HomeMy WebLinkAbout2002-P05729 - re-roof PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Pos�29
C�ystal i3ay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: io�ii�2oo2
SITE ADDRESS: 2927 Farview La
I.ong Lake,MN 55356
PID: 04-117-23-34-0010
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Pernuts Pernut Sub-type(s): Building-Re-Roof
DETAILS:
Approved per resolution#:
Separate pernuts required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 103.75 Valuation: $ 8,300.00
State Surcharge Fee: $ 4.15
Misc.Fee: $ 1.50
TOTAL FEE: $ 109.40
APPLICANT: Blaine Heating,Air Conditioning&Electri OWNER: Ricahard&Marylynne Sachse
13562 Central Ave N 2927 Farview La
Anoka,MN 55304 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.
.
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APPLICANT PERMITEE SIGNATURE -�ISSUED BY SIGNATURE
Copies: 1-File(Si�nitures Required), 1-Applicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1
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, CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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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
UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi ris -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 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 WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair [� Replace �Residential ❑ Commercial
JOB SITE: � �L�V( Q,W L C�-V�. Zip: �5�J�1 �
Owner's Name: Cl,r �l `� Phone Number: �j S� - �7(P -�7 7/
Nlailing Address: _ � � City: Zip•
�Q-+�-� ��-i;v�.�r -�.���.� .
Contractor's Name: V1Vl,Q_ " C�l_SCu Phone Number: �7 �3 757� (P20�-
Mailing Address: )�j5[p"L �;1-� /}V l� P City: ��� Zip: � 7L
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SYSTEAi DESCRIPTION '
HEATING SYSTEI�iS
Quantity: I /
Make: r� L �r 1 �
Model: � � ���u J���/p���—f�Z
Fuel: �.l� • •�.
Flue Size:
Input BTCTs: �� d ��
Output BT'[Js: ,
CFM:
COOLING SYSTENIS
Quanrity: I
Make: ��r I �
Model: ��T��"�� Z
Tons: � •�
� •
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood buming factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�chaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locarions 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
.- ,
, ,
PERi�1IT 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 service.
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
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
� �vU,�� x .0125 $ � � �. ZS
(contract price) (minimum�35.00)
2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($ .50)
� �
'J�.�Z1 x .0005 $ `1 • �
(contract price) (minimum$.50)
3. Postage and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERivIIT FEE (Add lines 1-3 above) $ ' � -( - `( �*�
'CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work inciuding
materials,labor,profit,and other fixed costs.It is the amount to be chazged 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 pemvt 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 valuatiQas over -
$1,000,000 call the Department of Inspectiona]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 a11 statements made on this
application are complete,true and correct.
Applicant's Signature: ��� �" � Date: �� '�'�L/
APProved By: _. _ Date: . _ _.
� `3
OCT-02-2002 15� 17 CenterPoint Minne�asco 612 321 5550 P.05
2927 Farview Job# Zone: Entire House
MANUP►1.1:7d7 Fd. R1QI•TT�1: 3.0.14-- 5�12090
1 Nameof Room Entire Houae vhole house midsection eaat end
, 2 RunniagFt,ExposedWal� 990.a �t, 140.0 Fc td.0 FL 11l.0 FG
. • 3 Room Dimensions,FL o.o t. 20.o x 52.0 F� 16.o x 22.o Ft. 28.0 x t2.0 F�
4 CtiltlgS,�t COndit.Optio� A.0 d 6.0 heat/cool 8.0 heat/cool B.0 heat/cool
TYPE OF CS HTM Area Btuh Atea Atuh �Mea Hj Btuh C1 Len th Ht Btuh C,g
EXPOSURE N0. Htg Clg Lcngth H� Clg Lcngth Htg Cig 6`� 6 6 g g
S CifOSS a 12C A.3 2.d 2960 •��• ���• 1152 ���• •s�• 352 •��• �r�•
912 •s•• �•r•
��i• a��• �.�• •��� � •��• ���M � �►f� •��•
Eaposed b 19 46.9 9.2 136 �
walls and c �sa 11.5 0.o zo9
♦t�• •��� 0 •��• •I�1� � •�s� •�r• � ���� •a�•
PN1j�i0I1S d i9E 13.2 Z.B 156 •t�• su• Q •�s• •�h• � •��� •�i+ � ♦f*• •�r•
•��s •s�• O •ss• •��� � •sa• ��.r 0 �+ta a��•
e 15B 6.8 0.0 l0a
f 0.0 0.0 0
rr�• •s�• 0 •��s ♦*�� 0 s��f •i�i Q •��� 1ra�
.... 4�+•
6 WindowSnnd a 3A 50.7 " 38� 19364 158 8009 "" 36 1925 "'* 100 5069
•��� •��� 0 0 �'+� p Q •r�.
