HomeMy WebLinkAbout2004-P07843 - mechanical PERMIT
.�I i Y O F O RO N O Permit Number:
2750 Kelle y Parkwa y - PO Box 66 Po�sa3
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: sii�i2ooa
SITE ADDRESS: 2900 Deer Run Tr
Long Lake,MN 55356
PID: 04-117-23-24-0013
DESCRI PTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Center Point Energy Minnegasco OWNER: Mr&Mrs Jeffrey Buchanan
13562 Central Avenue NE 2900 Deer Run Tr
Anoka,MN 55304 Long Lake MN 55356 --=�
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THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED `'�1����
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF i� �
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE �
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1
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� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Pazkway)
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
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs ❑ Complete calculations, details and specifications aze required for
each heating, ventilation, humidification❑dehumidification, and air conditioning installation
including heat losslheat 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 sha11 also be provided.
4. When any new construction or remodeling is involved, a sepazate building permit must be
obtai.ned.
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)24904600. 24❑hour notice
required.
7. House Heating Test Record must be submitted before fina1.
Instructions
Complete all items on this application. Compute the pernut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, call
(952) 249❑4600.
Please check one: New Addition Repair Replace esidenti Commercial
JOB SITE:024 Op �e.�r I�vr� �r . � � Zip: 5535�
Owner's Name: m0�r��c� �c�,r�r�o,� Phone Number: qs a- �"�(o• $7 7']
Mailing Address: 0�00 1�e�er I�h TR.City: �r-or�� Zip: ��35�.
Contractor's Name:CenterPoint Ener�v Phone Number: 763-757-6202
Minnegasco
Mailing Address: 13562 Central Ave 1� City:�oka Zip:55��4
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: C.a.rr��e.�'
Model: `j�MV ��10C�
Fuel: �a.�vrc..� �c�s
Flue Size:
Input BTUs: 1�o�O C�O
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: r r��
Model: 3$T�C{� ato�` J�
Tons: �
H. Power
FIREPLACES
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 cfin
No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations ��,
FL7EL STORAGE (MCTST BE APPROVED BY FIltE 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 serv�ce.
2) Has a total cost of$500.00 or less; excluding 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 Surchazge$ .50
Mail-In Fee $ 1.50
5
If above does not apply, follow guidelines below:
l. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
(0,000. 0 0 x .0125 $ 1 "a 5•0 O
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Mini.mum Fee of($ .50)
►O,b00,od x .0005 $ �� OQ
(contract price) (minimum$ .50)
3. Postage and Handling(Only mail0in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1❑3 above) $ /3 / . sU
* CONTR.ACT PRICE or JOB COST means the actual or estimated dollar amount chazged for
the pernutted 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 mazket 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 coniract price under$1,000,000 or$.50 0
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 Pernut, 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.
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Applicant's Signature: \ Date: _ �f� �`02 -0 �
Approved By: Date:
� DATE TIME �
CITY OF ORONO CALLED IN �d'�
INSPECTION N TICEp SCHEDULED /O-2S-a� 9:30
PERMIT NO. 70 � COMPLETED
ADDRESS a9o� ,�2�C� �u�C-�/�
OWNER /�2�a � 9�✓a/+l/�EONTR. /�?/r1/IPs�4SGa
TELEPHONE NO. 9�� �7� �77 �
� DESCRIPTION t�-� — �L�K�—
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 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
� 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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W ORK SATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREQUIRED.CALITOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContra site:
Inspector.
White Copyllnspector's ile Canary CopylSite Notice
:..0:�i�dn:>
� CenterPoint,� �`��",-`
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4 ,
Enengy Hp�SE ��-��,TING TEST RECORDG 1.� ?Q
Minnegasco ��f r �,,.. �
��.�(((```�''��((�� Tn t;,-y��,
ADDRESS �'�112,C'.lr IC_UM �1r APT._ FLO R CI7Y (,�Y'CMp �O
OCCUPANT OWNER —�a
HEAT LOSS Yes DATE HTG. INST.
SOLD BY_�enterPoint Energy Minne9asco INSTALLED BY CenterPoint Energy Minneqasco
Electrical Work By �� _ Gas line Sy
TYPE OF HEAT FA �� SPACE HTR. UN�T HTR. OTHER
�f GAS DESIGN CONVERSION
MAKE �-a.rr•e�
Model 5 � '�
V�,��t Size�
Serial n� A i i o 35' KIND OF LINER SIZE
NPUT «�a U77 NONE
Draft Hood Regulator
CONTROLS Filters Size C:�r�..-t c.. Number
THERMOSTAT Heat Plug Chimney Location Inside �C Outside
Value Chimney Construction lg iJ�'�^-�'
Limit iX,
Limit Setting f��
Wiring
Fan Setting Test Tag
Pilot Type�'S� Lighting Inst.
Pilot Make Date Tested �-/� -0�
Pilot Model Company Testing CenterPoint Energy Minnegasco
Pilot Timinq � ��.'�
Name of Tester
Pressure ' Percent COZ�_
nput CFH �0(�.UDD Percent 02 {�f�i
Stack Temp.___ 1 O� Percent CO�_