HomeMy WebLinkAbout2003-P06573 - mechanical � � PERMIT
G�TY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 P06573
Crystal Bay, Minnesota 55323 Pe►'mit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: �i22i2oo3
SITE ADDRESS: 503 Ferndale Rd N
Wayzata,MN 55391
PID: 36-118-23-13-0005
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
2 Honeywell air cleaners&2 Honeywell humidifiers
FEE SUMMARY: Pernut Fee: $ 125.00 Valuation: $ 10,000.00
State Surcharge Fee: $ 5.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 131.50
APPLICANT: Vogt Heating&Air Conditioning(See Cor OWNER: Mr. &Mrs. Dale Spencer
3260 Gorham Ave 503 Ferndale Rd N
St. Louis Park,MN 55426 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE TI�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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APPLICANT PERM[TEE S[GNATURE ISSUED BY SIGNATURE
Covies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
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� ��ITY OF ORONO APPLICATION FOR MECHANIC�L�L�RN�1�i`�t�
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERALINFORMATION' ; . " . � `'�".`,w �°'� `'�
1. You may apply for mechanical pertnits 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, PERNIITS ARE NOT VALID
UNTIL YOU RECEIVE A PERNIIT, WORK MUST NOT BEGIN UNTII,TI-IE PERNIIT CARD IS
POSTED ON THE JOB SITE. �
3. Mechanical Desi ns-Complete�alculations, details and specifications are:equired for each heating,
ventilation, humidi�cation-dehumidification, and air conditioning installation i�ncluding 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 constnuction 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�600. 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 cheek one: ���few [] Add�tion ❑ Repair Replace Ilesidentgal [� �;oznr�ercial
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JOB SITE: .-�.��C:�^' /1.�� � �� Zip:
Owner's Name: �)�� (� = �. :f((� Phone Number:
Mailing Address: � ��-a,�,p �r�c: ��-!- �-� City: Zip:
Contractor's Name:
VdGi HEqTIdG&AtH CONDIT(OMIN6 Phone Number:
Mailing Address: sT.�au�s ' City: Zap:
LES 929-6767 SERY►C��29-4011
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SYSTEM DESCRIPTION �
HEATING SYSTEMS
Quantity: '
Make: l,-{�'�I'1Cix �� CJ
Model: , (��-�-�—) oU L,l�-L�'�-{(�j'L_l�t���
Fuel: ��` �c�� ,��r,"��'-' ,j -�
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Flue Size:
Input BTUs: ��'� �1(J �"�
Output BTUs: '
CFM:
COOLING SYSTEMS
Quantity: ( �
Make: ��L�n� �P� �
Model: t�����-'�i L� I 5c� - ��
Tons: !� 3 Y�
H.Power
� l�m�yw�i I ������,1,�►���s � � N�y��.,�k ���i�(f���5
FIREPLACES
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❑ Gas factory fireplace �-3 �-�w�� ���
❑ Wood burning factory fireplace with flue - ��'�`*�y��a,�,�'��,�'�:;��,��, ,�- ;; �a
❑ Wood Stove - �
❑ Wood stove with flue
Brand Name Model No.
VENTILATION . _ _ _
� ��1 �'Y�'�,���C��I �'-..
No. _�Kitchen E�chaust�duct recalcu(ating cfm
No._�Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations cfm
F'UEL STORAGE(MUST BE APPROVED BY FIItE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons . ❑ underground ❑ inside ❑outside _. _
❑ LP Gas: gallons
❑ Other Gas opening
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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 service.
2) Has a total cost of$500.00 or less;excludinQ 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)
�����%, --x .0125 $ � -�1 j.L��
(contract price) (minimum$3�.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
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�C C'C%� x.0005 $ �-' `�--�-'
(c tract price) (minimum$.50)
3.Posta�e and Handlin�(Only mail-in applications) $ 1.50
4. 'I'O'I'A.T.PER'VII'T FEE(�dd liries i-3 above) $ �� I, ��1
*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 is furnished by the o�vner,tenant or any other party the reasonable market va(ue of such items
must be added to the estimated cost or contract price for permit fee purposes.In the event tha[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.000�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 al(work in strict accordance with
the ordinances of the City and the regulations of the Minnesota State Building Code,and ceRifies that all statements made on this
application are complete,true and correct.
A licant's Si ature: � :' , �� �.� � �'��C'�x � � �C��
pp � � Date: � �
Approved By: Date:
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fiFAr LOSS CAL.CCILAT7pf�LS DEPARTMENT OF INSPECTtON iyq�pp�. ��
. `wcatbcratripa - - Conatruc:ion Ido. �ulation
C,uide
, Window� �oor� Re(ereace Out. W�11 lnt.W'aU Ceilin[ Roo� Floor Kiad j-{ow Applicd
c�— o I e o 14_
F7,� Rnom L,en�th Width He�ht Fl.� F�oom l.e�ath Width Neuht
Windo..ti and Doora—Ctacl�aRe and Arca Windo..'+ •nd Door�--Ctacka�e and Area
\v1atP H�Ifwt N�.�1 LJ���1 Il. A�• W101s H�II�I N�.�( LI���I fl. Afv
N.. .f�a.. .l►aw. Urnt. .1 ar.et w.It. , Ne. M►�,. .r►�n. I�rau .1 cr.et .�.rt.
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- ,� r:, �, ;
, � �:— �, ��J c 3
c ,; ;-� � 4 L Coef. Bcu _ C«f. Btu
In6ltratioo �nbltration
�au • �au
�cp. wa�� �cp. wa��
Nel e:p. Wn�J ivel czp. wall
�nt. wi�� �nt.wa��
Cci��ng Cei�ing
Floor Floor
Toc�l Btu. , _.,_ Total Btu. '
R���►�d •q. fc. ED.R or .y. in�. WA. l.��d�r .r�. R�Qui�ed .�. Ft. E.D.R. or .q. in.. WA. L.�.�d�r .r�.
Fl.� Room L,enQth Width Hught Fl,� Rnom I l.enqth W'idth Nei4i�t
'Windows and Doarr---Ctackate �nd Area Windows �nd Door.--Crackage and Area
wtate H.�r�� Mo.•t U�..I ct. w•.. w�eln n.��n� Ne.•t L�n..�I1. w...
N• •t oaw• •f P�w Ili�t� •f er�at p.It. N• el oaw• •t D.�n� II[�u a(cr�tY �e.I4
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Inbltratioa L 3g. � j �nfiltration
�au � � �azt
F�. w.11 - Fsv•�.11
hct ezp. �+a� 'L �(�7� Nct ezp. wall '
In� wa�� �nt. Wa��
Cciling Qd � Q Ceiling
Ffoor � ( � '�. �� Floor
7ocal Btu. Total Btu.
Rcquircd .q. fc. ED.R or .q. i�s. WA L,�.�d�r .r�, R�vuircd ►q. ft ED.R. or �q. ini. WA. Ludcr are•
Fl. Room �l.�nath W�d►}� Ei�ia6� - Fl. Rnoe,l L.en¢th �l�dih H«.ch�
Window� and Doon—Crackase and Area Windo.vs and Door►—Cracka`e and Ana
wla�n H.Iset H•.•I L••.1 t4 wr.• w�latn M.ir�� Me.•f Lln..l t� n.r..
N�. •f saw• •(p.�• Il��l• •f v.et .a.tl. N�. •t�an• •f w�• II[HU •f cr�eY q.tL
Coef. . Btu l:oef Btu
Inbltration lnhlt:ition
C]s�� Ci,�au
Esp. wall Ezp.w�ll
Net ezp. wall T1et ezp.wa(J
�nl. wa�� �ol. rv���
Ceiling .. Ccilin�
Floor Floor
Toc.l B�u. To�.l B��.
R�vU�r�d .q. !� E.D.R or w. ins. WA. �esdcr area f��quircd aq. ft. E.D.R or aq. in�. �L'A Lr..dcr arca
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HOUSE HEATING TEST RECORD I��_'�r5�� � �l ����1�,� �
,
ADDRESS �V � ' ��r 2 N U!} �h APT. FLOOR CITY SUBURB �'UY`v �(�
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ��� � ` �
El�ctrical Work By Gas Lin• By ����
TYPE OF HEAT GA FA HW STEAM SPACE HTR. �_UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE �� D ` ��= MAKE OF BURNER
Moa.i D 13� µ,d.i
��a� � Max. BTU Rotinq
INPUT �U�� MAKE OF FURNACE
Mod.l _
/ CONTROLS ��
/ i
THERMOSTAT ` GV H•at Pluq �^ V.�t Si:•_ `
Valv. � � �L KIND OF LINER SIZE N0�
Limit S �"� C�-� Droh Hood �'1iz Rb..larp� � UL���� �'�'�C�
Limit S�ttiny U FiltNs Si:� ►'�umb�►
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Fon S�ttiny � '� � Chimn�r Location Insid� Outsi •
Pitor Trp� � ` J� [r� Chimn.r Consfruetion__ �S� �
Pilot Mak. �"�' '
Pilot Mod�l �� Srnok� Bomb Wirinq ��
Pilot Timiny �' � � D►aft T�st Top
L.W. Cvt Off � Dow Pr�ssw� Liyhtinp I�st.