Glus Door: b o.o *' o 0 0 0
. .r.r � � r..r ....
IIeating c 0.0 "'� p p • rv p p 0 0
I d 0.0 " 0 0 "+' 0 0 "" 0 0 "�' 0 0 ""
e 0.0 "' 0 �
•��� p � •��� � � •��• � � �.4•
u�• � � +��• •.�� 0 0 e..r
f 0.0 " 0 0 � �
•.•• ••�• Q p +*•* 0 90 ��`� 1000
7 Windows and North 25.0 ao 1000 0
s�s� Q a��• � � •4�� Q p ���� �
pl�ss Doors NE/NW 0.o a o
•••, 7696 0 ,*�• •,r• 2220
Cooling �/W 61.2 162 "" 9916 SOA 0 30
SE/SW 0.0 p ••�. 0 � ���"' � � '��� � � ��;* �
South 26.7 lA0 "'* 6800 54 "" 2160 36 �"' 1�40 30 "�` 1200
HorL 0.0 0 '*'" p � •'�"• � 0 •�rr � � 4��� p
3 Olherdoors a i0e 29.4 A.5 42 1236 35A 42 1236 35A 0 0 o 0 0 0
b 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 �
9 Net a 12C 9.3 2.9 Z536 20'�99 4980 95Z 7A83 2279 716 2616 757 812 6723 1934
ExpoSed b 1a 36.9 9.A 136 63A1 0 0 0 0 0 0 � 0 0 0
Walls and c 15A 11.5 0.0 204 2346 0 0 0 0 0 0 0 0 0 0
Partitions d 19H 13.2 2.8 156 2067 0 0 0 0 0 0 0 0 0 0
e 15B 6.B 0.0 104 708 0 0 0 0 0 0 0 Q 0 0
f 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ceilings g 15E 9.4 2.3 a336 1916A 5793 1040 a593 2396 352 1551 794 1176 5193 2653
b o.o 0.0 0 0 0 0 0 0 0 0 0 0 0 0
c o.a o.o 0 o a o 0 o a o a o 0 0
ll Floors a 21A 2.2 0-0 933 9574 0 10i0 2296 0 352 777 0 11�6 2597 0
� 0.� 0.0 � C ^ 0 Q 0 0 0 0 0 0 0
C 0.0 0.0 0 0 0 0 0 0 0 0 0 0 0 0
l2 Infiltretion a 86.2 10.3 d2< 36532 3472 200 17232 2067 36 3102 372 100 9616 1033
13 $ubtOtBtuhLOSs�6+8..tlltlZ •s�: 118359 "�"� +•r• d1299 "+• •a�• 9875 �•*' «�"•� 2B19A •'•*
14 DuetBtvhLoss 0° 0 �'�* �° 4 ���* � � *��� 0� 0 *""*
�5 Total Btuh Loss=13+(4 �*�� 118354 ���� ���� �1249 ���� ���� 9e75 **�� ��+� 28198 *�*�
rr�r �}u ���• sa�• �
16 lut Gains: PwDle(r,,� 30o a 12ao 9 1200 0 0 0
1 120� 1 •�'■ 1200 1 •��� 1200 0 •'�• Q � •��� �
aPP• 0
17 SubtotRSH Galn=7+8.,+12t16 +rr• •��. 32718 •'" a++� 1930 •�•4 4��y 3363 s��s •'�� 10050
18 Ducc Btuh f3ain 0° '��� p p� •s�a � �e s�s• � �o •��« p
19 Totsl RSH Gain=(17+18)'PLF 1.00 �"� 32718 1.00 '��� 19305 1.00 �"' 3363 1.00 "" 10050
20 CFM Alf RcQUi[Cd •'*' 1750 1750 ���� 610 3032 ���� 196 190 �*�* �17 53�
Printout certified by ACCA to mcct all requirements of Manual J Form
r TOTAL P.05
HEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC, INC.
ADDRESS ` l APT. FLOOR CITI'�" "O�� SUBURB
OCCUPANT 1�e' �.' OWNER �'�
HEAT LOSS G`� DATE HTG.INST. ��/�I D'Z ,�
SOLD BY � , INSTALLED BY l?��� �a���"��
Electrical Work By "� Gas Line By
TYPE OF HEAT GA FA�_ HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSIUN
,
MAKE
Model �d — �— �Z. Vent Size ��� 2
Serial r KIND OF LWER C��5 i !�_ SIZE�� NONE
INPUT l �� �� Draft Hood �k�k���� Regulator �e.�
Filters Size ��a X Z 3 X Number /
CONTROLS Chimney Location Inside �C Outside
THERMOSTAT Heat Plug Chimney Construction e- ��� �i
Value �
Limi Smoke Bomb Wiring ,
Limit Setting � Draft Test Tag � �
Fan Setting T� Door Pressure Lighting Inst. �l��
Pilot Type f � �� C. � Date Tested — — Z —�—
Pilo[Make C..O�Y✓���— Company Testing � � -
Pilot Model �� � Name of Tester_� i
Pilot Timing_ _ �0 �-.
L.W.Cut Otf
�
Pressure ��c�,� �- �� Percent COZ Pressure _ Percent COZ
Input CFH �'Cr Percent OZ � O Input CFH Percent OZ
Stack Temp. „3�d d Percent CO /��/1�d1 Stack Temp. Percent CO
HEATING
AIR CONDITIONING HI�USE HEATING TEST RECORD
AND ELECTRIC, INC.
� �IC�K�a
ADDRESS '- � Z� APT. FL�OR CITY SUBURB
OCCUPANT �+� S S�- OWNER J� �YN�-
HEAT LOSS -G 5 DATE HTG.INST. %O—/� -�L L /
SOLD BY ` -� �'S INSTALLED BY�i G�j�iC..Z.. ��""���C,
Electrical Work By �- Gas Line By
TYPE OF HEAT GA FA�W STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVEASION
MAKE C 'L�.��1`eilr- _ � 1�
Nbdel U Vent Size
Serial O L z.�� KIND OF LINER �SS � SIZE�_ NONE
INPUT �o�o� C�Z� Draft Hood ��-[�d.�,-c-1 Regulator
Filters Size,J�� Z O� � Number � �
CONTROLS Chimney Location Inside � Outside
� �
THERMOSTAT Heat Plug Chimney Construction ���,S5
Value `
_ �
Limit .S l�d, Smoke Bomb Wiring
Limit Setting a� Draft Test Ta _ yG�
Fan Setting Door Pressure Lighting Inst. �Lr`
Pilot Type Date Tested "��Z-
Pi�ot Make �3-V`r a��.-__ Company Testing � � �-�
Pilot Model ""f�� Name of Tester
Pilot Timing 3d ��i
LW.Cut Off
Pressure �S; �� Percent COz� �' Pressure Percent COZ
Input CFH Percent OZ L' Input CFH Percent OZ
Stack Temp. ��v Percent CO��P�� Stack Temp. Percent CO
DATE TIME
CITY OF ORONO CALLED IN �y
INSPECTION NOTICE SCHEDULED --�1�� •
PERMIT N0. �(_'�'���r COMPLETED
ADDRESS �.�� �i'� l,�l.s',/.� l !�%I�
OWNER CONTR.��'Sl�1.�1tc.-�
TELEPHONE N0. �1`�,� — �l �1�" �:��7� I"�-���
� DESCRIPTION ��-���� • �����
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WEfLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 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 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: �` �` �� �� ��L� ����'
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W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 24J-46��
OwnedCont n site:
Inspector._T,���i
White Copyllnspector's File Canary CopylSite Notice