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HomeMy WebLinkAbout2003-P07025 - heating system CITY' OF ORONO PERMIT 2750 Kelley Parkway- PO Box 66 Permit Number: Po�o2s Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: liii9i2oo3 SITE ADDRESS: 440 Brown Rd S Wayzata,MN 55391 PID: 03-117-23-42-0012 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 100.00 valuation: $ 8,000.00 State Surcharge Fee: $ 4.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 105.50 APPLICANT: Cronstroms Heating &Air Conditioning(� OWNER: Joseph&Marilyn Moyer 6437 Goodrich Avenue 440 Brown Rd S St. Louis Park,MN 55426 Wayzata, MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STWCT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� "�/1L� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Copies: 1-File(SiQnitures Required), 1-Anolicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1 _ � . t '�.__ ) � � � � �� 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 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 BEG]N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns-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 silall alsa 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(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 permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair�Replace ❑ Residential ❑ Commercial `. JOB SITE: � Y � J Zip: � Owner's Name: --�� Phone Number: Mailing Address: ��f�� City:� � Zip: �� � o"V'V'�- L Contractor's Name 'a((��'}' � Phone Number: r'� `� " � � � �� Mailing Address:( ���'� (S(`� '�,' ; C�.�_ City: ,�p: ��t-�-�(��� 1 � - , . SYSTEM DESCWPTION HEATING SYSTEMS i Quantity: 1 Make: � ��r� � C� � Model: ` c� `� � � � FueL• � (� �� Flue Size: Input BTUs: e)C i��� � vv Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas factory fireplace ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No. Kitchen E�aust duct recalculating cfm No. Bath Eshaust(must have duct outside) cfm No: Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside ❑ LP Gas: gallons ❑ Other Gas opening 2 . a . 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 service. 2) Has a total cost of$500.00 or less; excludine 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 Minimum Fee of($35.00) } �` 1/� �"� � ��'� vC x .0125 $ v� � (contract price) (minimum$35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) - �,�� �,� � x .0005 $ A (contract price) (mimmum$.50) 3. Posta�e and Handlin�(Only mail-in applications) $ 1.50 C"�4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � r � *CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the perrnitted 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 fumished 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 SURCIIARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over $I,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 ceRifies that all statements made on this application are com late,true and correct. � Applicant's Signa e: i a � Date: �� Approved By: Date: 3 ✓ DATE TIME CITY OF ORONO CALLED IN t�-I�� INSPECTION NOT CE SCHEDULED �a'"" -� �, PERMIT N0. COMPLETED ADDRESS �4C� C��a'Wh Q �� � • OWNER �.�1��'� �.'�e��.j^ CONTR. C���S�rUP)')� TELEPHONE N0. ��� �I 7L� �3 yy � DESCRIPTION '�--l-�-JU� � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMWG MECHANICA�INA 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: r � W a � J O � � O � W � Q � Z W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CEFiTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next'nspection 24 hours in advance. (952� 249-4600 OwnerlContrac n it : Inspector. �� White Copylinspector's File Canary Copy/Site Notice REC�lVED DEC t S 20d� P C��C��� PERMIT# HO EA NG TES�_�,�0 NO � '� g� � '� ���� ADDRESS c � �l�C J� � CITY li OCCUPANT OWNER HEAT LOSS� DATE HTG.INST INSTALLED BY ELECTRICAL WORK BY TYPE OF HEAT GA _ FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DE.SIGN MAKE ` SERIAL ��� V � ,�. MODEL � INPUT(BTU) CONTROIS KIND OF LINER SIZE NONE COMPANY TESTING /� FILTERS SIZE ,���( �CJ�.,.� NUMBER I NAME OF TESTER � � PRESSURE ��� ,��� PERCENT CO2 U INPUT CFH PERCENT 02 INPUT �( 1 . � STACK TEMP `,��U ���EIVED D�C �� � 2003 � �--� �?,� PERMIT# s��A�' vt�t��ONf� H USE EATING TEST REC(�RD ADDRESS �� ��G/��/� nl � CITY OCCUPANT OWNER HEAT LOSS 5 DATE HTG.INST. INSTALLEn Rv o, � `� �� ELECTRICAL WORK BY TYPE OF HEAT GA _ FA HW STEAM SPACE HTR. UNIT HTR OTHER / GAS DFSIGN MAKE SERIAL � MODEL _ �- INPUT(BTU) COIVTROIS KIND OF LINER SIZE NONE COMPANY TESTIN ���� FILTERS SIZE 1� � �_J� NUMBER 1 ' NAME OF TESTER r -� PRESSURE _� ;��� PERCENT CO2 /Z� INPUT CFH PERCENT 02 � � INPUT .�� r �� STACK TEMP �,�a