HomeMy WebLinkAbout2004-P07225 - heating systems T ' PERMIT
.. �
C�'TY OF ORONO
:�2750 Kelley Parkway- PO Box 66 Permit Number: Po�22s
Crystal Bay, Minnesota 55323 Permit Type: Me�hanicat Permits
(952) 249-4600 Date Issued: 2�i v2ooa
SITE ADDRESS: 3220 Bohns Pt La
Way7ata,MN 55391
P ID: OS-117-23-44-0006
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• $ 2,100.00
State Surcharge Fee: $ 1.05
TOTAL FEE: $ 36.05
APPLICANT: A-1 Heating&Air Conditioning(See Com OWNER: Albert Trapenese
6090 Pagenkopf Rd 3220 Bohns Pt La
Maple Plain,MN 55359 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> ������l,�j'.c.�[ �
APPLICANT PERNIITEE SIGNATURE IS SUED B Y S GNATURE
Conies: 1-File(Si�nitures ReAuired), 1-Applicank 1-Monthlv Renorts. 1-AssessinE. 1-Finance Page 1
f �, � *
� �
,�
IX
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�vill be
reviewed and a permit will be issued within two worldng days.
2. Permit cazds will be sent by return mail after a review is completed.PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERNIIT.WORK MUST NOT BEGIN UNTIL TI-�PERMIT CARD IS
POSTED ON THE JOB STTE.
3. Mechanical Desi�ns-Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heaa
gain calculation,design temperatures,equipment ratings and identificarion as to type,manufacturer aard
model.Data shall be presented on form provided.Identification of and specifications for water heatinv
equipment shall also be provided.
4. When any new construction or remodeling is involved,a sepazate 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.
INCONIl'LETE APPLICATIONS WII,L NOT BE PROCESSED. If you have questions, call
(952)249-4600.
Please check one: �]e New ❑ Addition ❑Repair ❑Replace�Residential ❑ Commercial
JOB SITE• � � �[� ��,� (P� �6. Zip:
Owner's Name: Phone Number:
Mailing Address• City: Zip:
Contractor's Name: /� '� �� �'�r-�, �'ti L Phone Number. G 3-Y 1 ` Y c9 �
Mailing Address: __ D g 0 City:� ��Zip: �S 35' �
1
" � a
�
`;�. r
�
� ;r,
�
� PERMIT FEE CALCULATION(S) �
r
2002 State Statute ❑Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
i 1) Does not require modification to electrical or gas service.
` 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�'ermit $ 15.00
State Surchazge$ .50
^ Mail-In Fee $ 1.50
�
� If above does not apply,follow guidelines below:
f
1. Contract Price*is .0125%of job with a Minimum Fee of($35.001
� v c�
�--� �. �- X .0125 $
� (contract price) (minimum$35.00)
!
j 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.501
t
�
k� x .0005 $
; (contract price) (minimum$.50)
f3. Posta�e and Handling(Only mail-in applications) $ 1.50
�
f
4.TOTAL PERMIT 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 material,
� equipment,labor,or installallon is fumished by the owner,tenant or any other party the reasonable market value of such items
must be added to the esdmated cost or contract price for pemut 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 valuarions over
k $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 aze complete,true and correct.
, Applicant's Signature: �,� a,d��� Date: a— �((
�
� Approved By: Date:
�
�' 3
k
n
G
�
f
i
I
[
M
� � �1 �• A
r�
• . s
✓
;
SYSTEM DESCRIPTION -
HEATING SYSTEMS
Quantity:
Make: �' �
Model:
Fuel: �v�,e�'„�ey
��1
Flue Size:
Input BTUs: �'j s D p p (/r�,
Output BTUs: Q
C�: I 6 l s_
COOLING SYSTEMS
Quanrity:
Make:
Model:
Tons:
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations ���
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑Installation or ❑Removal •
❑Fuel oil: gallons ❑underground ❑inside ❑outside
❑LP Gas: gallons
❑ Other Gas opening
2
V
DATE TIME
CITY OF ORONO CALLED IN �"
INSPECTION NOT E SCHEDULED ' �
PERMIT NO. 2� COMPLETED
ADDRESS Jo�o�C� �4/�f`l� �� �-
OWNER � CONTR. ,,C�- -1 ���'�����
TELEPHONENO. �'� �� �7�`��3
� DESCRIPTION � `'� � �-�
ty 01 FOOTING 11 M ICAL RI 18 EXCAV/GRADING/FILUNG
Q02 FRAMIN(i 13 MEC F _ 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
Q 07 DEMO-FINAL 15 SFPTIC INSTALL 22 FOLLOW-UP
= 09 PLUMBING RI 23 SF�TIC FINAL 35 HARD CAVER REMOVAL
� 10 PLUMBWG FlNAL 36 FOUNDATIOWREMOVAL
2 OWNERlCONT�OR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
a
o -�C� �
�
�
o ,��
W
a
Q
�
W
W
�
�
� VORKSATISFACTORY PROCEED ❑PROJECTCOMPLETE
w ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF QCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERINO PERMANENT
0 CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Con¢�� i e:
inspector.
White Copyllnspactw's Flle Canary Copy/Slte Notice