HomeMy WebLinkAbout2001-P04602 - heating system PERMIT
CITY OF ORONO
27�,0 Kelley Parkway - PO Box 66 Permit Number: Poa6o2
Crystal Bay, Minnesota 55323 P@flTllt Typ@: Mechanical Permits
(952) 249-4600
Date Issued: li�s�2ooi
SITE ADDRESS: 1153 Elmwood Ave
MOLIND,MN 55364
P ID: 07-I 17-23-14-0069
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:
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FEE SUMMARY: Permit Fee: $ 44.25 Valuation: $ 3,540.00
State Surcharge Fee: $ �.'7�
Misc.Fee: $ 1.50
TOTAL FEE: $ 47.52
APPLICANT: Standard Heating&Air Conditioning Inc. OWNER: RICHARD JAMES HEIT
410 W Lake Street 1153 ELMWOOD AVE
Minneapolis, MN 55408-2998 MOUND MN 55364
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 ANT P RMITEE SIGNATURE �SLTED BY SIGNAT[.JRE
Copies: 1-File(Signitures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERNIIT
Box 66 (2750 Kelley Parkway) �
Crystal Bay, MN 55323 .
GENERAL INFORMATION
1, You may apply for mechanical permits by mail or in person az the City offices. Applications will be
reviewed and a permit will be issued withi.n 2 worldng days. �
2, Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID
UNTII. YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII. THE_PERMIT CARD IS
POST'ED ON THE JOB SITE.
3, Mechanical Desiens - Complete calculations, details and specificaaons aze required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calcularion, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Identifrcation 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.
g, All woric 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 perm.it fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: IYew Addition Repair �Replace
� Residential ,�ommercial•
JOB STTE: � c�C% ��l-'< Zi� ����.`"
Owner'sName• f - TelephoneNumber: -7 Y Y ���7'7
Mailing Address: � `— r i'� City: �cac ZIP: < <
Contractor'sN ; �A, TelephoneNumber:
�i��i" . , City: Zip:
MailingAddress: a�n wFs�` i AKF �TR T
�111NNEAPOLIS, MN 55408-299�?
SYSTEM DESCRIPTI01S1�2-���{��F
HEATING SYSTEMS ,
QuantitY:
Make: -�-�
Model:
Fuel: � � � �<<
Flue Size:
Input BTUs: T 8� . �
Output BTUs:
CFM: �
COOLING SYSTEMS
Quantity. .
Make: �
Model: �
Tons:
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 , mi.n. flue dia.
Total
VENTILATION
No, Kitchen E�aust ductecl recirculating cfm
i,�u, Bath Ex�2��st (n!ust be ducted outside) ��
No. Other Fans: Locations �� �
. Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
l. 1.25% of Contract Price�� or 1�✓iiiiicnum �'eQ (�3�•at3) t f - ��
���c(� x .0125 $ L'
(contract price)
2. State SurcharQe. ** Add the State Building�Code DiXisio�s $
Surcharge to each permit. 3� �U � � �
(contract price)
or $.50, whichever is greater 1.50
3. Postage and Handlina (Only mail-in applications) �
,, T�T e T pFg.�T�T FEF_. (Add li.nes 1-3 above) � L �_��,�
* COI�ITRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized cosu. It is the amount to be charged to the
customer for the work done. If any material, equipmenc, labor,or installation are furnished by the owner,
tenant or any other party che reasonable market value of such items �ust 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 actu� �°n�'
** The STATE SURCHARGE is .0005 of the contract price under �I,QOO,Q00 or 5.50 - whichever u
greater. For valuations over $1,000,00� call the DePart�ent of Inspec-tional Services ior the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all wark in strict accordance with the ordinances of the City and the regulations of the Minnesota
State Building Code, and cert�es that all state made on this application are complete, true
and correct --- --- 1
. - �4 a �h/1(/t�.-.- Date: �7 ���a I
.._ ��l
_ Applicant's Signature:
Date:
Approved By: '
GAS WORK ORDER
1082 Payne Ave. STANDARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651/772-2449 b H EAT I N G � 612/824-2656
& AIR CONDITlONING
A Blue Dot' Service Co. EQUIPMENT INFORMATION
LAST FIRST TYPE
ADDRESS_ tT } _ MAKE r
CITY _ �►��;�c� ,ZIP MODEL' � ``�;,;:, . -=��' ,f-
HM PH WK PH SERIAL �F _ �� -
TECH DATE INPUT
ORSAT TEST RECORD
CO2 % METERED INPUT Cfh CHIMNEY TYPE
02 % LIMIT SETTING � �-� � FLUE SIZE - �- . in.
CO % PILOT OUTAGE ``X� sec CONNECTOR SIZE in.
NET STACK TEMP � TOTAL CHIMNEY INPUT btuh