HomeMy WebLinkAbout2005-P09122 - mechanical PERMIT
CITY,OF ORONO
2�5(� Kelley Parkway- PO Box 66 Permit Number: P09122
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
8/29/2005
SITE ADDRESS: 1925 Lakeview Ter Unit#
Long Lake,MN 55356
P��� 27-118-23-42-0014
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 158.94 Valuation: $ 12,715.00
State Surcharge Fee: $ 6.36
TOTAL FEE: $ 165.30
APPLICANT: Horizon Contractors,Inc. OWNER: Joe Lemmerman
8197 Horizon Drive County Rd 18
Shakopee,MN Delano,MN 55328
THE UNDERSIGNE H BY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA B CODE REQUIREMENTS.
APPLICANT EE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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FOR C[TY USE ONLY
� ,���, City of Orono
O. O P•O.Box 66 Date Received: Permit#
t 2750 Kelley Parkway
.
a j��r�. � Ciystal Bay,MN 55323 Approved By: Amount$:
�'� ��,����.$o �9sz�z4�-a�oo
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CITY OF ORONO-MECHANICAL PERMIT �'�
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENER.AL INFORMATION
1. You may apply for mechanical peinuts by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pemut cards will be sent by retui�i mail after a review is completed. PERMITS ARE NOT
VALID UI�rTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations, details and specifications are required for each
heating,ventilation,hunudification-dehunudification, and air conditioning installatioil 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.
4. When any new consriuction or remodeling is uivolved, a separate building pernut must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code ?,�
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requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600. '�
(24-48 hour notice required)
7. House Heating Test Record must be subnutted before final. �_
TYPE OF PERMIT
(Check All That A ly) `�
,�esidential ❑ Coitunercial(Approval Required) �
.;`�
s,;
�'New ❑Additional ❑ Repairs ❑ Replace °.
;.
Job Site/ Owner Information:
Site Address: �9„�5� � �'o�r���i � C'(��z UZ
Owner: ��/�S Dy J O P����"�� Mailing Address: G��t��✓r I'�-° � ���.
T- ��:;��n��
City: �/�]�c7 DC�GC� ��� , Zip: �53�
�f�r�e Phone: 6/0�o7�G ' 7�f� 7 Alternate Phone:
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Contractor Information:
Contractor: ��/ZC.�� ��n�r17aC�YS�r'LContact Person: / �� I�.�c �"�� �'
'i�
Address: 0197 f�IZvy��- State Bond #: ��
City: Zip: �5�� Expiration Date: �� �
Phone: ,��o�"s� /aa� Alternate Phone: �1/On� -
❑ Insurance-Current:
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MECHANICAL SYSTEMS BE1NG INSTALLED r
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HEATING SYSTEMS
Quantity: �
Make: � t r Q f(Q '
A
Model: F� C 00 C/6 `<:
Fuel: /v��X _
Flue Size: .3���Qa..�z�J( -
Input BTUs: l�(��OfJO \ V
\/ �� �1�
Output BTUs: R�C�QO J �
� v i_��`�
'� ,s
CFM: / ��v � / �
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COOLING SYSTEMS �1
\
Quautity: /
Make: �(t�r,,(�a�te _
—� ;:�
�a; �;
'f� Model: F��g� C7 ya K
r.� ;
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To��s: �
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H. Power �
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FIREPLACES
¢ �; ❑ Gas Factory Fireplace i
❑ Wood Bunung Fireplace
, ❑ Wood Stove
�;� ❑ Wood Stove With Flue
t:�
;,<r:
Brand Name: Model No.:
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k'�; VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Ea:haust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
��� FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
°Gr'.
❑ Installation ❑ Removal
��.
4� Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
t`;" LP Gas: gallons �;
Other: �
s�' GAS LINE ONLY
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� ❑ Outdoor Grill � Other/List What&Where: /'(f G�C.��-Q- : ����►�
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. PERMIT FEE CALCLJLATION(S)
BASED OFF - 2002 STATE STATL7E
❑ 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 elechical or gas service.
2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and �x�
3. Is improved,installed or replaced by the homeowner or licensed conhactor. �f'
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Ski�next section, if this applies; Cost of Permit $ 15.00 �
State Surcharge $ .50 ;
Mail-In Fee(If Applicable) $ 1.50 `:;�
Total Permit Fee $
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PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
��i ��Sr L�� x.0125 $ ;;i;i
(conh�act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) a;
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x.0005 $
(contract price) (minimum� .�0) i`
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3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the achial or estimated dollar amount charged for the
pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to flie customer for the work done. If any material, equipment, labor or installations are fiu-�iished by
the owner, tenant or any other party, the reasonable market value of such items inust be added to the
estimated cost or contract price for pernut fee puiposes. In flie 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 Building Departinent at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT
,:,�
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the inances of the City and the regulations of the State of
Minnesota, and certifies that all ments made on this application are complete, h-ue and
correct. �
Applicant's Signature: Date: � 9�� �'
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�I �� � DATE TIME �/
CITY OF ORONO CALLED IN _Z��
INSPECTION N TIC SCHEDULED � /5�-4 , ��10 v1
PERMIT NO. COMPLETED
/1 G -�
ADDRESS �`�v7� � -�c,C e:j�Yo,�✓ %��!G�f-EZ--.
OWNER CONTR. /Z��.
TELEPHONE NO. ��/o� -��� ���
� DESCRIPTION
� 01 FOOTING �ANICAL 18 EXCAV/GRADING/FILLING
Q 02 FRAMING � FINAL 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 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector. r �,�����
White Copylinspector's File Canary CopylSite Notice