HomeMy WebLinkAbout1993-005444 - mechanical .� PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway • P.O. Box 815 Number: MEC HAN I CAL
Orono Permitum
Minnesota 55356-0815 00-5444
(612) 473-7357 Date Issued: 0ED/2 3/`3
SITE ADDRESS:
15 TONKAWA RD
LSV
P. I .N. ; 06-117-23-14-0021
DESCRIPTION:
FORN/AC/VENT
1 HEATING SYSTEMS FLUE SIZE CLASS6 FUEL NATURAL GA's
MAKE AMANA MODEL GUD045
1 AIR CONDITIONING H4R E POWER MAKE AMANA
MODEL ARCF0'2,4 TONS 2
1 VENTILATION MAKE 2 BATH
1 GAS LINE INSPECT MAKE 2 OPENINGS
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REMARKS:
ry- ._ a s
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_
FEE SUMMARY: _
VALUATION $E,,000 ;
Base Fee $7.5. 00 MAIL IN -�l
Surcharge �:; iii) Total Fee --------$79 50
Subtotal $78. 00
C KL vt 90 AC - Ap��1 1 c`X414 11 p ill f'f FRANK
1307S X75 PIONEER TRAIL 315 T ONKAWA RD
EDEN PRAIRIE MN 55344 r IRON+t MN 55:355
(612*) 941-4211
KWIC
SP!8,01FTED AND�.IAGNW LT 441
ODE R�0
ll
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway) n I I r j 7
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Aplications will be
reviewed and a permit will be issued within 2 working days. l i
2. Permit cards will be sent by return mail after a review is completed. PERMITS —VALID J
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE AaWaL.!
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 473-7357. 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 473-7357.
Please check one: x New & Addition Repair Replace
Residential Commercial
JOB SITE: 315 Tonkawa Road Zip: 55356
Owner's Name: Jensen Homes / Bennett Res. Telephone Number: 475-0548
Mailing Address: 601 Lake Shore Parkway City: Minnetonka Zip: 55343
Contractor's Name: Kleve Heating & Air ConditioniT(glephoneNumber: 941-4211
MailingAddress• 13075 Pioneer Trail City: Eden PrairYip: 55347
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: One
Make: Amana Forced Air Furnace
Model: GUD 0 4 5
Fuel: Natural Gas
Flue Size: ass
Input BTUs: 45,000
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: One
Make: Central Air Conditioning
Model: Amana ARCF024
Tons: 2 ton
H. Power 2 horse power
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Te -t- --r-
WOOD BURNING EQUIPNIENT _
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side rear min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. -1 _ Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
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**Minimum Fee l"$35.00) 15 . C1110 DC)0, C),�'j x .0125 $
(contract price)
2. State Surcharge. ** Add the Sr BuildingCode Division
Surcharge to each permit. C)M .
0& x .0005 $
(contract price)
or $.50, whichever is greater
3. Postage and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -79- 50
* 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 accordanceith the ordinances of the City and the regulations of the Minnesota
State Building Code, and 1 ,rt
i es that all statements a on this application are complete, true
and correct. G
Applicant's Signature: U Date: O —oC13
Approved By: Date: g Q3
C.e—( T .
17T1
4•. ¢ y
'ams Addree Plan#_ pate �ly01
CALCULATIONS
otal at Loss =Total Btu Input I All windows 8 doors aro wehwetripped
AFI Lfilthy"Room I Lyth. ••Wth. Ht. " F1. .r Room I Lgth. "Wth. " Ht.
Width Haight No.of Linaalft. Are Width Haight No.of Linoalft. Are
No. of pane of pana lights ,of crack q.ft. - NO. of Pana of Pana lights of crack q,ft.
