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HomeMy WebLinkAbout2006-P10023 - mechanical CITY 6F ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: P10023 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 6/22/2006 SITE ADDRESS: 746 Tonkawa Rd Unit# Long Lake,MN 55356 PID: 05-117-23-34-0005 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 73.25 Valuation: $ 5,860.00 State Surcharge Fee: $ 2.93 Misc.Fee: $ 1.50 TOTAL FEE: $ 77,68 APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Edward&Mary Caldwell 8910 Wentworth Avenue S 746 Tonkawa Rd Minneapolis,MN 55420 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. APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, I-Assessing,(If Septic, 1-Septic) Page 1 C�-� CITY OF ORONO APPLICA'hON 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 mustbe 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: New Addition Repair Replace x Residential Commercial JOB SITE: I`I toi o> a w�� '2 Zip: 5 5 2 5 j Owner's Name: EI uwa.v c1 Cm1AOU,l k Telephone Number: 1-jS2-,I-I-1 I- k$6 0 Mailing Address: Iq b e . City: yYon C� Zip: 5"535 16 Contractor's Name: k c,4�y--n TelephoneNumber: aS? -4-)1- 68 6 0 Mailing Address: 091 U fwv rTh t4ve City: rUkv (s Zip: S 5�-(Z U SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: I Make: �L-t-n n o l tx�✓�c, Model: C1(oo�L H in0-7o 660bF 3&A6-7-(- Fuel: ,-7cFuel Flue Size: " Input BTUs: I p C)L) 7c, 0�v Output BTUs: to b,o 0 C> �,. 6c) CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power WOOD BURNING EQUIPMENT • 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. 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* or Minimum Fee ($35.00) S �� C> x .0125 $ ,3 - ZS (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. 5660 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) $ * CONTRACT PRICE or IOP 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 parry 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. Applicant's Signature: Q` C C'J Date: 6 Approved By: Date: TE TIM � / CITY OF ORONO CALLED IN O INSPECTION N C� SCHEDULED PERMIT NO. p� COMPLETED ADDRESS t I OWNER CONTR. C TELEPHONE NO. ", _ -I CI- DESCRIPTIONRy)DESCRIPTION G`J Farr W 01 FOOTING 11 MECHA ICAL RI 18 EXCAWGRADING/FILLING Q02 FRAMING MECHANICAL FINAL 19 LAKESHORE/WETLANDS CO 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 T09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W Q. 0` J O cc O W W cc Q Z W W cc d W WORK SATISFACTORY:PROCEED PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 11 PHOTO TAKEN INSPECTOR WILL RETURN El El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED El INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nexte — Inspector tion 24 hours in advance. (952) 249-4600 Owner/Contr n s SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952)881-9000 TEST RECORD ADDRESS , ` � o k5 c CITY l d C, c) OCCUPANT Ej Cci" OWNER SOLD BY INSTALLED BY Z'Q'vtiLx p � rlv",J � 6Rv7 MAKE MODEL SERIAL NO. ro "T�✓ lL J INPUT THERMOSTAT VENT SIZE 17L- VALVE (� TYPE OF LINER VP LIMIT \ LINER SIZE LIMIT SETTING FILTERS: SIZE < NUMBER FAN SETTING WIRING PILOT TYPE 7 q,1177 TEST TAG p IGNITION MODEL LIGHTING INST. y PILOT TIMING �/v c, DATE TESTED Ih P;/9 PRESSURE PERCENT CO2 INPUT CFH PERCENT 02 COMPANY TESTING STACK TEMP. © PERCENT CO NAME OF TESTER v� v FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952)881-9000 TEST RECORD ADDRESS 7 �/^ k—, ct,, 12S ^ CITY rc 0 y OCCUPANT CR r C cv¢ // OWNER SOLD BY INSTALLED BY Vyt z Q up 6d U 3 C6r4 U 6 MAKE [ MODEL SERIAL NO. P �)I INPUT 6b THERMOSTAT VENT SIZE VALVE TYPE OF LINER LIMIT LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTINGWIRING 111 v `� PILOT TYPE TEST TAG IGNITION MODEL LIGHTING INST. (I PILOT TIMING DATE TESTED J PRESSURE YL PERCENT CO2 INPUT CFH PERCENT 02 COMPANY TESTING STACK TEMP. PERCENT CO�.J NAME OF TESTER FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY