HomeMy WebLinkAbout1996-008504 - mechanical 401 - PERMIT
CITTOF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 MEC:HAN I CAL
Crystal Bay, Minnesota 55323 Permit Number: 008504
(612)473-7357 Date Issued: 10/16/96
SITE ADDRESS:
138 1 TONKAWA RD
.tE
P . I . N. , 08-117-23-12-00-01
DESCRIPTION:
I HEATING SYSTEMS FLUE SI-:-F t" FUEL NATURAL GAS
MAKE CARRIER MODEL :340MAV024040
OUTPUT 36,0 iii INPUT 40,000
1 AIR C 13ND I T 113N I NG MAKE CARRIER MODEL- 712AJ X-{X24
TONS 2
REMARKS:
FEE SUMMARY:
VALUATION $3,000
Base Fey: $37 . 60 MAIL IN iSCS
Surchai-g ---11.5Q Total Fee $40.50
Subtotal $39 . 00
CONTRACTOR: - Applicant. - OWNER:
ROUSE MECHANICAL INC: 35935:3,00 DORR LAWRENCE
11348 K-TEL DRIVE 980 TONKAWA RD
til INNETONKA MN 55:34:3 ORONO MN 55:356
(C,12) 9:rc':-:-5_:00
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THE UNDERS I GNED HEfiEBY REQUESTS PERM I SS I OSI TO MAC=E TN"E REAL IW, ,
SPEC I F I Eta AND AGREES TO .00 ALL tllOOK IN S*41 GT GOMPL I ANCt WI TFC:�L C.I T) r�F
L_ ORONO ORDINANCES AND STATE OFI NNESOTA BUILDING CODE RE ,.1I� SIT
APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATUR
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CITY OF ORONO APPLICATION FQ11 ME CAL 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 Desijzns - 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: New Addition W_ Repair Replace
Residential Commercial 6
JOB SITE: olid wa,_ Zip:
Owner's Name: P,• a ewce Telephone Number:
Mailing Address: 990 _&Aku 001- M I City: Oref t 0 Zip: 35(o
Contractor's Name: to5e, 44 etAae) ' C, _Tele honeNumber: 1,513-q3CO
MailingAddress: A/4t ty: e, Zip:-0 `7
SYSTEM DESCRIPTION
HEATING SYSTEMS i
Quantity: I
Make:
Model: 403q0M,41002_y0Y0
Fuel: CSS
Flue Size: PVL_
Input BTUs: !eX000
Output BTUs: -3 6 1,00
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: 7►Z # K
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.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
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-e 35.00 �O
3cz� x .0125 $ ?r
(contract price)
2. State Surcharge. ** Add the State Building Code Division jo_
Surcharge to each permit. _ x .0005 $
or $.50, whichever is greater (contract price)
3. Postaize and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $
* 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.
Applicant's Signature: D4Date:
Approved By: Date: e ��
DATE TIME
CITY OF ORONO �` CALLED IN
INSPECTION NOTICE Sb 1 SCHEDULED
PERMIT NO. COMPLETED
ADDRESS qA0 00- tda•
OWNER CONTR.
TELEPHONE NO. 5q 3 S- D
DESCRIPTION_AOL)a no Iraa e-
01 FOOTING (DWECHANICAL RI 16 EXCAV/GRADING/FIWNG
y 02 FRAMING 13 MECHANICAL FINAL 18 LAKESHOREIWETLANDS
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
2 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UO 06 PROGRESS
v 07 DEMO--SITE 27 SEPTIC MAIM. 21 COMPLAINT
W 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
h COMMENTS.
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d WORK SATISFACTORY.PROCEED
� v PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance.473-7357
Owner/Contracto
Inspector. - )m
White Copyllnspecto►'s File Canary Copy/Site Notice
w. o o�5 o y HEATING TF5T RECORD RECEIVED
ADDRESS _!``9 0 rO0 �C` � APT. FLOOR CITY St �
BgRfq
OCCUPANT �JC/L OWNER •!
HEAT LOSS DATE HTG. INST. !o aF 9G
SOLD BY INSTALLED BY !?-Q L' `<
Electrical Work By Gas Line By L' `< Me eC*
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE 14 ^!4ff MAKE OF BURNER
Model 3q0MAY o .3 & e'o Model
SerialMax. BTU Rating
INPUT MAKE OF FURNACE
Model
G CONTROLS E�
THERMOSTATHeat Plug Vent Size
Valve �r•� 1-V1-VC-KIND OF LINER/ lSIZE ycr NONE
LimitT1XC,--Irr, L� T1 L cxan 1 Draft Hood /AQ L[c d Regularor 3z'G-3
Limit Setting 20 cl/O Filters �A act Number
Fan Setting a Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make AM Ke
Pilot Model Smoke Bomb ' Wiring
Pilot Timing �Cl�T! fe Draft lnd«e_ C d Test Tag
L.W. Cut Off �— Door Pressure Lighting Inst.
Pressure 3 �G L '�` Percent CO2 7 Date Tested 477
Input CFH too f Percent 02 7 Company Testing —Rouse Mechanical, Inc.
Stack Temp. Percent CO d 1134 Tel Dr.
Mi onka, MN 343
°L17' Name of Tester