HomeMy WebLinkAbout2000-P02210 - mechanical � � ` PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : P(�aa f�
Crystal Bay, Minnesota 55323 Date Issued: 02/Ol/00
(612) 249-4600
SITE ADDRESS: 550 Oxford Road
Orono, MN 55356
H.N.B.
OS-117-23 41 0026
DESCRIPTION: Mechanical
3 Heating Systems Make Lennox
2 Air Conditioning Make Lennox 3 Ton
6 Ventilation Kitchen, Bath, Dryer
REMARKS:
FEE SUMMARY: Valuation $22,100
Base Fee $276.25 MAIL IN FEE 1.50
Surcharge 11.05 Total Fee $288.80
$287.30
CONTRACTOR: Kleve Heating & AC OWNER: Steiner& Koppelman
13075 Pioneer Trail
Eden Prairie, MN 55347
THE UNDERSIGNED HEREBY REQUES"f P�RM�[SSION�TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND
AGREES TO DO ALL WORK [N STRICT COMPLIANCE WIT�I ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA����BUILDING���CODE REQUIREMENTS. ���
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APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERNIIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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 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 sepazate building pemut 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 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.
INCOh1PLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, cali 249-4600.
Please check one: � New Addition Repair Replace
�_ Residential Commercial
.ros srrE: 550 O x�o r d �Zo o,d zip: 55 3Slo
Owner's Name: S _I ma�n Telephone Number:
Mailing Address: J�S 3y(�M inne on kA BI�C� .City: `�r ��� Zip: �S 3G I
Contractor's Name: K�e.�� }-�-�-p, , � �/C Telephone Number: ��i - y a��
Mailing Address: 1�a'1 s P;�n ee r Tra i l City: ��{e n P�a i�i e_Zip: SS�y'�
SYSTEM DESCRIPTION ,;. _ .<. , :. , �, , � ;,
HEATING SYSTEMS
Quantity: ( I l
Make: 1 .Prr1o?� Lennol�_ Lo Pri�� l�
Model: ;��l�Q 3/y �lDu C�alo G131y- LDO Fu�rnarP
Fuel: P{p,�. Go,S �0,.-E-. GGS Nca.�. `:;�0.s
Flue Size:
Input BTUs: 1;�,_), ��G ' ��70,OOd Ib0;0:��:�
Output BTUs: �`
CFM:
COOLING SYSTEMS
Quantity: � �
Make: �.,.P.�q�10 X L�2YLr1�X
Model: !a I�CO 3to l a K1C0 3(0
Tons: 3 3
H. Power
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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.
VENTILATION
No. � Kitchen Elchaust ducted recirculating cfm
No. �! _ Bath Exhaust (must be ducted outside) cfm
No. �_ Other Fans: Locations p r v e f cfm
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�'"u'�Eti.. S����E (MUST BE AFFRG v ED BY FIIt� i���RSHA;,�
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price* or vlinimum Fee 35.00
c� 10 • x .0125 $ c.��(p . aS
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. � cZ c�� i L)0 •d D _ x .0005 $ � �. Q B
or $.50, whichever is greater (contract price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 01�SFS . �SO
* 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 an��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 pernut 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 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: / �� c-�- `��.�__. Date: J-a(p-00
Approved By: �_� ���--- Date: � ' 3� � tv
DATE TIME
CITY OF ORONO CALLED IN �S-`/'o�
INSPECTION NOTICE SCHEDULED �� � Z� �'C�
PERMIT NO. connP��Eo ' '�� �
ADDRESS �s� �xtGre� ���'
OWNER CONTR. ��G
TELEPHONE NO.L15�/ " `��-C I
� DESCRIPTION
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q02 FRAMING 13 MECHANICAL FINA� 19 LAKESHORE/WETLANDS
� 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 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 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
Q OWNERICONTRACTO T M Ei YOU: YES_NO
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d ❑WORKSATISFACTORY:PROCEED �- PROJECTCOMPLETE
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� �ORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY
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O C7 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ' CITATION ISSUED
u INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. 249-46�0
OwnerlContr tor on site:
InspectorJd�/ )
Whiie Copylinspector's File Canary CopylSite Notice