HomeMy WebLinkAbout2002-P05931 - mechanical CITY OF ORONO PERMIT
2750 Kelley�Parkway - PO Box 66 Permit Number: Pos93i
Crystal Bay, Minnesota 55323 Permit Type: Me�nani�a�Pe�its
(952) 249-4600 Date Issued: i2i3ii2oo2
SITE ADDRESS: 1865 Concordia St
Wayzata,MN 55391
PID: 17-117-23-23-0032
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 218•75 Valuation: $ 17,500.00
State Surcharge Fee: $ 8.75
Misc. Fee: $ 1.50
TOTAL FEE: $ 229.00
APPLICANT: Kleve Heating&Air OWNER: Mr. &Mrs. Twidwell
13075 Pioneer Trail 1865 Concordia St
Eden Priaire,MN 55347 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 PERMI'CEE SIGNATURE�� �TISSUGD BY SIGNA'I URE
Copies: 1-File(SiQnitures Renuiredl. 1-Applicant, 1-Monthlv Reports. 1-Assessin�. 1-Finance Page 1
01/16/2003 17:02 9529417249 KLEVE HVAC PAGE 62/04
cz� oF ORONo ,APnLicATiON FOR N�CHANICAL PERMYT
Ba� 6b (2750 Kelley Parkway)
Crystal Bay, �� 1N 55323
GENF�INFORM�.'�ON .
1. You n�aa�►apply for mechanical pezrnits by tziail or in person at�e Caty offices.Applications will be
reviewed and a pormit will be issued within two wcnldng days.
2, Permit cards wilI be sez�t by rc�um mail a8er a review is completed.PERMITS AR.E NOT VALID
UNTII,YOU RECENE A:PERMIT. WORK MUST NOT BEGIN UNTIL T'HE PERMIT CARll�S P
. OSTED ON TT�E JOB SITE.
3. Mec an.ical Desip_ns-Complete calculations,details and specifications are required foz eack�b�eating,
vent��arion,humidification-dehumidi�cation,az�d air conditioning i�sta�lation including heat loss/heat
gain calculatior�, design temperatuzes, equxpment ratings and identification as to rype, manufactuzez and
mode�. Data,shall bc pYesented on form providcd. Idczlri�ication of and specifications for water heating
eyuipment shaJl also be provided.
4. When any new construction or rEmodeling is iz�volved, a separate building permit znust be obtained.
5. All work znust be donc in accozdaa�ce with the Uniform Mechanacal Code/State Building Code
requiremcnts.
6. All work must be inspected(rough-in and final).Call (9�2)249-4600.24-hour notice requxred_
7. House Htating Test Record must be submitted be�oze �z�al.
Instructaons �
Cozz�plete all items on this app�xcation. Computc the permit fee. Sign and date tb,e certification.
INCOMPLETE APPLIC.A.TIONS WII.,L NOT BE PROCESSED. I�you have questions, call
{952) 249-4600.
Please check one: �.New ❑ A,ddition ❑ Repair ❑ Replace � Resxdentxal ❑ Commercial
JOBSITE: ���'� C�nCOr��o� �'� Zip: s'S3G�)
Owuer's Name: T�/�Ld,.,cl( Phon�e Nunnber: ��z- y�R• G77�
Mailing Address: �1�5�5 Cn,n r o t`��a j�� City: O�o hv Zi�: S�3C�
Contractvr's Name: �/e,,�,_�V��-�c Phame Nuinber- 4'S�"5 y 1-4(�7 r �
Mailing Address: 13 67 5 '�,��e�r T Q�1 City: �d w,.�r�c�r r z Zip: �i5�u�_
1
01/10/2003 17:02 9529417240 KLEVE HVAC PAGE 03/04
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SYS"��D�SCRIpT10N
HEATINC SYSTEMS
Quantiry: � ...
Make: �C�n n aY _ � . .
Model: (�.�L Q`�S��2'S .
