HomeMy WebLinkAbout2004-P07507 - mechannical GITY' OF R PERMIT
� � �N� permit Number:
2750 Kelley Parkway- PO Box 66 P07507
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: siigi2ooa
SITE ADDRESS: 649 Minnetonka Highland La
Long Lake,MN 55356
P I D: 06-117-23-44-0005
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 137.69 Valuation• $ 11,015.00
State Surcharge Fee: $ 5.51
Misc.Fee: $ 1.50
TOTAL FEE: $ 144.70
APPLICANT: Air Mechanical(See Comments) OWNER: Living Trust Swantek
16411 NE Aberdeen St 649 Minnetonka Highland La
Ham Lake,MN 55304 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.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Auulicant, 1-Monthlv Revorts, 1-Assessine, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHAIVICAL 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 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 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,desi�n 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 permit must be
obtained.
5. All work must be done in accordance with the Unifonn 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 submitted before final.
Instructions
Complete all iterns 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 �,,_,_R�l���_..=
�Reside_ntia__ l _.� Commercial
JOB SITE: ' ������ �i�� /% Zip:
���/'6�'-s Name: � ' y Phone Number: �f} - � —« �'J
L> Mailing Address: 7 City: _ Zip:
Contractor's Name: .�{� /� .� Phone N mber: /U��"t",�5� _//`y� ��y'fJ
Mailing Address:/' f' City: �Zip• ���� �
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: _�
-� ' � )
Make: -
�^.
Model: � ��L�
Fuel: �_
Flue Size:
Input BTUs: � �
Output BTUs: _�����
CFM:
COOLING SYSTEMS
Quantity: �_
Make: i �,�
Model:
Tons: �_
H.Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
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 followin�
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or(ess;excludin�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 Surchar�e $ 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($35.00)
j!� �;1�`. ��s X.oi2s $ 15 `l ����,
(contract price) (minimum$35.00)
2. State SurcharQe. *" Add the State Building Code Division a Minimum Fee of($.50)
� - �'� x .0005 $ .f' �='�
(bontract price) (minimum�.50)
3. Posta�e and Handlin�(Only mail-in upplications) $ 1.50
J7
4. TOTAL PERMiT FEE(Add lines 1-3 above) $ �• j�
*CONT'RACT PRICE or JOB COST means the actual or estimated dollar amount cUarged for Uie pennitted work
including materials,labor,profit,and other fixed costs.[t is the amount to be charged to the customer for U�e work
done.If any material,equipment,labor,or installation is furnished by the owner,tenant or any oUier party the
reasonabte market valae of such items must be added to the estimated cosi or contract price for permit fee purposes.In
tlie 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 acwal contract.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-�vhichever is greater.For
valuations over S 1,000,000 call the Depariment of Inspectional Services for the price.
The undersigned l�ereby applies to the City r issuance of a Mecl�a+dc�i Pqnnit,agrees to do all work in strict
accordance with the ordinanc of it►e Ci the tegulations of the M� sota State Building Code,and ce 'fies that
all statements made on tlu pplication complete,true and 'or�ct�
Applicant's Signature; -�+�- Date: y �
�
Approved By: Date:
ResetForm
� � � D - TIME �
CITY OF ORONO CALLED IN �=�_�t(
INSPECTION NO I E SCHEDULED ��� �
PERMIT NO. � COMPLETED
ADDRESS � rIR.- CGc. r
OWNER CONTR. S_
TELEPHONE NO. '(S � o�7f� S�-�
� DESCRIPTION
� 01 FOOTING 1 MECF�4NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL 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 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 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑COFRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CANDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46��
OwnerlContr o 'te:
Inspector.
White Copy/lnspector's File Canary CopylSlte Notice