HomeMy WebLinkAbout2002-P05764 - mechanical -� PERMIT
CITY OF ORONO Permit Number:
2 i'S0 Kelley Parkway - PO Box 66 P05764
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�2a�2oo2
SITE ADDRESS: 2565 Countryside Dr
Long Lake,MN 55356
PID: 04-117-23-11-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 35.00 Valuation: $ 2,000.00
State Surcharge Fee: $ 1.00
Misc. Fee: � 1.50
TOTAL FEE: $ 37.50
APPLICANT: Advantage Air,Inc. OWNER: Mr. &Mrs. Mich
325 W. 130TH St 2565 Countryside Dr
Shakopee,MN 55379 Long Lake MN 55356
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 SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
� � : /,
w� ��
, /��� l � r-�����T��
AYPLICANT P ITEE SIGNATURE ISSUED BY StGNATURE
Cooies: 1-File(Si�nitures Required), i-Anplicant, 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
. , ��:J ��
,����'
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 pernut will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi�ns -Complete calculations, details and specifications are required for each heating,
ventilation, humidification-dehumidification, and air canditioning 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 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)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
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair � Replace � Residential ❑ Commercial
JOB SITE: �J�=� �� +.�ti'�� ���C�.c� ���,�,L�Zip: �����/ ,
� ��
Owner's Name: ��rl�r�,���!� �1+1'iC�� �-� �hone Number: c( �� - �-0'� ��-;:a(�;��
Mailing Address: �'����'�� , ,�� �' j�� City: Zip•
Contractor's Name: � �(; ��1 ��nC�Phone umber: ���o� -��S ��� (��
Mailing Address: _�� > ] '� z-�. Z City: �a�"1,�`�KCO C,, Zi `� � ��'j9
� p: v� �
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: f
Make: � �tX/L�
Model: r �� l�/-i"�/� "/'��%�'
Fuel: ' C���
Flue Size: -� f�
1���` �'V�_
Input BTLJs: �
Output BTUs: ��� ���J
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES G:�S LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name �vlodel N�.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
1 ' .
PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or ap�liance 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; excludin�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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.SJ
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
r� •�' ,
�'�%��✓�� -�'-'x .0125 $ �� ���� C�C�
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
1;�t_.� \r..
:.r'CIC�� - x .0005 $ / , U "
(contract price) (minimum$.50)
3. Postage and Handling (Only mail-in app[ications) $ 1.50
� �' �
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �'t;
*CONTRACT PRICE or JOB Ci�ST 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 charg.d to the customer for the wor'.�c done. If any material,
equipment,labor,or installation is fumished 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. [n 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 correc.
Applicant's Signature: ` �� Date: 1�� `�� �L��
Approved By: Date:
3
[u�T-��-�E�l�� 1::�:�9 GerterPoint hll�"!riP_+dSCG hi2 ?_1 555G� P.03
� Mic7 1ob# Zone: Er.tire Housn
tvL1NL'AL),7ci rd. x.tG�IT.1� a.a.•,a--_- slNl2oao
. 1 raRcofRoom Ent±re Houa� uho.e hoi�e
I 2 RunningPt.ExpesadWall ftp.p F�. Soo.o Pt, Ft. Ft,
1 Room Dimenyions,P?. 0.0 t. 50.c x 30,0 �'� x
� x Ft,
4 Ceiingc,� Condit.Optian a.; a e.a heat;cool
'1'YPE OF ' ,CS � tiT;d + ,araa Btu4 Arca Btuh Area BtuA ,Ar�a gtuh
. r�
Ek�OSUF:E j NU. Htq Clg Lcngth Htg Clg Leng�h Hig f;ig Length l�tg CI� �Length Htg Clg
5 G[�Dss a ;2c 8.3� 2.a; 3200 ■'"" •*r, 320C •++r +���• Wy•• Jyll� , ��1�/ re�r
Nxposed b �4C �.1 1.Si 1E0 �e+s W'��'� 160 r��• •�rr •w�� s�rw I •►«� rt��•
Vl�dli5 S::d G 1�C ti.7 G.�' 4�0 "'�M• �•��' 400 ss�• •ti�� W«�� •+�. I r�a• M��•
( Partitions C1 12C B 3 2.�i p ��•" � •wF• � •..r n�r�s wrM♦ iry� •s•a� .
•s•
I I IC 14B 44.5 4_E OI r..• YN�M Q` •�a� � •ass �wr•� r+•T srs� •�at
� f i5a 11.W O,U � •w", I �•w• 0 +sr. a��• raNr rr�r I ♦a�r •�s�
I
�I WindOtvsel:d �1 3A 50., �n ?EO ^_a�43 ;r.• '` �. � r�..
i �o ia�ss ..t. ��..
C'+13�SDUo� b 9G 4E.0 °Y 12� �OI7 �"�• 42 .D'.7 •�"'• *�t� �e�M I
� He3ifR� C 9L '2.2 �� q: ;,gq� WWy• 42 2�i1 ��s• W*+r rs►.
d G.0 "" � p p r�w♦ � ' .+�• s.�h .*�•
� c.c� .• n 0 e,.. o o ••�• �•e�
wss•
f �,�„ �• Q � �r�♦ Q � •��M :*r• r���
7 Windows and � �lor[fl �5.C °d ♦'"r'" -352 gq ��a� 2362 +•fi, ■�r�
G1t�5 r100[9 iUE/!+1W 0.D � r�+r � p •fsr � �w�� � w*�
CooIing ��W 0.0 p tw'� � 0 ■��s ►w�rs
$E:'SR' I C.^ p �rrM r�n�s `� I st+�•
0 0 p •'�M�Y •srr
SOuth �d3.D �5r •��• 13990 35Q '��"' 7,iu80 •+�w •�rt
H�rz �_p C .vs� .*M.
