HomeMy WebLinkAbout2000-P02145 - mechanical i 1
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PERMIT
CITY OF ORONO PERMIT TYPE: Mechanical
2750 Kelley Parkway - P.O. Box 66 Permit Number : �p'a,'�y�"
Crystal Bay, Minnesota 55323 Date Issued: Ol/06/00
(612) 249-4600
SITE ADDRESS: 2040 Shadywood Road
Orono, MN 55391
H.N.B.
OS-117-23-31 0013
DESCRIPTION: Mechanical
1 Heating System Make Reznor
REMARKS:
FEE SUMMARY: Valuation $1,500
Base Fee $35.00 MAIL IN FEE $1.50
Surcharge 0.75 Total Fee $37.25
Subtotal $3 5.75
CONTRACTOR: Ron's Mechanical OWNER: David Zoschke
12010 Old Brick Yard Road 2040 Shadywood Road
Shakopee, MN 55379 Orono, MN 55391
�� THE UNDERSIGNED HERFBY REQUEST PERMISSION�TO MAKE THE REAL IMPROVEMENTS�SPECIFIED AND �
AGREGS TO b0 ALL WORK IN STRICT COMPLIANCE'W1TH ALL CITY OF ORONO ORDINANCES ANDSTAT�OF
MINNESO'CA BUILDING CODE REQUIREMENTS. ,
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APPLICANT/P�RMITF,E SIGNATURE ED BY: SIGNATURE
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CITY OF ORONO APPLICATION FOR C CAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 �n�, ;.. -, �„��
�. 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 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.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordauce 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 pemut 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 �Replace
� Residential Commercial
JOB SITE: 2040 SHADYWOOD RD Zip:
Owner's Name: DAV I D z 0 S C HKE Telephone Number: 4 71-9 4 0 8
Mailing Address• City: Zip:
Contractor's Name: RON' S MECHANICAL, INC . Telephone Number: 612/44 5-8 5 8 5
Mailing Address:12010 OI�D BRICK YD RD Clty;SHAKOPEE ZiP; 5 5379
SYSTEM DESCRIPTION
HEATING SYSTEMS
.
Quantity: /
Make: ;,l�y�f U�'�
Model: ,�T7 5
Fuel: �/11�r
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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WOOD BURNING EOUIPMENT " -
Wood stove with flue �
Wood combination or add-on b'
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Factory fireplace with flue ''�
� Factory Fireplace (s) Freestanding Masonry
Wood Stove (s} Franklin, other >:
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� , Brand Name Model No. �'
'�� ;�� Mfgr's Min., Clearances, side , rear , min. flue dia. ^�
_ VENTILATION � .
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm "��c,
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�'+LTEI� STL'RAGE (R1US�' L'E AFPROVED Ei' i�2E M^ 'S�IAL)
Installation Removal
Fuel oil: gallons underground inside outside {�
LP Gas: gallons ''
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Other Gas opening �:�
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PERMIT FEE CALCULATION � ��� � ���
- 1. 1.25% of Contract Price* or Minimum F�e ($35.00)
�G�- x .0125 $ �Cj. �C�
(contract price) '��
2. State Surchar�e. ** Add the State Building Code Division "'`
Surcharge to each permit. x .0005 $ , ��J
or $.50, whichever is greater (contract price) ='
;�.
3. Postage 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 estunated dollar amount chazged for the pemutted �
: work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the
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customer for the work done. If any material, equipment, labor, or installation are fumished 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 pemut fee purposes. In the event that fnere is a�iispute on the amount oi t�e job cost,
the Ciry may request the submission of a signed copy of the actual contract.
�. 4 .. ' . . . . . . ..
** 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 regulations of the Minnesota
State Building Code, and certifies that all statements made on this application are complete, true
and conect. �
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Applicant's SiQnature: p�.�r 4 �JL�.V'' Date: - G'¢'
Approved By: Date: � ' — 0`�
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HOUS� HEf�,�'�NG '�EST ItECaR[�
ADDRESt 0� �� ��_—�- ��`c c� --- AP T. FLfJOR CITY SUBURB
OCCUPANT i � `� ,"�/�f.f"c•� OWM�ER
HEAT LOti DA4L 3i'tG, i�NST. �'� �� �-�
SOLD dY INSTALLED BY �`' > _
El�chicel wwk � � �•�� .Gos l.in• By ��`� �� r
TYPE OF NEAT GA L�RA�-��HW STEAM �_ _SPACE HTR. _UNIT HTR. OTMER
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liAf DESICM CONVERSION ,.
MAKE y�"' � MAKE OF SURNER
Mod�l �.�C%i/� ` i•��./ G�j ���'�� Mod�l _
— ''�� � �
S�►ial -�--/�� `S U /, Abx. BTU Ratiny
INPUT ���`� `�'�� MAKE OF FURNACE
Mod�l
CONTROLS � �
THERMOSTAT T3 � HNt Ptu� V•nt Si:. � ��� �
Volv f�v�"«"r'�/ KIND OF LINER SIZE — NONE
Limit ��s ''" DroFtHood �'C:`i R�yuloror �'�'. ��� �
Limit S�HfM ,( Filt�rs Si:��CX�2� Num r
Fon S�NIw� J ��'`� Chimn�y Locotien Insid� � ��sid�
Pilot TrM .� /�� � s'c r�cy- Chimn�y Consfruction ��S ,./✓� Lcr�ss.�-�s
`lot AMb —_
ilot Med�! — Smok� Bomb �— Wirin9
Pilot T►aifn� D►o{t —. T•st Too
L.W. Cuf Oif `— Dow Pr�saw�. Liyhtin4lnat. _
Pr�s�w�^j�,�i� ��4 G�_lro�a�eM COZ. ����y-- Dor� T�shd �!' /��� S j
In ut CfM � P�eMt 0 _�L�L---- �ompo�r T�sting � '' � �
P
Srock T��. sJ�s � Pwcen4 CO� v�-cC�c/G/ Nom� of T�st�r �C
Fwm 235 J
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