HomeMy WebLinkAbout2000-P03266 - mechanical � � PERMIT
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2750 Kelley Parkway - PO Box 66 Permit Number: Po3266
Crystal Bay, Minnesot�� 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: lt�ls�2o
SITE ADDRESS: �36� North Arm Dr
nTouT���, MN ss3�
PID: 07-1 l 7-23-41-0054
DESCRIPTVON:
Proposed Use: Resicl�ntial
Permit Class: General
Permit T e: Mechanical I'crmits Permit Sub-type(s): Heating Systems
yp Air Conditioning
Ventilation
DETAILS:
Approved per resolution #:
Separate permits r�quired:
NOTICES/REMARl�S:
FEE SUIVIIIIIIaFtY: i�����„�r i ��: $ 125.00 Valuation: $ 10,000.00
S�at: Sur�i��irge Fee: $ 5.00
T07 AL FEI;: $ 130.00
APPLIGANT: LEGLND Fl�,n��ING & A.C. CO. OWNER: L A& L L JAKUBIEC
10010 SUND�INCE ROAD 1368 NORTH ARM DR
CORCORi1\, ?��I'�� ��374 MOiJND MN 55364
THE LJNDERSIGNLD HER[:131' I:L:OUGSTS PERMISS[ON TOMAKETHE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL \VUK[� IN STRICT COMPLIANCE WITI�ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA [3UILD1�'G CODE REQUIREMENTS.
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APPLI _�1N"I'P�, P.11"Il'I{Sli� A�I�l'I:E ISSUEDBY SIGNATURE
Copies: Citv. i�pplicant. As�,c��,��r. ��rance Page1
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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 2 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 Designs - 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 permit must be obtained.
5. All work must be done in accardance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House 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 473-7357.
Please check one: New Addition Repair Replace
� Resident' Commercial
JOB SITE• 'k � i i(� L,��� (�� �� 1 Zip:
Owner's Name: L�T.� Telephone Number:
Mailing Address: �j 7��- ��C City; w��.c;'1�-t,- Zip:
Contractor's Name: -e C,- Q �(-{ f .}l;Telephone Number:
Mailing Address: City; Zip:
SYSTENI DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: �
Model: � �1�-iG�
Fuel: N�'�(;,�
Flue Size: '3 "
Input BTUs: 1 O�,t;�•
Output BTUs: �iZ, C�..'�' .
CFM: t�J
COOLING SYSTEMS
Quantity:
Make: `�,
ModeL• �j
Tons: "Z. �2
H. Power �
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
VENTILATION
No. � Kitchen Exhaust � ducted recirculating cfm
No. Bath Exhaust (must be du ted outsid ) � cfm
No. Other Fans: Locations ���u� �� �,� cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or Minimum Fee ($35.00)
1 r C c.
��� x .0125 $ � �-5 y�,
�tract price)
2. State Surchar�e. "* Add the State Building Code Division -
Surcharge to each permit. x .0005 $ �� �v
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � j��, �"
* CONTRACT PRICE or JOB 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 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 purposes. 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call 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: C�- Date: �'L
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Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE , SCHEDULED
PERMIT NO. ��6 COMPLETED `� �
ADDRESS �� ��
OWNER CONTR. c
TELEPHONE NO.
� DESCRIPTION
LL 01 FOOTING ANICAL 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL 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
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlCont� ron site: A
Inspector. l ��'� ��I f
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALL 3-___I� ��"��
INSPECTION NOTI E SCHEDULED _� O'O ��'1
PERMIT NO. COMPLETED 2d� 3a
ADDRESS I 3��� �n2.Trl � � (�2 �
OWNER L�f�Cp���C�7 CONTR. �..�9�d1 c� �'I�1 -
TELEPHONE NO��2 � 7 2 73 C.L' �
�- DESCRIPTION �����N' F� ��4 �--
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L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOflECOVERING PERMANENT
� CORRECTl1NSAFECONDITiONWITHIN HOURS. pHOTOTAKEN
INSPECTOR WILL RETURN
C STOP ORDER POSTED.CALL INSPECTOR GTATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContr tor on sit -
,-
Inspector. � '" ' �
White Copyllnspector's File Canary CopylSite Notice