0 G ���s ��ss
9 CkherdqnfS e ICC 33.1 9,b q2� 1�91 a02 fli 2391 4C2
e e.o e.o o� o 0 0 o c
� 9 Nnc ,a z�c a;? z.y z�ia� 2z��z bas�l ?�x� z2a�2 6�5�
, E�posed �b 14C e,5 l60 i138 _^3L 16D 1133 Z3B
wa�l�and c '-`=I s.^ o.o� �oo :aa� n �oo ie�� �,
' Parcitiot�s d 12c 8.? 2.a o
0 0 � � �I
c ].9� 4E.a p.e o 0 0 0 o a�
f 15A ��.s c,c u o 0 0 0
I
1C (;C71t1`�] ja 16H 2,q ;.,2 1�Qp =59A iB33 1500 35�� =833 !
��' + O.0 G.^u C P 0 G p p
�� � u_0 4.0 0 0 0 D 0 q �
11 Ploo:s d{2`_AI Z.2I �.C 1500 3�12 r 15Gi; 331� 0
b :.� �.0 0 GI C C C 0 I
� � �.�) ].a U 6� C C f G
1Z Infiltration g 3� : q,7; qg6 15z�3 225b 466 761Z 2265
IJ $ub,otBtuh Loss�6+8..+11+12 "'��� � '� a��+ ��r�
I i 77153� 75153 �'�t♦ ■M�s ii�M •+ror �r*�
I14 DuctBtuhL.o.ys rv,� p� Mr•� �yj � rw.• •�w o
f,5� To,dl Blutt L�ss=13+1J +•.+� "� `��`
i3153 �••• M••+ I 7515� •wrr •yr• ttr� ♦��.
i wss•
.6 Int.Gains: Peoplc t� :oo a "`•" � •••. I
1�OJ 1 12D0 r��• •Trs
APD� f�1 l�OC s�rT 12fi0 1 s.rW 126p s«�s Mr�y
i^ Subi6tRSHGain�7+8_�I?t16 '•++� ++++ •��• •�.+
29;5'18 •r.� Vr�•
Z9979 �w*r �r���
IS DuctB±uhGai� �o •yr. Q o4 ��y� G ♦�sr o r��•
19 TuieiRSl�iGain�(!7+($�+PL� 1_�_,�; ���t �99'9 2.00 '��• 2597e r++M �.�r
2U CFMAir}Zequired ''""* 16Q3 1603 �"�� ++�+
3603 :603 •Mw�
Prsntout cercified by ACCA to rne�t alC requ�rements of Manual J Farm
\
: ��
DATE TIME
CITY OF ORONO CALLED IN ( �-� I�-' Y
INSPECTION TICE SCHEDULEO _� ,
PERMIT N0. COMPLETED ,
ADDRESS .�5� �� � � il��f��, � �l�-�
OWNER I(.�IH � 1 CONTR.
TELEPHONENO.���' `i ��'- �(n U[�
� DESCRIPTION 'V� S S
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRA ING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 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
� 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
� COMMENTS:
�
W
a
�
J
O
�
�
O
�
W
�
Q
�
2
W
�
W
�
�
d
W ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne t inspection 24 hours in advance. (g52) 249-4600
OwnerlContr�etoyb . ite:
Inspector. _
White Copylinspector's File Canary CopylSite Notice
HOUSE HEATWG TEST RECORD
AOCIRESS �_�--��� r�'�-�'" ' '� J 'T�' ��"� VC l�PT. FLOOR CITY SUBURB _
OCCUPANT pWNER
HFAT LO55 DATE HTG INST. — �
SOLD BY RIST�ILI.ED BY
El.��,;�el wo,4 By Ga. L�..e ey —
TYPE OF HEAT GA Fn ___Hw STEti�a --SPACE HTR_ __UNIT HTR. _ OTNER _
G/1$ DESIGh COfd`/ERSION
IdAKE ���""��l'r, 1-IAY,E O� BURNER
� ti
�od.� � � C'' �l J� �- i,7,2 �+ode� —
Seriol ���7'"�A Y5i;�5 I.Iox. BTU Roiinp
INPUT il��u:t �+nr.F or FURNACE
Mod„I -- — - j i!�
CONTROLS � �
THERblOSTAT Heat Pluq Vnn� S�te ----
Val�., KINp OF �IFlER SIZE NONE
(_;R.;� Drof� Hood Regulo�o.
Limil Seilinq �ilieis Siie _ Nvmber
Fa� �����9 �hirnney L.ecelion Inside. Oul�ide �
f�i�ol Type �imnny Conslruc�ian _
P�loi �.lak�
Pilo� 1.lodel S...oks E�om6 W�ring
PUo� Tim�..g _ D�ol� _ Tesl Top
�..W. �v� O(( —. Door Pressvre Lt91�li^p �^sl.
� d�
Pressvre ���� Fercent �Q /��,/ Da�e Tasled a� � n i///���
Inpvl CFN Pe.ce.�� O� u'r Cor.�po�y Teslinn � • ''�I��T�`'��<�- �� —
z 7
S�ac4 Temp. `+.J �� P�rccni �.Q L'� Name ol Tesler ��"w��
c �+r