Puel: AJ&��'
Flue Size: 3'��VG
�
It�put B'I'Us_. 1�5,a od
Output�TUs: f 1 S , o�_
CF1V�: ,
COO�,ING SYSTEMS
Quan.tiry: �� .
l�ake: ���n��
Model: y�Z6-dy�
Tons: �
H.Powet
��R.TP�.,AC�S S,�S���1E O�TLY
� Gas�'acto�y fireplace `�no�►� ��" ❑ Installing a Gas Line Only
❑ Wood burriing factory fire�lace with�ue
❑ Wood Stove
❑ Wood stove with flue
�AS: i�CookFqP, �'u►tin� �-ar•jel`S
Brand Name Model No.
VENTILATION
No. I Kitchen Exhaust ��� duct recalculatiz�g �O�i cfzza
No.�Bath Exhaust(xnust have duct outside) �b cfm
No,��Other Fans: Location,s Ve,,ans..r �oo efm
^G�' `�rc'er ..JEn�$ !�'i ��)OOc9 lu`�V'
FUEL STOR.AGE (MUST BE APPROVED BY FZRE MARSHAL)
❑ Installation oz ❑Removal
❑ �ucl oil: gallons ❑undcrground ❑ inside ❑outside - �
❑ LP Gas: gallons � . _ . . .
❑ Other Gas opening
2
61/10/2993 17: 02 9529417240 KLEVE HVAC PAGE 04/64
,.��,.�, ._, •
PER11�xt'FEE CA�CULATIONfSI .
2002 State Statute ❑ Yes This Section Applies .
The replaccmcnt of a Residentia��xture or appliance that rz�eets all tk�xee of the followizug requirements:
1) Does rot require modification to electrical or gas sezvice.
2j Has a total cost of$500.00 ot 1ess; excludixt�the cosi o�the fixtur�or appliancc:
aztd
3) Is izzxpr�:ved,installed or replaced by the homeowner or licezased contractoz. °
S�ip n�ext sectian; Cost of Feimit $ 15.00
. State Surcharge $ .50
�" �� Mail-In Fee $ 1.50
I�above does zaot apply, foIlo�v guidelines beTow:
],. Contract P�ice* is .0125% of job with a Minirn�una Fee of $35.00
/�7 500 x .0125 $ ���.��
(eon�act price) (nvaimum S35.00)
2. State Surchar�e. **Add the State Building Code Division a NlinSmum Fee of � .5p�
1"7� 5 d o x.0005 $ . � � %�
(concract price) � (minirrxum S .50)
3. PostaQe and Hand��z�2 (O�:ly mail in applicatlons) $ 1.50
- .;��
4. TOTAL PER1V��'�'FEE (Add lines 1-3 above) Q•
.,�r�u,��� �-c��Lns. � j �`�5g� ---
•CONTRACI'PItiCE or JOB COST meaes the actuai or estimated dallar amount charged foc the pecmitted work includ�ittg
materia(s,labor,profit,and othez fixed costs.It is the amount to be charged to the customcr for the work done.lf any material,
equipment,labor,or installacion is�urr�ished by the owner,tenant or any other party thc rtasonable[narket value of such Items
must be added co the estimated eost or conCcact price fo�permit fec pucposes.tn II�e event that there is s dispute on the amount of
[he job cost,thc Ciry may request che submission of a signed copy of the actual conuact.
"*The STATE SURCHARrs�is.0005 of the contract price under S 1,0OO,OQO or 5.50-whichever is greater.For valuations over
S 1,000,00�call the Depamncnt of Inspeciional Services foc the price.
'i1�e undersigned hereby spplies to the Ciry�or issuance of a M«hanical Pemvt,ao ees to do all work in strict accordance wi�}t
the ordinances of the City and the z�egula2iotts of the Minnesota State Building Code,and certifics chat all statements made on this
application are complete,true and cotxect_
A lican2's Si atuz�e: � ��"Z� Date: /�' �OZ
�T � T_.�-
Approved By: Date:
3
• THIS PERMIT IS FROM 12/31/02 - NOTE ADDRESS CHANGE, CONTRACTOR HAD
SUBMITTED ORIGINAL PERMIT WITH WRONG ADDRESS.
