HomeMy WebLinkAbout2003-P07072 - mechanical PERMIT
C I�Y O F O RO N O Permit Number:
2750 Kelle y Parkwa y- PO Box 66 Po�o�2
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pemuts
(952) 249-4600 Date Issued: i2�s�2oo3
SITE ADDRESS: 3010 Somerset La
LONG LAKE,MN 55356 �
P I D: 04-117-23-22-0029
DESCRIPTION:
Proposed Use: Residential
Pemut Class: General
Pernut Type: Mechanical Permits Pemut Sub-type(s): Heating Systems
DETAILS:
Approved per resolurion#:
Separate pemuts required:
NOTICES/REMARKS:
Unit heater for gazage
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 900.00
� . State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Vogt Heating&Air Condirioning OWNER: W G&S J CARSON
3260 Gorham Ave 3010 SOMERSET LA
St.Louis Park,MN 55426 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESfS PIItMISSION TO MAKE THE REAL IMPROVEI�NTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SfATE OF
MINNESOTA BUILDING CODE REQUIRENIEN'TS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Reouired). 1-Avolicant 1-Monthlv Reaorts, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323
� GENERAL INFORMATION � ' ,: t ,:��' s '
��
�`��` 1. You may apply for mechanical permits by mail or in person at the Cit}�offices. Applications will be
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"`�k� reviewed and a permit will be issued within two working days.
_�, 2. Permit cards will be sent by return mail after a review is completedo PERMITS ARE NOT VALID
<z�:: UNTII,YOU RECENE A PERNIIT. WORK MUST NOT BEGIN UNTII.,THE PERNIIT CARD IS
���� POSTED ON T'HE JOB SITE.
��, 3. Mechanical Des�-Complete calculations,deiaiis 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�600. 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.
�� 1NCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call r �
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(952) 249-4600.
Please check one: ��New �Add� ❑ Rep�ir ❑ Rep�ace �Residential ❑ Commercial ;
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JOB SITE: ��:►� .5umy►�r:�� � L�t/ z�p: ������
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Owner°s Name: �,,3�4i\�i �f I����(1 Phone Number:
Mailing Address: �� City: Zip:
V/OGT H�1�IV��,�IR COVVplTi(�
3260 GC�2���,`�c.
� Contractor's Name: Phane Number:
� 1Vlailing Address: ���ity_: Zip: `
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: ��_ j�t� ��
Model: �� � -� .,�71 i� ��U�'� �,, �.
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Fuel: ��' (� �
Flue Size:
Input BTUs: � � �'l�
Output BTUs: "
CFM:
COOLING SYSTEMS
Quantity:
Make:
ModeL
Tons:
H.Power
FIltEPLACES '.
t r �i - '� t GJ�x'v2�
❑ Gas factory fireplace ' ' - ��
❑ Wood burning factory fireplace with flue = ��' -� � , �" ' �` � ;, �� ' ' '�� a �
❑ Wood Stove `�. ��a '� ��_� `�
❑ 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
�� �. . � :
FIJEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ', x,,, _ : x. '�, , x-;, , '.;
❑ Installation or ❑ Removal �� �^��°
❑ Fuel oil: gallons . ❑ underground ❑ inside ❑outside ,�,:µr,_,,, t�y�,,��';,;,:��,
❑ LP Gas: gallons
❑ Other Gas opening �';: , ;, , _
2
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PERMIT FEE CALCULATION(Sl
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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 Permit, $ 15.00
State Surcharge$ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
l. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
'`��..)v C�) x .0125 $ ._��'�j(.(��
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50)
�'IC� \ x .0005 $ � J(�
(contract price) (minimum$.50)
3. Posta�e and HandlinE(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,j 7��J
"`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,
equipmcnt, labor,or installation is 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over
$I,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 ceRifies that all statements made on this
application are complete,true and correct.
Applicant's Signature: ��'�/1�(.C(.� � /%v1�C�� Date: ��" -1'U�?
Approved By: Date:
3
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DATE TIME
CITY OF ORONO CALLED IN �—�3
INSPECTION NOTICE SCHEDULED ���7-(�3 /�3oP.tit
PERMIT NO. p1�Z07� COMPLETED
ADDRESS r
OWNER CONTR. � ._
TELEPHONE NO. 02 02 7
� DESCRIPTION n�r�" �� /" ��� �i-� /i'�'`-��
� 01 FOOTING 'FAECHANICAL RI 18 EXCAV/GRADING/FIWNG
Q 02 FRAMING FINAI 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOO 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 FINAk 35 HARD COVER REMOVAL
v 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
2 OWNERICON�OR TO MEET YOU:_YES_NO
c� COMMENTS: ���� ��J��� /UO/�G�
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-46�0
OwnerlContr ite:
Inspector.
White Copyllnspector's F e Canary Copy/Site Notice
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HOUSE HEATING TEST � RECORD
ADDRESS �� �O 5���F.I�S�� ft/��t)Z APT. FLOOR CITY SUBURB ��
OCCUP�NT OwNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY � '
Ei�ctricol Work By Gas Lin• By �'�'
TYPE OF HEAT GA FA_ ^HW STEAM SPACE HTR. UNIT HTR. OTHER
����Ox GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Mod•I i.�'a2 "�QU�-' AAod.l
S�riol �� �- 3U4L� Alax. BTU Ratiny
INPUT ��UVU MAKE OF FURNACE
Mod.l _
���-�/��� CONTROLS U
THERMOSTAT_�� '��� at Pluq V•nt Siz•_ �
Valv. KIND OF LINER _ SIZ NON
Limit -S7L OCU Droh Hood U�� Rpulowr � � �
Limit 5�»inq ? FiltNs Si:• Numb�r
Fan S�ttinq � � Qim��y Location Insid��0utsi •
Pilot Typ� ^ �- ��� U�imn�r Construction �.0 � �k� U� —
Pilot Mok• �
Pilor Mod•I � ��/c-7 �� ��'�` S�nok• Bomb Wiriny
Pilot Timiny "LS�L Droft T�st Tap
L.W. Cut Off � Dow Pr�ssw� Liqhtinq lost.
Pr�asw� � P�rc�nt CO2 � Dat� T�st�d �— �—U �
Input CFH d� P�re�nt 0� �Ll /Y_ C.o�nPany T�atiny v� �
S�ock T.mp. 2�d`� P..c.nt CO �'v No�n.of T•s�.r "