HomeMy WebLinkAbout2007-P11505 - mechanical . PERMIT
� CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p115o5
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued:
9/28/2007
SITE ADDRESS: 500 Oxford Rd Unit#
Long Lake,MN 55356
PID: OS-117-23-41-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General ��
Mechanical Permits Permit Sub-type(s):
Permit Type: Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 100.00 Valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
TOTAL FEE: $ 104.00
APPLICANT: Aerostar Heating and Air OWNER: Albin&Susan Nelson
871 22nd Street 500 Oxford Rd
Buffalo,MN 55313 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.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATU
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� FOR CITY USE ONLY
, � ¢O�O City of Orono �/p- �
P.O.F3ox 66 Date Received: `Lo Permit# �_
� ��,ry:.,� 2750 Kelley Parkway
' .� �`li�u�'� �� Crystal Bay,MN 55323 Approved I3y: �l� Amount$:_�
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial perniits inust be approved Uy the Building Ofticial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechauical pernuts 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 R�CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TNE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installation including
heat loss/heat gain calculation,design temperah�res,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on fornz provided.
4. When any new consnziction 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 subnutted before final.
TYPE OF PERMIT
(Check All That Apply)
�Residential ❑ Corrunercial(Approval Required)
❑ New �Additional Repairs ❑Replace
Job Site/ Owner Information:
SiteAddress: ��� �X-�vr�( ��
Owner: 5�C N��`x,� Mailing Address: �v� ��''�"� 7S� G��
City: (� (�U 1�1 C% Zip: �5 -�5 (�
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Home Phone: � �—�7,� ' �� `1 � Alternate Phc�ne:
Contractor Information:
/� d ���'
Contractor: �1 C�o s�a f �� (ti�;^' "'� Contact Person: /��..-�{. w��►�I u-�°�
Address: �� � ��^"Z S f S w- State Bond #: R L T - 5 3 �y�ol
City: ��f�`�,� Zip: S5�13 Expiration Datc: ��' �ov `��
Phone: �G 3 �g`� � � 3� Alternate Phone: ,� 1��- � 3 `1 /� y
❑ Insurance— Cuirent:
1
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HEATING SYSTEMS �J�r��� �
Quantity:
L�5.5�'"�
Make: �►K;'�C.
Model:
Fuel:
Flue Size:
Input BTUs: ��o�b v�
Output BTUs:
CFM: �ou o
COOLING 5YSTEMS
Quantity: /
Make: Ccc�r i�� �
ModeL �y � �
Tons: �
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Buming Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
��y;g�i�
❑ No. Kitchen Exhaust duct recirculating cfm
[✓� No. 3 Bath Exhaust(must have duct outside) �cfm
�', No. �_ Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
�Lrc FI4G'(
❑ Outdoor Grill � Other/List What&Where: Tv �v�"`�
� � ��},�,-c �
2
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1 '
, PERMIT FEE CALCULATION(S)
� BASED OFF -2002`STATE STATUE
❑ Yes,this section applies
The replacemeut of a Residential fixture or appliance that meets all tlu-ee of the following requirements:
1. Does not require modification to electrical or gas seivice.
2. Has a total cost of$500.00 or less;excludin�the cost of the fixh�re 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 -�
If above does not apply;follow guidelines below:
1. CONTRACT YRICE *is 1.25°/o of conhact price with a(Minimum Fee of$35.00)
��� x .0125$ ���
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��v�� y
X .000s $
(contract price) (minimum$ .�0)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
4. TO"I'AL PERMIT FEE(Add Lines 1-3 Above) $ l U�!i U 'Q-t'o O
■ * CONTRACC PRICE or JOB COST means the actual or estimated dollar amotmt 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 conh�act price for permit fee puiposes. In the event that there is a dispute on the
amaun. cf;he job cost, the C:ty may reqaest the subrriission ef a sibned copy of the achial CQS1C1'2CC.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHATIICAL 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 the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, h-ue and
correct.
v/ � � -� -O
A� licant s Si ature: l,4i�2� Date: � g
}P b�
3
�'/ DAT� TIME �
� ITY OF ORONO CALLED IN
INSPECTION NOT SCHEDULED l��
I ,.,c L�l,��
PERMIT N0. �� l:'=� COMPLETED
ADDRESS �OO l J ��rQl I
OWNER CONTR._�f n ��"Z"Lr
TELEPHONEN0. � I � ��,�)�I C��� ���
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� DESCRIPTION ���• �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROGEED ❑ PROJECTCOMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on site:
r
Inspector. � , f � � �
White Copyllnspector's File Canary CopylSite Notice