6—llloon J 2- / 1718
BTU ! 4 /down Coaf. BTU
filtration Windows 0(r Infiltration Windows C7
diltration W/Down Infiltration W/Door 118
,filtration Moor f Infiltration S/Door ( 71 S r
ap.Well r 7L X O Exp.Well
less tY Doors O Glow 8 Doors /(3?
at Exp.Wall 67 Nat E xp.WNI / 7f�'4
ailing 7 EY y , 34 6
.# nT filling cip
icor st �� 73 Floors 7 1 C)
'0101 Btu. S� Total Btu. 1
Ft. Room Lyth. "Wth. Ht. F1. Room Lyth. "Wth.-- Ht.
No. Width moot No.of Linsolft. Area Width Haight No.of Llneel t. Area
o/pane o/pone lights of crack qNo.,ft. of pans of pone lights of crack q.ft.
/door /door
/door Coal. BTU /door Coal. BTU
nflltration Windows 36 Infiltration Windows 36
nfiltration W/Door 118 Infiltration W/Door 118
nfiltration S/Ooor 71 Infiltration S/Door 71
'xp.WNI _ - Exp.Wall
ftw a Door 36-48 Glace i Doors 3"
tat Exp.Well �¢ Not Exp.Well 6 7
:ailing Z 4 3 B Calling 4 B
y 3
1oa 7 310 Floor 3 B
7 10
rotai Btu. Total Btu.
FI. Room Lyth. "Wth. Ht F1. Room Lyth. "Wth. Ht.
No. Width Height No.of Linselft. AnaWidth Haight No.ot Llnaalft. Area
of pane of pane 1 is of crack q,ft. No.
of pone of Dana 1 is of crock q.ft.
•
fdoor /doors
/doors Coat. BTU /doom Coal. BTU
afiltration Windows 38 Infiltration Windows 36
nfillration W/Doors 118 Infiltration W/Doors 118
nfiltrstion B/Doors 71 Infiltration S/Door 71
ixW Wall
_ EXP.Wall
;Ian N Down 3640 Glw 8 Doors 3648
SlatE up.Wall 0 7
4 B Net Exp.Wall 0 7
Calling 4 5-
2
2 Calling 3
F bor 7 10 F loor 7
Toth Btu, Total Btu.
now
{..x.L
Q 314
ATIME
CITY OF ORONO CALLED IN V 3143 -r Od �t
INSPECTION NOTIC ,/ SCHEDULED
PERMIT NO. COMPLETED it
ADDRESS �� dISA
OWNER CONTR.
TELEPHON NO. 747 'ya
DESCRIPTION
01 FOOTING MECHANICAL RI 16 WELL TEST PUMP
Q 02 FRAMING 11 NAL 18 EXCAWGRADING/FILLING
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORE/WETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
cOn COMMENTS:
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WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CI BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. E PHOTO TAKEN
INSPECTOR WILL RETURN r CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnedContraogr gn site:
Inspector c� v
White Copyllnspector's File Canary Copy/Site Notice
TE TIME
CITY OF ORONO CALLED IN X13 5,3
INSPECTION NOTICE SCHEDULED C?h
PERMIT NO. COMPLETE_
ADDRESS -J �'
OWNER ;;L
CONTR.
TELEPHONE NO. �l /
DESCRIPTION , .c am &d
01 FOOTING 1ECHANICA�' 16 WELL TEST MP
Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHOREIWETLANDS
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
i09 PLUMBING Ri 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v0, COMMENTS:
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(W9RK SATISFACTORY:PROCEED 11PROJECT COMPLETE
W (❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
F.CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLT ARRANGEACCESS.
Call forFsite
ins ion 24 Hours in advance.473-7357
Owner/Contra :
r.
Inspecto
White CopylInspector's File Canary Copy/Site Notice
D T TIME
CITY OF ORONO CALLED IN 8 j
INSPECTIONNOTII '/ SCHEDULED
PERMIT NO. �VV4 COMPLETED _
ADDRESS
OWNER CONTR_Jf ;& _tet
TELEPHONE NO.
DESCRIPTION
01 FOOTING 111M 16 WELL TEST PUMP
Q 02 FRAMING MECHANICAL FINAL 18 EXCAV/GRADING/FILLING
ti 03 INSULATION 24 (REPLACE 19 LAKESHOREIWETLANDS
C
Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL
Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION
07 DEMO—SITE 14 SEWER HOOK-UP 06 PROGRESS
v 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT
= 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP
v 10 PLUMBING FINAL 23 SEPTIC FINAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
C
J
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cc
O
UL
W
ac
Q
2
W
z
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QC
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U WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Cj BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN 7,CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contrac n 1t :
r.
Inspecto
White Copytinspector's_t Canary CopylSite Notice
HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS �_DATEXH, TG• T.
�
SOLD RY C X�-.+-�L_ � C,•O INSTALLED BY
Electrical Work of Gas Line By
TYPE OF HEAT CA FA ✓ HW STEAM SPACE HTR. UNIT HTR. OTHER
CAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Madel d — If- model
Serial V ® Mer. BTU Retlnq
INPUT 7 Z'p 0 O 13 T Ll MAKE OF FURNACE
Model
L CONTROLS /I
THERMOSTAT T, Heat Plug „L '� Vent Site
Valve KIND OF LINER SIZE_=nNONE—
Li-it Draft Heel Re_w10 or X71 h(
Limit S4"Ime Filter* Site uundte►
Fen SeHin* Chimney Leeetlen 1 l Outside
Pilot Type Chimney Censhuetl•e
Pilot Make
Pile, Model Snwke BombL/ MMInS C
Pilot Tindng Draft a lz- Test Tei
L.W. Cut 011 Dow Pressure LISMInS Inst.
Pressure Percent CO2 Dote Tested
Input CFH Percent OZ VV Company Testing
Stock Temp. Percent CO Nen,.•1 T•st«
HOUSE HEATING TEST RECORD
ADDRESS 16 APT. FLOOR CITY_SUBURB��
OCCUPANt OWNER
HFAT LOSS DATE HT I�IfT�
SOLD BY —INSTALLED BY
Electrical work at Gas Lina By
Lab
TYPE OF HEAT GA FA NM STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Medal Memel
Sa.ial Men. BTU Rating
INPUT Ligon MAKE OF FURNACE
Mebl
CONTROLS // , I
THERMOSTA,• T, % Haet Plug �� Vent Site V
1/� KIND OF LINER SIZE NONE
Valva
Li-it Drah Hoed Rpulsror
Limit Se"Ings a Q Filtme Sita NUWA*r
Fan SeNingChimney Location Iwslds ✓ Outside
Pilot Type Chimney Censtruetlan
Pilot make
Piler Model V � Sn�ek• Bern► /'' WIrin# , 0 �� -
Pilot Tlminj Draft Test Too
L.W. Cut Ofl Doer Pressure Lighting Incl
r _
Prassu►e , Percent CO2 Dote Tostad
Input CFH Poreent 0� Cowpony Teatime
Stock temp. Pareant CO Home of Toto«
HOUSE HEATING TEST RECORD
ADDRESS APT._FLOOR CITY__SUBURB.`
OCCUPANT OWNER
FIFAT LOSS --�—�DATEY
SOLD By " CIA, INSTALLED BY
Electrical Mork Of Gas Line By
TYPE OF HEAT OA FA NM STEAM SPACE HTR. UNIT HTR....._OTHER
OAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Menti
Serial 76 0 Me.. BTU RetIM
INPUT 501A60 MAKE OF FURNACE
Model
CONTROLS �— I/
THERMOSTAT Hest Plug .,L S_ Vent Site
Valve KIND OF LIN R SIZE NONE—
Li-it DreA Hsed ReSulear 9w
Limit
Filters Slee Humber
Fen SeNtnp Chimney Leeelien ,Mt2Outelae
Pilot Type Chimney CsmshusHen (-+�
Pilot Meko ✓
_
Pilot Model Jq, Smote, Bomb� Miring
Pilot Timing "��w Dreh -Teel Te$
L.M. Cut OHDoer Pressure In
1 01
(�
P.osso.• / Pereant COQ %OeN Tested p =
Input CFH Poreont OS Company Testing
Steck Temp. Pe.eent CO Nese o/ Tester