HomeMy WebLinkAbout2005-P08712 - mechanical 1
� ^3 PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Posn2
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Perrruts
(952) 249-4600 Date Issued: siiii2oos
SITE ADDRESS: 3415 High La
LONG LAKE,MN 55356
PID: os-ii�-23-i2-ooi�
DESCRIPTION:
Proposed Use: Residential
Pernut 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: $ 73•�5 Valuation: $ 5,900.00
State Surcharge Fee: $ 2.95
TOTAL FEE: $ 76.70
APPLICANT: DJ'S Heating&Air Conditioning OWNER: RICHARD G MARKLUND ET AL
6060 Labeaux Ave 3415 HIGH LA
Albertville,MN 55301 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Reauired). 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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� � FOR CITY USE ONLY
City of Orono � ��,
��� P.O.Box 66 Date Received: �' �"��� Permit# �L
��;,,,,,, � 2750 Kelley Parkway �J/
�.� ;�1``'k� "- � Crystal Bay,MN 55323 Approved By: � Amount$: /(J-��
� '�ay:�;rs�4.�o` (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Conunercial permits must be approved by the Building Ofticial or Inspector and/or Pire Marshall)
GENERAL 1NFORMATION
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 return mail after a review is completed. PERMITS ARE NOT
VALID UI�TTIL YOU RECEIVE A PERMIT. WORK MtiST 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, ventilarion,hunudification-dehunudification, and air conditioning installation including
heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to
type,manufacriirer and model. Data shall be presented on form provided.
4. When any new conshuction or remodeling is iuvolved, a separate building pernut 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 subnutted before fival.
TYPE OF PERMIT
(Check All That A ly)
�esidential ❑ Commercial (Approval Required)
❑ New ❑Additional ❑ Repairs �R'eplace
Job Site/ Owner Information:
Site Address: " � f��- �--.%� �
Owner: i� ��f" 6�?����ff/��v� Mailing Address:
City: �� ; �'__7/�' z�p: 5��' -�-5�
:
Home Phone: �i S� -Lf 7 5�- -> >�.� Altei-nate Phone:
Contractar Infornlation:
Contractor: "'S �� 7� '� ����� Contact Person: , ! �
��t'= �v� s�
Address: �C��.�� L.�<aZf��a�.�- /�v� State Bond#: y�/��l`� 7E"
City: .,�/l��t�: (�{,Zip:5'S,�'' Expiration Date: �/3�/u �
Phone: 7� j --�1% 7 ����r Alteinate Phone:
❑ Insurance —Cui-rent:
1
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MECHANICAL SYSTEMS BEING 1NSTALLED ' a
HEATING SYSTEMS
Quantity: �
Make: �_> -v,;�
Model: /�{'h b�`1U��(�./,�(�
FueL• �✓f:7 f
Flue Size: '�'' J�I`4-
Input BTUs: G��GE.��'
Output BTUs: rj'� L�c%�
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CFM:
COOLING SYSTEMS
Quantity: �
Make: ^��..y:7,.•,=1
Model: "I�G�Z/���
TO11S: �N
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ Na Kitchen Exhaust duct recn-culating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE v1ARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What R.Where:
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PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fi�:ture or appliance that meets all tluee of the following requirernents:
1. Does not require modification to elecn-ical 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 conhactor.
Skip next section, if this applies; Cost of Peinut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ L50
Total Pernut Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not apply; follo�e�guidelines below:
l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
.,��>.�"'�� x A125 $
(conh-act price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
S yn��`�'�' �:.000s $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST meaus the actual or estimated dollar amount charged for the
pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged
to the custoiner for the work done. If any material, equipment, labor or installations are fuinished 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 puiposes. 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 Pernzit, 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: �.L�,�r�.��" Date: S///����
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,�� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE-7 SCHEDULED �/(o-[U S �/'v�'P'�
PERMIT NO. ;`-�(� /� � COMPLETED ^
ADDRESS ���I ��j� �f'l,P
OWNER '� CONTR. [// �S
TELEPHONE N0. 7��':'� �� � ����J �
� DESCRIPTION �✓�l� Il� :
� 01 FOOTING 11 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOO PLACE 34 TREE REMOVAL
� 04 WA�L BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
� ❑ CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i spection 24 hours in advance. (952� 249-46��
OwnerlCont r s te:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice