HomeMy WebLinkAbout2002-P04948 - mechanical CITY OF ORONO PERMIT
2if G•Keiiey Parkway - PO Box 66 Permit Number: Poa94s
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3��i2oo2
SITE ADDRESS: 1180 Phillips Dr
Long Lake,MN 55356
PID: 27-118-23-32-0008
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 47.50 Valuation: $ 3,800.00
State Surcharge Fee: $ 1.90
Misc.Fee: $ 1.50
TOTAL FEE: $ 50.90
APPLICANT: River City Sheet Metal Inc. OWNER: David Page&Roberta Brackman
9928 Bluebird St NW 1180 Phillips Dr
Coon Rapids,MN 55433 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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APPL[CANT PERM[TEE SIGNATURE 7SSUED BY SIGNATURE �
Conies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 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
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 2 working days. ,
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL
YOL'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
caiculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
llata shall be presenied 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 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 x Replace
Residential �Commercial
JOB SITE: \1�� ����\`', o�,�R.�J� Zip: S5 3 5 Cp
Owner's Name: � v� o �.�a�� Telephone Number: q.5 a—y"t(�-8$00
Mailing Address: S�, City: Zip:
Contractor's Name: �ver ity S eet Metai, InC. Telephone Number:
Nlailing Address: 9 8 Blue�ird St. N.W. City: Zip:
oon Rapids, MN 55433
SYSTEM DESCRIPTIOI�`�-754-2199
HEATING SYSTEMS
Quantity: �
'�1ake: C A6LR.�eP�
Model: 5�1�1}v la,�,aD
Fuel: �a�} .��
Flue Size:
Input BTUs: \ab .000
Output BTUs: � a0U
CFM: —�—
COOLING SYSTEMS
#;:
Quantity:
Mak�:
Model:
Tons:
H. Power
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FIREPLACES t�
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Gas factory fireplace ' �
ood burning factory fireplace with flue ,�
ood Stove ;,�
ood stove with flue '.':�
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Brand Name Model No. ,:�
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VENTILATION ��
No. Kitchen Exhaust ducted recirculating cfm �
No. Bath E�aust (must be ducted outside) cfm �''
�x
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
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PERMIT FEE CALCULATION '�
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1. 1.25% of Contract Price* or Minimum Fee ($35.00) '��
3�00 , oo X .o12s $ 4 �1 , 5�
(contract price)
2. State Surchar�e. ** Add the State Building Code Division
Surcharge to each permit. 3�00 � 0 C� x .0005 $ � e q a
or $.50, whichever is greater (concracc price) `'��;
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3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 '��
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ _��
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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
fer tne work done. lf any material, equipment, labor, or installation are furnished by the owner, tenant or ,�''
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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 ;��
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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 undersiQned 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: 0 �
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N iC SCHEDULED �� �
PERMIT NO. �� ��, COMPLETED !� L'
ADDRESS l D � �
OWNER CONTR.
TELEPHONE . �SZ `-iF�� g �D a
� DESCRIPTION
� Ot FOOTING 11 MECHA 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 1 CHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 StTE 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
J 10 PLUMBING FINAI. 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��K SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W�❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
O CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORbER POSTED.CALL INSPECTOR
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
�all for the next inspection 24 hours in advance. (g52) 249-4600
OwnedConUactor ite:
Inspector.
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