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HomeMy WebLinkAbout2005-P08413 - mechanical CITY QF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Pos4i3 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�ai Pe�its (952) 249-4600 Date Issued: 2i4i2oos SITE ADDRESS: 690 Brown Rd N Long Lake,MN 55356 PID: 34-118-23-12-0007 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: � 125.0o valuation: $ lo,000.00 State Surcharge Fee: $ 5.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 131.50 APPLICANT: Center Point Energy Minnegasco OWNER: Eric &Andrea Larson 13562 Central Avenue NE 690 Brown Rd N Anoka,MN 55304 Long Lake, MN 55356 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICI'COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. `�.,,��-�Q �- ��y�.-� APPLICANT PERMI'I'EE SIGNATURE I S ED f3Y SIGNATURE Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 �. C�� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mecha.nical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two 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 PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs 0 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 0 in and final). Call (952) 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 pernut fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 24904600. — ------��_ Please check one: New Addition Repair Replac esidential Commercial JOB STTE: �C� (� 1�J �'��� ;� '� ��C` Zip: ; 5 3�(� Owner's Name: �+�1���cL ��'�-�SO►rl Phone Number: '-](o� � t(-�(o-C��� (Q Mailing Address: ��{L ��c�:n �Z �_� City: �„-,� ���F Zip: S 53S�, Contractor's Name:CenterPoint Ener�y Phone Number: 763-757-6202 Mailing Address: 13562 Central Ave NE City: Anoka Zip:55304 * SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ( � Make: �c3��-� � er • rr �er Model: ��S Y�'1 V'(�I 2�� �`6 CU 1� C�(� Fuel: �c�' � �n cts N���;c� �s Flue Size: Input BTUs: 1�.C���_�C�� �0, C�`�OL Output BTUs: CFM: COOLING SYSTEMS Quantity: i Make: C�t`:i � ��''l��� Model: Tons: �- �o n H. Power FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. � VENTILAT , � � ION � -- l_; �f� ��-F����!t-� � � � rY1#�k �� �� No. Kitchen Exhaust duct recalculating cfin No. Bath Exhaust (must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION(S) 2002 State Statute Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas serv�ce. 2) Has a total cost of$500.00 or less; excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 � ' If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minunum Fee of($35.00) � (C�,OGC,c`��x.0125 $ � o�t��d0 (contract price) (minimum $35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) ��a,c��;. cr� x .000s � �� Q� (contract price) (minimum $ .50) 3. Postage and Handling (Only mail❑in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 103 above) $ l� �..��, * 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 is 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 sigried copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50 0 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. .��� � v��� �i � � .. Arplicant's Signature: Datc: � � �`� Approved By: Date: �� �������� C�l�l'P+'ONIt,� FB � .�, � Ener�gy ��1'y�F 240s HOi1S� M�AT'ItdG YEST RE���3D Minnegasco vRoN 0(��n� ADDRESS .�C7 ��('f�(�7� � I�O � APT. FLOOR CITY OCCUPANT _1a. .SO WNER HEAT LOSS Yes DATE HTG. INST.�_as.D� SOLD BY CenterPoint Enerqy Minnegasco INSTALLED BY Cent rP int Enerqy Minneyasco Electrical Work By __, Gas Line E3y_ ____._ TYPE OF HEAT FA SPACE HTR. _.._ lJ?d!T Hl H. OTHEt3 GAS DESIGN GONVERSIOPI MAKE Model ^ � i� �IVyy� Verit Sizz Serial � KIND Or LI�JER_�__�� g •V�r�� SIZE NPUT ___ NONE Draft Hood ___ Reyulator N ROLS Filters Size � �S x PVumber THERMOSTAT r Heat Plug Chimney Location Inside��_ Outside Value Chimney Construction �J l 1�N r Limit Limit Settin Wirin�...__---- - - Fan Setting Test Tag �-_-----�_. __---___�_ Pilot Type � S� Lighting Inst.� ! Pilot Make Date Tested � Pilot Model Company Testing erPoin4 r Minne asco Pilot Timing Name of Tester `tJ�lh Pressure W C,� Percent COZ_� nput CFH Percent OZ__� Stack Temp. _ �Q�p� Percent CO Cent�erPoint� �������� Energy �EB 1 fi 2005 ����� ���A��tv� °����° �E��a�� Minnegasco �;��-y ��� ADDRESS �i1rr► IL- N �� ����V APT. FLOOR CITY OCCUPANT a 1NNER HEAT LOSS Yes DATE HTG. INST.�_as-� SOL[7 BY CenterPoint Energy Minne9asco ,_ INSTALLED BY CenterPoint Energy Minnegasco Electrical Work By � Gas Line By_ TYPE OF HEAT FA �C SPACE HTR. ___ 11^JIl"H7R.__ _ rJTHER__ GAS DESIGN CON�fERSIOPI MAKE �A�riwr� Model M 1/°� � " �� V�:nt Size 3 , P V��_ Serial U� ��I KIND OF LINER _�_�,�_�e r�+� SiZE NPUT \�O O(2� _ NONE�-�^--� _ _o • Draft Hood /"�'�-s� Regulator ! CONTROLS Filters Size c�V x(��� Number_ THERMOSTAT �S Cl� Heat Plug Chimnay Location Inside Outside Value Chimney Construction v�N�- Limit Limit Setting � � � Wirin Fan Setting 1� .v� 9�� --__�.------------_.___...----- .� Test Tag_____ Pilot Type�{�1 � Lighting Inst._�� . Pilot Make Date Tested�01�0 Pilot Model Company Testing t rPoi En r Minne asco . Pilot Timing Name of Tester n Pressure 3. � ��l�c.J�L Percent COz c� nput CFH �oZC��� �I � Percent 02 �J�o _ Stack Temp. (��I`" Percent CO� �Q�rv� _ 1