HomeMy WebLinkAbout2001-P03744 - mechanical � PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po3�44
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 4i26i2oo�
SITE ADDRESS: 1885 Concordia St
WAYZATA,MN 55391
PID: 17-117-23-23-0002
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Permit Type: Mechanical Permits Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SU1111MARY: Permit Fee: $ 38•75 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
Misc. Fee: $ 1.50
TOTAL FEE: $ 41.80
APPLICANT: VOGT HEATING&AIR CONDITIONI OWNER: J�MES V PECCHIA
3260 GORHAM AVE 1885 CONCORDIA ST
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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AP LI NT PERMITEE SIGNATURE iSSU BY Sl'GNATURE"
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Copies: City,Applicant,Assessor, Finance . , • - ` ' Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMPT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may appiy 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 DesiQns - 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 rorm provided. ideatiiicadoa af and specifcations for water hezting equipmPnt
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 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee, Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New ___ Addition Repair � Replace
� Residentia? Commercial
JOB STTE: � ( ' -�� Zip:
Owner's Name: � Telephone Number:
Mailing Address: �c_.Livr� CJJ C� IJ�C�/� City: Zip:
Contractor's Name: VO6T NEeTIN s aia rnNDITI0N�N6 TelephoneNumber:
Mailing Address: 3260 GORHAM AVE. Clty: Zip:
SALES 929-6767 SERVICE 929-4011
SYSTEM DESCRIP'TION
HEATING SYSTEMS
Quantity: �
Make: ,��Cl�`�-1
Model: ,��C A�U`��O
FueL•
Flue Size:
Input BTUs: �U�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: -
Tons: d� ���_
H. Power
.
.
. ,
WOOD BURNING EQUIPMENT
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.
Total
VENTILATION
No. Kitchen Exhaust ducted recirculating cfrzi
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERll�I1T �EE CAI,CLTI,�TION
1. 1.25% of Contract Price* or Minimum Fee ($35.00) �/ n �
�� , — x .0125 $ � D. �J
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surcharge to each permit. v? ��Q , � x .0005 $ � •c�
(contract price)
or $.50, whichever is greater
3. Postage and Handlin� (Only mail-in applications) $ 1.50
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 installation 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 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 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 correct.
A licant's Si nature: • �� �6? Dat�: ��`�
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Approved By: Date:
�-�-�- � 7��- 70��'�
� HOUSE HEATING TEST RECORD
ADDRESS ���� CL��CC('� p � /} S (� APT. FLOOR CITY SUBURB���U
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ��C L•- 'ti' � i —
El�ctrical Work By Gas Lin• By S��'``f
TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �� K � MAKE OF BURNER
M�.i --� I�F- ?�' 3� ►�d.i
S..ial O 3�' � Max. BTU Rotinp
INPUT �..."/ ���`'� MAKE OF FURNACE
Mod•I _
� � CONTROLS �l �i
THERMOSTAT � � H•ot Pluq ' V•�t Siz•_ �` - �/
Valv• n 34' �- KINO OF LINER SIZE NONE�
Limit �0: , Droh Hood ��� R�qularor �� i 71" ����Z�t J
Limit S�ttiny UJ Filt�rs Si:• ►rumb�►
Fan S�ttinq "� '��� O�imn�y Location lnsid� � Outsid•
Pilot Typ� Sv �- � C�Imn�r Const►uetion ��� C`<<'
Pilot Mok• `'� � � /
Pilor Mod�l � � Smok� Bomb Wirinq 1/
Pilot Timiny S a �L D►aft � T.ar Too
L.W. Cut Off �� Door Pr•ssw. • Liyhti�y Inst.
Pr�ssun �' � P�rc�nt CO ��� DaN T•ar•d � ��
Input CFH ?�j•L�v P�re�nt 02 �.- Co�po�r T.s�i�9 . ' f
v 2—
Swck T.n,p. 1L�1 P�ro�nt CO `�� Non� of T�at�r v