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Home My WebLink About2003-P06052 - mechanical � � � PERMIT CITY OF ORONO 275G Keiley-Parkway - PO Box 66 Permit Number: Po6os2 Crysta! Bay, Minnesota 55323 Permit Type: Mechanical Permits (952; 249-4600 Date Issued: 2i2ii2oo3 SITE ADDRESS: 1525 Sixth Avenue N. I.ong I.alce,MN 55356 PI D: 26-118-23-33-0033 � DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 1,350.00 State Surcharge Fee: $ 0.68 Misc. Fee: $ 1.49 TOTAL FEE: $ 37.17 APPLICANT: Flare Heating&Air Conditioning OWNER: S&S Morrison 9303 Plymouth Ave N. Suite 104 1525 -Sixth Avenue N. Golden Valley,NIN 55427 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 � �5�� APPLICANT PER ITEE S GNATURE ISSUE BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Annlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 -�ob� O3d2-`� l � � � � 3� . i�7 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) 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 UNTII.,TI�PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs-Complete calculations,details and specifications are required for each heatina, 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 specificaxions for water heating equipment shall also be provided. 4. Wfien 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 ❑ Addition ❑ Repair�Replace ❑ Residential ❑ Commercial JOB SITE: �� h e- Ue-- �� 1�'��' Zip: �� J� l� Owner's Name: SC��(`('�5��1 Phone umber: `�'� `Z - �}�q- $�� Mailing Address: �5 25 (o _�,�� „�� City: �t'o�� Zip: �5 3�, � Contractor's Name: ' �''e, I�l d-flt f Phone Number: � _� � `�J y 2 ' ( �� Mailing Address: U:3 v-t'h �/�YCity: � Zip: S��2� 1 � \ � • „ �. \ SYSTEM DESCRIPTION HEATING SYSTEI�IS Quantity: 1 Make: � � Model: ��`' _ Fuel: Flue Size: Input BTUs: Output BTUs: " CFM: COOLING SYSTEMS Quantity: Make: Model: 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 E�aust duct recalculating cfm No. Bath E�chaust(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 � f • . , � , ��. , PERIVIIT FEE CALCULATION(S) 2002 5tate 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 service. 2) Has a total cost of$500.00 or less; excludinQ 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 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) � 3�� '� x.0125 $ ��' �� (contract price) (minimum$35.00) 2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($ .50) �� 3 5� ��X .000s $ . �� (contract price) (minimum$.50) � 3. Posta�e and Handlin�(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� *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 installation is fumished by the owner,tenant or any other party the reasonable market value of such items ^112St 1JP�r1`jA�tp rh.��SCt**i»YCG�r�ct�r r0"itl3��Yr._�fCI�.1e:.^,:.,f�k.::.r.^vS�S.I:!:�:e:....^.!i::.'.!:�2.�.....�..'�:S71:�.,vP�r�.'....^1IIt Df the job cost,the City may request the submission of a signed copy of the actual contract. **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over $I,000,000 ca(1 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. T : � � Applicant's Signature: �C� ��' �� Date: �`�� "�Z Approved By: Date: 3 ; , _ � , , HOUSE HEATING TEST RECORD - , ,,; ; ; A�DRESS ` { "' � APT. FLOOR CITY � SUBURB OCCUPANT�.t�" ,,,s " OWNER HEA� LO$5 DATE H7G. INST, SOLD BY INSTALLED BY El�chicol Work By Gos l.in• Br TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKEOFBURNER Mod•I Model S�riol Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERM057AT Heat Plup Vent Size Valvs KIND OF LINER SIZE NONE�— Limit DraFt Hood Reguloror ; � - � Limit $�ttiny Filters $ize Number Fon Setting Chimnsy Location Insids Outsids Pilot Typs Chimney Construction Pilot Make Pilot Model $moke Bomb 'Niring Pilot Timing Draft _ Test Tay L.W. Cur Off Door Pressuro Lightinp Inst. Pressure Percent C0� Date Tested Input CFH Peres�t OZ Company Tesfing — Stack Temp. Percent CO Name of Tester d'� Form 235 �.,,,.., ,ils.�'raiJ.r,e..±�n.n�.s.s.,a4a:a�.;x�u.x.�i.rn:�k::�:�:e.`�..,°�:�,�.+s�.s.".ay"MSs..YYi�il.'^L,��,�:;�.Y.;,k��Y;�ar��u•.� i�r.�;ri4m.i4�re.i}auo.::�.u:,r,r�e.a. - . �r,!�. .'�'� .. . � ��ZS �LOI�' '°"'{ HOUSE HEATING TEST RECORD ` � • ` t ADDRESS 1_ ��-- APT. FLOOR CITY SUBURB OCCUPANTy OWNER HEAT LOSS DATE HTG. INST. SOLD BY ' INSTALLED BY El�chicol Work By Gas Lin• By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Mod•I � Model S�rial Max. BTU Rating INPUT MAKE OF FURNACE Modal CONTROLS THERMOSTAT Heat Pluy Vent $ize Valva KIND OF LINER SIZE NONE _ __ l.imit Droft Hood RsguloTor ��'y Limit $�ttiny Filters Si:e Number Fan Setting Chimnsy Location Insid� Outsids Pilot Typa Chimney Construction Pilot Make Pilot Model $moke Bomb Wiring Pilot Timing Draft Test Tay L.M�. Cut Off Door Pressure Lighting Inst. Pressure P�rcent C0� Date Tested Input CFH Percent OZ Company Testing -- Stack Temp. Peresnt CO ' Name of 7ester Form 235 � . . ..,,. ..... ..,.-.. �..,.. . ,..... . , .,..,A,.�..a.�.:tit�;,.,�+u.ya-exStii„i'i�,._._��.ti.'a.a.,a,W r___�.._. s..Jl�.��:r_Y...,_� ✓ DATE TIME CITY OF ORONO CALLED IN -�Z -�� INSPECTION NOTICE SCHEDULED S-_� � PERMIT NO. P�� D-�� COMPLEfED ADDRESS ISa� C��-A'� � OWNER SC�`7` Y�'L�c-a-e-� CONTR. ��/ � TELEPHONE NO. ��- ��p ' 0�� DESCRIPTION �� 01 FOOTING 11 ECHANICAL 18 EXCAV/GRADING/FILLING Q 02 FRAMING CHANICAL FIN 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 O6 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 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:L�YES_NO .,(,(J{�Q�J � �,�� COMMENTS:__ � �� . a �2�%L�.T .L/til 2� p D�.y J O �� O � W � Q � 2 W � W � � � a � WORKSATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 O CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contrac�pr�or�ite: Inspector. � � �v�Y White Copyllnspector'a File Canary Copy/Site Notice