HomeMy WebLinkAbout2000-P02788 - mechanical PERMIT
C I T��O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 Po2�ss
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: siai2000
SITE ADDRESS: 405 Oxford Rd
LONG LAKE,MN 55356
P ID: OS-117-23-41-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Single Family
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 212.50 Valuation: $ 17,000.00
State Surcharge Fee: $ 8.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 222.50
APPLICANT: Kleve Heating&Air OWNER: F DENNISON SHAW JR ETAL
13075 Pioneer Trail 405 OXFORD RD
Eden Prairie,MN 55347 LONG LAKE MN 55356
TI�UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMI'ROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.,DING CODE REQUIREMENTS.
��. ��-'�
�' LI �`TC.�i� I D BY SIGNATURE
Copies:City,Applicant,Assessor,Finance � Page 1
� g �
� o �
. ��
CITY OF ORONO APPLICATION FOR MECHANICAL PERM�T
Box 66 (2750 Kelley Parkway) �� 7�Q�
Crystal Bay, MN 55323 ;� '��J�ONO
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 retum 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. 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 witn the Uniform Mechanical Cade/Sta:e Bui:din� 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 pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair Replace
Reside ial Commercial
30B SrrE: �D C�X �t Q,�,d �iP�y���r�
Owner's Name• Telephone Number:
Mailing Address: • City: Zip:
Contractor'sName: � 3 � TelephoneNumber:�I -ya�I
MailingAddress: ; � City:���;r;,..Zlp'-��,y-'7
SYSTEM DE5CRIPTION
HEATING SYSTEMS
Quantity: �
Make: ;IP r
Model: s'-(�h
Fuel: , �r.4��
Flue Size:
Input BTUs: ���
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: � P h,noT_
Model:
Tons:
H. Power _
_
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. _� Kitchen E�aust � ducted recirculating cfm
No. �_ Bath E�chaust (must be ducted outside) �_ cfm
. No. Other Fans: Locations cfm
�au.t
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 ($35.041
��7�.� x .0125 $
-ontract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. �5J'�_�ypn .,M x .0005 $
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ aa� .� L
* CON'I'RACT PRiCF_.or JOB COST means the actual or estimated dollar amount chareed 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 aze 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 pemut fee purposes. In the event that there is a dispute on the amount of the job cost,
the Ciry 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. .
Applicant's Signature: Date: �
Approved By: Date:
DA E T�ME
CITY OF ORONO CALLED IN �U- ��� �
INSPECTIO TIC - SCHEDULED �D^C� O-`
PERMIT NO. � coMP�ErEo — ' �
ADDRESS v�� � ���
OWNER CONTR. t'�-i�'`�
TELEPHONE NO. �� I � ���
� DESCRIPTION �-�" �S� c� ���� I� I�
l� 01 FOOTING 11 MECHANICAL RI � 18 EXCAV/GRADING/FILLING
� 02 FRAMING 43 MECHANICAL FINAL ` 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FfNAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
Z
� COMMENT :
W � �C�1� 1�
a �
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d �IORK SATISFACTORY:PROCEED C PROJECT COMPLETE
W
� C� CORRECT WORK R PROCEED f`� ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL FiETURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContractor on site:
Inspector.�����( ��--5
White Copyllnspector's File Canary CopylSite Notice
DATE TIME `v/
CITY OF ORONO CALLED IN �� '� 5 �
INSPECTION IC�1���� SCHEDULED �b:�7-�v d , `o c�
PERMIT NO. � COMPLETED 7`�— �
ADDRESS �G S �' x��' '��
OWNER CONTR. � Z Z � ��
TELEPHONE NO. � ���" �� ��
� DESCRIPTION --
� � 18 EXCAV/GRADING/FILLING
l� 01 FOOTING 11 MECHANICAL
� 02 FRAMING 13 MECNANICAL FINA� 19 LAKESHORE/WETLANDS
ti
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Q OWNEHICONTRACT TO MEET YOU: YES_NO / /
� COMMENTS� r �UIL/�' , SS G'�' D��-� /i��?
z -(� � �.�-
a C�GC. S S S��"� S' � �� ��
��, ,,�, � � � y� .
o �� � � � �r � �� e
� �t • ��
o ir �/ _ c.�.
� •
� � � (:�., L�C�C,-�,��'►1 � h,-e s
Q
�
Z
W
�
W
�
�
d ' PROJECTCOMPLETE
W ❑WORK SATISFACTORY:PROCEED
� ❑CORRECT WORK&PROCEED : ISSUE CERTIFICATE OF OCCUPANCY
W
O�ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V EFORECOVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WILL RETURN CITATION ISSUED
C STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlContrac on site:
Inspector. "''��� '-�
White Copylinspector's File Canary CopylSite Notice
DATE �,aTIME
CITY OF ORONO CALLED IN Il " Z � �''�'�
INSPECTION NOTI SCHEDULED " ; U
PERMIT NO. COMPLETED ���
ADDRESS UOS dX��
OWNER CONTR. t`� ��uf'
TELEPHONE NO. ��Zc2 " Cs���/3
� DESCRIPTION ���'+e Sfi `''� Wf3�s�.,�� �rl MuSf��— �:��1-, .
lL 01 FOOTING ECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 ME L 19 LAKESHORE/WETLANDS
�
Q 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
J 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
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
w
a
j � � �Y
O �
a
�
O
�
W
�
Q
�
Z
W
�
W
�
j
d�WORK SATISFACTORY:PROCEED �-� pROJECT COMPLETE
W
� ❑ CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. i; PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ` CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlContrac,i�r on site:
Inspector. �'`"�&J"�� �
White Copyllnspector's File Canary CopylSite Notice
/ �ATE TIME
c�. �
CITY OF ORONO CALLED IN
INSPECTION �TI�{� SCHEDULED �, � ���
PERMIT NO. �.�` COMPLETED
ADDRESS ��'�
OWNER CONTR. �C.�'elJ�_
TELEPHONE N0. �7�1
� DESCRIPTION
ly� O1 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING ECHANICAL FI 19 LAKESHORE/WETLANDS
ti
Q 03 INSULATION R/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
Q
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMME S:
� � ���_ � C'� E�C��-Y�� C �.
j
� C,�' I� Ce j�' _ \ �'�5
''2 � � � ✓ � u�
�
0
�
W
Q � t'I �l �'G Z� c � �1
� � ,
Z
W
�
W
�
j
a
� ❑WORK SATISFACTORY:PROCEED I ' PROJECT COMPLETE
W ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ORRECT WORK,CALL FOR REINSPECTION TEMPORARY
�EFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. pHOTO TAKEN
INSPECTOR WI�L RETURN
C STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
OwnerlCon�a r on site:
Inspecto�!�� l�-'f�✓��/���
White Copyllnspecfor's File Canary CopylSite Notice