HomeMy WebLinkAbout2001-P04679 - mechanical CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: P04679
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 1130/2001
SITE ADDRESS: 685 Old Crystal Bay Rd N
Long Lake,MN 55356
PID: 33-118-23-21-0002
DESCRIPTION:
Proposed Use: Institutional
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: $ 1,515.00 Valuation: $ 121,200.00
State Surcharge Fee: $ 60.60
TOTAL FEE: $ 1,575.60
APPLICANT: Rouse Mechanical OWNER: Orono Public Schools
7320 Oxford St. 765 Old Crystal Bay Rd N
St. Louis Park, MN 55426 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 BU DING CODE REQUIREMENTS.
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AP IC TPERMI SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Siinitures Reauired). 1-Applicant. 1-Monthly Renorts. 1-Assessine. 1-Finance Page 1
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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 accordance 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 B PROCESSED. If you have questions, call 473-7357.
Please check one: New Adds n Repair Replace
R •dential Commercial ��, I
JOB SITE: F 5 p t� C �/ $1r�t k,a�� Cj S 3 9 3
Owner's Name: ® o h o 5 c knob I D,S"ie VT1ephone Number:
Mailing Address: I5 o (6- L,r v.0 0 C&k Tity: Zip:
Contractor's Name: 5 e_ M% Ltnc vl% (e. I Telephone Number: 9 Sa
Mailing Address:-7 9 a,C) o kGo c 5+ City: 5 Lv s fax Pip: .5'S a�
SYSTEM DESCRIPTION
HEATING SYSTEMS l
Quantity:
Make: /"ft7ZF 1 erl IZl.OrZ
Model: yq ItYeO07 B/1-7- 10
Fuel: fts
Flue Size:
Input BTUs: D. c2c.,0
Output BTUs: 13 5-, av0
CFM: 2
COOLING SYSTEMS
Quantity: 1
Make: C�I2/e rz /_A-2z&rZ
Model: !/S tLi -00c? 3S 11 X5/3
Tons:
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) Freestalnding Masonry
Wood.Stove (s) in, other
Brand Name Madel No.
Mfgr's Min., Clearances, side , rear�, min. flue dia.
VENTILATION
No. Kitchen Exhaust duct d recirculating cfm
No. _L Bath Exhaust (must be ducted outside) ?'-� cfm
No. _ Other Fans: Locations 6,90 cfm
FUEL STORAGE (MUST BE APPROV19D BY FIRE r✓lAtCJHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
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PERAM FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) v o
12 , Zo 0 x .0125 $
(contract price)
2. State Surcharge. ** Add the State Buildi Sode Division
Surcharge to each permit. /Z/, We x .0005 $
or $.50, whichever is greater (contract rice)
3. Postage and Handling (Only mail-in applications) $
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 15-7-5'-
CONTRACT
5- 7 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, equ4nnent, labor, or installation are furnished by the owner,
tenant or any other party the reasonable market va ue of such items must be added to the estimated cost
or contract price for permit fee purposes. In the eve that there is a dispute on the amount of the job cost,
the City may request the submission of a signed py of the actual contract.
** The STATE SURCHARGE is .0005 of the colct 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 i suance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances o the City and the regulations of the Minnesota
State Building Code, and certifies that all statemen made on this application are complete, true
and correct.
Applicant's Signature: Date:
Approved By: Date:
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED -Qa (?,'3 0 �'L1
PERMIT NO. 100 -7C/ COMPLETED << CA
ADDRESS U 1 (*2T5'17k_-1 ""OU
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OWNER CONTR. RL,�-e -4t C l .
TELEPHONE N0. —/&:i 4,q�l 7E562 „b C 411_�, k,
DESCRIPTION
01 FOOTING 11 RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_No
COMMENTS:
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WORK SATISFACTORY:PROCEED ,ieFROJECTCOMPLETE
5 ❑CORRECT WORK&PROCEED F-1ISSUECERTIFICATE OF OCCUPANCY
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i pection 24 hours in advance. (952) 249-4600
Owner/Contrac
Inspecto .
White Copylinspector's File Canary Copy/Site Notice
Y DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. COMPLETED
ADDRESS c
OWNER CONTR.
TELEPHONE NO. 7C0 -`��� TU Q_
DESCRIPTION '4�y
1 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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Wcc WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 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/Contractor on site:
Inspectol
White Copylinspector's File Canary Copy/Site Notice
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NCPU ��-�n SCHEDULED
PERMIT NO. I '{ _I COMPLETEDZ = 3,
ADDRESS (0)N_ 60 1Skj &,ti,
OWNER ISL a" CONTR. KmAs
TELEPHONE NO. —J t M �_4 ce -t03` 439-1�G ,
DESCRIPTION PfA r �� s(J
L4 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 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 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
OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
QCLU
CL
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O
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W
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Q
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ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN p 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/Contrac r on site:
Inspector. --0
White Copy/Inspector's File Canary Copy/Site Notice