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HomeMy WebLinkAbout2000-P03470 - heating system, A/C PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: po34�o Gn,ss�al Bay, Minnesota 55323 Permit Type: Mechanical Permits (f�12) 249-4600 Date Issued: i�is�2oo SITE ADDRESS: 577 Park La LONG LAKE, MN 55356 PID: 06-117-23-41-0046 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Sub-type(s): Heating Systems Permit Type: Mechanical Permits Air Conditioning Ventilation DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SU1111MARY: Permit Fee: $ 187.50 Valuation: $ 15,000.00 State Surcharge Fee: $ 7.50 TOTAL FEE: $ 195.00 APPLICANT: PMR MECHANICAL INC OWNER: DENISE L DUENOW 2414 EAST 26TH STREET 577 PARK LANE MINNEAPOLIS, MN 55406 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 IvIINNESOTA BUILDING CODE REQUIREMENTS. � � ��� /� � i r � � r .- �� �x�____�L- �`? .�� 81n� �.. �APPLICAN l'PE 'EE SIGNATURE ISSCl BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � ���� # � , CITY OF ORONO APPLICATION FOR MECHANICAL PERI�IIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORM:�TION 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 Desiens - 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. V�'hen 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 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. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: t�New Addition Repair Replace Jn�,�te�i,den� Commercial JOB SITE: � ��a�.. � Zip: Owner's Name: Telephone Number: Mailing Address: � City: � � � Zip: Contractor's Name: , VL ' Tele hone Number: Mailing Address: � I ��, ,s.:" City: Zip: �5y 0.�, SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � Make: Model: C—t�C+�O`i'D I��� Fuel: �.� Flue Size: 3'' � r'�L 5 Input BTUs: 90.00t� Output BTUs: �3;�,pbfl CFM: I 60 C� COOLING SYSTEMS Quantity: � Make: (�,w,e,,,,� Model: Tons: .3 � H. Power �3 - l�. 1 `L " '.'y. �Y .M .H;, . f�d+� ��:��'_. Fr..s���.«s '��.i � Y � ��i'§�, °. � �� Pr�iti.�+s ,� �- Se�,� f �}' A �,... ..��. .:__. . . .�::'. .�_� . _-� . .....:.. .'.,�. a�..-..�.-.. �.. -. ..� ... .:�,..� '+'��r'`�f.'':'. �.^ M+ , r..,..... .. .._ ��x��� ... _ 3. . ., �. . ._. .,.... . � 1 + FIREPLACES � Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. � Kitchen Exhaust �_ ducted recirculating �5� cfm No. � Bath Exhaust (must be ducted outside) €�O cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PER�VIIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) X .oi2s � /� � : 5 � ( ontract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ `�. -S � or $.50, whichever is greater (contract price) 3. Postage and Handlin� (Only mail-in applications) $ '�' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ j 1 S � �� * 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 installation are 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 permit 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: o � - Date: 8 o20C Approved By: Date: DAT TIME CITY OF ORONO CALLED IN `� � ��� `� �d INSPECTION NOTI E � SCHEDULED �' � PERMIT N0. �17G COMPLETED ADDRESS �Z- � OWNER CONTR. � �- � TELEPHONE NO. �.�� l� �� - � CP 9 �� �Jo��� � DESCRIPTION �-�'�� � ��� � t�CQ a C�� � 01 FOOTING 11 M aNira� 18 EXCAV/G ING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL�` 19 LAKESHORE/WETLANDS y 03 INSULATION WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS 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 � 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � ��WORK SATISFACTORY:PROCEED ��PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED �`❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector.����� �,,�� White Copy/lnspector's File Canary CopylSite Notice