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Home My WebLink About2001-P04616 - mechanical PERMIT CITY-OF ORONO Permit Number: 2750 Kelley Parkway - PO Box 66 P04616 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 11/9/2001 SITE ADDRESS: 1145 Wyndmere Rd Wayzata,MN 55391 PID: 26-118-23-41-0011 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: Also 3 Apliance 550 Humidifiers FEE SUMMARY: Permit Fee: $ 50.00 Valuation: S 4,000.00 State Surcharge Fee: $ 2.00 Misc. Fee: $ 1.50 TOTAL FEE: S 53.50 APPLICANT: Vogt Heating&Air Conditioning OWNER: Sandy Jackson 3260 Gorham Ave 1145 Wydmere Rd St. Louis Park,MN 55426 Wayzata MN 55391 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 S167KATURE IISSKUEDBYSIGNATURE Conies: 1-File(Sienitures Required). 1-Annlicant. 1-Monthlv 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 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 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 Residential Co ercial JOB SITE: i Zip: Owner'sName: Telephone Number: Mailing Address: City: Zip: Contractor's Name: TelephoneNumber: MailingAddress: 3260 GORHAM AVE CONDITIONING City: Zip: ST LOUIS PARK,MN 55426 SYSTEM DESCRIPTIOr�LES 929-6767 SERVICE 929-4011 HEATING SYSTEMS Quantity: Make: _ — Model: Fuel: Flue Size: Input BTUs: C� _ Output BTUs: CFM: f� COOLING SYSTEMS -3 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 Gas opening Other PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) yCco , �1x .0125 $ (contract price) 2. State Surcharge. ** Add the State Buildin& Code Division Surcharge to each permit. 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) $ 3,�� * 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: I Date: Approved By: Date: Lbv' w 1094 HEAT'LOSS tALC(JVlT10PLS DEPARTMENT OF INSPECTION MINNEAPOLIS. MM. —�•—i Construction No. ]nidation Wcalbcratripa Guide Windows 1DocI s Rc(ereace at.Wall lot.Wall Ccilinc Roof Floor Kind How Applied cs_ o c c 19_ F1.I Room Length Width Height FI Room Length Width Height Windows and Doom--Crackagt and Arca Windo\.r •nd Door*—Ctaekage and Arca wads• \ • l [ r Ita... ~ . I PMIt to or et.la MrIl .Vida. N.Ir.t of 9_014�. It. N.. .f•.a.. •1•.w. Coe(. Btu _ Cc,f. Bea Inbltratioo Infiltration CJau Chau -- Esp. wall Exp. wall No C..p. wwll Net txp.wall Int. wall Int. wall _ Ceiling Ceiling -- Floor Floor _- Total Btu. Total Btu. Required sq. ft. E_D.R. or sq. int. WA. Leader arca Required sq. ft. E.D.R. or sq. ins. W.A. Lader area F-1.1 Room Length Width Height M Room I Length Width Ffciald 'Windows and Door►—Crackagc and Area Windows and Door.—Craekage and Arca w Haat N•�rwt N...f Law..1 It. At.• wt.,. Nur na N..•1 Un•.l ll. A•.• N•. •(•.w. .f y.w. Ilr.la .f em.a p.fl. N.. of..n• of p.n. II[tt1 .11 - �. �' I 2 z Cocf. Btu f' to - - ! 8' kl ]nliltntion lnblttation Glau c S Glau 1 -- Emp. wall st CA 0 Exp.wall _ Net exp. wall Net exp.wall — Int. wall ]nt. wall Ceiling _ Ceiling Floor I ( ( 7 opig: I Floor _ Total Btu. Total Btu. arca Rcguircd sq. ft. E_D.R_ or sq. ins. WA Lader area I � / I Rea . inA uircd sq. fL E_D.R. or aqs. W . Lcadcr F1.1 Room I Length WidtF Height F1.1 Room I Length Width Hci�ht — Windows and Doors—Craekage and Area Window% and Doors— raekage and Arta w ldaw NH[na N..•f wldl. ll.lrta N..of LI-1 IL Ar•. N.. .f paws •f P. strut. •r er.Ct M.[l. N.. .f 9—. .f n..r fight. IL •l tr.et w. Cocf. . Btu Coef. Btu Infiltration Infiltration Class Chau up. wall E:p.-a Net cxp. wall Net exp.wall Int, wall Int.wall Coling Coling _ F _ Floor Floor Total Btu. _ Total Btu. -- Rcqu'tred sq. ft_ E_D.R. or so. ins. WA. Leader arca Required sq ft. LU.FL or w. Int. �'A Lc.der .lrr _ HOUSE HEATING TEST RECORD Q� ADDRESS r ` �j •T `��Mre� "'" APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. 1 / SOLD BY INSTALLED BYyo&1 77 C Cf c i Electrical Work By Gas Line By Sr+(--f~ TYPE OF HEAT GA FA-Z—HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE r7""'�h�" MAKE OF BURNER <.'': .` ry:k Model -C)C-67 Q'10 qA 3 0 Model X111104 Serial Max. BTU Rating INPUT U�6V MAKE OF FURNACE ul- Model _ \1� CONTROLS ') y THERMOSTAT " Heat Plug Vent Size_ D� Valve agIz- KIND OF LINER SIZE NOCNIF Limit U. Draft Hood 140 ti� Regul. 1 v Limit S.Hinq '_�w Filters Size --Number Fan Setting n�� Chimney Location Inside X Outside �i Pilot Ty p. St)Q WF_ Chimney Construction Pilot Make n Pilot Model 0077 Smoke Bomb Wiring Pilot Timing Sb Draft Test Tog L.W. Cut Off Door Presses. Lighting Inst. Pressure 1 P.reent CO � 1 Date Tad t• d�- Input CFHPercent 02 �td Company Testing d ` r Stack Temp. Percent CO 0,0 Nam.of Tester HOUSE ,HEATING TEST RECORD 3i14 3�y ADDRESS �l 1,4 IND IVifef A)y0 APT. FLOOR CITY SUBURB 0& ( OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY QT Electrical Work By Gas Lina By (j kA E - TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE �� MAKE OF BURNER Model C--)Ct-D,1) & 30 Model Serial 0 1//1 b Q7 q 9 Max. BTU Rating INPUT00 MAKE OF FURNACE Model CONTROLS rf THERMOSTAT ��'^ ' Heat Plug Vent Size_ -- Valve 2 L. KIND OF LINER SIZy. NONE Limit GiA Draft Hood Regulator Limit Setting o _ Filters Size Number Fan Setting Chimney Location Inside Outside, �� Pilot Type L Chimney Construction PUC -- Pilot Make A / Pilot Model /SO? Smoke Bomb Wiring (/ Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. i Pressure �� Percent CO 2 1613 Date Tested Input CFH �� Percent OZ TC) V Company Testing t7 Stock Temp. _Percent CO Qw Name of Tester )kms