HomeMy WebLinkAbout2002 - P05581 - mechanical PERMIT
"CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P05581
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 9/5/2002
SITE ADDRESS: 2780 White Oak Cr
Long Lake,MN 55356
PID: 04-117-23-42-0017
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:
FEE SUMMARY: Permit Fee: $ 46.74 Valuation: $ 3,739.00
State Surcharge Fee: $ 1.87
Misc.Fee: $ 1.50
TOTAL FEE: $ 50.11
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: Richard&Joan Kling
410 W Lake Street 2780 White Oak Cir
Minneapolis,MN 55408-2998 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 6ED BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing. 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 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
Restiden,�i41 Co ercial
JOB SITE: C7 IR-V' c77-71:20, ( e( ( . Zip:�35�
Owner's Name: r Telephone
� c.(it ct r�[ �( � Number: � y �/7 S— a 1 z
Mailing Addre �A : City: Zip:
Contractor's Name410 WEST LAKE STREET Telephone Number:
Mailing AddressWINNEAPOLIS. MN 55408-2998 City: Zip:
612-824-2656
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Make: —
Model:
Fuel: 1'1 ci Jct O .S
Flue Size:
Input BTUs: 1/
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
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) 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 Fee ($35.00) i /
3�] x .0125 $ r -
Li
(contract pric )
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. 3`1 % x .0005 $ 1- 7
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) r
* CONT:2ACT 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 otl.er 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 va uations 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 .to► en made on this application are complete, true
and correct.
Applicant's Signature: ,J2eC Date: J3(O
Approved By: Date:
_ <w.c aw4. y Ya? x�,y x. ,._ �.sz.;�.rv�+ r•v� <
GAS WORK ORDER. .. . RECEIVRD
1082 Payne Ave. LSTANDARD OCT 4'-tt . Lake St.
St. Paul, MN 55101 /1�� Iii �^o' lis, MN 55408
651/772-2449 b HEATING / SII F r2M24-2656
& AIR CONDITIONING
A Blue DoE: Service Co. EQUIPMENT INFORMATION
LAST ,..; e/, /, FIRST eic-4F,-,-, TYPE A .r ) 14 i z
ADDRESS 2 --7e c, e }l, , -1 e. crit C , MAKE 4z,,,..9,1/-
CITY
z,,„¢,,/CITY 0 rz o ZIP -5---c—7J MODEL 7/5--24#1,4)(4//0 /q,,J
fAi-
HM PH WK PH SERIAL 7667,4
S(6 j7 3
TECH c”? „:.) DATE `- /? - v INPUT /(c)
ORSAT TEST RECORD
CO2 `T(o % METERED INPUT /,70 cfh CHIMNEY TYPE /tC,0-C T
02 G.e % LIMIT SETTING T jc.. ° FLUE SIZE t, " in.
CO % PILOT OUTAGE ,cj/A- sec CONNECTOR SIZE y ' in.
°
NET STACK TEMP 3077 TOTAL CHIMNEY INPUT/4/Cd0d btuh
DATE TIME /
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED � /N 4t't
: 30
PERMIT NO. f 6 3SILL CQMPLETED
ADDRESS r7gU )11 4-c 0C�ICS (-
OWNER gI (-46i rj rat CONTR. r>fGt �,rir(Aic ,fz.
TELEPHONE NO. 5k_5D V 7S
DESCRIPTION - ,tc�Vlu�c-ems
LU 01 FOOTING MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING eT3 MECHANICAL FL 19 LAKESHORE/WETLANDS
h 03 INSULATION '24(15 WOOD EPLACE 34 TREE REMOVAL
-r 12 WATER HOOK-UP 17 SITE INSPECTION
=(�,�i 1A 14 SEWER HOOK-UP 06 PROGRESS
O-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INS ALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC F AL 35 HARD COVER REMOVAL
11 • BING FINAL 36 FOUNDATION/REMOVAL
OWNE' ONTRACTOR TO MEET YOU: YES_NO
OMMENTS:
cc
W
0.
cc
O
cc
O
0.
W
cc
W
cc
O
2 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO 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/Contra r 7 te:
Inspector.
White Copy/Inspector's F e Canary Copy/Site Notice