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HomeMy WebLinkAbout2001-P03590 - mechanical PERMIT CITY�F ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po3s90 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 3iai2ool SITE ADDRESS: 1729 North Farm Rd LONG LAKE, MN 55356 P I D: 27-118-23-44-0004 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,100.00 State Surcharge Fee: $ 0.55 TOTAL FEE: $ 35.55 APPLICANT: Fireside Corner OWNER: Al Hirsh 2700 N Fairview Lane 1729 North Farm Road Roseville,MN 55113 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 CI'IY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUII,DING CODE REQUIREMENTS. �� � %�/_."> ..� �L;�(' G,7)'1 i"L i': ' APPL CANT PERMITE I A URE ISSLTE BY SIGNATURE Copies: City,Applicant,Assessor,Finance Page 1 r � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 � GENERAL INFORMATION 1. �'ou 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. �Iechanical 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, 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 accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call 249-4600. 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 249-4600. Please check one: �New Addition Repair Replace � Residential Commercial JOB SITE: - lLr,�„ va�� Zip: Owner's Name: Telephone Number: Mailing Address: City: Zip: , Contractor's Name: �e ires e Telephone Number: Mailing Address: License #20090911 City: Zip: 2100 N.Fairoiew Ave. SYSTEM DESCRIPTI�eville,MN 55113 /633-2561 HEATING SYSTEMS I Quantity: � Make: 6 G� Model: ��.1�� Fuel: (�)��p Flue Size: - Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � � .:;t �'". ''�r� �:�fi -�-.. �. <e� '` .�..' „� „� � � '�r r f� � �� 7 � � �� =-G 1 � 1 / FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations 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 1. 1.25% of Contract Price* or Minimum Fee ($35.00) f���.�-, x .0125 $ �;«� -c ntract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. 1(��3 �, � x .0005 $ , s� »� or $.50, whichever is greater (contracc price) �� � '' �,,,.: 3. Postage and Handlin� (Only mail-in applications) $ `�� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :�ss� * 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 t`'` rice for ermit fee u oses. In the event that there is a dis ute on the amount of the ob cost, the Ci ma �~ P P P rP P J n' Y 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 certi�'i�s that all s atements made on this application are complete, true �-` and correct. Applicant's Signature: �°� ,� Date: 7 �,, Approved By: Date: ��- � ,,; ,. ,, , , � F ro: � :�5i Y �� h l��..+ ,«��:..c�... ..�x'S_., �..x _ ._ .., 4...w�2�.., 4 a E t`.:�,.. . _ .. ..., .... _ . _...� .. . . �.,�_d:.., .�..w.., . .. �x, . ,.._� , .. �. .i ��.o..r�.a�E.�§ul'�:..._.,...&.niLYa� ✓ DATE TIME CITY OF ORONO CALLED IN �-1 a -U 1 I o�.' 13 �M INSPECTION NOTI SCHEDULED 3`�3 'U I ��1 PERMIT NO. �.3:ScLU COMPLETED � � ADDRESS i�a g 1V /-��M �6�'� OWNER CONTR. ���'� S iC�(�. C���'�1t�.� TELEPHONE NO. �S / Cs�5'� �=CD � � DESCRIPTION /` T �r �� Y��ct C'� � 01 FOOTING �TT MECHANICAL RI 18 EXCAV/GRADING/FILLING �-.__.._---' Q 02 FRAMING 13 MECHANICA�FINAL 19 LAKESHORE/WETLANDS � 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 O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � �O�VIMEA�TS: - , r � a i `1 C,��'?�(L`' ..�C� ���' ��� '✓ L e c:t � � � ' � � ' J �yi' G�.' . � � P L � } � 0 � w � Q � Z W � W k j d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED `- ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. - pHOTO TAKEN INSPECTOR WILL RETURN �l STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED Cl INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-460� OwnerlContractor on site: Inspector.�Gfirfi f/C�) White Copyllnspector's File Canary CopylSite Notice