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Home My WebLink About2000-P03252 (mechanical: heating) , PERMIT C�ITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po32s2 Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Permits (612) 249-4600 Date Issued: it�9�2o0 SITE ADDRESS: 3245 Carman Rd EXCELSIOR,MN 55331 P I D: 20-117-23-14-0010 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: PermitFee: $ 35.00 Valuation: $ 2,000.00 State Surcharge Fee: $ 1.00 Misc. Fee: $ 1.50 TOTAL FEE: $ 37.50 APPLICANT: SEDGWICK HEATING&AIR CONDIT OWNER: JON& KIRSTEN NIELSEN 8910 WENTWORTH AVE SOUTH 3245 CARMAN RD MINNEAPOLIS, MN 55420 EXCELSIOR,MN 55331 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� (�%��? � r4 IL Z-!�/ _ �`/� �`-,c'� APP ICANT PF.RMITEE 'IGNATURE SSUED BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � - �o��y . . , ,�� ,_-;, �,�Z I' � 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 2 working days. 2. Permit cards will be sent by retum mail after a review is completed. 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 Desiens - 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. Jdentification 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-in and final). Call 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 249-4600. Please check one: New Addition Repair ✓ Replace .�,�esidential Commercial Jos srrE: �1�l S �rrr�n �r� zip: Owner's Name: Telephone Number: Cj . � • L�6 Mailing Address. City: Zip: Contractor's Name: ..�� hone Number: �j�, /.Q�j Mailing Address: i . Zip: rt�n,r�..�.� ��a,e��s,,.��?. SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: � _ _ Make: Model: . D Fuel: Flue Size: �� Input BTUs: / Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power � WOOD BURNING EOUIPMENT � Wood stove with flue Wood combination or add-on ;. Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee 35.00 d ' x .0125 $ .OD (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ � b O or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ __� 'J. SD * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including materials, labor, profit, and oiher fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any othCr 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 contract price under $1,000,000 or $.50 - 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 conect. Applicant's Signature. Date: //—d-Q� Approved By: Date: SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB N�Q� � 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (612) 881-9000 TEST RECORD ADDRESS � � �� CG r�� `� �� ' CITY , � � � J w J {✓ n/ v OCCUPANT ��n/ �� C �D " OWNER � � ' "� � � / SOLD B`! �� Gl�� G �� U �-�j INSTALLED BY�W�C'" �GI MAKE `- �4UN � � MODEL v � � � �J " � � SERIAL NO. � � � � �I � � � � INPUT / � O1 O v v ✓ � �� THERMOSTAT ��O � �� VENT SIZE � VALVE �/ TYPE OF LINER K�v" LIMIT L �rv � � LINER SIZE �,J LIMIT SETTING FILTERS: SIZE L J . �• NUMBER FAN SETTING ��'s! C WIRING r •�rr�u�9�'� PILOT TYPE G�o�^' �Q• J TEST TAG � IGNITION MODEL ` C r�' o � LIGHTING INST. � PILOT TIMING �j �-6 � O � � J�� / DATE TESTED PRESSURE °-� ��` � PERCENT COz � ,, /� � COMPANY TESTING � �� `� �� INPUT CFH / � N PERCENT Oz STACK TEMP. � �� PERCENT CO D NAME OF TESTER FORM 235(flEV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB RLE YELLOW COPY-GTV DATE TIME CITY OF ORONO CALLED IN I I- IS-�� • �'� INSPECTION�OTIC � SCHEDULED /— - � - a 0 PERMIT NO. � � COMPLETED " 7'Z'�G' �� ADDRESS ��i l��-�Yri��'�- OWNER� ��?��-� CONTR. TELEPHONE NO._�Q �� /� �V d � � DESCRIPTION �(J��1'�//llc,-�� L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q02 FRAMING ._�_CHANICAL FINA-L—�� 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-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: � W � � J O a � O � W � Q � Z W � W � � GW '�i}WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED � ' ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT f�CORRECTUNSAFECONDITIONWITHIN HOURS. pHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED f�STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�� OwnerlCont tor on si Inspecto-.��1�`�� (/� � � White Copyllnspector's File Canary CopylSite Notice