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HomeMy WebLinkAbout2002-P05299 - mechanical CIT1r"OF R N PERMIT � � � Permit Number: 2750 Kelley Parkway- PO Box 66 Pos299 Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pern�ts (952) 249-4600 Date Issued: 6�1i�2oo2 SITE ADDRESS: 1380 Briar St WAYZATA,MN 55391 P I D: 10-117-23-31-0053 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation: $ 2,600.00 State Surcharge Fee: $ 1.30 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.80 APPLICANT: Royalton Heating&Cooling Co. QWNER: MARK V AMBERG 4120 85th Avenue N. 1380 BRIAR ST Brooklyn Park,MN 55443 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. !I '� ,/� �/ `'/';u ., Z�,� C/��� �l APP ICANT PERMITEE SIGNATURE I ED BY SIGNATURE Copies: 1-File(Si¢nitures Required), 1-Avnlicant, 1-Monthlv Reports, 1-Assessing, 1-Finance Page 1 r „ CITY' O� C7�tONC� Al'l'T,TCA7"TON FOR I�i�CH�NTCAI,PER��II7 �oY 60 (275Q Ke11ey Park�vay) - Cryscal Ray, MN 55323 GE?�IBRA1�i:�TF0221�iATTOi�' 1, You may apply for mechanical petrnits by muil c>r in person ai thz City o�ces. Applicacions w�ll br reviewed and a permit wil!be issuad �vithin twa w�orking day-s. 2, Permii catds will be sent by rer�m mai(afrer a review is completed, PERI�IITS AR�;NpT V,SLIT3 UNTII.. YOU FtECENE A PER��IT. W'ORK !�([JST NO"('B.EGIN UNT7T. THE PERT�tIT��A�TD;5 PQST�D ON T]-�F JOB SI'T'E. 3. Mechanical Dcsipais-Completr cal�ulations,decails and specifications are required ror each heacir,g, ventilation,humidifccation•dehumidificaYion, an�� u�cunditionin�installation including heat loss,�hear gain calculation, desi�temgeratures, equiament ratings a��d identification �s to type, m,nufacrurer ar.d model.Dara st�alt be presented on form pro��idect ldentiTi�Aon of and speCi�cations f'or water heating equiprri�.nt shail also be p;ovidecl 4. 'V�fien any nea'constructi�n or rem�dal3ng is in�olved, a separate bui!ding perniit rnusc be obtained. 5. All wnric must be done in accordanet with t�'�e Lniform Me�hanical Code/Srate Building Code requirrznents. 6. All w�k must be inspected(roug}'�-in ac�d final). Ca!1(9�.)2�9�600. 24-hour notice required. i. Hc�use Heating Test Record must be submitted before final. Instruetions Complecz all iterns on tlus application. Compui.e the permit fee. Si�n and date tl,.z certifica:ion. I\rCQMPLE7� APPLICATYO:�IS Vl-�T.T�NOT 13� PROCE,SSED. If you have c�uestions, �all i 952} 249-4b00. Flcase check one: (_� New (Jl Addition ❑ R:pair �Replace ❑ Resideutial ❑ Cora:ri:,-rcial JOB SYTE: IT���`; 4..��� �� . Zip; �„> -�/ I Owner's �r ame: _�1(��j�_��t ��',a_._,_. Phone �umber: r'' �� -- �����- � " � Mailing Address: _ � City�: ` _ Zip: CoatrActor's Name: __,__ _ Phone Itiumber: Ii�Iailing Address: City: 7ip:____ __ ROYALI`qN H�A�`ItiC� ,� G���,ING 4120- 85th AVENUE N�RTH BROOKLYN PARK, MN 55443 753-424-8333 1 ... SYS7'ENt DE.SCRIPTTO.