SUBMITTED AS: 1685 CONCORDIA STREET
SHOULD BE: 1865 CONCORDIA STREET
PERMIT NUMBER AND DATE REMAINED SAME. I FIXED IN SYSTEM. THIS IS JUST
FOR YOUR 1NFORMATION.
RACHEL :)
61I1012663 17: 02 9529417240 KLEVE HVAC PAGE 01/64
City of Orono
.A,tUa:Rac�a.e�oz De�ise
Regarding the address chat�,ge �zom 1685 Concordia(permit�#P05931)to1865 Concordia
St. Please accept my apologies. As�er instruct�ions, �az�n.�axxx�g t}ae permit having altered
the address. Should you have any ques�io�s please feel free to contact me.
Best regards,
Ri.c Bol�i,x�ger
Kleve,Inc.
13075 Pion.eear Tx�il
Eden Pxaizy.e, MN 55347
952-941-4211
Fax 952-941-7240
klevese�vice@alg�arxxai.�.com,
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Pos93t
Crystal Bay, Minnesota 55323 Pe►-mit Type: Mechanical Permits
(952) 249-4600 Date Issued: izi3ii2oo2
SITE ADDRESS: 1685 Concordia St i'�
Wayzata,MN 55391
PID: i�-ii�-23-22-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-typ s): Mulriple Mechanical Items
DETAILS: �,
Approved per resolution#: �
��
Separate permits required: �� ��
, \v �.,�
NOTICES/REMARKS: �`>
Fv�`
��
FEE SUMMARY: Permit Fee: $ 218•�5 Valuation• 17,500.00
State Surcharge Fee: $ 8.75
Misc. Fee: $ 1.50
TOTAL FEE: $ 229.00
APPLICANT: Kleve Heating&Air OWNER: Mr. &Mrs. Tom Palm
13075 Pioneer Trail 1685 Concordia St
Eden Priaire,MN 55347 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 SIGNA'IURE ISSU D BY SI NATURE
Copies: 1-File(SiQnitures Renuired). 1-Applicant 1-Monthlv Reoorts, 1-Assessine, 1-Finance Page 1
��rr''�-
� � ' _ •
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 r_ot require modification to electrical or gas service.
2) Has a t,�tal cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is impr ved, installed or replaced by the homeowner or licensed contractor. `
Skip neYt section; Cost of Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follo�.v guidelines below:
1. Contract Price* is .0125% of job �vith a Minimum Fee of(�3�.00)
i7 5oa x .oi2s � �i�. 75
(contract price) (minimum 53�.00)
2. State SurcharQe. ** Add the State Building Code Division a Nlinimum Fee of(S .501
1"y� S 6° x .0005 � g � %j
(contract price) (minimum S .50)
3. PostaQe and HandlinQ (O�:ly mail-in applications) $ 1.50
----�
, .
4. TOTAL PER�rIIT FEE (Add lines 1-3 above) � aq . O
,�------_—
*CONTRACT PRiCE er JOB COST means the actnal or estimated dolla;amount cnarged for the permitted work including
materials,tabor,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 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 actua]contract.
**The STATE SURCHARGE is.0005 of the contract price under S I,000,000 or$.50-whichever is greater.For valuarions over
S 1,000,000 cail the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a I�techanical Permit,a�rees to do all work in strict accordance with
the ordinances of the City and the regulations of the Nlinnesota State Building Code,and certifies that all statements made on this
application are complete,true and correct.
