HomeMy WebLinkAbout2002-P04856 - heating system � PERMIT
CITY OF ORONO Permit ►vumber:
2750 Kelley Parkway - PO Box 66 P04856
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: �i3ii2oo2
SITE ADDRESS: 1520 Bohns Point Rd
Wayzata,NII�I 55391
P I D: 09-117-23-33-0006
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: Permit Fee: $ 262.50 Valuation: $ 21,000.00
State Surcharge Fee: $ 10.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 274.50
APPLICANT: Vogt Heating&Air Conditioning OWNER: David&Jodi Dalvey
3260 Gorham Ave 1520 Bohns Point Rd
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 STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE � ISS BYSIGNATDRE �,^''
Cooies: 1-File(SiQnitures Reauired). 1-Avplicant, l-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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� ('.;ITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
� Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMA°ITON .; � .;: . . _, . , ;_ :�� , �. �
l. 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�vithin 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 BEGIN UNTII.,T'HE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns v Complete calculations, details and specifications are required for each heating,
vent:lation, humidificatior.-deliumidifi�,ation, and air condi±ioaing instal:ation includang 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 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 (952)24911600. 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 ❑ AdciitYon � Repair ❑ IZeplace�Residential � Comm���ial
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JOB SITE: � ���0 ,�c�,y/V S �o�� ��qt: Zip:
Owner's Name: t� ' �y� Phone Number:
Mailing Address: %�Z� ��jt/� , �, City. �f'��/� Zip;
Contractor's Namea /I/�(,� �l/�r�/I��► Phone Number: �sZ'j��"l,��f 7
MailingAddress: �ZCoU ��'�e,i�� �I�� City: .�,�:'�,'�..9?P��+�,Zip:_S;f-�Z��;
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SYSTEM DESCRIPTION .
HEATING SYSTEMS
Quantity: I
Make: I�I���1�
Model: S 7� ' (o
Fuel: N�• Ca�
Flue Size:
� �
Input BTUs: ��d� _ _
oU�UtBTus: � I37, ozsd
�FM: a�,�2
W� ���� .
COOLING SYSTEMS
Quantity:
Make:
Mod�l:
Tons:
H.Power
FIItEPLACES
❑ Gas factory fireplace � �
w :.• 4 `; `.. . .. . .. .
❑ Wood burning factory fireplace with flue ' .
❑ Wood Stove
['j Wood stove with flue
Brand Name Model No.
VENTILATION _
No. Kitchen E�chaust duct recalculating cfm
No. Bath Eachaust(must have duct outside) cfm
No: Other Fans: Locations cfm
FLTEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside �
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERI�IIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or a�pliance 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; excludinQ the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next sectior:; Cost c�f Permit $ I5.00
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)
G�/, �c�! x .0125 $ ���- --�,x�i'
(�ract price) (minimum�35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50).
�/, c:fiCJ� x .0005 $ �'�: ��('�i
(contract price) �(minimum$.50)
3. Posta�e and Handling(Only mail-in applications) $ 1.50
4. TOT�.L PERMIT FEE(Add lines 1-3 above) $ _� �yr ��
*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 installation is furnished by the o�mer,tenant or an}�other party the reasonable market value of such items
must be added to the estimated cos[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 actuaf contract.
**The STATE SURCHARGE is.000�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 Buifding Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Signature: ��L!��z-� �'�f�---���.�-�� ������OS _ Date: J � ��
Approved By: Date:
3
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, / DATE TIME
CITY OF ORONO � CALLEO IN
INSPECTION NOTIC SCHEDULED 3' � `� �
PERMIT NO. COMPLETED �� �—
ADDRESS �S oZn ��l �i/'JS I�11 l�,�
OWNER CONTR.
TELEPHONE NO.
� DESCRIPTION /'�"/2 TC;� / D� ��S ����(�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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y� �GVORKSATISFACTORY:PROCEED O PROJECTCOMPLETE
�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Ca11 forthe next inspe n 24 hours in advance. (g52) 249-4600
OwnerfContracto
Inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice