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Home My WebLink About2005-P08627 - mechanical PERMIT C I TY C F O RO N O Permit Number: 2750 Kelle y Parkwa y - PO Box 66 Pos62� Crystal Bay, Minnesota 55323 Permit Type: Me�nani�al Per�tS (952) 249-4600 Date Issued: ai2oi2oos SITE ADDRESS: 17� Golden view Dr Long Lake,MN 55356 P��: 33-118-23-43-0015 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 75.00 Valuation: $ 6,000.00 State Surcharge Fee: $ 3.00 TOTAL FEE: $ 78.00 APPLICANT: Bergman Plumbing Inc. QWNER: Thomas&Lilie Fiepke 21181 Xeon 175 Golden View Dr Jordan, MN 55352 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 MI OT�BUILDING CODE QUIREMENTS. � A P I . RMITEE IGNATUKE SUGDBYSIGNATURE Copies: 1-File(SiQnitures Renuired), 1-Applicant, 1-Monthlv Reports, 1-Assessine. 1-Finance Page 1 � � FOft CITY USE ONLY . • City of Orono 4 � P.O.Box 66 Date Received: Permit# ��,, � 27�0 Kelley Parkway �, ��,�✓��' Cr stal Ba MN 5�323 Approved By: Amount�: �._��'_- �• Y Y, � �j(��j�;xi�4.�o~ (952)249-4600 ��eso8 CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must Ue approved Uy the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pernut cards will be sent by retuin 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 STTE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating, ventilation, humidification-dehunudification, 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. 4. When any new consh-uction or remodeling is involved, a separate building pernut must be obtained. 5. All wark 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 subnutted before final. TYPE OF PERMIT (Check All That A ly) �Residential ❑ Commercial(Approval Required) ❑ New �] Additional ❑ Repairs ❑Replace ( rJob Site/ Owner Information: �.�� 'j ��;�•-� �f�� -�'�; Site Address: Owner: � Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: �; „�- � Contractor: " ��"�tn� � �� i•�� '``Contact Person: C��7 Address: �� C-'i�' ��= State Bond#: ��`�!7`�`='!�' � %_ 9/��;��,� City: ��'' Zip:L�>�� Expiration Date: Phone: �G�� `�.5� `��'r'��' Alternate Phone: �-`1�1� ��5��1 . ❑ Insurance—Current: 1 r ' MECHANICAL SYSTEMS BEING INSTALLED � � r HEATING SYSTEMS Quantity: � Make: � �� :�' ModeL L'IX�Ci Fuel: n L'L� -3�r Flue Size: Input BTUs: (.f?��a�� out�ut BTus: �C�. C�c� CFM: COOLING SYSTEMS Quantity: 1 Make: �''�f�cl5'i�-�:"��e" Model: Tons: �y,�- H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Buniing Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct y 'i ecirculating .� c m '� No. _`�2 Bath E�chaust(must have duct outside) _�_ ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Renzoval Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � w PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixhzre or appliance that meets all three of the following requirements: 1. Does not require nlodification to electrical or gas seivice. 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 conhactor. Skip next section, if tliis applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—70BS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of connact price with a(Minimum Fee of$35.00) LoDDO. Bv _ X.oi2s $ (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of�.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL 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 ovv�ler, tenant or any other party, the reasonable market value of such items must be added to the estimatea cost or contract price for permit iee pur�u�e�. 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 aetual conh�act. ■ ** 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 th t all statements made on this application are complete, h-ue and correct. / q �' L� Applicant's Signature: Date: '"( a�'� 3 �� 'J�� ;L Z ° � Z fDATE � TIME CITY OF ORONO CALLED IN /� ��"�� INSPECTION NOT�E 7� SCHEDULED �V �� ll�3v�'✓t PERMIT NO. � y'C��Ui�� COMPLETED I(�-j - o� ��[L��t/�' ADDRESS I� j G (� ��lk' (�l V� E�� OWNER CONTR. ��.�'�t MGt,I� I'��i �. TELEPHONE NO. G S � �I�:.� O(o�C c � DESCRIPTION ��..N�C�' • ly� 01 FOOTING 11 MECHA RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 1 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 RNER/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 v 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 � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � j GW ❑WORK SATISFACTORY:PROCEED DI�ROJECT COMPLETE � ❑ 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 ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on. site� Inspector. � � � White Copyllnspector's File Canary CopylSite Notice �/ 7 � DATQ TIME �/ CITY OF OR�� ` �� CALLED IN ��C� INSPECTION NOTI o'u �SCHEDULED • a - 3� PERMIT NO. o �'�'�'vCOMPLETED ADDRESS O I V�� OWNER CONTR. TELEPHONENO. �S�- �� 3 r3�t � DESCRIPTION (J'��Pi`� !"l'PG�- �T � 01 FOOTING 11 MECHANICAL 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 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � a � ' J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED �-` ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CAL TO ARRANC�E ACCESS. Call tor n t spection 24 hours in advance. (952� 249-4600 OwnerlCo rac on s� , Inspector. White Copyllnspector's File Canary CopylSite Notice