HomeMy WebLinkAbout2005-P09140 - mechanical , �
PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 Po9140
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/6/2005
SITE ADDRESS: 2280 Fox St Unit#
Long Lake,MN 55356
PID: 03-117-23-32-0014
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Gas Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 37.50 valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: Countryside Heating&Cooling OWNER: Anders&Lynn Myhran
6511 Hwy 12 2280 Fox St
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 WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATUKIs
Copies: 1-File(Signatures Required), I-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CCCY USE ONLY
Qj X`�� City of Orono
� `� ��� P_O-f3aa 66 Date Received: Permit#
���� �' 2750 Kelley Pazkway
.� p � ��,� Crystal Bay,MN»323 Approved By Amount$:
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the E3uilding OCticial or l��spector 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 I3EGIN 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,eq�iipment 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 PERM[T
Check All That A l )
❑ Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �] Replace
Job Site/Owner Information:
Site Address: � �o� ��-' 1—cx �7'�'��.t`
Owner: IL��7������ Mailing Address: ;��,�C;- fc� ��s�����
c�ty: �;�,;:��.� z�p: SS 3S�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Ca;.L��S;�ie �tt�,F�w,t(�:��ny Contact Person: Cr�� ����t�u%i-1'-
/
Address: E�j/J lhwy �� State Bond #:
City: �u �C r��.� Zip:tjs��, Expiration Date:
Phone: 7�.3"�z� 'f�LU Alternate Phone:
❑ Insurance—Current:
1
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
Total Permit Fee $
PERMIT FEE CALCULATION(S -�JOBS OVER $500.00
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$35.00)
�vo�.e� X .o��s $ 3?. 5�0
� (contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(_�9inimum Fcc of�.�0)
3���: X .000s $ I•5�
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���°L��
■ * 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 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 AGREEME�IT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordanee with the ordinances of the City and the regulations of the SCate of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: Date: ������
Reset Form
3
MECHANICAL SYSTEMS BEING INSTALLED
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.: C��`L���``� �`�
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ 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
Z� �/ , /�
� v DAT-E7 TIME v
CITY OF ORONO CALLED W G�'/�'��
INSPECTION NOTICE SCHEDULED /L} i G'•-�'S
PERMIT NO.T�i �j l y� COMPLETED
ADDRESS � � ��, �� �,S�t'
OWNER CONTR. C���z�N 1-r-N S� f�-z-
TELEPHONE NO. �l�� -� 7G �((C c')
� DESCRIPTION
l� 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING FY FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 2 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
h 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED f_� PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlC to o site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice