HomeMy WebLinkAbout2000-P02259 - mechanical� 'y� � PERMIT
C I T Y O F O RO N O Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P02259
Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits
(612) 249-4600 Date Issued: 3i29�oo
SITE ADDRESS: 3745 Jacobs Mill Rd
LONG LAKE, MN 55356
PID: 32-118-23-24-0011
DESCRIPTION:
Proposed Use:
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
yp Air Conditioniing
Ventilation
DETAILS:
Approved per resolution #:
Separate permits required:
NOTICES/REMARKS:
FEE SUIIIIMARY: Permit Fee: $ 232.19 Valuation• $ 18,575.00
State Surcharge Fee: $ 9.30
TOTAL FEE: $ 241.49
APPLICANT: QuaLiTv cLimaTE>irrc OWNER: Brad Adams
17051 SUNRISE AVE SW 3745 Jacobs Mill Rd
PRIOR LAKE, MN 55372-2715 Long Lake, MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT CONII'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT P RMITEE GNATURE ISSUE BY SIGNATURE ''
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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 UNTIL
YOU RECEIVE 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 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 permit 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
JOB SITE•��Z -`�c� � i� '�j> Zip:
Owner's Name: " 1 ; L�e Telephone Number: �i�� 3 iF,�} �(o W3
Mailing Address: City: Zip:
Contractor's Name: �,r;,� �� c1,,-y,�;,`� Telephone Number:(�4� --U L�o- �37
Mailing Address: ����� h�y,,�i�e A.y� G,�t.+� City: p��l��' %��� Zip: �5�-��_
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � ,
Make: �3 N�v��-
Model:
Fuel: ��.f�/'J?'�r,-2
Flue Size: �``�
Input BTUs: � `� �
Output BTUs: I� ==�
CFM: �Jr,�C'
COOLING SYSTEMS
Quantity: �
Make: �j i��.v�j
Model:
Tons: ��j
H. Power
q �- " .
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. �_ Bath Exhaust (must be ducted outside) t�� 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% of Contract Price* ar Minimum Fee ($35.00) �:�"
x .�125 $ i 5�5 — �:� �:�.��
contract rice - �
( P ) '?��
2. State Surchar� ** Add the State Building Code Division
Surcharge to each permit. x .0005 $ �
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $
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 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 contract.
** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 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 Permit, agrees to do all
work in strict accordance with the ordinances of the City and the re�ulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and correct.
Applicant's Signature: ���� Date:��—o��"�'�'
Approved By: l�iL� Date: Z ��
� D�AjT,�E � T E
CITY OF ORONO CALLED IN -�_ ���
INSPECTION �TIC SCHEDULED �" -�� �` �
PERMIT NO. COMPLETED '� '�� �" � �'
ADDRESS 3 J� '���-
OWNER CONTR. G�, �� +
TELEPHONE NO. �l�— ����" S�� 7
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� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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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
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
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OwnerlContractor on site:
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContractor site:
Inspector. �f�GL��- �L���
White Copyllnspector's File Canary CopylSite Notice
ATE TIME
CITY OF ORONO CALLED IN - -o� �
INSPECTION N TICE SCHEDULED ���°�� � ��
PERMIT NO. D S � COMPLEfED
ADDRESS
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TELEPHONE NO. ��� ' -S �� �
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Z 04 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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INSPECTOR WILL RETURN
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❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContra tor on site:
Inspector. `��� ' rJ
White Copyllnspector's File Canary CopylSite NoNce
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N RTI�E SCHEDULED �l- �_��' �
PERMIT NO. `t'��� COMPLETED �t�rLs� �G�.
ADDRESS ���'L � ��%tCC:�`� I� ( I I ��
OWNER CONTR. Gtucc�l ��/ C�I�fY�G.c�.
TELEPHONE NO. ��1�� �}�`�
� DESCRIPTION °� �' ��UL°
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� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPL4INT
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
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INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CA�L INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. 249-4600
OwnerlContr r on site:
inspector �
White Copyllnspector's File Canary CopylSite Notice