� Fi�,�7I�G SYSTEIIS Quantiry" � ---- -- — ---- �Sskc �...� _ . ,_ ___�_ 1� �Y'�� `.todel, �.' -- -- — -- - F�I :�� ---- -- -- —_—�-1uc Sizc: _ _ —_ _ __ ;npuc 61L:s: _��L�)�� c����t a rc,� _ �L� �U - — ---- — cF�+ ---- -- --- COOLI�IG S1'STEYIS K_an:1�y � — — ---. M a k c: -��-- ----- �Fo4- �cy��l -- --- __ _ _ _ 'Cors �� -- H. Po�er —.�� __ - -- ---- --- F�PL,�Ci� ❑ Gas fact�ry flrepl�ce ❑ Wood burning factor: iircplacc µ�[h fluc [� Wood Scovc [] Wood stove with flue Brar;d Nama - -_—�----- !�fedel No. �_ �'�!�7TI.a�'I�ti �o Kitchcn Exhaust duct ic�aiculating cfir, ?v'� �ach E�l:aust(-nusc hsve succ oucsidei efm '�'o O�her FFins Locenor.� _ " . m �"C�L STO�GE(MuST BE APF'Rv�'FD BY i �tE MAkSHAL;� ❑ Instai;ation or ❑ Ren�o�al '�1 �Ue� �i(; gallons ❑ uriderground (] inside �OU1S1t�C � LP Gas: �allons �' 4thec. �.__ �._ _ ��as optning � F'E�2.�9T FF.E CA�.CLTI..�TIONiS) � "_'OOZ State Statute [] Yes Tbis SEcticrn ,��clies Tlie replacement of n Residential fi.tur�or a�;,tiance�ha:meers all threc��f the following requirements. 1) i3cKs not r.quse mad�ficaiion to e;.cvi�al or gas servicc 2) I-I�a totnl cost pf�509.00 or less; exclucii�the cast of the fi�turc or appliance: and 3) Is improved, ins'talled or replaced!��:the homao�vner or l�censad contractor. S?cip next secrion; Gc;st c�f Prrmit $ 15.0O S�ure Snrcha oe $ 50 ��ail-Tn Fe� � 1.50 li abuve �lues not appty, follow•guidelinati bcl�w: t. Contract Price" is .O l25% of job�.vicr,a bTin�mnm Fee o[(S3S•OQl c�C.�'C`��, �'Z- x .0:Z S � :.,�J�•C�—% +�connact prce) (miriirnum S35.Q0) ' State Surcharee. *" Add the 5tate F3uilding C_`n�le I'�i�•ision a Minimum �ee oY(S .SO) :�( , ��; �'�:;,..000s � / :3C�. l=ontr�.ct pncc} �,mir.,mum b .SGj � Posta�e and Handtin�(Onl��rarai!-in upplicati��ns) � _ 1 5� �7 � � TOTAL PERI�IIT FLE(Add lines ?-3 :�h,.�c) $ / � � � !'OKTR�CT PRICE or JOB CUST mcans:}c actaul ur escr.atc i dollu amuunt ct�arYed for�he penr;i�tc3 wori:incf.:dln� n.3!erisls,labor,prof.t.an�other fi::ed�o�Ts'.I�'.�t;+�amc�.nt co��c char�d to the cu9tomer for tha�vorV;donc, If any n•,areria;, •.�uipmcnt,Ishor,or inst.nllation u furnishrci by thc own::,tor,aic or any o�hcr parry[he r�oaab;z msu'ktt�aluc of svch itcr�s tnwt ba 2dde1 to nc�cs:;rr.sted cost or contran Frice fb�p�rn:,t.'ee purposes (n the even[that thert is a dispu;e on�t�e a;Y.ount o+.' tn�,��r eoit,�he City may requcst thc submission of a s�tl�ird.�p;of tRe 3etu�l wnttu:. '•Ti�c STATE SURCHARGE is.OQ05 of t�e contrsct pr:cc Gncer S1,000,0u0 ur S.3U-whichcvcr is grra�er. For �ul�:a:on�o�er S'.,OOC,���cull the Depzrcmv�c ot 1n��ectWnal 5err�ce:for tf.c priec. Tha u�drr�ignec hertby a�pi�as co che Ciry far issuaneK oP a;�'.e.hMicai Per.r.it,agr::s to do a:!�.vor1:in strict acco;daoce Nith �hr orCinanc�s of s�:Ciry::nc che rtguluions of the Minnrsoia Sc�tc Buildlrg Code,and ce�*Ifles that al. S[t�[ements msdc or this application azc complcto,�nic and conr � ��- j�� ;' \�/J -'" ��.'