HomeMy WebLinkAbout2003-P06757 - mechanical � " PERMIT
�;ITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po6�s�
Crystal Bay, Minnesota 55323 Pet'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: ioisi2oo3
SITE ADDRESS: 2765 Kelley Pkwy
I.ong Lake,MN 55356 .
; �.�y � ���_�e���
PID: 33-118-23-12-0002 f D. P[�K 6b �r��R
,�����ys��t�l &i�� �t .,.:�s�.s
t95�1��t3-•#��rt�
DESCRIPTION: it��U8it�3 t�:�: �.:
;
i C�ast�xaer: PU615?
Proposed Use: Commercial-Busines I �Ek�1T5 -• 1i�t�ERAL
Pernut Class: General � tias�� Fael � U•�y �=i�
� 1@ 1317.5� �31i.` anical Items
Pernut Type: Mechanical Pernuts "�'.ar� Review
i � �.��u n, .
��.��i1 ir� Fee� � �
1 � l.�t� 1.":
DETAILS: a;ate Su�^i�harge
l � 5�.lt1 5c.7�.:
Approved per resolution#: ; lA� Charge '
� 1 � U.Ut} u.Gu ,
Separate permits required: { InveStigatic+n Fee
� 1 C� f.}.��{} {�,1)U
�
''i�1Bi6TAL l.a 3!i.�'`;
TRX U.;,' —
NOTICES/REMARKS: r�1T(ll- SALE 1 371.-
r�heck Received �3i1. ��
i �.�ItaNG� t�,�}
� i��Bl;# (�? TRANS# 2t7��
FEE SUMMARY: Pernut Fee: $ 1,317.50 Valuation: $ 105,400.00
State Surcharge Fee: $ 52.70
Misc.Fee: $ 1.50
TOTAL FEE: $ 1,371.70
APPLICANT: Allan Mechanical,Inc. OWNER: City of Orono(Vacant Land)
7875 Fuller Road P.O.Box 66
Eden Prairie,MN 55344 Crystal Bay, MN 55323
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.
,
,_���.�liC ✓�/1�.
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Annlicant, 1-Monthlv Reports, 1-AssessinQ, 1-Finance Page 1
�_
, �, -- , . � ���� 5 �
- � - -- - � .
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2 750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFpRMATION
1. You may apply for mechanical permits by mail or in person at the City offices.Applicarions will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent byreturn mail after a review is completed. PERMITS ARE NOT VALID
UNTII.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.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 pernut 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. �iouse 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 0 Residential ❑ Commercial
JOB SITE: � 1 Zi {� 3�!n
Owner's Name: 2 p N�O °' p� -
Pho umber:
Mailing Address: �Q City: n,�d� Zip:�5��/f,
Contractor's Name: �Q,�a,,,` �y�,� ;-�,�_ pbone Number: 5 - 93 — 3 ' q
Mailing Address: 7 Q"15 �-u..QQo�c. /�Q C�ty• " � Zip• S53<�
1
,. . _� ,
5 .
SYSTEM DESCRIPTION .
HEATING SYSTEMS
Qu�,ri�: �.a..�sz �..�.�y 1� - IM - �
Make:
Model:
Fuel:
Flue Size:
Input BNs:
Output BTUs:
CFM:
COOLING SYSTEMS '
Quantity: �
Make:
Model: � '
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove� .
❑ Wood stove with flue
Brand Name Model No.
VENTILATION .
No. Kitchen Exhaust duct recalculatin efm
No._�Bath Exhaust(must have duct outside) (�80�3�v cfm `
No.�_Other Fans:Locations_ l� c�
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHpI,)
❑Installation or ❑Removal
❑Fuel oil: gallons ❑underground ❑inside Doutside
❑LP Gas: gallons .
❑Other Gas opening
. , 2
" ' ' . - II ��� . ��.0�75�
. �
��v� � �
�
� Z� y .
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Appiies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to elech-ical or gas service.
2) Has a total cost of$500.00 or less; excluding 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 $ I 5.00
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
'�/o5��{Oo'
105.4� x .oi2s $— ( 17 S�
(contract price) (minimum 535.00)
2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ 501
/b�:4�v x .0005 $ S� � "
(contract price) (minimum S.50)
3. Postage and Handling(Only mail-i�: applicatioi:s) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � 3 � � 7°
'CONTRACT pRICE or]OB 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 parry the reasonable market value of suc}i 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 price under S1,000,000 or S.50-whichever is greater.For valuations over
51,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the Ciry 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: � ���_u
Date: o
Approved By: Date: �U U3 �3
; 3
DAT TIME V
CITY OF ORONO CALIED IN �a'� �
INSPECTION NOT CE SCHEDULED �a-"� 03 .� .�D M
PERMIT N0. 5' COMPLETED �
ADDRESS
OWNER CONTR.
TELEPHONENO. I�/��Cl� o2L0.��
� DESCRIPTION
� Ot FOOTING MECHANICAL RI 18 EXCAV/GRADING✓FILLING
Q 02 FRAMING 13 CAL FINAI 19 LAKESHORE/WETLANDS
y 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 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
ti COMMENTS:
o� /�
a k��G� G�a,li� /�- �,
J
O
a
�
O
�
W
�
Q
�
2
W
�
W
�
�
,
� Q�ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W'CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance. (g52) 249-4600
OwnerlContractor
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
✓
DATE TIME
CITY OF ORONO CALLED IN 3 �� �v`J
INSPECTION NO CE SCHEDULED ��-" �'`� / ; �4 ti�
PERMIT N0. �� �� r _S7 COMPLETED
ADDRESS -�ICrf7 �" ,�1, .. }� ���:�._.,
OWNER CONTR. � �� %�`�ti' �
TELEPHONE N0. ��' � �i ��1 U �Ct�J� �/
�
� DESCRIPTION ' �-`�`� ��- I c� �� �-�-'
»
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �13�1�'i CAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/'25 WOO�RNER/FIREPLACE 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
� 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
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
�
a C �►'� �:� �C i.���:V1 f U C;��,+� ri.0 � —�
� �
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next i�spection 24 hours in advance. (g52) 249-4600
OwnerlConUactor a�si e:
: ,
Inspector. ~�
White Copyllnspector's File Canary CopylSite Notice