HomeMy WebLinkAbout2000-P02035 - mechanical r
� ' � �� � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po2o3s
Crystal Bay, Minnesota 55323 Permit Type: Mecnanicat Pe�its
(612) 249-4600 Date Issued: 2iisioo
SITE ADDRESS: 3675 Jacobs Mill Rd
LONG LAKE,MN 55356
P I D: 32-118-23-24-0012
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Fireplace
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT: The Fireplace Center OWNER: Jeffrey R Ament
12460 Wayzata Blvd Kari A Ament
Minnetonka,MN 55305 3675 Jacobs Mill Rd
Long Lake,MN 55356
'TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
��r`--
�;%� �y��- /r�i
APPLI RM E I D BY SIGNATURE
i.'
Copies: City,Applicant,Assessor,Finance Page 1
, ~ ' �PO,Zo 3 �
CITY OF ORONO APPLICATION FOR MECHANICAL PERMI'T
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 2 working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
tiNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. �fechanical DesiQns - 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
sr.�i �s� vP �r���a��.
4. When any new construction or remodeling is involved, a separate building permit 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 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 pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600.
Please check one: � New Addition Repair Replace
Residential Commercial �,
0
JOB STTE• � �, � j �J -3c.�-�6� S 'y1,�L� ��.t.�"� Zip:
O�vner's Name: ��1.�,✓T` Telephone Number:
�
Mailing Address: City: Zip:
Contractor's Name: �, �� L�<�>_ C� F� U-�� Telephone Number:_5 Y �- 3 "7 i J
Mailing Address: � City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: _ __ _
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
��!`:� t �,
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
� Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name 7�� ,���� � Model No.
Mfgr's Min., Clearances, side y , rear ��, min. flue dia. i i ` '
VENTII,ATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25%o of Contract Price* or Minimum Fee ($35.00)
��� �- x .0125 $ _-� ?, S�-�
(contract price)
2. State Surcharge. *�` Add the State Building Code Division
Surcharge to each permit. ���-�= x .0005 $ /,�z�
or $.50, whichever is greater (contract price)
3. Postage 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«re 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 contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
areater. 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
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: J Date: l�l �n
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT.�CE SCHEDULED `' '� �� ���—
PERMIT NO. � ��j5 COMPLETED � � ' �
ADDRESS 3 6 �s� �C�b �' ��/� �G�
OWNER CONTR. i ''E'�4�C
TELEPHONE NO.
� DESCRIPTION ��SC}v'�P�% �
LL 01 FOOTING _�J 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 F `�� 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
INSULATI 24/25 WOOD BURNE FIREP 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENTS:
�
� , �
�l � � s�«it�
0
a `�i;vl c ��.'S�r r 1— i � i�5 ��ih ��s' ���'
� �
�� i.� �" � s 2 ->l' S GylGts'��"
/ ,
Q ��2 ��.�C�s�� b S l�t(�c. fi �' -� W� }-, ,n � ��,
z � ��(� ', � �� � ' l�Y
� z � '� � �
� ' i�� � -��C i�J
�
d ORK SATISFACTORY:PROCEED �' PROJECT COMPLETE
W
p//�C RECT WORK&PROCEED i � ISSUE CERTIFICATE OF OCCUPANCY
RECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. PHOTOTAKEN
INSPECTOR WILL RETURN i CITATION ISSUED
❑ STOP ORDER POSTED.CALL INSPECTOR
i i INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor on site:
Inspector. ��1,� v,� ��CL-��
White Copyllnspector's File Canary CopylSite Notice