HomeMy WebLinkAbout2002-P05656 - mechanical PERMIT
C11�Y OF OI�ONO
,2750 Kelley Parkw�y- PO Box 66 Permit Number: P05656
Crystal Bay, Minne$ota 55323 Permit Type: Mechanical P 'ts
(952) 249-4600 Date Issued: 9i2ai2ooa
SITE ADDRESS: �, 3145 Jamestown Rd �
I I,ong Lake,MN 55356
PID: 28-118-23-33-0017
DESCRIPTION:
Proposed Use: I�esidential
Pemut Class: General
Pernut Type: �vlechanical Perxnits Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#;
Separate permits required:
I _
NOTICES/REMARKS: �
_ �
FEE SUMMARY: Pemut Fee: $ 35.00 Valuation• $ 2,500.00
State Surcharge Fee: $ 1.25
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.75
APPLICANT: Klev�e Heating&Air OWNER: Morgan Nelson
130'�5 Pioneer Trail 3145 Jamestown Rd
Ede�}Priaire,MN 55347 Long Lake,MN 55356
THE UNDERSIGNED REBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO L WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND ATE OF
MINNESOTA BUILDII�G CODE REQUIREMENTS.
APPLI ANT PE ITEE SIGNATURE SSUED BY SIGNATURE
Covies: 1-File(SiQniture�Required),1-Auulicant 1-Monthlv Reports, 1-Assessin�, 1-Finance � Page 1
.. _ ; ���.�':E�,`JAN � Z Z 4�
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� CITY OF OR;ONO APPLICATION FOR ME����,P RMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, �nv ss323 SEp 2 4 �0��
GENERAL INFQ�RMATION CITY OF ORONO
1. You may apply for mechanical permits by mail or in person at the City offices. Applications ill be
reviewed an4i a permit will be issued within two working days.
2. Permit cardsi will be sent by return mail after a review is completed. PERNIITS ARE NOT V ID
TJNTIL YOiiJ RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTII,THE PERMIT ARD IS
POSTED O u T'HE JOB SITE.
3. 1�lechanical esi�s-Complete calculations, details and specifications are required for each eating,
ventilation, humidification-dehumidification, and air conditioning installation includin;heat loss/heat
gain calcula ion, design temperatures, equipment ratings and identification as to type, manuf cturer and
model. Data shall be presented on form provided. Identification of and specifications for w-at r heating
equipment s all also be provided.
4. When any n¢w construction or remodeling is involved, a separate building permit must be o tained.
5. All work mu�st be done in accordance with the Uniform Mechanical Code/State BuildinQ Co e
requirementS. � ,
6. All work must be inspected(rou�h-in and final). Call (952) 249-4600. 24-hour notice requir d.
7. House Heating Test Record must be submitted before final.
Instructi�ns
Complete all i�ems on this application. Compute the permit fee. SiQn and date the certi cation.
NCOMPLET� APPLICATIONS WILL NOT BE PROCESSED. If you have question�, call
(9�2) 249-460 . '
Please check ome: ❑ New ❑ Addition ❑ Repair � Replace ❑ Residential ❑ C mmercial
�
JOB SITE: ,.3�`�s �y`'�5���n �d Zip: Ss3SK
Owner's Namie: /7�,�r� /Vt/so�+ Phone Number: � />
Nlailing Addr ss: 3�ys .�Garw����w� �Qd City: Ororo Zip• fS3 L
Contractor's Wame:/(,CEVf y��IG hc. Phone Number: �a`�yf'i�j��
Mailing Addrless: �e.t/ ��/� City:��.�� �rq�r�t-. Zip: S �
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PERNIIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
_The replacement of a Residential fixture or appliance that meets all three of the followinQ requirements:
� 1) Does not require modification to electrical or gas service.
� 2) Has a total cost of$500.00 or less; eYcludins the cost of the fisture or appliance:
and
3) Is improved, installed or replaced by the homeo�vner or licensed contractor.
