HomeMy WebLinkAbout2007-P11498 - mechanical PERMIT
CI-I�Y OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11498
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/26/2007
SITE ADDRESS: 500 Oxford Rd Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
In floor tubing and boiler
FEE SUMMARY: Pernut Fee: $ 125.00 valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
TOTAL FEE: $ 130.00
APPLICANT: MMH Plumbing OWNER: Albin&Susan Nelson
3060 62nd Street 500 Oxford Rd
Waverly,MN 55390 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.
�.�-- ����,--
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR CITY USE ONLY
' City of Orono
' O�O�O P.O.Box66 Date Received: Permit#
�.� �ry;,,,,,, 2750 Kelley Park�vay
. .� '�i`��f};_ � Crystal Bay,MN 55323 Approved[3y: Amount$:
�������":�o` (952)249-4600
t,��
CITY OF ORONO —MECHANICAL PERMIT
(All Commercial pennits must be approved Uy tl�e Building Ofticial or Inspector and/or Pire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permiCs 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 RECEIV�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 fornl provided.
4. When any new consh�uction 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: ��d O � �-� r � �� 0 �0��
Owner: `S; � �- ���u r i,U� JS��, Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �/N� Vh �( �1�v����7 l��'�"ontact Person: �� � �- �� �� �
Address: 3 b�� � 1 � � S� 5✓ State Bond #: Ca `�� y �S 5 `�d'
City: `-����� �-( Zip: SS 3y�xpiration Date: 1 � .1-�jG $
Phone: _� � ) �- 3 � � - � $y� Alternate Phone:
❑ Insurance-- Cui-rent: ,j���_f ; �u� C.�w , �Y
1
MECHANICAL SYSTEMS BE1NG TNSTALLED . ,
NEATING SYSTEMS � �
� Y
q C � r ` t L � �Q``�� S� S�,.k- �
Quantity: UU . \�� `_�� 1 h `C�Dv� h�K�' �""p��"�
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CPM:
COOLING SYS'TEMS
Quantity:
Make:
Model:
Tons: �
H.Power —
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTII.ATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outsidc) cfm
❑ No. Other Faus: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: ballons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallous
Othcr:
GAS LINE ONLY
❑ Outdoor Grill ❑ Otl�er/List What&Where:_
2
.
�,. ' PERMIT FEE CALCULATION(S)
4 BASED 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. YIas a total cost of$500.00 or less;excludin�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 Pernut $ 15.00
State Surcllarge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS �VER$500.00 �
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of conhact price with a(Minimum Fee of$35.00)
�v f�t;�C� x .0125 $
(con[act price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50)
x .0005 $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMI'T 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 fiirnished 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 peimit fee pu►poses. In the event that there is a dispute on the
amaunt cf t�e jo� cast, t�e City may reqaest the subinissi�r. of a sibr.ed cop; �f±h? 3Cl?lu! c�i?tract.
■ ** Tl�e STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHA1vICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with thc ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, t�-ue and
correct.
�—
A�plicant's Signature: ��`- �i � Date: � � �G ���7
3
O� �D9ZE� TIME
CITY OF ORONO CALLED IN ��ro
INSPECTION N ICE SCHEDULED �" "� •��
PERMIT NO. / COMPLETED
ADDRESS s�� D�� /`�E�
OWNER CONTR. �m� p�-�-
TELEPHONE NO. � �a .3(O 3 • b�D d
� DESCRIPTION � ���� �
W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
ti
O 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
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
j o� - M,. �/t. ,�l'6 l l� ��,5�'evLi
0
�
a
0
�
W
�
Q
�
z
W
�
W
�
�
d
W� ORK SAT{SFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT •
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. J ' �J �
White Copyllnspector's File Canary CopylSite Notice