CALGUI�ATION S
,.
, � .:. ; ,:
.-�;;` �:� = ;`4�� ; . . �.BASED OFE.=2002'STATE STATUE ,:� j '
❑ 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;excludin�the cost of the fixture or appfiance: 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 CALCUI;ATION S -JOBS OVER$500.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(i�linimum Fee of$35.00)
� �9a0 x .o�zs $ ��. 75
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Blde Code Div. Surchar�e(�tinimum Fce of 5.�0)
R� X .000� � � . g5
(c vact price) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Ntail-In Applications) $ 1.50
4. TOTAL PERI�IIT FEE(Add Lines 1-3 Above) � � � ` � O
■ * CONTRACT PRICE or JOB COST means the actual or estimnted dollar amount charged for the
permitted work inciuding 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
estimated cost or contract price for permit 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 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 stric aecorda e with the ordinances of the City and the regulations of the State of
Minnesota, nd certifies at all stat nts ma e o this application are complete, true and
correct.
Applicant's Si ure: Date: � � V
,� Reset For � ,
. . . 3
�j� ��""� AT E T I M E , /
CITY OF ORONO CALLED IN ►�.3�b� v
INSPECTION NOTICE SCHEDULED i � �
PERMIT NO. n�T`'I�z- COMPLETED
ADDRESS �C'�?'Cj F- �-r v i e�: �—N
OWNER CONTR. �F'_�-��—
TELEPHONE NO. �1 �� L(� � �'/�
� DESCRIPTION ���t-LJ �L�-� h��=�—�
�
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
� 09 PLUMBING Rf 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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� ORK SATISFACTORY:PROCEED I l PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. J PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED
G INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952� 249-4600
OwnerlContra n i :
Inspector.
White Copyllnspector's File Canary CopylSite Notice