HomeMy WebLinkAbout2002-P04760 - mechanical PERMIT
I W OF O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P04760
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1/3/2002
SITE ADDRESS: 4119 Oak St
LONG LAKE,MN 55356
PID: 06-117-23-41-0110
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICESIREMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,700.00
State Surcharge Fee: $ 0.85
Misc.Fee: $ 1.50
TOTAL FEE: $37.35
APPLICANT: Kleve Heating&Air OWNER: Kleve Heating&Air
13075 Pioneer Trail 13075 Pioneer Trail
Eden Priaire,MN 55347 Eden Priaire,MN 55347
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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PLICANT PERNUTEE SIGNATURE JAUE613Y SIGNATURE
Conies: 1-File(Sienitures Reauired). 1-Annlicant.1-Month1y Reports.1-Assessine. 1-Finance Page 1
RECEIVED JUL_ 1 0 2001
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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 Desiens - 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: _10rew Addition Repair Replace
Residential Commercial
JOB SITE: L} Ik ec Zip:
Owner's Name: nL _Telephone Number: q51•qT o L,,CW
Mailing Address: y I I q ( Q� Smejj City: Q �� Zip: 5<3 („
Contractor's Name: V/ C_ 1xic Telephone Number: qS-,-�► 9�l•�/.�;��
Mailing Address: J�p7` .Ojn t� >?hD City: ip:
SYSTEM DESCRIPTION
HEATING SYSTEMS I
Quantity:
Make: ��Qn►No�C
Model: G 50 aq An Is
Fuel:
Flue Size:
Input BTUs: 0o6
Output BTUs: 3(:;0
CFM:
COOLING SYSTEMS
Quantity:
Make:
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 ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfrn
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)
1700 "` x .0125 $ 0
(contract price)
2. State Surcharize. ** Add the State Building Code Division
Surcharge to each permit. J'7pp=' x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 7•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
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 $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. l
Applicant's Signature: 1Date: /a -A7 P/
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED - O' 30
PERMIT NO. PCI V7 &Q COMPLETED -' -
ADDRESS q//q
OWNER 22,�, �sCONTR. 17:1,)
TELEPHONE NO. �/ c7S 9 ,F0 9,;, ,-) of
3Z DESCRIPTION
01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANI FINAL 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 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
LUT 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:2YES_NO
COMMENTS:
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0V/ORKSATISFACTORY:PROCEED ' [�ROJECTCOMPLETE
cc W( ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OC.) BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Cont r -Ior on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice