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HomeMy WebLinkAbout2005-P08385 - mechanical PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P08385 Crystal Bay, Minnesota';55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1/27/2005 SITE ADDRESS: Orono Orchard Rd N Long Lake,MN 55356 PID: 35-118-23-33-0004 DESCRIPTION: Proposed Use: Residential 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: $ 162.50 Valuation: $ 13,000.00 State Surcharge Fee: $ 6.50 II TOT FEE: $ 169.00 APPLICANT: Bergman PI iibingInc. OWNER: Michael&Deborah Benedict 21181 Xeon 25 Orono Orchard Rd N Jordan,MN 15352 Long Lake,MN 55356 THE UNDERSIGNED HEREBYQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WO IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF M S•TA BUILDING CODE QUIREMENTS. C614-- V APPLICANT PERMIT SIG •TURE ISSUED BY SIGNATURE Copies: 1-File(Siinitures Required), 1-Applicant. 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 Or - 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 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. 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(952) 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 (952) 249-4600. Please check one: New ❑ Addition ❑ Repair ❑ Replace Residential Commercial JOB SITE: aS OCO" (C C Zip: Owner's Name: '4e `3 v\i z tC.l Phone Number: Mailing Address: City: Zip: Contractor's Name: 3e# 9 T/ one Number:K) —3 d (e31 Mailing Address: (l cr( 19n 4,,f City: O --10`," 9--• Zip: �5 1 ? illb " iF �. i.. 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Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) 13) 6o0. vJ x .0125 $ (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handling (Only 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 installation is 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 an. the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,tru.. .nd correct. Applicant's Signature: Date: pp ' � / Approved By: Date: 3 3 / � T TIME • CITY OF ORONO F28.5 CALLED IN / ` �` �� °" INSPECTION NOTICE SCHEDULED f lad/oy •, PERMIT NO. "OK-1-1-1 COMPLETED / ADDRESS (: Ur 0 f ) ( ) or 404'A/ OWNER CONTR. �l TELEPHONE NO. 95c 0� — 37 9 .3:: DESCRIPTION ''. 1 / /OOP /'- - 01 FOOTING / " 1T MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORENVETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 $EWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 gEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct lzy 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL ‹.--- OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q CC 0 >. CC 0 U. W CC Q toW Z W CC d W2 WORK SATISFACTORY:PROCEED ClPROJECT COMPLETE W 17CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY O CICORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 nexinspection 24 hours in advance. (952) 249-4600 Owner/Contractcsit : Inspector. ..'v al White Copy/Inspector's File Canary Copy/Site Notice I V `DST ,- TIME CITY OF ORONO CALLED IN 1 INSPECTION NOTICESCHEDULED I.2 (�� 70:00 64,1 ,Y PERMIT NO. U 83s COMPLETED ADDRESS 0 5 OQ UNG 6 cif LrcQ e€,. /c/ OWNER CONTR. ,&fjr44a.r?L TELEPHONE NO. O. .. 00 3 3 1... DESCRIPTION LL, 01 FOOTING 18 EXCAV/GRADING/FILLING cr 02 FRAMING le••- -• `CAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 2•/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 1. WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 1• SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 2 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 1- SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 2 • SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL I 36 FOUNDATION/REMOVAL IC Z OWNERICONTRACTOR TO MEET YOU: YES_NO vi, COMMENTS: cc W Q. cc 0 cc 0 W CC Q IQ `W Z W CC o 2 WORK SATISFACTORY:PROCEE IIIPROJECT COMPLETE W ElCORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY 1:1)0 CICORRECT WORK,CALL FOR REI SPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION VIIITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerIContract�n$ite:_ Inspector. Al CI.Alak White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 3/'l'i C) /0-CO PERMIT NO. PbR3g5 COMPLETED ADDRESS 25 ©rckl 0 Or it / N OWNER CONTR. Ji TELEPHONE NO. 9 8,? • DESCRIPTION cf4I21efijA �i r 4, 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 ME HANICAL FINAL 19 LAKESHORE/WETLANDS ci) 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 SEP-IC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEP-IC INSTALL. 22 FOLLOW-UP 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 O cc O U- LU W W CC d ❑WO SATISFACTORY:PROCEED C PROJECT COMPLETE W ❑ RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY CORRECT WORK,CALL FOR REINSPEFTION TEMPORARY j 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 ext inspection 24 hours in advance. (952) 249-4600 Owner/Con r site: Inspector. White Copyllnspector's F e Canary Copy/Site Notice