HomeMy WebLinkAbout2005-P08537 - mechanical CI'TY �F ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pogs3�
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: 3i2ii2oos
SITE ADDRESS: 312s FoX st
L.ong Lake,MN 55356
PID: 04-117-23-33-0011
DESCRI PTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Also installing a gas line
FEE SUMMARY: PermitFee: � 520.00
Valuation: $ 41,600.00
State Surcharge Fee: $ 20.80
Misc. Fee: $ 1.50
TOTAL FEE: $ 542.30
APPLICANT: Select Mechanical OWNER: Timothy&Gayle Devries
6219 Cambridge St 3125 Fox St
St. Louis Park,MN 55416 Long Lake,MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APYLICANT PERMITEE SIGNATURE UGD E3Y SIGNATURE
Cooies: 1-File(Si�nitures Rec�uired), 1-Applicant, 1-Monthlv Reports. 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may appIy for mechanical pern�its 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 BEG1N 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 condirioning installation including heat Ioss/heat
gain calculation, design temperatures, equipment ratings and identification as to type,manufacturer and
model. Data shall Ue presented on form provided. Identification of and specifications for water heating
equipment shall also be 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 Ue inspected (rough-in and final). Call (952)249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair�Replace�Residential ❑ Commercial
JOB SITE: 3 i a S � �-. �S3S�O
Zip:
Owner's Name: �(1 YY� `�7E�rz.,E� Phone Number:
Mailing Address• CiTy: Zip:
Contractor's Name: �CLi��r ��.c.�-{�c�.phone Number: �'J o� - ��,-t-i��
Mailing Address• �✓a-.ldt Cr�l1�/32� O�z ��. City: ���y��s �,�,,�,;�Zip; ��'y�b
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SYSTEM DESCRIPTION '
HEATIYG SYSTEMS
Quantity: �
Make: �W�� �l..�Y�'�`�+`'
Model: �"�Co�I�V''-��?O G(p���/"� (7t/,�'
Fuel: L=x1S C.�--t�
Flue Size: U �� t1�
Input BTUs: �70,�G`7 �S�C��
ou�ut B-�5: Ra-�1� �ia�'1�
CFM: �aU,� ����
COOLING SYSTEMS
Quantity: � 2- I
Make: (��11v�.h� l�vw�'�' �s
Model: �`��2-�--��c C1S2�-� S"1�-1�1Y
r
Tons: � � � �
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace �Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. i Kitchen Exhaust duct recalculating �cfin
No.�Bath Exhaust(must have duct outside) 7a cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIItE MARSHAL)
❑ Installation or ❑Removal
❑Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑LP Gas: gallons
❑ Other Gas opening
2
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excluding the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price*is .0125% of job with a Minimum Fee of(�35.00)
� ��U �
�lr� x .0125 $
(contract price) (minimum$35.00}
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
�-(l�t�' �
X .000s $ ad --
(contract price) (minimum S .50)
3. Postage and Handling (Oicly nzail-in applicatio�is) $ 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 installation is fumished 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 thece 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 contract price under 51,000,000 or�.50-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct
Applicant's Signature: ��� Date: 3�'�-�
Approved By: Date:
3
DA TIME �
CITY OF ORONO CALLED IN �—�
INSPECTION N C ' SCHEDULED �
PERMIT NO. � � COMPLETED
ADDRESS
OWNER CONTR. �O�"
TELEPHONE NO.
� DESCRIPTION �O�S L /I��P '4' T� ��
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
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
T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑C�RRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE COND)TION WITNIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL tNSPECTOR
C INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS.
Call for the next i p ction 24 hours in advance. (J52� 249-46�0
Owner/Contrac e:
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice
2 �- ✓
�'� � DATE TIME
CITY OF ORONO CALLED IN � � `�%{tZ
INSPECTION NO�IC �j SCHEDULED !— y-�' � �'
PERMIT NO. r' �i � '" � COMPLETED
ADDRESS �%�S^ �v� ��•
OWNER CONTR. �_�f' c,���,LrL:.�.�.
TELEPHONE N0. �v'�-.� `.��1�i �,S-_3 � �L,-cc�,L�i /1�•:� .���+��
� DESCRIPTION
lL 01 FOOTWG 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING � 13 MECHANI AL 19 LAKESHORE/WETLANDS
y 03 INSULATION 2�7� OOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAfNT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� G Cl7RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ;; pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR r CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the ext inspection 2a hours in advance. (952� 249-4600
OwnerlContra site:
Inspector.
White Copyllnspector Fiie Canary CopylSite Notice
� DATE TIME �
� CITY OF ORONO CALLED IN - `d
-! /y /o
INSPECTION NOTICE (�- 2J SCHEDULED !-/.}?-Cj/� 3 :���
PERMIT NO. �Q(7 7�"l/ COMPLETED
ADDRESS '���� / UX' c� Tr
OWNER CONTR. � (F G I�./�� LG�-�
TELEPHONE NO. � S^� ag o� ��I� �
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� DESCRIPTION �C'i��(D� -
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
ll ..,.._..__.__._.,._
Q 02 FRAMING �43"1Vf�CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION �'1 � RNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ,,_� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContract�si
Inspector. �
White Copyllnspector's File Canary CopylSite Notice