HomeMy WebLinkAbout2003-P06473 - mechanical CIT��' O� OR N PERMIT
� � Permit Number:
2750 Kelley Parkway- PO Box 66 P06473
Crystal Bay, Minnesota 55323 Permit Type: Me�t��al Pe�ts
(952) 249-4600 Date Issued: 6i26i2oo3
SITE ADDRESS: 925 Partenwood Rd
Long Lake,MN 55356
PID: os-ii�-23-2i-ooio
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Pemut Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 38.79 Valuation• $ 3,103.00
State Surcharge Fee: $ 1.55
Misc.Fee: $ 1.50
TOTAL FEE: $ 41.84
APPLICANT: Ditter Inc.&Ditter Properties OWNER: 7ack&Mary Safar
820 Tower Drive 925 Partenwood Rd
Medina,MN 55340 Long Lake MN 55356
'THE UNDERSIGNED HEREBY REQUESI'S PERNIISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf 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(SiQnitures Required),1-Avplicant 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 2
'` CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT ��/� y 3 Page 1 of 3
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay,MN 55323
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 two 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 Desi ns - 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 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(952)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 (952)
249-4600.
Please check one: New Addition Repair Replace Residential Commercial
JOB SITE: ���� �Cl. � ��? ��'���'- Zip: � S 3J _.
Owner's Name: /' Phone Number: �f� �' �17/ � � �L/�
Mailing Address: `Cz.� City• L%1`�)`Z � Zip• ��3��'
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Contractor's Name:l 1 � � Phone umber� ���� �l� r� `" %���'
Mailing Address: 2� 7 G2t�7�r'� �`��� . City: ll y�2f�-C:- Zip: �"���( ;
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
http://www.ci.orono.mn.us/mechanical%20permit.html 5/12/2003
Outpur BTUs; -
c�:
COOLING SYSTEMS
Quantity:
Make: L� � �
ModeL• � {�� � ���
Tons: �
H.Power
F'IREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
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
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
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; excludin�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:
�
�_ '�ttp://www.ci.orono.mn.us/mechanical%20permit.html 5/12/2003
' C'ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Page 3 of 3
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00�
� � � �
� "�,� X .o��s $ �� .��'
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of(�.50�
� �t� ��
3����� x .0005 $ � i�
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-in applications) $ 1.50
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4. TOTAL PERMIT FEE(Add lines 1-3 above) $ ' J
*CONTRACT PRICF.,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
installation is 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 regula'ons of the Minnesota State Building Code,and certifies that all statements made on this application
are complete,true and correct.
Applicant's Signature: / 2� ^r Date: �/� C�
Approved By: Date:
http://www.ci.orono.mn.us/mechanical%20permit.html 5/12/2003
V
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N E SCHEDULED �" .Qi�
PERMIT N0. COMPLETED � ' � �
ADDRESS � G���it1�.✓vo cQ �-t. ,�
OWNER � s r CONTR. � �"
TELEPHONE N0. S� c�-
� DESCRIPTION I�`�� ��/`� " TJ'C�
� 01 FOOTING 11 ME�=`=--� 18 EXCAV/GRADING/FILLING
Q 02 FFiAMING 1 HANI FINA 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 NER/FIREPLACE 34 TREE REMOVAL
Z 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
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContracto � ;
Inspector.
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