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Home My WebLink About2005-P08674 - mechanical Ik • PERMIT CITY OF ORONO 2750 Kelley Parkway- PO Box 66 Permit Number: P08674 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/3/2005 SITE ADDRESS: 795 Old Crystal Bay Rd N Long Lake,MN 55356 PID: 28-118-23-34-0003 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: Orono Ice Arena FEE SUMMARY: Permit Fee: $ 100.00 Valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 TOTAL FEE: $ 104.00 APPLICANT: Indoor Comfort Systems,Inc. OWNER: Orono School Dist No. 278 21646 Thames St NE 795 Old Crystal Bay Rd N Wyoming,MN 55092 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. /4-1 g 7 OM 11) APPLICANT PERMITEE SIGNATURE / ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Required), 1-Applicant. 1-Monthly Reports. 1-Assessing. 1-Finance Page 1 1 4 FOR CITY USE ONLY City of Orono O�43% P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway ,fir Crystal Bay,MN 55323 Approved By: Amount$: �° (952)249-4600 4 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) ❑Residential Commercial(Approval Required) ❑New Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: /6CS a Id- C / riEgokAif Owner:_ Z Are. i Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:1rt 0C- 41 grJ '64 ontact Person: an/Y S Address: (72/6 / S CL-State Bond#: ,/10/f/;-/cf City: Zip- Z Expiration Date: r Phone: (.00 l `/6,2- .92-93e1 Alternate Phone: Cs--/ -75-s-- Nle/8 cid ❑ Insurance-Current: 1 MECHANICAL SYSTEMS BEINQ INSTALLED HEATING SYSTEMS r Quantity: / f Make: {�c ) �f(O"r l ?$Q/4f Model: Fuel: Flue Size: Input BTUs: 4VC6 0V Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace El Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION O No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) O Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 =PERMIT FEE CALCULATTON(S BA.SED-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;excluding 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 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ : .:PERMIT FEE CALCULATION(S)=-JOBS;OVER$500:.00 A If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract �/, price with a(Minimum Fee of $35.00)a OO x.0125$ lW (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) e(6q0 19-' 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 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 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 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 Building Department at(952)249-4600 for the price. MECHANICAL PERMITT.AEPLICATIONAGREEMENT,. 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. Applicant's Signature: j' Date: 3 c)11 CALLED IN I t/CITY OF ORONO 4g TE� TIME INSPECTION 1Y;' q`i IC ;� c •S 7. SCHEDULED -/tQS 9:30 4DDRESS ERMIT NO. (j / COMPLETED /�/1205. cV C^/�G,f1- LC. ,eL ' Al/V ' OWNER l�''/Grt & �/ CONTR./`1e 0/ TELEPHONE NO. 457 7s-S-- 74 T F I, • DESCRIPTION , ,„,.#4,44..- / LU 01 FOOTING 11 f ECHANICAL RI .4 18 EXCAV/GRADING/FILLING Q 02 FRAMING • CHAO • INAL 19 LAKESHORE/WETLANDS V/ 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 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 IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc 0 5- cc 0 U. W cc Q coW Z W cc 2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR Li CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ext inspection 24 hours in advance. (952) 249-4600 OwnerlContl�a�c�r site: Inspector. , akill White Copy/Inspector's File Canary Copy/Site Notice PERMIT FEE CALCULATION(S) »,,.. ..BASED OFF -2002STATE 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;excluding 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 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ g �` �.. ." rCALCULATIONS)—JCBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) * 16, 000. co x .0125 $ 200. (0 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) 11., 000. C)0 x.0005 $ 8.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 20°/.SC) • * 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 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 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 Building Department at(952)249-4600 for the price. Y C '• : ERM1T APPLICATION AGREEMENT 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. Applicant's Signature: Date: /0-,Z 5 -L 6, Reset Form 3