.a''��1 �.-� �pplicant's Signature: ----- --------. _.------------ Date: — ��proved By: Dat�: 3 HEpT 1,OSS C,qI,CIJLATIONS DEPAR7MENT OF tNSPEC7lON MINNEAPOL.LS. A��. Wes:herstripa �� c'1(v,,1' Coa�truetioa Na Iasulatian Wiado-,,,s poora Retercnce Out.W�ll In�Wal1 Ceilias Roof #�ioor Kiod F�ow A�lied �o ' as o 19_.___ F7.( Roo� l.�ogch W�dch Neishc Fi.� Raom L.�nseh VP",dch Ha�he Wiadowa �nd Doarr—Crac.ka�e and Area Wiado�.s and Doon---GaekaBe aad Are� W�aiA 14�libc JVa at Nal t4 Ara I4W H�ts�t N�.at ZJa�a!(F Arr t+w er v��� oe o.nr ur��� of erset q.(L Na ot p�w o!Ou� �4�t� n[ersek �a.it � � r v ^� 0 C04f. atu Got� � Infilttuioa � � (� 2-�Z Iufiltrstion G1.ss c�r � %'�/�i Gla,s Etp.waU `Z. Fs�,�►a11 Net exp.rvsU 2 Nac ezp.w.11 In� w�Jl • IaG waII Ceilipg /D d Cellmg Floor / Flow Tot.l Btu. Toul Rtn. Rcyuired sa. h. E.D.fL or s�a• ias.W.A.L�der ms S'Z. Reqnircd p.h.E.D.F�or aq.mr.WA L�des ases �1.� Room Len�h W�dth Hrssht F1.) ftaoan 1 L� Width Ei�i�,Lt •Windows aad Doors---+Ciac�lge and Arca WiadOws aAd�ooi►--Czu�i� aa�Aica ►aca N�1�[�t Ho. t.�...i t� wn. wwca re� s oe a..�r� ww 7�0. al p�M O�O�w� t1fyLl O�Ct�� �O.L{. Na 07 yFN SL p�Y Z�L,V OL C►Yh �l•� �� �� la�ir�t�n ID�tratiWl �p �a�i Exp.wall F�P-�� IVet up. wsll Nei esp.waU IA�.MaII �II�� Ceiling Ce��g F1oor Floor Total Bt� Total Biu. Reqwred sQ. f�E.DR or sq. iaa.Q/.A.Leader area► R��4•h.ED.R or sq.ms.WA.Lt.�er area F1. Room �1,.enRth �idt}: Heis�t Rooto l I.aus� Widt.l� I�si�t Wiadows and Doora---Cssek�s� �ad Are� Qrmeio�wa wd Doo�s�-�;rscle�t�a aad Art� wa�a n.��e� N..oc La. ce. wr.• w�a .�s'c Hw.s r+- � H�. ot p�n� Ot Paw� Ilret� 0[eit;K M.LL 1�10, Ot p��� f[paM Il�it� �L�tk �.n' CoCf. �Lu �eE BRu lnbltratioa Infiit=stioa Glass �a�s F�?-wal) �'sP•wrall IVe! ez�. w�ll Net e�.wall tp�..,��1� iae....0 Ceiling CeiIiAE N1oor Floor Tot,!Btu. Total Sta. • �..-..:.,-.i.+. A. F_DR er�.ina,.�,J�.leade�aeea TOTAL P.04 �� � r,, j HOUSE HEATING TEST RECORD ADDRESS � -- r �' � � � OCCUPANT � I�"1 : �PT. FLOOR CITY SUBURB .r-, .�� OWNER HEAT LOSS DATE H7G. INSl:' SOLD BY INSTALLED BY El�chical Work By Gas Lin• By TYPE OF HEAT GA FA �_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ` � ! MAKE OF BURNER Mod�l "� . , ; : ' Mod•I S«ial % t � A4ax. BTU Ratinp INPUT MAKE OF FURNACE Mod•I CONTROLS � THERMOSTAT ��� H�ar Pluy - ` 1} V•nt 5;:• Valw _ ' KIND OF LINER_ �� � SIZE r � NONE Limit '-�- � �` �' • i Droft Hood �� Rpulawr Limit S�ttiny -_ � � �.� Filt�rs Si:• r�a' uumb�t Fan Settiny .r" Chimn�y Locafion Insid� Ovf�id• Pilot Typ� �k t } j'"_ � C�imn�y Construction � . � 4 j`�. Pilot A4aks Pilot Modsl Smok• Bomb �y����9 ../ Pilot Timing Draft T�st Top ` "'`r�� L.W. Cut Off Door Pres:urs Liyhfiny Inat. Prossure " P�rc�nt C0� ' ^ Dats Tsst�d � Input CFH 7/ P�rc�nt 0� Company T�sting �- / ... � ! _ Stack T�mp. P�rc�nt CO Name oi T�st�r � � ' '" Fo:m 235 �(���'Y• ✓ �V