HomeMy WebLinkAbout2006-P09809 - mechanical PERMIT
CiTY�OF ORONO
2?�0 Kelley Parkway- PO Box 66 Permit Number: P098o9
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued: 5/2/2006
SITE ADDRESS: 1709 North Farm Rd Unit#
Long Lake,MN 55356
P��� 27-118-23-44-0006
DESCRIPTION:
Proposed Use: Residential
Permit 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: $ 154.25 Valuation: $ 12,340.00
State Surcharge Fee: $ 6.17
Misc. Fee: $ 1.50
TOTAL FEE: $ 161.92
APPLICANT: Ditter Inc. OWNER: Mr. &Mrs. Randy Rosengren
820 Tower Drive 1709 North Farm Rd
Medina,MN 55340 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 SUED BY S[GNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, l-Assessing,(IfSeptic, l-Septic) Page 1
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i ITY OF ORONO APPLICATION FOR MECHANICAL pERMIT �' � ��� ` �
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' Page 1 of 3
C11"�aF ORONO APPLICATION FOR MECHAIVICAL PERNIIT
�3oa 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 revieweti and a
permit will be issued within two working days.
2. Permit cards will be sent by retum mail after a review is completed.PERMIT'S qRE NOT VALID UNTIL YOU
RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,TI�pERNIIT CAR.D IS pOSTED ON TI�JOB STTE.
3. Mechanical Designs-Complete calculations,deta.ils and spec�cations are requir for each heafing,ventilat�on,
umidification-dehumidification,and air conditioning installation including heat loss/hea#gain calcula.tion,design
temperaiures,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 obtaitted.
5. All work must be done in accordance with tl�e Uniform Mechanical Code/State Building Code requirements. . �
6. All work rnust be inspected(rough-in and final). Call(952)249-4600.24-hour notice required.
7. House Heating Test Record must be submiited before fina1.
Iastructions
Complete all items on this application. Compute the permit fee. Sign and da.te 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
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JOB SITE: . .� ' `v �/� �'C'�'1�l� ��C��, ZiP= ���7�
O�wner'sName. - v� PhoneNumber: `��_��- ^ � �
MaiIing Address: ; `- � Ci
_ Zip:
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Contr�ector's 1'�a�e:� - � Phone 1� �6�er: �,j`� 7`� ���r�`�
16�aiiing A,ddress: ' Ci �/ T
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SYSTEM DESCRIPTION
AEATING SYSTEMS
Quantity. �
Make: � �� )( � � ��
t� E'
Model: �`��� f n� � �� �`�'~' � � �
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�' /� �,I j���- ��
Fuel: �,�� � �
Flue Size: ��,��-- �
�� �,_ �
Input BTUs: �� , —��
_ �
Output BTUs: i' - C_�
c�Nc: . � ;� �; ��_.
l.l l Y Vt' VKVIVV HYYLlI,L-�11V1V t'VK N1bl.t1A1V1l;AL Y�KMl l Yage 2 0,�3 �
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COOLING SYSTEMS �
Quanfity:
Make: `�
Model: .� ��? � ����
Tons: �
H.Power
FIREPLACES
as factory fireplace
W urning factory fireplace with flue
Wood Sto
Wood stove with ue -
Brand Narne Model No.
VENTILATION
,� No. Kitclien Exliaust duct recalculating cfin
�'�o: —�a�k-� ust(must have duct outside) ��n ,
No. Other Fans: Loca i ��
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
`�._
Installation o Removal
Fuel oil: gallons undergro ' ide outside
LP Gas: gallons
Other Gas opening
PERNIIT FEE CALCULATION(S)
2002 State Statute Yes This Section 1�SppGes
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 app(iance:
and
3) Is improved, insta.11ed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
I�aTove�oes notapply, o low gui e ines e ow:
1. Coatract Price* is.O l25%of joU with a Minimum Fee of($35.00) r�
--------- �, �'�—� �"
��� � � x.O125 $ �
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(contract price) (minimum$35.00)
2. State Surcharge. '�* Add the State Building Code Divisia�,a Minimum Fec of(�.50) )�
_- ---
t�.---_...__-�---- ---
1 ' � -� �� x.0005 �� ��
�i! lf Vt' VKV1V V HYYL1l,H 11V1V t'Vi�1V1�l,rif�lVll,HL Y�K1V111 Yage 3 of 3
� � (contract price) (minimum$.50)
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3. Postage and Handling(O�zly mail-in applications) $ ( 1.50
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4. TOTAL PERNIIT FEE(Add lines 1-3 above) � $ � �
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*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 is 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 permit 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$I,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 accor nce with the ordinances of the
City and the regulations of the Minnesota State Building Code,and certifies that all statements made on is appiic ion are complete,true and
correct. , J
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Applicant's Signature:�_ __ _____ Date: i" _'�� ____
Approved By: --------- - Dat : _-- --
file://C:\Documents%20and%20Settings�mimi\Desktop\CITY%200F%200RON0%20APPLICA... 7/31/2003
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DAT /,��� TIME
CITY OF ORONO CALLED IN � �J`�
INSPECTION NO , �, SCHEDULED _��� �G��C)�`vl
PERMIT NO. � �� COMPLETED
ADDRESS /�7C�� ��U�f� l �x/�/2� ��,
OWNER CONTR. �:�f��� ��C .
TELEPHONE NO. �Q I�t �CP I �yC� /
� DESCRIPTION ��F.'dL�.'�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMWG 13 MECHANICAL FINAL___ 19 LAKESHORE/WETLANDS
y 03 INSULATION 2 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: .� ' �P� ��/N/�('('S
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W WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CI�RRECT WORK,CALL FOR REINSPECTIOtJ TEMPORARY
� BEFORE COVERING
PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (JSZ� 24J-46��
Owner/Contractor on site:
Inspector. S
White Copyllnspector's File Canary CopylSite Notice