HomeMy WebLinkAbout2005-P08805 - air conditioning PERMIT
CITY OF ORONO Permit Number:
2?50 k�elley Parkway- PO Box 66 Po8805
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 6/6/2005
SITE ADDRESS: 3085 7amestown Rd Unit#
Long Lake,MN 55356
PID: 2g-118-23-33-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,700.00
State Surcharge Fee: $ 0.85
Misc.Fee:
TOTAL FEE: $ 35.85
APPLICANT: River City Sheet Metal Inc. OWNER: Mr. &Mrs. Gary Larson
9928 Bluebird St NW 3085 Jamestown Rd
Coon Rapids,MN 55433 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.
.
/'�-F C�+�, L��l'K-ee--vt
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septrc) Page 1
�
i
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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERI��ITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - 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 (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 �Residential ❑ Commercial
JOB SITE: .�D�.� �/�1�'►QS�t,v�l � � Zip: S,�3.��
Owner's Na�ne: �iHu,� L/}�2SD�cJ Phone Number: �~/,�� - �/73- Do/
Mailing Address• S'�_ City: Ll�K/�L�t{L�, Zip: �s�'3�'�'�
Contractor's Name: River Citv Sheet I�et�o ��ne Number:
Mailing Address: 8290 Main St. N.E_, �uitC'r�: Zip:
Fridiey, MN 55432
(763) 754-21�9 Fax (763) 754-2908
1
�
�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size: •
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ,��_
Model: ��1�0�(o�Z
Tons: 3 T'd/v
H.Power �3 S'�'�'�
FIltEPLACES
❑ Gas factory fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�chaust duct recalculating cfm
No. Bath E�aust(must have duct outside) cfm
No: Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY F]RE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
. j
r
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 thF fiYture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of(�35.001
/ �oa. oo X .o12s $ 3S'�d�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.501
x .0005 $ ' �S
(contract price) (minimum$.50)
3. Postage and Handlin�(Only mail-in applications) $ ��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ���'� ��•�'S
*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 purpo�es. 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 regulations of the Minnesota State Building Code,and certifies that al(statements made on this
application are complete,true and correct.
Applicant's Signature: �� ��/� Date: � — � —� �
Approved By: Date:
3
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION 1� TICE SCHEDULED
PERMIT NO. OcS COMPLETED �� ' � - � � • �v
ADDRESS ��.��� ��iu r �jc�>�.� :�.r f��
OWNER �—�9 ���"� CONTR. ��`� � ���
TELEPHONE NO.
� DESCRIPTION
ty� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 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 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:
4' J - �` .���'�� l l�l����� �j�-'�
� �- -r
�
J
O
� , � ;�' � � �'r�' �� ��- S � .t �`(
� 1 �l l � �
� �
W
�
Q
�
Z
W
�
W
�
�
d
W� WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE
W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z) Z49-46�0
OwnerlContractor on site: • ;
Inspector. �� ��� �Z_/.� �
White Copyllnspector's File Canary CopylSite Notice