Skip nest section; Cost of Permit $ 15.00
State Surchar�e$ .50
1�1ai1-In Fee • $ 1.50
If above does not apply, follo�v auidelines below:
1. Contract Price* is .0125% of job with a 1�Iinimum Fee of(53�.001
�soo Y .ot�s � 35 • � °
(contract price) (minimum 53�.00)
2. State SurcharQe. ** Add the State Building Code Division a Minimum Fee of(S .�Ol
Y.000s � 1. a S
(contract price) (minimum S.�0)
3.PostaQe and Handlina(Only mail-i�: applicalions) $ 1.50
4.TOTAL PERl�IIT FEE (Add lines 1-3 above) $ 3 7. �S
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for th�permitted work includin�
materials,labor,profit,and other fised costs.It is the amount to be charged to the customer for the�voric done. If any material,
equipment,labor,or installation is fumished by the owner,tenant or any other parry 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 thzre is a dispute on the amount of
the job cost,the City may request the submission of a si=ned copy of the actual contract.
'•The STATE SURCI-L4RGE is.0005 of the contract price under$1,000,000 or S.SO-whichever is greater.For valuations over
$1,000,000 call the Department of Inspectional Szrvices for the price.
The undersigned hereby applies to the City for issuance of a vtechanical Permit,agrees to do all work in strict accordance�vith
the ordinances of the City and the regulations of the Niinnesota State Building Code,and certifies that all statzments made on this
application are complete,true and correct.
Applicant's Sianature: � ��I� Date: ��`��
Approved By: Date:
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SYSTEM DESC�tIPTION
HEATING SYSTEMS
Quantity: � .
Make: �. l t/)n O k. _ _ -- . . .
. Model: (�SO 6b0"�Sf
FueL• I?or�' ,
, 3„
Flue�'Size: �
Input BTUs: ���)�
out�uc sTus: � I�1°� °�o
cF�: I
COOLING SYST�MS
Quantity:
Make: �
Model:
Tons:
H.Power
FIREPLACES
❑ Gas factqry fireplace
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model Na
VENTILAT�
No. Kit hen Exhaust duct recalculating cfm
No. Ba h Exhaust(must have duct outside) cfm
No: Ot er Fans: Locations cfm
FUEL STORAG�(MUST BE APPROVED BY FIRE MARSHAL)
il
❑ Installation or ❑ Removal
❑ Fuel oil: �_gallons � underground ❑ inside ❑outside
❑ LP Gas: �allons
❑ Other Gas opening
2
.
DATE T
� CITY OF ORONO cn��eo iN ���
' INSPECTION NO C SCHEDULED �t�_�— �
PERMIT NO. ����� COMPLETED
j ADDRESS 3 I�S •�Gt/�?1 L�1�7tJ1�/lwY L L
�' OWNER CONTR. � P/
; TELEPHONENO. (�P�� 7I� lI 7S ,<�o✓'�a-->
� DESCRIPTION �
01 FOOTING 11 MECHANIC 18 EXCAV/GRADING/FILLING
02 FRAMING ECHANICAL FINAL 19 LAKESHORE/WETLANDS
03 INSULATION 24 RNER/FIREPLACE 34 TREE REMOVAL
04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
W DEMO-SITE 27 SEPTIC MAINL 21 COMPLAINT
07 DEMO-FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL ' /�j� � 35 HARD COVER REMOVAL
10 PlUM81NG FINAI � '"'R" 'n 36 FOU ATIOWREMOVAL
OWNER/CONTRACTORTOMEETYOU:_YES NO ' �OI.CK �('j U �`. p
COMMENTS:
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IW WORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECTYVORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
, INSPECTOR WILL RETURN
I ❑CITATION ISSUED
D STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CA1LT0 ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952) 249-4600
OwnerlContra or si :�
Inspector. ��
White Copyllnspector's File Canary CopylSfte Notice