HomeMy WebLinkAbout2005-P09513 - heating system PERMIT
CITY �F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: P09513
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued: 12/30/2005
SITE ADDRESS: 430 Brown Rd S Unit#
Wayzata,MN 55391
P��� 03-117-23-42-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 43.75 valuation: $ 3,500.00
State Surcharge Fee: $ 1.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 47.00
APPLICANT: Kleve Heating&Air OWNER: Edward&Kristen Brehm
6365 Carlson Drive Suite G 430 Brown Rd S
Eden Priaire,MN 55346 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.
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APPLICANT PERMITEE SIGNATURE I UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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• FOR CITY USE ONLY
�,¢p� City of Orono
� P.O.Box 66 Date Received: Permit#
( '�,..�. � 2'S0 Kelley Parkway
� �Z��'` Crystal Bay,MN 55323 I Approved By: Amount$:
��� 'n�.� (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building O�cial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanicaf 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 compfeted. 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 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.
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. Al!work mus:be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
� Residential ❑Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ;�Replace
Job Site/Owner Information:
Site Address: � .�� 1�ro vV�. l� d• � •
Owner: Eu �a�"�! �I'C-�I�I Mailinb Address:
�ity: � r01'1 '� Zip:
Home Phone: T�� -� �-o W Alternate Phone:
Contractor Information:
Contractor:KlPVP Ht�. �. A�(� Inc ContactPerson: rl,arlPnP Mauck
Address: 636.� Carlson Dr . Ste GState Bond #: RLr— 61 1 65
City: Eden Prairie Zip: 55346Expiration Date: 8/14/05
Phone: 952-941-4211 Alternate Phone: g52-345-7242
❑ Insurance—Current:
1
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�.,i=�,�,,.�;��.�°� „:`�h%IEGHANICAL�SYSTElVIS�BEING'Il�ST'AL`LED����x',.,F.:',<�.."':�����...�;_'�
HEATING SYSTEMS
Quantity: �
Make: L�-�n�
Model: l� C��M� Ov`�� �
Fuel: l� �� •
Flue Size: � � �
Input BTUs: ' I O O
Output BTUs: l'lJ
/
CFM:
COOLING SYSTEi�iS
Quantity: __
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Echaust duct recirculating cfm
❑ No. Batn Exhaust(must have duct;,utsidej ��r'�
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: eal(ons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
�� "��, ' � : �PERhiITFEE�C�"�I,L�J�,f1TION(S) ,; �� � ,;_�
� f � ��.. ,� .,:,.. � . .. „ �` �: :
`°` ^ ' �� r` � '-� - �BASED�OFF. �2002 STATE STATtJE ,� . ' � -�� ��
1.
❑ 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,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
'' ` PERMIT FEE CALCUL`ATION S =JOBS OVER$500.00 '
If above does not apply; follow guidelines below:
l. CONTR.�CT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00)
__���� x .0125 $ ��, l ✓
contract pnce) (mmimum$35.00)
2. STATE SURCH�RGE ** Add the State Bldg Code Div. Surcharge(�Iinimum Fee ofS.50)
.�cJL�. °= X .000s $ I � � �J
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.50
4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) $��"' [ , ��
• * 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 materia(, equipment, labor or installations 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 Building Department at(952)249-4600 for the price.
` " MECHANICAL PERMIT APPLICATION AGREEMENT ` .
The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certi that all stateme s made on this application are complete, true and
correct.
Applicant's Signature. Date: � �l � I O �
,� Reset Form - :
_ . _...... . ,_ . 3
G� \�'� ✓
C���,/� /DAT�,� TI►vFF
CITY OF ORONO CALLED IN � L �
INSPECTION N TICE SCHEDULED " l D:��
PERMIT NO. d COMPLETED
ADDRESS T.�O S• /�—�.
OWNER � ��� CONTR.
TELEPHONE NO. _(5�- `T 7 � � �d O
� DESCRIPTION ��uh'K-�� �� ✓
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINA� 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WlLLRETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next'nspection 24 hours in advance. �952� 249-46QQ
OwnerlContrac n i :
Inspector. � �
White Copyllnspector's Fil Canary CopylSite Notice