HomeMy WebLinkAbout2005-P09011 - mechanical r � PERMIT
CI�fY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09011
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
7/27/2005
SITE ADDRESS: 285 Leaf St Unit#
Long Lake,MN 55356
PID: OS-117-23-14-0001
DESCRIPTION:
Proposed Use: Residential
Pernvt Class: General
Permit Type:
Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00
State Surcharge Fee: $ 1.50
TOTAL FEE: $ 39.00
APPLICANT. B&C Plumbing OWNER: Mahnaz Aghamirzai
990 Sth Ave SE 285 Leaf St
Hutchinson,MN 55350 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.
i
__.. ..._._ C7'h�./titit,
PLIC T PERMITEE SI ISSUED BY SIGNATCTRE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
' - FOR CITY USE ONLY
. - ,��� City of Orono
P.O.Box 66 Date Received: Permit#
��;,.�, � 2750KelleyParkway
�a ��i �;�;':_ Crystal Bay,MN 55323 Approved By: Amount$:
��'�t t��l�`����`� ��sz�z4�-4�00
sexo�'
CITY OF ORONO -MECHANICAL PERMIT
(All Commercial pennits must Ue approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical peniuts by mail or in person at the City offices. Applicatious will
be reviewed and a permit will be issued within two working days.
2. Pernut 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 Designs—Complete calculations, details and specifications are required for each
heating, ventilation,hunudification-dehunudification, and air conditioniilg 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.
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 inust 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 Ap ly)
[�Residential ❑ Commercial(Approval Required)
�
❑ New ❑ Additional �Repairs ❑ Replace ;ti
Job Site/Owner Information:
Site Address: �v �� L �/-�/= S J'
Owner:/�If3N/U�Z �Gf�p�-r�/1r1.�}/ Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: /��`� /�L.�'>�-f-f�T� Contact Person: ���
Address: �`` �°�` �f.��� State Bond#: I�-L�--d5S2b3 �
City: ����/�s��'o�� Zip:��3s� Expiration Date: 9-3- O,S'� �
Phone: 31a�-23Y �Po�� Alternate Phone: 3�v- �'z� . Y4•`S�
❑ Insurance-Current: f'!� (�2.��-yS;
_ 1
, ,
. . � _ .
MECHANICAL SYSTEMS BE1NG INSTALLED 1 -
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM: �'
;'�
COOLING SYSTEMS ��
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
'""fi ❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. � Kitchen Exhaust duct recirculating cfm
❑ Iv'o. 3 Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
�_- Other:
GAS LINE ONLY
'`,��� ❑ Outdoor Grill ❑ Other/List What&Where:
�
.�: ,
�. �
_ . _ .
> � �
4 , r
��__��.,�_ , . :i,. _�. . . .�_. ,.._. . . :� .v_,�._ - .:: , . ._ . .. ..,.._��_�. J,. ... , .. ...�.��_.._ _..,_.�_�..�,..,�.:..��:�_�..��
� . .
� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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 elecri�ical or gas seivice.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and �
3. Is improved, instalied or replaced by the homeowner or licensed connactor. -
�
Skip next section, if this applies; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 '
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of conn�act price with a(Mininmm Fee of$35.00)
�`�� S�C�C� � G` x.0125 �
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��G '�x.0005 $
� (contrac price) (minimum$ .50)
i;e'3
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual 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 the customer for the work done. If any material, equipinent, labor or installations 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 pernut fee puiposes. 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.
■ **Tl�e STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREEMENT :�
�..::�-;F�
..
The undersigned hereby applies to the City for issuance of a Mechanical Pernlit, agrees to do all ,-;
work in strict accardance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all ten,1ents made on this application are complete, true and
correct.
!
i` '
, f'
Applicant's Signature: Date:
;:`:;
��
3 -x
;:�
,
, �
. . .. ... . .. . . . . .. . . . . . ., ,, ... .��.�.. . y:.. ... .. . .. . ... ..� .... _ . � ...-_ � .,�... . ..,.:.�a.,..,. . ... , .:,. _;:�._. .,.:.-. _, ,..,
�� � D TIME ✓
CITY OF ORONO �ALLED IN a'
INSPECTION NO SCHEDULED �� � �= �
PERMIT NO. �9��� COMPLETED
ADDRESS �� L��'���
OWNER CONTR. �
TELEPHONE NO. �Z� Z 3 � (P'�l O D
� DESCRIPTION �Q"`S '`""� ������e���
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 't3�MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBI �— 36 FOUNDATION/REMOVAL
� OWNERI NTRACTOR TO MEET YOU: � ES_NO
� COMMENTS•
a � 1�
�
�
0
a
�
0
�
W
�
Q
�
2
W
�
W
�
�
�
O
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDiTIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (J52� 249-4600
OwnedCon s te:
Inspector.
White Copylinspector's File Canary CopylSite Notice