HomeMy WebLinkAbout2008-P11881 - mechanical PERMIT
ClTY OF ORONO
2750 Kel!sy Parkway - PO Box 66 Permit Number: p11881
Crystal Bay, iVlinnesota 55323 Permit Type: Mechanical Permits
(952) 2�9-4600 Date Issued:
2/20/2008
SITE ADDRESS: 3300 Fox St Unit#
Long Lake, MN 55356
P��� OS-117-23-44-0003
DESCRIPTION:
Proposed Usc: Residential
Pcrmit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Duct Work
DETAILS:
Approved per resolution#:
Separatc permits requircd:
NOTICES/REMARKS:
Changing 3 supplies& 1 return
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,000.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Vogt Heating&Air Cond OWNER: William&Judith Trubeck
3260 Gorham Ave 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 STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
���'1�(�Q �/ll' (��}'K�Q�
APPLICANT PERMITIiL SIGNATURE I S �D[3Y S[GNATURE FL(�5�
Copies: I-File(Sigrratcu�es Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Scptic) Page 1
�
i �!1 �l �-�
' FOR CITY USE ONLY
�,¢ City of Orono
��O` O\} P.O.Box 66 Date Received: Permit#
F 2750 Kelley Parkway
�la j��� '. r�� Crystal Bay,MN 55323 Approved By: Amount$:
� �*ir��:yaF� (952)2491I600
"��?�aaasu�;>.
CITY OF ORONO-MECHAI�IICAL PERMIT
(All Commercial percnits must be approved by the Building Official or Inspector and/or Fire Marshall)
,��� GENERAL INFORMATION
:�
`" 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
.}Y�
.�'k=. be reviewed and a permit will be issued within two working days.
� 2. Per�nit cards wili be sent by retum 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 Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and ai;conditioning ir�stallation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and modei. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building pernrit 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 nofice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
�'�' � " Check All That A 1
`;`�.,
'i-' �,Residential ❑Commercial(Approval Required)
❑New ❑Additional (�Repairs ❑Replace
Job Site/Owner Information:
Site Address ���� � !'C��JL c�-��
. Owner: `�;t,�IC.�2G� � �. Mailing Address: �.jCt.� �G;�� �
A
c�ty: I-.c�v�� I,.c� C�`� z�p: �� 3 S�,
—�.
Home Phone: Altemate Phone: C�5,,�" ���5'`��C% `� �
__ Contractar Information: � �� , f �.�� `�
1�
Contractor: vOGT Contact Person: �.s,�-r�rr-����i-�=�
AC�(�TOSS: 3260 GORHAM AVE S State Bond#:
City: ST LOUIS PARK ZlP. 55426 Expiration Date:
Phone: (952)929-4011 Altemate Phone: �/,�-���,�3 3 3�
�- Insurance-Current:
1
4
/
MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input 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.:
VENTILATION ` ` '�
C �1U�r��� �� � 3���-< ���S �-- � 1� i1�-�—f'c,a.f�
❑ No. Krtchen xhaust �duct recirculating cfm
❑ No. Bath Exhaust(must have d�-ent ide) 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 Gril] ❑ Other/List What&Where:
2
t,
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;excluding 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 Perniit $ 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:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
� /.(�t�,� X.oizs $ :3;� c�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
. � /,(��c.�, c..0 X.000s $ � �C�
(contract price) (minimum$ .50)
I
, 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
32���7`�������_
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `�:s��=r�'"
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernlitted 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 AGREEMENT
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: ��J� ���.c� Date: � —�C�— ��
Reset Form
3
� � � � DAT TIME �
� �i� ,
CITY OF ORONO CALLED IN �
INSPECTION N TICE / SCHEDULED � � �:�-�
PERMIT NO. � � / COMPLETED
ADDRESS � � �' •
OWNER CONTR.
TELEPHONE NO. (�'�1����������
� DESCRIPTION � ���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING W�
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 O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTtC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
�
W
a
�
J ..
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
a
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED -, ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CAII TO A ANGE ACCESS.
Cal1 for th ins . tion 24 hours in advance. (952� 249-4600
OwnerlContracto 'te:
Inspector. 'r�
White Copylinspector's File Canary CopylSite Notice
J ✓'F 5D TIME
CITY OF ORON CALLED IN �` �
INSPECTIO � SCHEDULED '�Q�/ . �
PERMIT NO. �� co LETED
ADDRESS Q
OWNER CONTR. � '
TELEPHONE NO. ' � " � � �"
� DESCRIPTIONc��1 ����L C� �� G�
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �I/s� ��-����L r� l�
�
W
a
� � f/�f?(�Q dJ f�-�'C��Z3�.� �'C` rL�-�.•i � C�
>.
� �� 1=V���� �Q C� l:�1
O
�
� ��lk3Q � yl�tll� t� �,�e ���'�Fo�S
Q
� �
z �C�C��,1 : �C+ l.c} .�—f�l�, n+ ic)
� �F C c,�� � �Q�<DD/yl
W
�
�
d
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑ CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnedContractor on site:
/� �
inspector. ��t� U ( ��,��
White Copyllnspector's File Canary Copy/Site Notice