HomeMy WebLinkAbout2008-P12048 - mechanical ' � PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12048
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
5/8/2008
SITE ADDRESS: 1749 North Farm Rd uuic#
Long Lake,MN 55356
PID: 27-118-23-41-0003
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Pernvt Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
Heating,Cooling&Ventilarion
FEE SUMMARY: Pemut Fee: $ 125.00 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: Master Heating&Cooling OWNER: Mr. &Mrs.Quiram
4963 70th Avenue 1749 North Fann Rd
Loretto,MN 55357 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 ISSUED BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
. , ; ,
FOR CITY USE ONLY
4�� City of Orono
O O P.O.Box 66 Date Received: Permit#
9,�,,� 2750 Kelley Parkway ��
'� � Crys[al Bay,MN 55323 Approved By: Amount$:
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�����,`�.�o (952)249-4600 � � �
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits musC be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiYs by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut 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, design temperatures, equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All wark 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply)
�"Residential ❑ Commercial(Approval Required)
�
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
i
Site Address: � ��c( �' o r�� �c%✓'w� �
Owner:��.� `,�c�C�� �'�(� ��rG� Mailing Address:
City: Zip:
Home Phone: Altemate Phone:
Contractor Information:
Contractor: �����'� 1�2�.��,n���v�i'�ContactPerson: �rvf�-- ��`�`1F'�
Address: �'r1�� 70� �UZ. State Bond #: ���1- S(v �.4 `7 '?
City: �-�re-�� Zip:�S�S Expiration Date: �'2�'-C%�S
Phone: 163�Cl�" 7�'s�:S� Alternate Phone: 6i2-Z.4� - ��S'�;� Cz<<
❑ Insurance-Current: �
1
• � � � .
HEATING SYSTEMS
Quanrity: �
Make: C6►��or"f'hnaKer�
Model: C�/1/1�Q �s�
Fuel: N�+ �S
Flue Size: 2�� �v C--
Input BTUs: SQ�00(S
Output BTUs: ����
CFM: I ���
COOLING SYSTEMS
Quanrity: �
Make: CONn�t�I�er
Model: G 2 a"� �Z-4'
Tons: �
H.Power �
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.: �
VENTILATION
� No. � Kitchen Exhaust k duct recirculating �0 0� cfin
Q No. Z, Bath Exhaust(must have duct outside) � cfm
No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: <<��"C,�e� �r^k��
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2
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I PERMIT FEE CALCULATION(S) ',
� � � BASED OFF - 2002 STATE STATUE � �� ��
❑ 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; excludin�the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Maii-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERN��'�t',"F�� �,�.L�� ,TION(S)—JOBS OVER$500 O(� '�„ �`' F�.
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
'� �OU� x.0125 $
�(contractprice) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-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
pernutted 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 installations 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 permit fee ptuposes. 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 Building Department at(952)249-4600 for the price.
,��'�� �' � °�� �CHAIVICAL PERMIT APPLI��,��� "M���T�';� ���,�
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
•� v�AJ1.J�f/'\ J
Applicant's Signature. ��� Date: �`— ��
3
/ J CT'� ' DAT TIME �
CI OF ORONO LLED IN � g
INSPECTION TICE SCHEDULED �
PERMIT NO. � V � COMPLEfED
ADDRESS � /
OWNER CONTR.
TELEPHONE NO. L� - �� ' 7—
� DESCRIPTION � � ��1- �
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. O FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET U:_YE � NO r
��., COMMENTS:
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RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑COFtRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE4UiRED.CALL TO ARRANGE ACCESS.
Call for the next r�spect'o 24 hours in advance. (952) 249-4600
OwnerlContractor on `
Inspector.
White Copyllnspector's File Canary CopylSite Notice