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HomeMy WebLinkAbout1999 - 011549 - htg system PERMIT CITY OF ORONO PERMIT TYPE: MECHANICP 1750 Kelley Parkway- P.O. Box 66 Permit Number: 011549 , Crystal Bay, Minnesota 55323 Date Issued: 06/1B/99 (612)473-7357 SITE ADDRESS: i,a)_:%0.: -1 CH F . IN . 02-117-23-24-0010 DESCRIPTION: HTG SYSTEM ME :NG SYSTEMS FUEL NATURAL GAS MAKE LENNOX MODEL G2E -75/Ci01:504/5 REMARKS: FEE SUMMARY: VALUAT ION V3, 400 Base Fee S42. SO MAIL IN si . s0 Surcharge 11 70 TotA.1 Fee SubtotA1 $44 . 20 CONTRACTOR: Applicam. - OWNER: KLEVE HTG AC 39414211 MCNELLIs THOMAS 307S PIONEER TRAIL WOODHILL RD EDEN PRAIRIE MN 55347 ORONO MN 55'2q1 (1512) 941-4211 THP UNDERSIGNED HEREBY RFWESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREEE TO DO AiL. WORK TN STRICT COMP! IANCE WITH ALL CITY OF ORFINO ORDINANcES AND STATE OF MINNESOTA BUILDING CODE REWIREMENTS . APPLICANT/PERMITEE SIGNATURE ISSUED BY:SIGNATURE RECEIVED `I 7 4 41- APR 2 7 1999 CITY OF ORONO Ci IY UI ONOAPPLICATION 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 sx Replace Residential Commercial JOB SITE: 3S5' Lt.)cejk't 11 Rcz). Zip: SS 39/ Owner's Name: 71,ema Telephone Number: Mailing Address: City: Zip: Contractor's Name: 1 e e UPa;,f-t95. *-A/C. Telephone Number: 9fl_V,2! 1 Mailing Address: l 3b 7S P a neer rte',i City: C--c-1 e./ Pr a L r(:e Zip: SS Y-/ 7 SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ) ,,��„- Make: L.enintay, • . Model: (-)9.(0 Q. __ . h - po Fuel: Ai -i-. CTAS n . AS Flue Size: Input BTUs: 75000 / c5C) Output BTUs: ©1, 000 CFM: COOLING SYSTEMS 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. 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/6/0.°6° x .0125 $ 41„2 cO (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ 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) $ ys 70 * 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 w' the ordinances of the City and the regulations of the Minnesota State Building Code, and ce r' - at all state s made on this application are complete, true and correct. Applicant's Signature: A -Niimp _ Date: ' Approved By: ,a /' • Date: A DATE TIME CITY-OF ORONO CALLED IN INSPECTION �IQTI , SCHEDULED -'C C PERMIT NO. ��JJ / `f" COMPLETE / ADDRESS (N QJ �" ! L 1 �w` "� `- F -- OWNER A.i i , / CONTR. `E' V --- TELEPHONE NO. J �r 7i/ l z / / , DESCRIPTION 42 A i C i W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 4. • 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHOREANETLANDS O 03 INSULATION 4/25 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 1, 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT ✓ 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ct LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q CC 0 CC 0 LL W CC Q toW Z W O` 0 W El WORK SATISFACTORY:PROCEED C PROJECT COMPLETE LU W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 B RE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice