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Home My WebLink About2003-P06771 - mechanical � - , PERMIT C�i Y OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P06771 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts (952) 249-4600 Date Issued: 9/16/2003 SITE ADDRESS: 2775 Shadywood Rd Fxcelsior,MN55331 P I�: 21-117-23-24-0009 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 35.63 Valuation• $ 2,850.00 State Surcharge Fee: $ 1.43 Misc.Fee: $ 1.50 TOTAL FEE: $ 38.56 APPLICANT: Vogt Heating&Air Condirioning OWNER: �chard&Deloris Little 3260 Gorham Ave 2775 Shadywood Rd St.Louis Park,MN 55426 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQiJESTS 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 REQUIREMEN'TS. <.�l.�.P ..�rv APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Aunlicant 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 � ` . , ' CITY OF ORONO APPLICATION FOR MECHANICAL P�Qff1VED Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 SEP � � Z�d� GENERAL INFORMATION CITY OF ORONO 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 RECENE A PERMIT. WORK MUST NOT BEG1N 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 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 �Additi�- ❑ Repair ❑ Replace , Residential ❑ Commercial � JOB SITE: � �� / `~ ._� �1��i�1 �L��'�_ � �'\�__ Zip: 7�c Owner's Name: �_ �l-�-�� lk �, : �'i- t'��t��... Phone Number: Mailing Address: City: Zip: Contractor's Name: ��r y�TiNG&�!R CpND1TI0��hone Number: _�,,,.., - Mailing Address: sL�tnspqRT��_City: Zip: sa�es e�s�F�Otf 1 . � � � . SYSTEM DESCRIPTION HEATING SYSTEMS ; � `� \ � � Quantity: V ��1��\� `�''�1.�� K ��-, Make: ��n�(l C��C ModeL• L �-(�� {�, Fuel: �, `-�;;L_`� Flue Size: Input BTUs: � \_��'\ Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ 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 2 ,. . . . - . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or ap liance 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 Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) �- �-z ,�`�'j+-� � x .0125 $ �.;_i ��.� (contract price) (minimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) � L.� � �,`�S��-� � x .0005 $ (contract price) (minimum S.50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 � � � 4. TOTAL PERiVIIT FEE (Add lines 1-3 above) $ "c'� i"- *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,]abor,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 fumished 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 d;z 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. **T'he 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 correct. `� � I� � f � /�� 5 ��,� Applicant's Signature: (,�r� ` �1.� Date: �I I i Approved By: Date: 3 �� ,) DAT TIME CITY OF ORONO CALLED IN ��' INSPECTION N C€ SCHEDULEO 4- -O3 �1:! PERMIT N0. ` 7 7 � CAMPLETED _ ADDRESS a 77 S S � �L OWNER CONTR. � TELEPHONE NO. ��Z � � DESCRIPTION ��- F�� I� E�"'�� 01 FOOTING 11 MECHANICAL RI G��C 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL /�j 19 LAKESHORE/WEfLANDS y 03 INSULATION 24/25 WOOD BURNER/FIR�LA�CE� 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 i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 fOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � a j \ ` 0 � � 0 � W � Q � W W � � d W� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the nex inspection 24 hours in advance. (g52) 249-4600 Owner/Con a s e: Inspector. White Copyflnspectors File Canary Copy/SNe NoHce a �f3 /� DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED — -Q�� %� PERMIT NO. ? � COMPLETED ADDRESS o� 7S v � OWNER�IC.ti G(�('L.L� C TR. TELEPHONE NO. � DESCRIPTION �e� � 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 FINAI 14 SEWER HOOK-UP O6 PROGRESS � 07 OEMO-SRE 27 SEPTIC AAAINT. 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O >. � O � W � Q � W � W � � , d W WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the n t inspection 24 hours in advance. (g52) 249-46�� Owner/ r�n ite: Inspector. � Whits CopyAnspector's File Canary Copy/Site Notks HOUSE H EATING TEST RECORD��r'�� 1 �T��d�O ADDRESS �� '�� 07 ""�� "`�� APT. FLOOR CITY SUBURB G�OKU OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ��TT � d"� r El�chieal Work By Gos Lin• By 5�� -- TYPE OF HEAT GA FA HW STEAM SPACE HTR. .�_UNIT HTR. OTHER �h��pxGAS OESIGN CONVERSION MAKE MAKE OF BURNER Mod.l L a - v� J �- Mod•1 Swiol �U3 � � Max. BTU Rotinq INPUT l�/ �V MAKE OF FURNACE Mod.l _ � CONTROl.S b THERMOSTAT T`�rJ �•- �ot Pluy V•et Si:•_ � Valv. u�� _ KIND OF LINER�]�' SIZ ONF x Limit S �'�� Droh Hood �u�k� R.�.,lero� k y �'�L Limit S�ttiny ' FiltNs Si:• ►'�umb�► Fan S�ttinp � �' C}�imn�y Location Insid� � Oytsid• Pilot Typ� 11Lh. � e�'"� Q�ymn�y Const►uetion �u C �� -� Pilot Mak•._ � Pilot Mod�l � S 1�� Smok� Bomb_ Wiriny Pilot 7iminy Draft T�st Tay L.W. Cut Off f„'- Door Pr�ssw� LlohNnp (nst. Pr�swn � P�rc�nt C0� p,� Dat� T�at�d � � I�put CFH �V� P�re�nt 0� p..i � Comoany T�sti�q � ` S1ack T�mp. _��CT_P�rc�nt CO �� Non�of T�st�r d