HomeMy WebLinkAbout2000-P03110 - mechanical PERMIT
��T'1 O F O RO N O Permit Number:
2750 Kelley Parkway- PO Box 66 P03110
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits
(612) 249-4600 Date Issued: ioiioi2o
SITE ADDRESS: 138o Rest Point 1zd
MOUND,MN 55364
P ID: 07-117-23-33-0007
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: $ 35.00 Valuation: $ 1,890.00
State Surcharge Fee: $ 0.95
Misc. Fee: $ 1.05
TOTAL FEE: $ 37.00
APPLICANT: vo�T xEaTirr�&ala corr�iTiorri OWNER: DAviD x BLOD�ETT
3260 GORHAM AVE 1380 REST POINT RD
ST. LOUIS PARK, MN 55426 MOUND MN 55364
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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PPLI ANT PERMITEE,I NATURE ISSL7ED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INF'ORMATION
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. Pemut cards will be sent by retum 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 Designs - 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.
�. When any new construc.tion or remodeling is involved, a separate building pemut 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 finai). Call 473-7357. 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 473-7357.
Please check one: New Addition � Repair , � Replace
Re ential Commercial
JOB SITk:: �j-�;� � � �(���e v�.�, C.(-.a.�'� �:g:_
Owner's Name: � � �r � �� ^� TelephoneNumber: �?, i�� - i��-��
Mailing Address: City: Zip:
Contractor'sName: VOGTHEATI TelephoneNumber:
MailingAddress: �GORHAMAVE. City: Zip:
SALES 929-6767 SERVICE 929-q011
SYSTEM DESCRIPTION
HEATING SYSTEMS
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Quantity:
�,�ake: ��
Model: � 2�
Fuel:
Flue Size:
Input BTUs: ��,�,�?C>t�
Output BTUs: �
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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�,4; ` 1 ��
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WOOD BURNING EQUIPMEN'I' $
Wood stove with flue �
Wood combination or add-on _��
Factory fireplace with flue ��<�`�..��
Factory Fireplace (s) Freestanding Masonry a..►F',,.�',
Wood Stove (s) Franklin, other :;�
Brand Name Model No. ��
Mfgr's Min., Clearances, side , rear , min. flue dia. ,�
Total
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Gas opening �'�'
Other ''"
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PERMIT FEE CALCULATION ,�
1. 1.25% of Contract Price* or Mini um �'ee 35.00 i � 3
'� �-"(��� � L`� x .0125 $ `� �� L�� ���
(contract price) �
2. State Surcharge. ** Add the State Building Co�e Division � �
� � �, x .0005 $ a ��' ��'
Surcharge to each permit. �(':: �i_; !�,��
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 1 C���
* CONTRAC'T 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 amou�t to be charged to the £
��, customer for the work done. If any material, equipment, labor, or installation are fumished by the owner, �;
� tenant or any other party the reasonable market value of such items must be added to the estimated cost r,
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��`` or contract price for pernut 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. �
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** 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. ;.;
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The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do �
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota ;�
State Building Code, an certifies that all statements made on this application are complete, true ��
and conect. �
� � ? Date:
' `� _�: _ � .:�
� Applicant's Signature: '�
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` Approved By: � Date:
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HEAT LOSS CALCULATIONS �
Weatherstrips A�Guide � �n�truction No. � Insulation
Windows I Doors Reference Out.Wall Int.WaU Ceiling Roof Floot Kind How Applied
Y�s—No Yes=.o' 19_
Fl.� ` Room [,ength z� Width Zy Height �� Fl.� Room Length Width Height
Windows and Doors—Crackage and Area Window,s:,,and Doors—Crackage and Area
�Vldth �.Haisht�� No.�ot Lln�at�[t. Area - �Wldth. �'Hel�ht No.ot Ll��al ft. Area
No. of D��e ot Dane Ilshb oL cr�ck �Q.tt. No.� �ot Dan�' of pan• U�hb ot craok �Q.tt.
Coef. Btu Coef. Btu
Infiltration /gS ',37 ,J� In6ltration. '
Glass � �
Glass }
Exp.wall _ Expc'wall- --
Net exp.wall (o�d' Y Net exp LLwall
Int.wall Int.•rall
Ceiling l07 7 y7.1 Ce.ring'
Floor 67 .? 20/L Floor
Total Btu. S/ s Total Btu.
Required sq. ft. E.D.R. or sq. ina. W.A. Leader area Required aq. ft. E.D.R. or sg. ins.W.A. Leader area
Fl.� Room�Length Width Height FI.I Room I l.ength Width eig t
Windowa and Doo��-�rackage and Area Windows and Doors—Cnc�age and Arsa
Wldth H�I�ht No.ot Lineal tt. Are� �Wldth Hel�ht No.ot . Llnaal[t. Are•
No. o[pans o[pan• Il�ht• o[craek p.tt. No. ot D��e �ot pan� U�hu o[cr�ck �Q.tt.
Coef. Btu eE. tu
Infiltration Infiltration
Glau Glaa� - _
E:p.wall F�cp.:waQ ,
Net exp.wall Net exp�rall :
Int. wall Int:rrall� .
Ceiling Ceiling . �
Floor Floor
Total Btu. 'fotal Btu.
Required sq. ft. E.D.R. or iq.ins.W.A. Leader area Required sq. ft. E.D.R.or aq. ins.W.A. Leader area
FI. Room l.ength Width Height � F7,� Room I l.ength Width Height
Windows and Doora—Crackage and Area Windowa and Doors—Cracicage and Area
wldth : •liht. No.,ot Lln�a!tt. � Area W,Idtl�` �Helsht� No.o[ �Llnaal tt. Are�
No. of D��� o�D�ns If�6t• ot erack �p.(t. No. ot pana o[�Dan� Il�ht� ot crack �Q.tt.
Coef. Btu Coef. Beu
ln6ltration 1n61tration
Glaa Glaas
Exp.wall Exp.wall
Net e:p. wall Net exp,wall
Int. wall Int.wall
Ceiling Ceiling
}�loor Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or�q. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. WA. l,eader arca
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FI.� Rmm I lrnat6 Widt6 H�ivtit �I n I o___�t ___.�, �v:a.1, U.�sl.e
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CITY OF ORONO CALLED IN %D��� Tl��v'O��
INSPECTION NO,��ICE i SCHEDULED 4 � -� a
PERMIT NO. r c, ` /� , PLETED O—�°-+� 'Oo
ADDRESS � � �S t �� -
OWNER �- �� � CONTR. `�S LC�� CtIX�/.�.�hs
TELEPHONE NO. �J�� ��� D��L�
� DESCRIPTION ���-��C��7 �? ��T��� '
l� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�3 INSULATIO� 24/25 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
4Qi 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
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�/�\CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. , pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
CI INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. 249-4600
OwnerlContr r on site:
Inspector.�i�����
White Copyllnspector's File Canary CopylSite Notice
`�.-� �'���lf� `���7 3%
HOUS HEATING TEST RECORD
ADDRESS /� �� �`"�S � �O � "t � �``"��� APT. FLOOR CITY SUBURB � ��D
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. `/
SOLD BY INSTALLED BY V�� � L i
El�cttical Work By Gos Lin� By rS ik�r
TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS �ESIGN CONVERS N
MAKE �� � MAKE OF BURNER
Moa.i 3 '� �=" ' �d.i
S�rial � � C j Max. BTU Rotinp
INPUT � ����� MAKE OF FURNACE
Mod.l _
CONTROLS y
THERMOSTAT `�� � H�t Pluq V•nt Siz•— �
Valv. ' � KIND OF LINER ,,1�� SIZE NON
Limit 'U' � Droh Hood L�L1� R�quloror � l��2 -C'��'l�')
Limit S�ttinq L� Filt�rs Si:• Numb��
Fon S�ttinp O�imn�r Loeation Insid� /� /'� Outsid�
Pilot Typ� . '� L"t� 'L"` O�lmn�r Construetion �r� LJ n�� �'
Pilo� Mok• �-�� �-1��
Pilor Mod•I �� Smok� Bomb _ Wir;nq 1�
Pi�ot Timinq � �b•� Draft � T•sr Tao
L.W, Cut Off Dow Pr�asw� Liphtinp ���*- �
) �1,�
Pr�ssun ` � P�re�M CO2 �'� Oab T�at�d — �U /�� � L-- -- -
(nput CFH �.� VL� P�ro�nt O� y��y Compony T�s��.+� . ��' ` - -- - —
Srock T.mp. ��/�� P�re�et CO �'�� NonN of T�st�r ,�{L'!d'^ �
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � � �� 3�
PERMIT NO. ,3//D COMP�ETED '/5-'�l 1��'3�
ADDRESS /.�,�'C� �CS� f / - /� ,
OWNER CONTR. ��' �• �.�� ��l��.s CG�-Jr
TELEPHONE NO. gs v� �?'a �J �0 7� � � �!C��
� DESCRIPTION I"I�'�C. ��� •
W O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
y02 FRAMING � MECHANICA 19 LAKESHORE/WETLANDS
Q 03 INSULATION 24L�a-W�66 R/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 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W�] JORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE
�� O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
0 CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContr or on site:
Inspector�����-�'�-�/l 1
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White Copyllnspector's File Canary CopylSite Notice