HomeMy WebLinkAbout2003-P06300 - mechanical CITY� OF ORONO PERMIT
2�50 Kelley Parkway- PO Box 66 Permit Number: Po63oo
Crystal Bay, Minnesota 55323 Permit Type: Me�n�n��at Permits
(952) 249-4600 Date Issued: sii2i2oo3
SITE ADDRESS: 865 Partenwood Rd
L.ong Lake,MN 55356
PID: OS-117-23-43-0002
DESCRIPTION:
Proposed Use: Residenrial
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolurion#:
Sepazate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pemut Fee: $ 78•75 Valuation• $ 6,300.00
State Surcharge Fee: $ 3.15
Misc.Fee: $ 1.50
TOTAL FEE: $ 83.40
APPLICANT: Golden Valley Heating&Air OWNER: R Greene&J Piccard
5182 West Broadway 865 Partenwood Rd
Crystal,MN 55429 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
Copies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 • �
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GENERAL INFORMATION 9�Q(�� � � ;�
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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 two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris -Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat M1�
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 pernut 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-hour notice required.
7. House Heating Test Record must be submitted before final.
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Instructions �
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Complete all items on this application. Compute the permit fee. Sign and date the certification. Y
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INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call �=a
(952) 249-4600.
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Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace� Residential ❑ Commercial ��
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JOB SITE: �6J` ����,�Gv�� � Zip: S✓r�J�� �
Owner's Nam • _���T���O Phone Number: T�?—�7/`4�� �-,
Mailing Address: City; ZT- �'
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Contractor's Name: Q�Cyn��D1�D & SONS ELEC. ���one Number:
Mailing Address: �`"'�'� � " ��� D�AY�
A _�_ City: Zip:
�CRYSTAL,N'�N 5
(763)535'2000 ,
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SYSTEM DESCRIPTION
HEATING SYSTEMS / /
Quantity: ( ,
Make: �/�,Z� C
Model: �1��(/�V���70 V �/��/l Y��d�V
�:. Fuel: �7 9Q,S
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Flue Size: �__
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Input BTLJs: /�/��V V
Output BTUs:
CFM:
E�= COOLING SYSTEMS
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Quantity:
Make:
Model:
Tons:
H.Power
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'` FIREPLACES GAS LINE ONLY
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❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
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VENTILATION
u;;.:
;�` No. Kitchen Exhaust duct recalculating cfm
sw.
�:� No. Bath Exhaust(must have duct outside) cfm
- No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑Removal
`� ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ,
,;� ❑ LP Gas: gallons �
�� ❑ Other Gas opening � `6
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PERMIT FEE CALCULATION(S)
2002 State Statute �Yes This Section Applies �
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The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a 1�Iinimum Fee of($35.00)
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�.30D.oo `
X .olas $
(contract price) (minimum$35.00)
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2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) ,�;.,
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� �O� �� x .0005 $ �.��
(contract price) (minimum$.50) �
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3. Posta�e and Handling (Only mail-in applications) $ 1.50 ,�
,�4. TOTAL rERMIT FEE (Add lines 1-3 abovc) � �3 . Q <::a
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*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 is furnished by the ow�ner,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.
T'he undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with 7
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.
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� MAY - 8 2003
Applicant's Signature�:% ' � Date: � �
A roved B � �
PP Y� l Date: �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED 3-I I-�
PERMIT N0. ���� COMPLETED
ADDRESS �'I�S �C�'��—w�'Q� c�
OWNER CONTR.
TELEPHONE N0.
� DESCRIPTION
� 01 FOOTING 11 MECHANL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 3�EC�ICAL FINA 19 LAKESHORE/WETLANDS
y 03 INSULATION WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 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 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the nqxt inspection 24 hours in advance. (J52� 249-4600
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OwnedContr o �ite:
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Inspector. '
White Copyllnspector's Fil� Canary Copy/Site Notice