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HomeMy WebLinkAbout2003 - P06008 - mechanical PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: P06008 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1/31/2003 SITE ADDRESS: 2615 West Lafayette Rd Excelsior,MN 55331 PID: 21-117-23-24-0049 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: $ 185.00 Valuation: $ 14,800.00 State Surcharge Fee: $ 7.40 TOTAL FEE: $ 192.40 APPLICANT: New Century Systems OWNER: Jim&Torre Gagne 17061 81st Avenue N 2615 West Lafayette Rd Maple Grove,MN 55311 Excelsior,MN 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. CM-) PPLICANT PERMITEE SIGNATUI ISSUED BY SIGNATURE Copies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessine, 1-Finance Page 1 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 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(952)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 (952) 249-4600. Please check one: ❑New,[Addition ❑ Repair [' Replace ❑ Residential ❑ Commercial JOB SITE: L Zip: Owner's Name: '_/t/E Phone Number: Mailing Address: 02, / lit/ �i�i 0/goly° Zip: Contractor's Name:/1/F44/ CTLt,y sysi rsphone Number: 76 3 Mailing Address: /71*/ N `ritr - City: #1 hie v,_ Zip: SS3// 1 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: Make: fj 7/97t/T Model: PL-4(.5 (D //O OOO S Fuel: /V/9-7-61.5 Flue Size: Input BTUs: 1717/0/O��,1 ,74 Output BTUs: J(/J 0 U CFM: z./.5e-crkt COOLING SYSTEMS Quantity: / Make: /7Y Model: .S l0 3 Tons: 1.s TDA/ H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplate with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION at-op No. tchen Exhaust:5 duct recalculating • cfm No. BathExhaust(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 ❑outside ❑LP Gas: gallons ❑ Other f -2.15- A/ ✓ Gas opening LbZ Z~� on- 2 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; excluding 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) g00,624 x.0125 $ (6ontract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50) oeO •O 0 x.0005 $ (contract price) (minimum$.50) 3. Postage 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 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 $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature:` / Date: 0//a--3 Approved By: Date: 3 DATE TIME CITY OF ORONO CALLED IN � �v01°,0INSPECTION NOTICE SCHEDULED PERMIT NO. nee ? COMPLETED c ADDRESS ,.,f10Z4.). Ltt-c/- c OWNER CONTR. A.)az G {;4.-t;,'y TELEPHONE NO. q "a3 DESCRIPTION u, 01 FOOTING CHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO (1 COMMENTS: cc W Q. 0; O CC O LU 12 W LU C: ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY t ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contracto a Inspector White Copy/Inspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN INSPECTIONN TpEu,) SCHEDULED �A 0$ �/ . 0 444 PERMIT NO.7`))((pp COMPLETED • ADDRESS n?�/S /L2 L / � r. OWNERCON R. ,e01, 1.1.4 )6%-4. //�� TELEPHONE NO. c '73?© 0 3STa DESCRIPTION ( O& 14 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING • 0 -••• . 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • "ALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION ' 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP lzy 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL �� 36 FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES '4 NO c.1 COMMENTS: cc cc O cc 0 W W Q W L WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si • Inspector. 1)- White Copyllnspector's File Canary Copy/Site Notice (5t-f_) DAT TIME CITY OF ORONO CALLED IN 4 7V /// INSPECTION N TICE SCHEDULED "!(G`Q3 /=9O PERMIT NO. r� 6--/C/� COMPLETED ADDRESS Deis Gc� � OWNER !/CONTR.�� t S< TELEPHONE NO. 6/2 -ere) -4a6 DESCRIPTION Lj 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 • 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:=YES_NO cc COMMENTS:Ifitatt 4A-61-(El\ C9K cc O cc O 14.0; Q CC O W4; WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contract site: Inspector. White Copy/Inspector's Ise Canary Copy/Site Notice '�7 / HOUSE HEATING TEST RECORD ;' ' / ADDRESS .MFk' C L�"f' I41, / C' , 'APT. FL00 CITY a 44 OCCUPANT ( C 4 �—��- SUBURB OWNER , �! ' lV t HEAT LOSS ___ DATE HTG. INST._ SOLD BY 'nfrf 31---, INSTALLEDt � ily Br /t/ / Ci' .+:1 Electrical Work Bti�ibA %ito4flp./1,70 ' Gas Line By TYPE OF HEAT GA FA ***** FIW STEAM SPACE HTR. UNIT HTR. OTHER /t...464t". G S DESIGN CONVERSION MAK ' �Ip MAKE OFBURNER ,r,,,...- Model �r r� Model ..+.''� Serial 1 2 / > / � / O F Max. BTU Rating INPUT � /41m MAKE OF FURNAC Moder-- 41r,., CONTROLS /#14THERMOSTAT ' + 0$h(-Plug Vent Size / G' Valve pPtc,�1ut1''� / KIND OF LINER SIZE NONE Limit 70447i'f1W7- +ft Draft Hood /4�UilrZ Regulator Limit Setting 2°O' tit? Filters Size / Number Fan Setting r'"t�! c /fAel a 714441,,, ie Chimney Location 1 Outside Pilot Type vfJ , Chimney Construction �e•-- Pilot Make t Pilot Model ''i 9A `d Smoke Bomb Wel Wiring r Pilot Timing tc''7 O ✓/(' Draft r Test Tag L.W. Cut Off Door Pressure.'"""°""-- Lighting Inst. `,"''..- Pressure �'5�'WC"- W C' Percent CO -y_..-71._t /J • Input CFH /0 2�,�t Date Tested ice//!�Z O� P �� Percent 02 • �4m? Company Testing Ali-44/C."/ie), .$ 'S2.YS Stack Temp. Percent CO Q. o% Name of Tester - A�� / T Form 235