HomeMy WebLinkAbout2008-P11954 - mechanical PERMIT
CIT`��'OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P11954
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4G�0 Date Issued:
4/2/2008
SITE ADDRESS: 2775 Silver View Dr Unit#
Long Lake,MN 55356
P��� 33-118-23-42-0010
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 126.69 Valuation: $ 10,135.00
State Surcharge Fee: $ 5.07
Misc.Fee: $ 1.50
TOTAL FEE: $ 133.26
APPLICANT: Sedgwick Heating&Air Cond Inc. OWNER: Craig Brandenburg
8910 Wentworth Ave S 2775 Silver View Dr
Minneapolis,MN 55420 Long Lake MN 55356
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.
`'!�c�.l,� ��-
APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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. �oR���sE orTi;Y,.
� ' O���O City of Orono
P.O.Box 66 Date Recmved: '' Pemiit#
t 2750 Kelley Pazkway ' '.
j'" Crystal Bay,MN 55323 Approvsd By • ! Amount$ •
� ' {`�� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commerciai permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GEl?�ERAL �1�iF�RIv1ATI0�1 :
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 retum mail after a review is completed. PERMITS ARE NOT
VALID UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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.
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.
(24-48 hour notice required) -
7. House Heating Test Record must be submitted before final.
` T�'PE OF;PE T
:Chec�A1�'Tliat A 1 =
�Residential ❑Commercial(Approval Required)
❑New ❑Additiona! ❑Repairs �Replace
30�`Site/Owner Informat�an:-;,' �: �
Site Address: 2� S S� �V sU� 1/ 1..¢_,�� �� •
Owner: �-�-�'1 ��4�-i'� �Mailing Address: ��-P'L�--
City: C��'b r�� zip: S S3 S �
Home Phone: �S 2-`����' �l l O Z Alternate Phone:
Ca�tractor Irifoz�nation: '
Contractor: Contact Person:
Address:SEDGWICK HEATING&AIR CONDITIONIN(�fe Bond#:
entworth Ave. So
City: Minneapolis, M$hp6542p Expiration Date:
( 52��81-9000
Phone: Alternate Phone:
❑ Insurance—Current:
1
- � ..'..r�4'_ � R °S�,w .��� �"� '�;r +��-z�,•u' ,�,;�
.���k� A{ ! ��:
HEATING SYSTEMS
Quantity: �
Make: �..v 1✓1 C'ix
Model: �661�'f V b��1 ( (�
Fue(: �CI.S
�
Flue Size: �o
InputBTUs: � UC�O
Output BTUs: ��, b80
CFM:
COOLING SYSTEMS
Quantity: �
Make: �1/�b)c �
Model: �G �� 6`I'Z
Tons: 3`�Z-
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans; Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:
2
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❑ 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 service.
2. Has a tota.l cost of$500.00 or Iess;excludine the cost of the fiacture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50 _
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
1;4��.;t`�iY<'Y.kk,Y?���� � j ,���.I� �.�� ����j�l� �x ���� ir.�i'' h�s„'.��M^�'ji.;�MV�NI�'i'.drT�:j'�'�t��§y,G
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
� ���135 -ob x.oi2s$ 12{� .b �
(contract price) � (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
�10, 13S�ao X.000s $ S . �'�
(contract price) (minimum$ .SOj
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above} $ �33' Z�
■ * CONTRACT 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 amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished 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 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 Building Deparhnent at(952)249-4600 for the price.
n,��_,'�����',�_,,`�� ,�1V�;,F1� t�C ���'� �' � 1�CA (� �;.�4,C'r, ' � � ;" � � ��:;����34�e:����
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 State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
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Applicant's Signature: ' `� Date: � Z8 C�_
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1/ -' l..-�� DAT ��� TIME f/
� CITY OF ORONO `� CALLED IN � "
INSPECTIONNOTICE p ' SCHEDULED -������ .�X�
PERMIT NO. � (R S�1 COMPLETED
ADDRESS �`')�� S I I �/t'i� �� 1 C� �,� ��
OWNER CONTR. �� iJ�S��C �
TELEPHONE NO. �� LI ��p��1 C� �
� DESCRIPTION �) �� r ""`"�1
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �1 PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ��ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. __�� r a �
White Copyllnspector's File Canary CopylSite Notice
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOBNO. ��� /
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-9000 TEST RECORD
6
ADDRESS ���� � ( ✓--� ✓ � L��r��fY �v
OCCUPANT OWNER ��� � �u����
SOLD BY ��r~� �'��-�L��� INSTALLED BY
MAKE ���'�u� MODEL �� `-� U� v�� �l/ �J
SERIAL NO ��'�� �Qn C'- ��Q --Q� INPUT ` C `� l v�v
�`
THEAMOSTAT �� � '� VENT SIZE
VALVE TYPE OF LINER
\\
LIMIT �� LINER SIZE
` �'"G+ �
LIMIT SETTING I�� I FIL.TERS: SIZE �'� NUMBER
FAN SETTING ^'�^eV WIRING ������ �1 PL.
---� � ,._
PILOT TYPE TEST TAG
IGNITION MODEL ��� � LIGHTING INST.
PILOT TIMING��C- O DATE TESTED '/-� � ����✓�
PRESSURE. '�r C • PERCENT COz /� �
INPUT CFH �`D �C a COMPANY TESTING �� ' "
PERCENT 02 �
/�v p�p
STACK TEMP.���/' PERCENT CO 4 NAME OF TESTER
FORM 235(AEV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY