HomeMy WebLinkAbout2004-P08325 - mechanical PERMIT
C I TY O F O RO N O Permit Number:
2l5D Kelley Parkway- PO Box 66 Pos32s
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: i2i2si2ooa
SITE ADDRESS: 3333 Shoreline Dr
Wayzata,MN 55391
P I D: 20-117-23-11-0024
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: Pernut Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc.Fee: $ 1.00
TOTAL F'EE: $ 37.00
APPLICANT: NORTHLAND MECHANICAL INC OWNER: Lunds,Inc.
9001 Science Center Drive 3948 W. SOth Street-Suite
New Hope,MN 55428 Edina,MN 55424
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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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Annlicant 1-Monthlv Renorts, 1-AssessinQ, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kclley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMA.TION
l. You may apply for mechanical permits by mail or in person ai the City offices. Applications
�-vill be reviewed and a permit will be issued v,�ithin two worl;ing days.
?. Permit cards ��-iil be sent by retw-n mail �fter a review is completed. PERMITS ARE NOT
VALID UNTIL YOIJ RLCEIVE A PERMIT. WORI< MUSTNOT BEGIN UNTIL THE
PERMI"f C�RD IS I'OSTED ON THE JOI3 SITE.
3. Mechanical Desi�ns -Complete calculations, details and specifications ai�e required for each
heating, ventilation, humidification-dehumidification, and air conditioning installation
including heat loss/heat gain calculation, design temperatures, equipme»t ratings and
identification as to type, man�;fact�!rer and modeL Data shall be presented en form pi•ovided.
Identification of and specifications for water heating equipment shall also be provided.
4. When any ne�w construction or remodeling is involved, a separate building pennit must be
obtained.
5. All worl<must be done in accocdance��ith 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.
lnstructions
Complete all items oi� this �pplication. Compute the permit fee. Sign and date the
certil�ication. INCOMPLF,TC APPLICATIONS WILL NOT (3L PROCESS6D. Ifyo�i
have questions, call (952) 249-4600.
Please check one: New Addition Repair Replace
Residential Conii��ercial ��
�, , � 7 5 i•����'"`�- ��\�'
JOB SITE: s .�.�� .S �`��;,.r K�� �3 Z✓� z�n: `753 9
Owner's Name: „�.��:( F.��; hE�lC��1� Phone Number: ��..= ;E,�'� -�7���
Mailing Address:�;C=;� �.V. �v`i'`�� City: �c;i�✓lt�, Zip: —��)-_'--�.��
Contractor's Name: ,'�fJ,'�I�.��v�c7�l w��'G�u�`�p►��ne Number: �� �"'S'��I'.SI vU
Mailing Address:��('L'1, Sc ;�Nc � L,Gy�.�e�"City: �Q W l`E0�'� Zip: ��r-/Z�
1�'\v-�.
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Sl'STE;1�1 DGSCRI P'I'ION t...;Z � .�Gt,l. +2 ���tJ:> �- � ' S }` V��{� C.�S � � I~�C�t
s J �
ii�.a�ri���c, s��sr�n�is C�i. v1 •'�- �:� �`E`��S , C�:'��- :�v�.��-- � i'�✓�c�C4i ��
j �_ -�-ti�- G :�J�Q� ,
Q,uanur�:
t� �
Mal:e: �(:�a�'��
M��ei:
��-��i:,�v�tv�3J :�
Fuel: IV :,�'�-;i N�� � N :i'�"Utf'e�
� ,� _� 'r
Fltie Size: (;
Input BTUs: '�`J l'%J J L;, ;7 �t../��C.�
Output BTiIs:
CF�1:
cooi.in�c svs��rn��s
c)uailtitv:
M.�ke:
�AodeL
I ons:
H. Power
r�aEPLacEs
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
�'E\TI LATION
N�. 1<itchen Exhaust duct recalculatii�a cfin
No. Lath Cxhaust(must have duci outside) cfm
No. Other Fans: Locations cfin
f UCL STORACG(MUST BE APPROVED BY F(RE MARSHAL)
[nstallation or Removal
Fuel oiL ball�ns undergrounel inside or outside
LP Gas: gal4ons
Other Gas openin�
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P1:NM1'(' PCG CALCULATION(S)
2Q02 State Statute Yes This Section Applics
Tl�e replacement of a Residential fixture or appliance that meets all three of the follo���ing
requirements:
I) Does not require modification to electrica] 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 Permit $ 15.00
State Surcharge $ .50
Mail-In �ee � 1.50
I f ahove does not apply, follow guidelines below:
1. Contract Price" is .012�%of job with a Minimum Fee o1�(�35.00)
s^ ; _. ._. U• `.-
� <��'Z_' <_ � x .0125 $ �=�_�,
�COl1t1'8CY�1'ICG� �Illllllllllllll,�rJ�.00�
2. State Surchar6e. r* Add the State Building Code Division a Minimum Fee of(� .50)
x .0005 $ � 5��
(contract price) (minimum$.50)
3. NostaQe and Handl�ing(Oizl��n�ail-in applications) $ 1.50
-� -� �c>
4. TOTAL PERMIT FGG (Add lines 1-3 above) � `;� �
°CO!�'I�I�AC`I�PR ICI�ur.1013�'(1S�f ineans lhe ticlual or eslimated dollar am�iunt charged for t�he permiued�vorl:
inclueiinr moteri�ils. inbi�r.��r��1iL ancl uther lized cosls_ It i�lhe amount lo be chargecl to the cusLomer tor the��vorl:
d��nr. If�in��matcriaL eyuiEimenl,I�bor,or insfallation is turnishe�l by tlie owner.lenant or any other party the
rcasunable mtirl:et value ol'such ilems must be added to the estimaled cost or contracl price for permit fee pu�poses.In
the cvcnt lhal there is a�lispute on the amount of the iob cosC,the City tnay request the submission of a signed cop��oP
thc actu�il conu�act.
