HomeMy WebLinkAbout2008-P11989 - heating systems PERMIT
GITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11989
Cry�tal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
4/21/2008
SITE ADDRESS: 3300 Graham Hill Rd Unit#
Long Lake,MN 55356
PID: OS-117-23-11-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Boiler for in floor heat
FEE SUMMARY: Pernut Fee: $ 202.50 valuation: $ 16,200.00
State Surcharge Fee: $ 8.10
TOTAL FEE: $ 210.60
APPLICANT: Excel Mechanical, Inc. OWNER: JMA Builders LLC
11582 County Rd 13 6065 Eureka Rd
Watertown,MN 55388 Shorewood,MN 55331
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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� �� APPLICANT PERMI"1'EE SIGNATURE
[' UED BY SIGNATURE
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� Copies: 1-File(Signarures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR CITY USE ONLY
�A, City of Orono
� O4 `rO P.O.Box 66 Date Received: Pennit#
�;�;,r,� 2750 Kelley Parkway
a '��`���r�`�-_ �. Crystal Bay,MN 55323 Approved By: Amount$:
, ��� ��kf;�.�o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by 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. 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 Designs—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.
4. When any new construction or remodeling is involved, a separate building permit must be
obtained.
5. All work mu�t 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 Hearing Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
❑ Residential ❑ Commercial(Approval Required)
❑ New ❑Additionai ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: "- -�'� ' �: s� ��,� :'�,ii �%n;tr,�Y'
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: j�.�. cc�'� (�'��r't�_L.,.,% ``j/ Contact Person: �Sr'�-n�y
Address: ((5�42 �'.�. I3S� State Bond #:
City: �`+�J�c,--r� Zip: Expiration Date:
Phone: `ll��� ��S S `�'�/ Alternate Phone: `��<- � �-�5's" �`t'�'r'
❑ Insurance—Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED
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HEATING SYSTEMS
Quantity: (
Make: �{ .; � �1� 1�c7.�,'
Model: '�j l��
Fuel:
Flue Size:
Input BTUs:
Output BTUs: l�S (;:)L�
;
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand I�Tame: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) 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 OtiLY
❑ Outdoor Grill ❑ Other/List What&Where:
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• � � PERMIT FEE CALCULATION(S) �
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacement of a Residential fixture or a�pliance 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 secrion,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ l.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)
��,,,���> x.0125 $
(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 Appiications) $ L50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 inaterial, 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 conhact.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersi�med hereby applies to the City for issuance of a Mechanical Pernlit, agrees to do all
wark 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: %�' , Date: `1 �� �v�
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CITY OF ORONO CALIED IN O
INSPECTION ICE SCHEDULED o�:'�
PERMIT NO. COMPLETED v
ADDRESS �3C�D �✓`��-�l ��I
OWNER CONTR.
TELEPHONE NO. 5 � 3^� 3
� DESCRIPTION �'`` " �✓�l �� ���LT
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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:
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W� �OGORKSATISFACTORY:PROCEED f i PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �o,cJ ,ct_�, G )
White Copyllnspector's File Canary CopylSite Notice
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� _DAT� TIM��
CITY OF ORONO CALLED IN � p� 3 = _
INSPECTION T�CF� �j� SCHEDULED �O"L�-D if �
PERMIT NO. /�y rj COMPLETED
ADDRESS �C� �9��Q�'��`-`'� �`�
OWNER CONTR.��� ��J
TELEPHONE NO. �ISZ 3Q.3 Z��
� DESCRIPTION (�(���`,(-�( ` �Ol,�l�`
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ 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:
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W� CI WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE
W ❑CORRECT NiORK&PROCEED r SSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WIIL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site•
Inspector. �
White Copyllnspector's File Canary CopylSite Notice