HomeMy WebLinkAbout2000 - P02982 - mechanical O PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P02982
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(612) 249-4600 Date Issued: 9/18/200
SITE ADDRESS: 1006 Wildhurst Tr
MOUND,MN 55364
PID: 07-117-23-24-0045
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: $ 96.73 Valuation: $ 7,738.00
State Surcharge Fee: $ 3.87
TOTAL FEE: $ 100.60
APPLICANT: STANDARD HEATING&AIR CONDIT OWNER: F G JORGENSEN&R M ASHER
410 WEST LAKE STREET 1006 WILDHURST TR
MINNEAPOLIS,MN 55408-2998 MOUND MN 55364
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 SSUED BY SIGNATURE izycyq
Copies: City,Applicant,Assessor, Finance Page 1
Orli>
le
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
J
GENERAL INFORMATION ` Ptd€
1. You may apply for mechanical permits by mail or in person at the City offices. Ap ilications 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 fmal.
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
Residential Co ere'
JOB SITE: /DO r C. Zip:
Owner's Name: �� ad ,; - ,1 - Telephone Number: MEW
Mailing Address:/ -, I(,/4 a rt /(City: Q 1� Zip: 5
Contractor's Name: arr .4.1,c��._r'"r^-7 r ^1""J�� Telephone Number:
Mailing Address• �4 vz,c. :),
tLZ Ei4L.X.3.33 City: Zip:
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: ( _
Make: G
Model: 3�
Fuel: VW "t(rod S . • . ra S�S
Flue Size:
Input BTUs: is-0t
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 5.00
x .0125 $
contract price)
2. State Surcharge. ** Add the State Building C e Division
Surcharge to each permit. 3 x .0005 $ 3
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) $ ♦ >O 1
* 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 state is made on this application are complete, true
and correct.
Applicant's Signature: „Qke A11/1.C4 Date: q (143-0
Approved By: Date:
t I , ;GAS WORK ORDER
1082 Payne Ave. STANDARD ' `T:9410 W. Lake St.
St. Paul, MN gRipapolis, MN
651/772-244955101 b H EAT I N GIr 1 M612/824 26565408
& AIR CONDITIONING
A Blue Dot Service Co. EQUIPrdIAT INFORMATION
LAST /-‹A-,c ,-t
/ FIRST /1 ,.,,, &t^ TYPE c-2
ADDRESS / 2 o G Gem•/G//kir 5 F Tr MAKE j-
CITY ' Or ()Ad ZIP Lttir MODEL ? Ivo wZ c s-,„4. -A
HM PH s i 2-o--6 WK PH SERIAL 55`o o,14-(9/ 6 cf r -
TECH (� �.e DATE GI--Z7- mc? INPUT S"-69, C90Lo
ORSAT TEST RECORD
CO2 V % METERED INPUT �d Cfh CHIMNEY TYPE 2-
02 a1 % LIMIT SETTING /5-0 ° FLUE SIZE '7.. ' in.
CO f O--L- % PILOT OUTAGE 7-i.1, - , sec CONNECTOR SIZE 1- in.
NET STACK TEMP /o / 0 TOTAL CHIMNEY INPUT C-O. a' G' btuh
41 . "G` ANIValowipurwmpwri
\, . .. , , , s ,GAS WORK ORDER
1082 Payne Ave. STANDARD svav
,�,`�10 W. Lake St.
St. Paul, MN 55101 IIi�aa 11 1i t�apolis, MN 55408
651/772-2449 b H EATING Jr c 2/824-2656
& AIR CONDITIONING G� `( U�vG
/ A Blue Dot. Service Co. EQUIPME T INFORMATION
LAST MS z r FIRST gcA. w�� TYPE
ADDRESS / to L G-- ' /d A (i% 5 r 4- , MAKE / 1-.),‘,,.4--
CITY
y—
CITY Oc v\ 0 ZIP -.J-C---3 . t/ MODEL y /,44-ti®6ejupo/}6f
Z0 C WK PH SERIAL 0067
HM PH �� S � �/ po/¢- 3
TECH (t _e---K DATE 1 - Z 7 `c7° INPUT / 0 , Pc57m°
U
ORSAT TEST RECORD
CO2 c % METERED INPUT /mG Cfh CHIMNEY TYPEG-
02 4 % .->LIMIT SETTING /1 ---67 ° FLUE SIZE 3 L' in.
CO yon- % pILOT OUTAGE/",,4 f(' sec CONNECTOR SIZE ; 'r in.
0
NET STACK TEMP / 0`i TOTAL CHIMNEY INPUT /OCU, C9w btuh