HomeMy WebLinkAbout2002-P05089 - heating system CITY OF ORONO PERMIT
2750 Kelley Parkway- PO Box 66 Permit Number: P05089
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4/24/2002
SITE ADDRESS: 3700 Togo Rd
Wayzata,MN 55391
PID: 17-117-23-31-0025
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:
Replacing present furnace
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 1,249.00
State Surcharge Fee: $ 0.62
Misc.Fee: $ 1.50
--- TOTAL FEE: $ 37,12
APPLICANT: Dependable Indoor Air Quaility Inc. OWNER: Suzanne Uzanne Fackler
2619,Coon Rapids Blvd 3700 Togo Rd
Coon Rapids,MN 55433 Wayzata MN 55391
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.
APPLICANT PERMITEE SIGNATURE issr
Y SIGNATURE
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I�l�9oth "1 55?0 - -7I 8-7)5
CITY OVORONO 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 2 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 Designs - 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. 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 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 249-4600.
Please check one: New Addition Repair Replace
Residential Commercial
JOB SITE: 3-1 E0 CI Zip: 3� J
Owner's Name: Telephone Number: 11o3-9 7 i-04.45
Mailing Address: j0.rY City: Zip:
Contractor's Nam • Telephone Number:
Mailing Address: OR �iRLlALf TY l�l�pity: Zip:
cc "r9 RfiPIDS 60ULEVARD
SYSTEM DESCRf-'P0Tfj§AP1DS MN 56433
HEATING SYSTEMS
Quantity:
Make: Q n 0 I
Model: 4P o7s-
Fuel: N f Ji S
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
i
4t
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee 35.00 .oD
x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. - 0y x .0005 $
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -j7.1 a--
* 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 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 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 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 correct. 0A
Applicant's Signature: Date: `1 d
Approved By: Date:
llrt�
RESIDENTIAL-COMMERCIAL HEATING &AIR CONDITIONING
2619 Coon Rapids Blvd., Coon Rapids, MN 55433
OOR AIR QUALITY INC. (763) 757-5040-FAX (763)757-5751
PARTY AGREEIN TO CONWE: DATE JOB NIJB
((;; April 15, 2002
STREET JOB NAME
Sue Fackler
CITY,STATE AND ZIP CODE JOB LOCATION
3700 Togo Road, Wayzata 55391
PHONE 763-471-0 Q�PHONE PROJECT DIRECTOR
JOB TO CONSIST OF:
1. Remove and re-install furnace with new smallerlenum with a I `=
p larger 20X25 drop.
2. Add new ductwork for return. (approximately 12 feet)
3. Re-mount A-Coil. `
4. Re-vent furnace.
5. Replace tee in flue with drip tee.
6. Re-wire and gas.
*NOTE: MAY NEED NEW LINER...,
RM919MVIIIIIIIIII Ir.11m;WNEVIEN I 9J Imer,I a I M L01 a MA N Mil Le 0 K Z1.1 OLOJ s II1.1 I ej r4wMa'a I I M M Lex"ung M:I ven VAM P I A-A I I I I I mm a a][Rer,to I I Lei N JIM a 10 1 WeA I I E 2 Lei a via 1 1 W. M.
WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS,FOR THE SUM OF
All material is guaranteed to be as specified. All work shall be completed in a
workmanlike manner according to standard practices. Any alteration or deviation Due Dependable
from above specifications involving extra costs will be executed only upon written
orders,and will become an extra charge over and above the amount set forth above. 50% Down Payment
We shall not be responsible for delays caused by strikes, accidents, or other y
contingencies beyond our control.Owner to carry fire,tornado and other necessary
insurance.Our workers are fully covered by Workmen's Compensation Insurance. Balance Due
All products and equipment remain the property of Dependable Indoor Air until paid To be paid on completion unless it has been previously arranged to be
in full.This proposal is subject to approval by Dependable Indoor Air and becomes paid in full by a financial institution. 1.5% per month interest will be
a contract when work starts. charged beyond'ItM C-ho, i nard
The above prices, specifications, and conditions are hereby agreed to and Estimator
accepted. Dependable Indoor Air Quality is hereby authorized to do the work as
specified.We have read and agree to the provisions regarding interest and have Accepted by Dependable
read the Notice regarding mechanics liens on the reverse side of this contract,
understand the language contained there in,and in the event of a default in payment CUSTOMER ACCEPTANCE Date
as provided here in(1)(we)will be responsible for and pay the reasonable amount
-of attorneys' fees and costs incurred by Dependable Indoor Air Quality Inc. in Signature
collection of the amount due.
This proposal may be withdrawn if not accepted within 5 days. I Signature
Lp V/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO CE SCHEDULED 5�/
PERMIT NO. ` COMPLETED
ADDRESS 3 700 J D�r O
OWNER-- CONTR. � L
TELEPHONE NO.U-2-147
3Z DESCRIPTION
1 01 FOOTING 11 M NICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL 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 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
v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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Wj ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C1 BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE A ESS.
Call for the next inspection 2 ours'n ad Znce. (9 49-4600
Owner/Ctractor on site:
Inspector.
e Copylinspector's File Canary Copy/Site Notice