HomeMy WebLinkAbout2003-P06975 - mechanical CIT'�' OF ORONO PERMIT
27�50 Kelley Parkway - PO Box 66 Permit Number: po69�s
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 24J-4600 Date Issued: iiiai2oo3
SITE ADDRESS: 3300 Fox St
LONG LAKE,MN 55356
PID: OS-117-23-44-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pemuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00
State Surcharge Fee: $ 6.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 157.50
APPLICANT: Cronstroms Heating &Air Conditioning(� OWNER: W L TRUBECK&J W TRUBECK
6437 Goodrich Avenue — 3300 FOX ST
St. Louis Park,MN 55426 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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Anvlicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTr
Box 66 (2750 Kelley Parkway) ��'CEf VED
Crystal Bay, NIl�1 55323
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GENERAL INFORMATION ���Y�
1. You may apply for mechanical permits by mail or in person at the City offices. Applic iohs i�QQNO
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum 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 DesiQns - 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. i
Data shall be presented on form provided. Identification of and specifications for water heating equipment i
shall also be provided. ,
4. wnen any new construction or remodeling is involved, a sepazate building pemut 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 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 249-4600.
Please check one: New Addition Repair �Replace I
Residential Commercial
JOB SITE: � � `��C� � ���- ZiP: �= , �`
Owner's Name: � � � �'>'�1 (.,�,`'� L Telephone Number: ��� } �7 3 C.��;,�a
Mailing Address: City: Zip:
Contractor's Name: 1 "� � � ' Telephone Number: ��;r3 4)aC� ��u`�)
� Mailing Address: C � ' %� City:�,� �� -� "/CZip:��--�z�2��,
SYSTEM DESCRIPTION
HEATING SYSTEMS /
Quantity: � _
Make: �{Y C�>✓LQ -�y�'1-E'_-
Model: `i-U`�t->l.eL RGII'� `�LI ;�V�C�L�R�i V3
Fuel: i�C.fi(�C�S '1�G1� C�C�S
Flue Size: !
Input BTUs: �° �� v I�t; ���; ,C,-Z��
Output BTUs: �
CFM:
COOLING SYSTEMS ` �
Quantity: t
Make: `��(� ;J1.� � �
Model: -�j �--[}��6�
Tons: � �-�,
H. Power �
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WOOD BURNING EOUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath E�aust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FLTEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) ����
� ',� C`?��, e, `_�l� x .0125 $ '��' ,
(contract price)
2. State Surcharge. ** Add the State Building Code Division �
Surcharge to each permit. f � �(;��� ,'�' x .0005 $ �� r�"
or $.50, whichever is greater (contract price)
3. Posta�e and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��-7 � ��
* CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 instaliation are 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 pernut 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 contract price under $1,000,000 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 s ts made on this application are complete, true
and correct. ,
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Applicant's Si ture: ' Date:,� `�j� (J�
.
Approved By: Date:
C��-� ✓
� DATE TIME
CITY OF ORONO CALLED IN � I
INSPECTION ICE SCHEDULED �Z" - �
PERMIT N0. COMPLETED << `�
ADDRESS -3�OD f� S7`—
OWNER CONTR. �fi17
TELEPHONE N0. q5�- `f�3 ����--- .
� DESCRIPTION I��"`� -' ��'�«d —T�/�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPIACE 34 TREE REMOVAL
Z04 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 INSTAIL. 22 FOLLOW-UP
i09 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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GW��WORK SATISFACTORY:PROCEED /�PROJECT COMPLEfE
�. ❑CORRECT WORK&PROCEED T❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑COfiRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-46�0
Owner/Contract s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
PE�IT# �'��c��� � �
HOUSE HEATING TEST RECORD
ADDRESS���� ��� �_ .J 1 ` CITY � �� ' �
OCCUPANT I r1i�-��'e � �- OWNER
HEAT LOSS DATE HTG. INST. INSTALLED BY �
ELECTRICAL WORK BY-
TYPE OF HEAT GA _ F _ HW STEAM SPACE HTR. UN1T HTR. OTHER
MA� (lf�' -� Gas nEsLGNn �..jT�c `l
MODEL � � � INPUT(BTU)
COIVTROIS
�
KIND OF LINER SIZE NONE COMPANY TESTIN �
FILTERS S1ZE I X CJ`� NUMBER I NAME OF TESTER /;� ;��, �/ i/�i� _
PRESSURE ������ PERCENT CO2 � ' �
INPUT CFH PERCENT 02
INPUT Q �
STACK TEMP v ��I6