'"�`The S"fATE SURCHA[ZGG is.0005 of the contract�rice under$I,000,000 or�.�0-whichever is greater.Por
valuations over S;I,000,000 call the Department oflnspectional Services ior the price.
��he undersigned hereby a}�plies to the C:ity(i�r issuance of a Mechanical Pennit,a�recs to do all N�ork in stricl
accordance w�itl�Yl�e ordii����ces of the City and hhe regulxtions of�the Minnesota State Bui�l�line Code,and certi'fies that
all statements made on this application are complete,true a�nd correct.
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!�",��'L�u2 � � � C,.V �..�
Applicant's Signature: -� ... �v-cz.._,� Date:
Approved By: Date:
Reset Form
�10 DA E TIME �
CITY OF ORONO CALLED IN �
INSPECTION NOjiC SCHEDULED ' 1�0
PERMIT NO. f OMPLET D �� • �
ADDRESS b'3�� J % �/��e-��i� LJ/� - �;U�-S 1�[�c�4�
OWNER CONTR.� �/,��i.�G�.�.�,P �LC�.
TELEPHONE Na �l�3 3-y��/U C�
� DESCRIPTION ��-� � /�K�� �- �n �"�-�v-�e--
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING MECHANI�A FIN 19 LAKESHORE/WETLANDS
y 03 INSULATION 24 BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOP TO MEET YOU:_YES_NO
� COMMENTS:
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��ORK SATISFACTORY:PROCEED �OJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContract n it -
Inspecto
hite Copyll�spector's File Canary CopylSite Notice
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� Northiand Mechanical Contractors. Inc. �ate Job No. Orsat Test Record
9001 Science Center Drive �`�-��O� 0�"� 3��
_ New �iope, iVlf�l 55428 Tester's Na ic�e f�jo�� j�
treet Address Apt. loor ity Zip ode
3333 S��r , 3 v� o,�'m�r� 5�3
Occu t Owner Phone
��S Q, �. � . � ���,� c 9�� � a7 3��3
Heat Loss Date Htg.Inst. old B Installed Ele ' I ork By
�-��
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Gas Line By Type of Heat
�` �GA Q FA �HW Q Steam Q Space Heater �'�Jnit Heater �Other
Make ��,, �„�-(��-y��; del erial No. Input
' `'Y�o���. � =,`4 � 5 -�� 1 �lloll ��3-- 3$( �S ���
Make of Burner odel Max.BTU Rating Make of Furnace Model
• • �� .�, ,! _ ,—�
Thermos�at Heat Plug Valve Limit �� �p� Limit Setting
��` �- °���V� — �1J�t'R-Y�"��� �� ��Q°-�
� �� Fan Se ing Pilot Type . Pilo Make Pilot Model Pilot Timing L.W.Cut Off
S�G�.�r`s �i� �JY�yw��) — � —a'>
Vent Size i� Kind o Liner ize Dra Hood Regulator
� None ,�� 3,LS-3 YY`�C.T.�!
Filters Size Number Chimney Location Chimne Construction
� . � Inside Outside �'��
Smoke Bomb Wiring Draft Test Tag Door Pressure Lighting Inst.
� �� �� � � ��
Pressure ercent nput ercent 2� tack Temp.� Percent
3 s� �,.� �; `�'� �s; ��� � ���v 3��� -� �i�
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Date �ob No. Orsat Test Record
� � Northiand Mechanical Contractors, Inc. ;a-aa��'-� � �� ��v
-9001 Science Ce�ter Driue Tester's►v e License No.
New Hope, MN 5542� �' I � °oy�'''�03�
treet Address Apt.Floor ity Zip ode
3333 S i� �f�.I a �3( , ��391
Occu ant Owner Phon� �� � ���_����
'�A .7 J� J \
Heat Loss Date Htg.Inst. old y Instal d y lectri al Work By
~ ���1���- � ' ��
i�-�.► -o�
Gas Line Type of He
��`� Q GA A �HW �Steam �Space Heater �Unit Heater Q Other
Make Ne� f��a,o y,�,! M erial No. Input
� �` ��fe. ��,0�''lJ 3 2� 1 0 •� a c7� �o� �'r
Make of Burner Model Max.BTU Rating Make of urnace odel
i • �.� •�.- �� �� 1
Thermostat Heat Pfug Valve Limit ff- � r. Limit Setting
<<.���1��� — N���Q � �b--�
� �� Fan Setti Pilot Type Pilot Make Pilot Model Pilot Timing L.W.Cut Off
y, c� .�n -- �---,
� o � � „�T s E���. �o a.�y��
Vent Size ind of Liner ize raft Hood Regulator
C�'•� •� None �Q'�1 3 as-3 ►'�"cc��)c��}
Filters Size Number Chimney Location Chim Construction
� o �,I 1 ��^ Outside � ��^'�
Smoke Bomb Wiring Draft TestTa Door Pressure Lighti.ng Inst.
"_'_' �(� o� y"'r� �J�. 'JK�
Pressure ercent 2 Input H R UH Percent 2 tackTemp� Percent �
3 S�'' �,.,� `�� }�J� .��� ��
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