Pr�swr� �t � P�rc�nt CO2 �t L Dat� T�at�d —`���'I�
Input CFH �, i, Pnc�nt Oz Co�po�r T.s���y '
Srock T�mp. �P�rc�nt CO ��<<' Nom.of T•sr•• l���� � —
�,,��".�� i1 a/U�a-
HOUSE HEATING TEST RECORD ''' �/
ADDRESS ��O � ' •� �'��� "��� APT. FLOOR CITY SUBURB ����0
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. �
SOLD BY INSTALLED BY A �
El�ctricol Work By Gos Lin• By A"�
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTMER
` GAS �ESIGN CONVERSION
MAKE ^� � �Ux MAKE OF BURNER
Mod•I c�o�- '7 � Mod�l
$�riol �� C' 3 Max. BTU Rotinq
INPUT 7 �U�� MAKE OF FURNACE
Mod•I _
�ONTROLS �(
THERMOSTAT ���'��'� �at Pluq -- V•nt Siz•_ �
ya�„� VQ Yc�O S KIND OF LINER SIZE ON
Limit ,S�hW CD Drah Hood ��1�% R�pulamr )`'��y�li_.�� _—
Limit S�Hi�y
v Ffit�rs Si:• ►rumb�►
Fan S�ttiny � Cbim�.y Location I�sid� x Outsid�
Pilot T v Chimn�y Co�struction r��` ���
Y P� ,
Pilor Mak• �7 � �
Pilot Mod�l OU / Smok� Bomb Wi►��9
Pilor Timiny � `Sh-L Drofr T.at Toq
L.W, Cut Off —^ Dow Pr•ssw. Li hrinq Inst. ('
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Pr�ssun �� � P�rc�nt C0� `rl 3 Dot� T�at�d �
In?ut CFH 7��� P�re�nt 0� v Company T�stinq C �
Stack T�mp. f,f f� P�rc�nt CO �� NonN of T�sf�r _ �~ �
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HOUSE HEATING TEST RECORD ' � ��' ��1��
ADDRESS ��� '�' / ��� ��`�� APT. FLOOR /CITY �� SUBURB �r`-�h�
OCNPANT OWNER
HEAT LOSS DATE HTG. INST. ` /
SOLD BY INSTALLED BY .�{�� � �
El�chicol Work By Gos Lin• By ����' -
TYPE OF HEA7 GA FA � HW STEAM SPACE NTR. UNIT HTR. OTHER
GAS DESIGN CO VERSION
MAKE ����Q � MAKE OF BURNER
Mod.l C��P 0 � � � )G -' /,'���- C>Z Mod•1
s..;a, ,j`�v 3 'rF .3�1�S"/ Mox. BTU Rorinq
INPUT l��r dU� MAKE OF FURNACE
Mod•I _
CONTROl.S �1
p� ,,.�^
THERMOSTAT �o��`� �H�ot Pluq V.nt Si:•_
ya��. �C-rYO��) KIND OF LINER SIZ�QNF
Limit S��'L`� L�� Drah Hood n �� R�pulawr �'U�� `ZC�
Limit S�Hiny Filt�►s Si:� ►'�umb�r
Fon S�ttinq C3►imn�y Location Insid� � 0 sid•
Pilot Typ� v ^ �% Chimn�y Construction �^ y � �� �
Pilot Mak• ��' � �
Pilot Mod�l � Smok� Bomb Wi►inq
Pilot Timiny 3 'S�L�- D�oft T�st Top
L.W. Cut Off �� Dow Pr�ssw� Liyhtinp Inst.
Pr�ssur� `��� P�re�nt C0� `C*"L Dot� T�at�d ��
(�put CFH � �b P�rc�nt 0� nt� Company T�afi�y �� �j'�
Sfoek T�mp. G P�rc�nt CO ��� Na�oi T�at�r �'�ti E —
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DATE TIME
CITY OF ORONO CALIED IN
INSPECTION NO�ICE SCHEDULED � - -C-` ��� ;�
PERMIT N0. �-'��Z���� 7 � coMP��E�
ADDRESS�C �� ��� i��l � 'c� �. ,�C�� �..�
OWNER CONTR. ��':�� f l��-r� ,# -�`f
TELEPHONE N0. �� S- = �� %-:� % �� 1��� �
� DESCRIPTION
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 Nl�CHANICAL FINA�,> 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 05 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
� 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED �ECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
Q �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContr n i� :
Inspector. �
, White Copyllnspector's File Canary CopylSite Notice