HomeMy WebLinkAbout2006-P09623 - mechanical r PERMIT
CITY OF ORONO
• 2750 Kelley Parkway- PO Box 66 Permit Number: P09623
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
2/27/2006
SITE ADDRESS: 3320 Fox St Unit#
Long Lake,MN 55356
PID: OS-117-23-44-0009
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separatc permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 1,750.00 valuation: $ 140,000.00
State Surcharge Fee: $ 70.00
TOTAL FEE: $ 1,820.00
APPLICANT: Upper Midwest Radiant OWNER: Gregory Haugen
5115 Industrial Street Cynthia Haugen
Maple Plain, MN 55359 3320 Fox St
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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�_ APPI,ICA ERM E SIGNAT RE ISSUED BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
FOR CITY USC ONLY
• �� ��� City of Orono
� � �" P.O.Box 66 Date Received� Pennit#
� Q��= 2750 Kelley Parkway
�a i;"���' +.��� Crystal[3ay,MN 55323 Approved By Amount$:
�t��q�pp$�-' (952)249-4600
CITY OF ORONO— MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Pire Marshall)
GENERAL 1NFORMATION
l. 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,ai�d air conditioning installation including
heat loss/heat gain calculation,design temperatures,eguipment ratings and idei�tification 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 1 )
❑� Residential ❑ Commercial(Approval Required)
� New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 332o FoX screec
OWriOI': Cindy&Gregg Haugen ]�aI�11l�T f�ddCeSS: 55 Mound Ave
Clty: Tonka Bay Z�p: 55331
Home Phone: A Iternate Phone: (ysz�4�4-t s i i
Contractor Information:
COIItCaCtOC: Upper Midwest Radiant COIItaCt PeCS017: Chad Alsaker
Sll5 Industrial Street 929289728
Address: State Bond#:
City: Mapie Pia�n Zip. ss3s9 Expiration Date: o9ii�io�
Phone: (763>4�9-632s Alternate Phone: ���3�23g-H444
❑✓ Insurance—Current:
o6io i io6
1
' '� MECHANICAL SYSTEMS BEING INSTALLED
HEATING SYSTEMS
Quantity: 1 I 1 ?
WaterFumace WatetFurnace WaterFurnace WaterFurnace
Make:
Model: EZ060 EZ072 EZ036 EW060
Electric Electric Electric Electric
Fuel:
Flue Size: N/A N/A N/A N�q
Input BTUs: 60,000 72,000 36,000 60,000
Output BTUs: 60,000 72,000 3(,000 60,000
CFM: N/A N/A N/A N/A
COOLING SYSTEMS
1 1 I
Quantity:
WaterFurnace WaterFurnace WaterFurnacc
Make:
Model: EZ060 EZ072 EZ036
Tons:
5 6 3
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ Na Kitchen Exhaust duct recirculating efm
❑� No. 6 Bath Exhaust(must have duct outside) t I o 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
❑ Ontdoor Grill ❑ Other/List What&Where:
2
PERMIT FEE CALCULATION(S) �
BASED OFF -2002 STATE STA"I�UE
❑ 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;excludinQ 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-ln Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CA�,CItI;ATION 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)
140,000.00 x .0125 $ 1,750.00
(contract pricc) (mioimum$35_p0)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum I�cc of�.S(1)
140,000.00 x .0005 $ �������
(cantract pricc) (minimum$ 50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
1,820.00
4. 'i'OTAL 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 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 Deparhnent 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 ofi
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature:, � Date: �
Reset Form
3
�� �DAT� TIME�
CITY OF ORONO CALLED IN �P
INSPECTION N SCHEDULED �-7-0� ���
PERMIT NO.�� COMPLETED
ADDRESS 33 Z�� i�v�-- ✓G
OWNER CONTR.
TELEPHONE NO. ��3 Z3 � �f��
� DESCRIPTION �� ��
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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 COMPLAWT
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
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN
INSPECTOR WILL RETURN i:,CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for ext inspection 24 hours in advance. (952� 249-4GOO
OwnerlCon a or ' e•
Inspector.
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INSPECTION TI SCHEDULED "� fD,�D
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Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 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
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next spection 24 hours in advance. (952� 249-46��
OwnerlContra�oriP�si .
Inspector.
White Copyllnspector's File �, Canary CopylSite Noiice
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DATE" TIME
CITY OF ORONO CALLED IN �^ � "'��
INSPECTION NQ�I SCHEDULED 3`` ' '�U� 1�
PERMIT NO. �" �� �Z � COMPLETED
ADDRESS �3 ,2C� �X S-Fre��:
OWNER CONTR. �,lb��%�'���t
TELEPHONE NO. ��v -� �'1--3� ���y-
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� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-S�TE 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
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INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 24Q-46QQ
OwnerlContractor on si e:
Inspector. / _�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N(�TICE SCHEDULED /� -U6
PERMIT NO. � b��� COMPLETED
ADDRESS S 3v�� /'Ti' x j r(�/��f'
OWNER CONTR.
TELEPHONE NO.
� DESCRiPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �HANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
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Inspector. w � �
White Copyllnspector's File Canary CopylSite Notice
� �� �,{��,�-�/� E �/
r/�TY OF ORONO CALLED IN `� ���/ ��
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� DESCRIPTION I � � �� �
ly� 01 FOOTING 11 MECHANICAL RI 18 E AV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
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V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. -; PHOTOTAKEN
INSPECTOR WILL RETURN �� CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site: �
Inspector. �
White Copyllnspector's File Canary CopylSite Notice