HomeMy WebLinkAbout2002-P05076 - mechanical �
� PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05076
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 4/24/2002
SITE ADDRESS: 815 Partenwood Rd
I.ong Lake,MN 55356
P I D: OS-117-23-43-0003
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 72.94 Valuation• $ 5,835.00
State Surcharge Fee: $ 2.92
TOTAL FEE: $ 75.86
APPLICANT: Plymouth Plumbing&Heating OWNER: �chard&Jane Stark
6909 Winnetka Avenue N 815 Partenwood Rd
Brooklyn Park,MN 55428 Long Lake MN 55356
T'HE LJNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRIGT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PE ITEE SIGNATURE ISSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Avnlicant 1-Monthlv Reqorts, 1-Assessine, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 5�323
GENERAL INFORMATION
l. 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. WORFi MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE.
3. Mechanical Desians - Complete calculations, details and specitications are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratin�s and identification as to rype, manufacturer and model.
Data shall be presented on form provided. Identification of and specifications for water heating equipment
shall also be p�ovided.
4. Whe;l any new construction or remcdeling is involved, a separate bui;ding permit must be c:,tained.
�. All work must be done in accordance with the Ur.::orm Mechanical Code/State Buildin�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: �New Addition Repair Replace
� Residential Commercial
JOB SITE: � � r � � ' Zip:
Owner's Name: L � `L , Telephone Number �,5��`]�j._ 3���
Mailing Address: City: �. ���- �i � �
P� 5�� �
Contractor's Name: - Tele p e Number `�ts'J J -- ,?,-�j 7
Mailing Address: City:�Qj - (c� Zip: ,<L�-�L
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: �
E.� i f ��C� t� ('
Model: �E x��Ci� �- t�..��r'vt V� r�`�7r�t � �� ,�,
Fuel: ���,
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COULING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
�
FIREPLACES
Gas factory fireplace
Wood burnin� factory fireplace with flue
Wood Stove
V1ood stove with flue
Branci N ame i�iouel i�u.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: �allons underground inside outside
LP Gas: gallons
Other Gas opening
PERVIIT FEE CALCULATION
l. 1.2�% of Contract Price* or Minimum Fee ($3�.00)
C���j�� x .0125 $ ��
(contract price)
2. State SurcharQe. ** Add the State Building Code Division
Surcharge to each permit. c�g �j�j. C�� x .0005 $ a - � �
or $.50, whichever is greater (contract price)
3. PostaQe and HandlinQ (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7� . `��
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed 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 uistallation are fumi.hed 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 here�y apglies 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 certi�es that all statements made on this application are complete, true
and correct.
Applicant's Si�natu • �1V Date: ���
.�`
Approved By: Date:
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION TIC SCHEDULED -�C��L
PERMIT N0. � �� COMPLETED "�Z �
ADDRESS �j� tX
OWNER � CONTR. ��t.t.'-+rt
TELEPHONE NO. �t0 � ��'
2 -�.�
� DESCRIPTION � � �d .
� Oi FOOTING 11 M ANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TFiEE 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46�0
OwnerlContra tor on site:
Inspector.
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Wh�te Copy/lnspector's File Canary CopylSite NoNce