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
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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.
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Arplicant's Signature: Datc: � � �`�
Approved By: Date:
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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