HomeMy WebLinkAbout2004-P08060 - mechanical '�;ITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Poso6o
Crystal Bay, Minnesota 55323 Permit Type: Me�hani�al Pe�ts
(952) 249-4600 Date Issued: ioiiii2oo4
SITE ADDRESS: 1985 Fagerness Pt Rd
Wayzata,MN 55391
PID: 18-117-23-14-0004
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 78•75 Valuation: $ 6,300.00
State Surcharge Fee: $ 3.15
Misc.Fee: $ 1.50
TOTAL FEE: $ 83.40
APPLICANT: Center Point Energy Minnegasco OWNER: Alan Opheim
13562 Central Avenue NE 1985 Fagerness Pt Rd
Anoka,MN 55304 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.
Y Y(,Y� .��-
A PLICANT PERMITEE SIGNATURE SSL'ED BY SIGNATURG
Copies: 1-File�SiQnitures Reouired), 1-Aoplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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e� CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Paxkway)
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 permit 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs ❑ Complete calculations, details and specifications are required for
each heating, ventilation, humidificationOdehumidification, 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 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) 24904600. 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) 24904600.
�,� —
Please check one: New Addition Repair e lac Residen� Commercial
JOB SITE: ��I�� �C�,�� v��s 5 �o��-� 12a Zip: S S3c'l �
Owner's Name: 1-�` (�,n 1'1� � ►�,-� Phone Number: ��'1 S a•�-I^1 1 ^�f 3��
Mailing Addxess: 1�1�s S �`��-,� � ��.� �1,City; �,,.�e,,•l�, Zip: S 5�t 1
Contractor's Name:CenterPoint Ener�y Phone Number: 763-757-6202
Minnegasco
Mailing Address: 13562 Central Ave NE City: Anoka Zip:55��4
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: Cca r�; � �
ModeL• 5�5(Yl v' '(� C��C)� f��
Fuel: 1Vo��-��c�lna:�
Flue Size:
Input BTUs: ��� ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: (
Make: '�r��er
Model: 3S5 7X �A��3d
Tons: � �I�
H. Power
FIREPLACES
Gas factary fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
If above does not apply, follow guidelines below:
l. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�o�OG.C�O x .0125 $ �S� 7S
(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
�3� • ��� X .000s $ .3; /S
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail❑in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1�3 above) $ �� ;� c�
* CONTR.ACT 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 axnount 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 pernut 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 0
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.
Applicant's Signature: �.,_ , Date: /C '�� -D�(
�,�� �, °;���,.r,.,�_
Approved By: Date:
VENTILATION
No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust (must have duct outside) cfin
No. Other Fans: Locations cfin
FUEL STORAGE (MUST BE APPROVED BY FIIZE MARSHAL)
Installation or Removal
Fuel oil: gallons undergrotuld inside outside
LP Gas: gallons
Other Gas opening
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 not require modification to electrical or gas serv�ce.
2) Has a total cost of$500.00 or less; excluding 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 Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
CenlrerPoint,�
En�� HOUS� li�A�l�G �°EST RE�ORD
Minnegasco u�` ,� � �4��
ADDRESS I 10� �4(�g Q��.S S ! � APT. FLOUR CITY 0���
OCCUPANT��}�F 1 Wl WNER _
HEAT LOSS Yes DATE HTG. INST. I f�-13'd�
SOLD BY nt rP int n r Min _ i�iSTALLFD BY CenterPoint Energy Minnegasco
Electrical Work Bv � bit�1 j t-rJ1�P f Gas Line By
TYPE OF HEAT FA�, _ SPACE HT . _ =J�1lT HTR._ OTHER_
GAS DESIGN CCENVERSipN
MAKE � ��� �
Model ^ Vent Size�__ L
Serial .� _ K!ND OF LI�t't:�� . __���t Y ` SIZE
NPUT • L� G NONE
Draft Hoo� ���vC� Regidator
�c 1 A CONTROLS Fitters Size ��}-E'_ Nui�ber
THERMOSTAT ��1 !t Heat Plug Chimney Location Inside
Value � �
Limit -'�..� � Chimney Canstruc,ion_` �_ ol �����
Limit Setting i 1(�b wiring X ��
Fan Setting r -- Tast Tay x _�_ T
Pilot Type -
Pilot Make Lighting Inst.�._
-- �ate Teste:i__�b—j 3— 6 �
Pilot Model Company Tes;ing_ Cen4erFoint Ener �Minne asco
Pilot Timing — pdame of Tester \�' �
�. ��1--
Pressure - Percent COZ ; �` � �
nput CFH � � �U v Percent Oz ' ^��
Stack Temp. Percent CO ' � 'C _
✓
DATE TIME
CITY OF ORONO CALLED IN �� ���
INSPECTION NOTICE SCHEDULED �/ i-� � ;�
PERMIT NO. QQ�C�(�C� COMPLETED
ADDRESS J '�jt� F� ��r.�ss �. �Q_
OWNER ��P.� � OD,e�`� CONTR. ����� Pt- �hYN .
TELEPHONE NO. (�G�7`'g_3 '�f`l0
� DESCRIPTION �U/'/7 � �L'
� 01 FOOTING 11 ME I RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING �3 M_E_�C__H�ANICAL FINAL 19 LAKESHORE/WETLANDS
� 03 INSULATION 24J2b��99 FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORK SATISFACTORY:PROCEED - ROJECT COMPLETE
� ❑ CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ,-; pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the nex inspection 24 hours in advance. (952� 249-4600
OwnerlContrac o s te:
Inspector.
White Copyllnspector's Fi e Canary CopylSite Notice