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Home My WebLink About2004-P08145 - mechanical PERMIT C�T�� OF ORONO Permit ►vumber: 27`50 Kelley Parkway- PO Box 66 P08145 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-4600 Date Issued: 11i1�2ooa SITE ADDRESS: 3640 Jacobs Mill Rd Long Lake,MN 55356 P I D: 3 2-118-23-24-0010 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolurion#: Separate pemrits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 647.43 Valuation: $ 51,794.00 State Surcharge Fee: $ 25.90 TOTAL FEE: $ 673.33 APPLICANT: Countryside Heating&Cooling OWNER' Matt Vanslooten 6511 Hwy 12 � 3640 Jacobs Mill Rd Maple Plain,MN 55359 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. \ �c'r��%C.� G�%2�� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-At�ulicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 �', �-c�;� � , CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical perinits 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 RECENE 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 or remodeling is involved, a separate building permit must be obtained. 5. All worlc 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 esidenti-a�� Commercial JOB SITE: �lo`�� {�'�l '� Zip: ��s� Owner's Name: A-�V � � Phone Number: �7{�,3-�77%G�57 Mailing Address: . U �K.�S/�Cl.� /� City: C5,[..oni'o Zip: 53357�, Contractor's Name: GG/�+� �� Phone Number: �(�v3�7�7�1�pU Mailing Address: �s// y / a— City: /f'�i9�lL-' lH-i�Zip: ��5� � . , SYSTEM DESCRIPT[ON HEATING SYSTEMS / Quantity: � � Make: f/�� '�� ILC-G�2— Model: �S�/�.IA(��DU .3��G�� iG� FueL• ✓�i�'T �i1�".S /V/� �7� � �'J Flue Size: �� l"v� � �� 'i` �� If�r Input BTUs: /�� K �� !vd K Output BTUs: CFM: COOLING SYSTEMS Quantity: � � Make: Qi-- C.L'�., Model: ��7"0 ��/'J,Xa(pv 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 cfin FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside ar outside LP Gas: gallons Other Gas opening ... 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 S 15.00 State Surcharge S .50 Mail-In Fee S 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) -�t �7i��-�'�' � , �� , X .oi2s s (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �� . 7 cI� U�x .0005 $ C�S c � � (contract price) (minimum$.50) 3. Posta�e and Handling(Only 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 installation is 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 Ciry may request the submission of a signed copy of the actual contract. **The STATE SURCHARGE is.0005 of the contract pricc under$1,OOQ000 or$.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 Pennit,agrees to do all wark in strict accordance with the ordinances of the City and the r�u] � s of the Minnesota State Building Code,and certifies that all statements made on this application are con etc ° correct. / ,i Applicant's Signature: �� Date: �� Approved By: Date: Reset Form �' v � DATE -- TIME CITY OF ORONO CALLED IN 7"Z� 'CU INSPECTION NOTICE SCHEDULED ��— �f�l PERMIT NO. �L�S�� COMPLETED ADDRESS� �� CUb� �/(.'`'�� OWNER CONTR. �n,� ��.S�c o TELEPHONE NO. [`l�/ ��C� �,��. ' ��'v' � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURN R/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z 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 ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � d W ORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor it Inspector_ White Copyllnspector's File Canary Copy/Site Notice � 7 ✓ L—� Ly�� DATE TIME CITYOFORONO CALLEDIN l(l�'I�y INSPECTION NOTICE SCHEDULED 1 � /� ��I � PERMIT NO. �/� �� COMPLETED ADDRESS _�Ct� ��' �� C �-',�S �l II �� OWNER CONTR.�� TELEPHONE NO. �� '��l -�� DESCRIPTION ! �� ` � ��-- � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a o� ' � � ,� � V� �v �� 0 � W � Q � z W � W � � d � ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL 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 (fS/� DAT TIME � CITY OF ORONO � CALLED IN ��'�� INSPECTION N C SCHEDULED � �'" �� PERMIT NO. � � COMPLETED �( ~ ADDRESS �T� GO� !`� OWNER CONTR. B�j'" Sl�� TELEPHONE NO. JaSAr� �Ol Z Z2/ $'D// � DESCRIPTION �r �� G� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADI /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 � 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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: � W a � � O � � O � W � Q � 2 W � W � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins 24 hours in advance. (952) 249-4600 OwnerlContractor Inspector. Whit Copyllnspector's File Canary CopylSite Notice �v � DAT TIME CITY OF ORONO � CALLED IN 1 Z � INSPECTION N C�� SCHEDULED /Z-!� ��' PERMIT NO. COMPLETED �� ADDRESS_ J�D�D Q/r�.006S /��t I� OWNER CONTR. TELEPHONE NO. 0�'�'YI �/� ZZ-I— ��!/ � DESCRIPTION � �a,C PS � 01 FOOTING 11 MEC ANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � 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 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � d W�.- WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETl1RN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the ne t ins ion 24 hours in advance. (g52) 249-4600 OwnerlContracto Inspector. White Copyllnspector's File Canary CopylSite Notice �/ � DATE TIME � CITY OF ORONO CALLED IN I'd INSPECTION NOTI ^ (� SCHEDULED � PERMIT NO. �� `(� COMPLETED ADDRESS �C D y C� J�G J�S ,�c ( I I��/ , OWNER CONTR. �r OiJf1 S�'„� TELEPHONENO. C12 � v� � �}O �� -. — L��t�c.i � DESCRIPTION � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING y 02 FRAMING �_�ANICAL F1NNkt��-� 19 LAKESHORE/WETLANDS O 03 INSULATION 2 IREPLACE 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 COMPIAINT 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 � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED C7 PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfOfV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next ins ection 24 hours in advance. (J52� 249-46�0 Owner/Contractor � Inspector. White Copyllnspector's File Canary Copy/Site Notice