HomeMy WebLinkAbout2003-P06325 - muchanical � ' PERMIT
C�TY �F �R�ND Permit Number:
2750 Kelley Parkway- PO Box 66 P06325
Crystal Bay, Minnesota 55323 Permit Type: Me�t��i�al Perr�its
(952) 249-4600 Date Issued: 5/15/2003
SITE ADDRESS: 550 Pazk La
Long Lake,MN 55356
PID: 06-117-23-41-0099
DESCRIPTION:
Proposed Use: Residenrial
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 184.38 Valuation• $ 14,750.00
State Surcharge Fee: $ 7.38
Misc.Fee: $ 1.50
TOTAL FEE: $ 193.26
APPLICANT: Wenzel HVAC OWNER: Karen Duenow
4131 Old Sibley Memorial Hwy. 550 Park Lane
Eagan,MN 55122 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 SIGNATURE
Conies: 1-File(SiQnilures Required), 1-At�alicant, 1-Monthlv Reuorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, NIlv 55323
GENERAI, 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 Designs - Complete calculations, details and specifications are required for each heating,
ventilation, hurnidification-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 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 permit 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
�l/' Residential Commercial
JOB SITE: �. Zip:
O�mer's Name: c Telephone Number:
Mailing Address: � „�c - City: Zip:
Contractor's Name: e,+�Z p�L Telephone Number: �� -�S� -��
Mailing Address: �I���d� S�1 ,� p,��,� '4�.� � City: �� Zip: Jv�„. - SSI��
C�ry�.-� ; r2;r.k Ir�,
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: '�'��,,h�
Model: Tv�(�Oc�c
Fuel: ��
Flue Size: � "
Input BTUs: ' /pC�,oav
Output BTUs: ��,pd��
CFM: ��,�
COOLING SYSTEMS
Quantity: /
Make: /��,►,.�
Model: ��g/py,�
Tons: �'� .�fi
H. Power �
I `"�
�:..
WOOD BURNING EQUIPMENT �`� , ' z
Wood stove with flue ��r
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 Exhaust ducted recirculating cfm
No. l�. _ Bath Exhaust (must be ducted outside) �_ cfm �.
No, Other Fans: Locations cin�
�'���'
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) � ,+y
Installation Removal �:;
Fuel oil: gallons underground inside outside ;4:
LP Gas: gallons
Other Gas opening y`
,:
PERMIT F'EE CALCULATION � �rr
� r.
1. 1.25% of Contract Price* o�Minimum Fee ($35.00) / �?
/��, 7�5 } x .0125 $ / � � � � �. s
(contract price)
.
2. State Surcharge. "" Add the State Building Code Division
Surcharge to each permit. x .0005 $ � 3g
or $.50, whichever is greater (contract price)
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3. Postage and Handling (Only mail-in applications) $ 1.SO '.
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4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��� . =�.1_ __
* 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 materiai, equipment, labor, or instailation are furnished by the owner,
tenant or any other party the reasonable mazket 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, ,-.-,F:,
the City may request the submission of a signed copy of the actual contract. -:`';3-;
** 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: S — � �
Approved By: Date: �;;
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�y���� D TE TIME
CITY OF ORONO c iN b3
INSPECTION N ICE cSCHEDULED �
PERMIT NO. �� � 3 ZJ COMPLETED
ADDRESS_ S S� t��1L l n �
OWNER CONTR. 1�l 1�n .l�z0 Q "
TELEPHONE NO.__ � �2-Z2 l -1Z1Z �
� DESCRIPTION __ ��- �`��
IL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETIANDS
y
O 03 INSULATION 24/25 WOOD BURNEFl/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP O6 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
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
c� COMMENTS:
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W� WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PER�IANENT
❑CORRECTUNSAFECANDITION WITMIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952) 249-46��
OwnerlContract e:
Inspector. �
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