Applicant's Sib ature: � ��1��_ Date: _ /�'���02
Approved By: Date:
3
TY OF ORONO APPLICATION FOR MECHANICAL PERMIT
CI
Box 66 (2750 Kelley Parkway)
Crystal Bay, �� 55323
GENERAL NFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by return Tai�Ofte�r�ST NOT BEGIN UNTII,I THE PERMI CARD IS <
UNTIL YOU RECEIVE A?ERM
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 specificaticas for�vater heating
equipment shall also be provided.
4. When any ne�v construction or r anode�nh the Uniform Mephan cal Code/Stat Btuilding Codte ined.
5. All work must be done in accord
requirements.
6. All work must be inspected (rough-in and final). Call (9�2) 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Com T BE PROCESSED tIf youdhave questions,ccalln
INCOiVIPLETE APPLICATIONS WII,L NO
(952) 249-4600.
Please check one: �New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOBSITE: � �b�35 Ca^�`'r� '�
5-�-- Zip: Ss3��l
Owner's Iii ame• T�., :!w��� Phone Number: ?��- N7'�• �7?�
� ��,� ��. City• 4'�..v Zip: SS3C�!
11�Iailing Address: 1�`�5 ��- ��
Contractor's Name: J���,x, �����c_ Phone Number: �'S���`+ ��`�a �5��,
Nlailing Address: 1`�6;S �1�►�,n e<r T��1 C i t y: �d e��r��r��- Z i p. 5
.,,
,
4, 3' �1 �f t(?7
1 �.;,; w a;.,,- ak,_
,;�:�.,..
SYSTEM DESCRIPTIOIv
HEATING SYSTEMS
Quantity: �
Make: ��� �u
Model: (�,1C4`�j��25
Fuel: �y�f
Flue Size: 3'��VG
Input BTUs: )�.5,o oa F
Output BTUs: i 1 S , p�o
—�
CFM:
COOLING SYSTENIS
Quantity: i
Make: �p,�n�X
Model: N 5 Z6�0'-�F�
Tons: �
H. Power
FIREPLACES GAS LI�E O`LY
aGas factory fireplace �`ro��� �n' ❑ Installing a Gas Line Only
Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
6A5 : 1-CaAk}�oP, r���n� o�-at�j2�5
Brand Name Model:�To.
VENTILATION
No. I Kitchen Exhaust ��� duct recalculating 30 o cfm
No. �( Bath Exhaust(must have duct outside) 7 0 ��
No.__L Other Fans: Locations_Ve,� ,��.r z a�cfm
`- `�rcjer JE�-r-., � 7��c�� 3�J
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
Q Other Gas openin�
2
— —
DATE TIME
V
CITY OF ORONO CALLED IN ' '0
INSPECTION NOTIC 2 SCHEDULED �-/-D�
PERMIT N0. H J COMPLETED
ADDRESS � 5 r C����'�
OWNER CONTR.��
TELEPHONE N0. ��a g�i �z��
� DESCRIPTION � �Q'�'`1 ��^ �•
� O7 FOOTING 11 MEC�A 18 EXCAV/GRADING/FILLING
Q 02 FRAMING L'T MECHANICAL FINAL 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 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS
� 07 DEMO-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 PLUM8ING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COM ENTS:
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W� ❑W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
OwnerlContract 't
Inspector.
White Copy/lnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN "
INSPECTION NOTIC� SCHEDULED 'r`��...`7`�'`-'� �l
PERMIT N0. ,��i���� co LETED �
ADDRESS ��tG �� � �-'7''l � C-c'-����
OWNER CONTR. � �'��
TELEPHONE NO. ���� �1 �� � ��/�
. �
� DESCRIPTION �'�t-�-- ���
� 01 FOOTING 11 MECHANICAI 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
Z 04 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
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
? 09 P�UMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL I/ 36 FOUNDATION/REMOVAL
� OWNERICONTHACTOH TO MEET YOU:�(YES_NO
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W►LL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next i spection 24 hours in advance. (952) 249-4600
Owner/Contr t r s e
Inspector. �
White Copyllnspector's File Canary Copy/Site Notice