HomeMy WebLinkAbout2002-P05142 - multiple mechanical items . CIrtY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Posi42
Crystal Bay, Minnesota 55323 Permit Type: Me�nani�al Pe�ts
(952) 249-4600 Date Issued: s�3�2o02
SITE ADDRESS: 140 Golden view Dr
Long Lake,MN 55356
PID: 33-118-23-43-0023
DESCRI PTION:
Proposed Use: Residential _
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Pernut Class: General , n
Permit Sub-type( : Multiple Mechanical Items �
Permit Type: Mechanical Permits -.-- �:
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DETAILS: f �,�
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,400.00
State Surcharge Fee: $ 0.70
Misc. Fee: $ 1.50
TOTAL FEE: $ 3^7,20
AppL�CANT: Vogt Heating&Air Conditioning �WNER: Chris&Elizabeth Hickok
3260 Gorham Ave 140 Golden View Dr
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.
APPL[CANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Cooies: 1-File(SiQnitures Required), 1-Applicant. 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1
PERMIT
CI�`-Y OF ORONO
2750 K'elley Parkway - PO Box 66 Permit Number: Pos�42
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: s�3�2o02
SITE ADDRESS: 140 Golden view Dr
I.ong Lake,MN 55356
PID: 33-118-23-43-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Venrilation
� Duct Work
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU��MARY: Permit Fee: $ 35.00 valuation: $ 1,400.00
State Surcharge Fee: $ OJO
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.20
APPLICANT: Vogt Heating&Air Condirioning OWNER: Chris&Elizabeth Hickok
3260 Gorham Ave 140 Golden View Dr
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.
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A PLICANT PERMITEE SIGNATURE ISSU D BY SIGNATURE
Copies: 1-File(Signitures Required). 1-Aoolicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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
vNTIL 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,and air conditioning installation including heat loss/heat
gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and
model. Data shall be presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction ar remodeling is involved, a separate building per�nit 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-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 esidential ❑ Commercial
JOB SITE: '�1 ' �1 ��
Zip:
Owner's Name: - � ; P one Number:
Mailing Address: � _ City: Zip:
;,R+�,�Y-���A�AtR CUIypfTlpJ�li�C�
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� T�.����° 67 �
Contractor's Name: ����" Phone Number:
Mailing Address: City: Zip:
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Qu�,c►ry: 1 � ,_;C;y � Y� `11L; c,�� �-�'Y1�` I �t�1 `zU�
)
Make:
ModeL•
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIlZE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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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; excludin�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)
' - ��. .._- ��
i l, x .0125 $ ;�1� �. _ }
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
�1.
� � j �' � � x .0005 $ . � (,,:
(contract price) (minimum$.50)
3. PostaEe and Handlin�(Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '7 ' �
*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 amo�nt 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 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 S[ate Building Code,and certifies that all statements made on this
application are complete,true and correct.
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Applicant's Signature: G� �� � `��/ Date: � �(�'
Approved By: Date:
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c��� ✓ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION t1�/T�C SCHEDULED ���— • Uv
PERMIT NO. "' � �� COMPLETED "�� +�-���
ADDRESS O ..�Q�c.,cJ
OWNER CONTR. � �
TELEPHONE N0. /o� ���
� DESCRIPTION �I�Z �� G� �t�C_ c�� ��2��'
� 01 FOOTING 11 MECHANICAL 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W�1lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTEO.CALI INSPECTOR
�INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContrac r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice