HomeMy WebLinkAbout2004-P07363 - mechanical � PERMIT
' CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po�363
Crystal Bay, Minnesota 55323 Permit Type: 1v�echanical Permits
(952) 249-4600 Date Issued: aisi2ooa
SITE ADDRESS: 380 Leaf Street
I.ong Lake,MN 55356
PID: 04-117-23-23-0027
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 357.50 Valuation: $ 28,600.00
State Surcharge Fee: $ 14.30
TOTAL FEE: $ 371.80
APPLICANT: Heating&Cooling Two Inc. OWNER: �thony Thomas Homes
18550 County Road 81 4100 Berkshire Lane
Maple Grove,MN 55369 Plymouth,MN 55446
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT'S SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PE T IGNA URE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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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 Uy return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�is- 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 4
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must Ue 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 suUmitted before final.
Instructions :__ , . r >, , ;
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: � �� L eA-d"� ' Zip:
Owner's Name: Phone Number:
Mailing Address: CiTy: Zip:
Contractor's Name: ' ��1�''` Z Phone Number: r�.3 �� -�� �,
Mailing Address: � l CiTy: `"J (�, Zip•�'��(o �
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SYSTEM DESCRIPTION •
HEATING SYSTEMS
Quantity: !
Make: �� !J �`''Z GlrC�a-> i3D����+�
ModeL• c3 (' !t t�
Fuel: /U�'7 � /f-J,q-�
Flue Size: ��� ��-' ,3 �� ��
Input BTUs: �� v d p ��, ��' �
Output BTUs: �. ��'
CFM: �b--6��
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COOLING SYSTEMS
t� Quantity: �
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�� Make: ���/L .��`
' ' ModeL• ��3�
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t$;
�;: Tons:
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;� FIREPLACES GAS LINE ONLY
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� ❑ Gas factory fireplace [�Installing a Gas Line Only
�<:: ❑ Wood burning factory fireplace with flue
��t ❑ Wood Stove
- ❑ Wood stove with flue
-- Brand Name Model No.
VENTILATION
No. itchen Exhaust duct recalculating ��fm
No.�Bath Exhaust(must have duct outside) j cfm
No. Other Fans: Locations cfm
;�- FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
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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; 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 $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below: '��;i
,Y:`
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�� �� � �`�' x .0125 $
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $
(contract price) (minimum$ .50)
3. Posta�e and Handlin� (Orily»zail-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 permitted work inciuding
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 fumished 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 purposes.Tn 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.
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**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$1,000,000 cal]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 all statements made on this
application are complete,true and correct.
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Applicant's Signature: Date: � d i°�
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Approved By: Date: �;
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DATE TIME
CITY OF ORONO CALLED IN ��S e'�
INSPECTION N TICE, SCHEDULED � � / �l —��
PERMIT N0. �j -� COMPLEfED
ADDRESS��'� �e S f
OWNER ��n��;� 7�-n�-�i CONTR. ���-?=1,s_ � ��--�{�-� 7u�z
TELEPHONE N0. �/�- ��� " S 5!� 7
� DESCRIPTION � l« � '�'
� Ot FOOTING 1 MECHA� 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTO(i TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
O CORRECT UNSAFECONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR W{LL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor o
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME
CITY OF ORONO CALLED IN �'�3� ��`1
INSPECTION NO E SCHEDULED ��� `�� PM
PERMIT N0. ?� COMPLETED
ADDRESS � �-�-� ��
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OWNER CONTR.
TELEPHON E NO. �% %Z ld' cS�� /i C�O O�
� DESCRIPTION G� � ��r�� -� ����-�-�
1� 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 HANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 0.3 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES j NO
h COMMENTS:
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W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next i pection 24 hours in advance. (g52) 249-4600
OwnerlContr s e:
Inspector. `
White Copylinspector's Ffle Canary CopylSite NoNce