HomeMy WebLinkAbout1996 - 007942 - furn/ac/vent PERMIT
CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 Permit Number: MECHANICAL
Crystal Bay, Minnesota 55323 007942
(612) 473-7357 Date Issued: OS:13/96
SITE ADDRESS:
{: W00DH I LL RD
LSV
P. I . N . ; 02-117-23-13-0005
DESCRIPTION:
FURNr`AC:i4eENi
1 HEATING SYSTEMS FUEL NATURAL GAS MAKE RE, NOR
MODEL_ :E-1. '' INPUT I..E, 000
5 AIR CONDITIONING MAKE LENNOX
1 VENT IL ATIuN MAKE 2 B -}
1 UNDEFINED MAKE AIR HANDLER , ETC .
REMARKS:
FEE SUMMARY:
VALUATION $38, (00
Base Fee $475 . 00 MAIL IN $1 .50
Surcharge 119_00 Total l Fee $495 . 50
Subtotal $494 . 00
CONTRACTOR: - Applicant -- OWNER:
KLEVE HTG & AC 39414211 KENNETH DURR & ASSOCIATES
13075 PIONFFR TRAIL 4830 WF:-, I G TE RD
EDEN PRAIRIE MN 55: 47 MINI.ETONK:A i•1N 55345
(612) 941-4211 (R1 )q35-77R9
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENT`
SPECIFIED AND AGREES; TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY liE
L_ ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS . j
APPLICANT%PERMITEE SIGNATURE ISSUED BY:SIGNATURE
4 1ggf� -11 g
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: X New Addition Repair Replace
Residential Co u is ercial
JOB SITE: 32_0 UD S. .1• ( , Zip: � 3q
Owner's Name: p n ��r d-A CSC Telephone Number: q 35-7-7 gG
Mailing Address:830 L2.S o±2.. R. City: �
UZip: t3g5
Contractor'sName: Kleve H 'v1 d A C TelephoneNumber: qy I- L Zl
Mailing Address: 1?0')� Yi o-neer "5--
rc ji City:c dQY) 3LI
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make: RQ_z_nol-
Model: E-12.5
Fuel:
Flue Size:
Input BTUs: 17-5,000
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: 2
Make: Lo nnoX Lennox LQ Y non Lo nnOx
Model: HS25-31I ttsm- L I 1 I-FSZ`J- tp5 HS25-Z(nl
Tons: Z'/2 3 Z
H. Power
Sns I Lannox Cs3zcrn3I LASA ECJ3295CB cux fir, Z L0-1110X CI3C9M-UI
w► Ec 2c
Y [401Acikri UDn. .Q) C329m-(05 EC/3N 103 air
cJ329Y1-220 LA4 Ec3295cf3 Oar filo, y
1(DX"L (Ix - J nr, I t c) J 7())( Uecn
tra- lc Chir (leaner 5
O p` i�G�t�t-2 5( O n'l& rS, Vent rkc Z. 1nS and 5 mixed-
Cc `irO LLeYS. l L`adU i22--7 J± L, j 3Loi e .
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. 2 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
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
$3 ,000. 00 x .0125 $ 15O0
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. $35,000. 00 x .0005 $ I q .00
(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) $ 1- �J•GJd
* 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 accord. Ice with the ordinances of the City and the regulations of the Minnesota
State Building Code, and ifies that all state.' - ., made on this application are complete, true
and correct.
Applicant's Signature: —�=� _ Date: 1_ - 2 - q l.D
By: Date: J q�
Approved
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED 1 �`� �5 ' S
PERMIT NO. COMPLETED
ADDRESS 3 Z'o Woo'p«
OWNER CONTR.
TELEPHONE NO.
cLjDESCRIPTION =rNs pecr. v t=\ o I L I nc K-
4,1
01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLINGU
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 SITE NSP CTIO
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
• 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
q OWNER/CONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS:
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W O WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
0 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C 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.473-7357
Owner/Contraor kite:
Inspector.
White Copyllnspector's ile Canary Copy/Site Notice