HomeMy WebLinkAbout2004-P08165 - mechanical PERMIT
CITY OF ORONO Permit Number:
2750 KeIIQ� Parkway - PO Box 66 Poai6s
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�atPe�tS
(952) 249-4600 Date Issued: 11�g�2oo4
SITE ADDRESS: 1135 Spring Hill Rd
I.ong Lake,MN 55356
PID: 26-118-23-34-0005
DESCRI PTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,800.00
State Surcharge Fee: $ 1.40
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.90
APPLICANT: Cronstroms Heating &Air Conditioning OWNER: Edson&Harriet Spencer
6437 Goodrich Avenue 1135 Spring Hill Rd
St. Louis Park,MN 55426 Long Lake MN 55356
T`HE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN SI'RICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY S[GNATDRE
Conies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessin�, 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
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 UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns- 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.
Identi�cation 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 wark 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. ; 0 m
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Instructions � �
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Com lete all items on this a lication. Com ute the ermit fee. Si n and date the ��� � �
P PP P P g c.:
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If yoi�
have questions, call (952) 249-4600.
Please check one: New Addition Repair ✓ Replace
✓ Residential Commercial
.TOB SITE: 1135 Spring Hill Road Zi�. 55356
Owner's Name: Ed Sp�ncer Phone Number: �52) 473-9088
Mailing Address: 1 13�i �nrinn I�ill Rri City: Long Lake Zip: 55356
Contractor's Name: Cronstroms Htg & A Phone Number: (952) 920-3800
Mailing Address: 6437 Goodrich Ave City: St Louis Park zip: 55426
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: Trane
Mode1: TUX040C9
Fuel: Nat G8S
Flue Size:
Input BTUs: 400��
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 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 or, outside
LP Gas: gallons
Other Gas opening
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PERMIT FEE CALCULATION(S)
2002 State 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; 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:
1. Contract Price* is .0125%of job with a Minimum Fee of($35.00)
2,800.00 x .0125 $ 35.00
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
2,800.00 x .0005 � 1.40
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 37.90
*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 far the work
done.If any material,equipment,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$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuanEe o Mechanical Permit,agrees to do all work in strict
accordance with the ordinances of the City and the regulatio s of the Minnesota State Building Code,and certifies that
all statements made-on this a�ica on are comple ,true and`�orrect.
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Applicant's Signatur�' Date: 10/28/04
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Approved By: "� Date:
Reset Form
✓
/�A TIME
CITY OF ORONO CALLED IN
INSPECTION N SCHEDULED -/ -�`f D,'
PERMIT NO. COMPLETED �
ADDRESS
OWNER -�-�-CONTR.�.L1.6'n�'�dtiN/i�
TELEPHONENO. RS�- 77.3 �4X� �0/2 Z�I (vOI.S�
� DESCRIPTION r ��.�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/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 OS 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
� 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� WORK SATISFACTORY:PROCEED �PHOJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL REfURN
�STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�INSPECTIONREQUIRED.CAILTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contract �te•
Inspector. �
White CopyMspector' Ffle Canary CopylSite Notke
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOT���/�� SCHEDULED �I'i� __��
PERMIT NO. �� COMPLETED
ADDRESS �l �J S.�/`i i�.c f���� �-P�
OWNER CONTR. CO17St��/Y!S
TELEPHONE NO. �J � I �.3 ��Q d �� (o�Z �c/
� DESCRIPTION ����—
� 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 REMOVA�
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 OEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
�NSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContra r�site:
Inspector. - �
White Copyllnspector' File Canary CopylSite Notice
PERMIT# � I ,
H jJSE HEAT G TEST RECORi�
ADDRESS � � ` \ CITY � /
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. INSTALLED BY
ELECTRICAL WORK BY
TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DFSIGN
MAKE � SERIAL � � � ���
MODEL INPUT(BTU)
CONTROLS �/' / r ` S
KIND OF LINER SIZE N NE COMPANY TESTING G
FILTERS IZE � NUMBER � NAME OF TESTER
PRESSURE PERCENT CO2
INPUT CFH PERCENT 02 �
INPUT �
sTAcx TEMP / �� � RECEIVEC�
C �--�-�--'� NOV 2 4 2004
CITY OF ORONO