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Home My WebLink About2008-P12023 - air conditioning PERMIT CITY OF ORONO 2750�Kelley Parkway- PO Box 66 Permit Number: p12023 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/2/2008 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 Permit Sub-type(s): Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 56.25 valuation: $ 4,500.00 State Surcharge Fee: $ 2,25 Misc. Fee: $ 1.50 TOTAL FEE: $ 60.00 APPLICANT: Kleve Heating&Air OWNER: Robert& Sarah 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 REQU[REMENTS. c /��-�s`� �JL' ��iy�. APPLICANT PERMITEE SIGNATURE UED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Scptic, 1-Septic) Page 1 ♦ � FOR CITY USE ONLY , ,,¢�� City of Orono P.O Box 66 Date Received: Permit# �� '�,� 2750 Kelley Parkway a i�''*• .�� Crystal Bay,MN 55323 Approved By: Amount$: ��e '��,'. ,,o`��" (952)249-4600 �;sxo��%' CITY OF ORONO—MECHANICAL PERMIT (All Commeroial permits must be approved by the[3uilding Official or[nspector and/or Fire Marshall) GENERAL INFORMATION 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 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,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. 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A l ❑ Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs � Replace Job Site/Owner Information: Slte f�C�C�CeSS: 3090 Farview Lane OWIIeC: Sarah Schmidt Mailing Address: Clty: Orono ��p: 55356 Home Phone: Alternate Phone: Contractor Information: Contractor: Kleve Heacing&AC Contact Person: Ashley Griffin 6365 Carlson Drive,Suite G Address: State Bond #: City: Eden Pra�r�e Z�p: ss346 Expiration Date: PhOne: (952)941-4211 Alternate Phone: ❑ Insurance—Current: l , , MECHANICAL SYSTEMS BEWG (NSTALLED HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS 1 Quantity: Lennox Make: ModeL• XC21048 Tons: 4 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 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/List What&Where: 2 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 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 Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 ToYal 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) 4,500.00 x .O125 $ 56.25 (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) 4,500.00 x.0005 $ 2'25 (contract price) (minimum$ .50) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ L50 60.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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 nr ir.stallatiens 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 strict accorc�a with the ordinances of the City and the regulations of the State of Minnesota, and ce ifies t all statements made on this application are complete, true and correct. Applicant's Signature:��` ate: � � � � Reset Form 3 �� DATE / TIME v CITY OF ORONO CALLED IN � `U � INSPECTION N TICE SCHEDU�ED 8�� PERMIT NO.�� COMPLETED ADDRESS c� �Cl� OWNER �J� � CONTR. TELEPHONE NO. — — '� � DESCRIPTION � � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINA� ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q ti Z W � W � � d ' W ❑WORKSATISFACTORY:PROCEED (�PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED �v i ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site• Inspector. White Copyllnspector's File Canary Copy/Site Notice