HomeMy WebLinkAbout2002-P04762 - mechanical PERMIT
�:���! OF ORONO Permit ►vumber:
2`750 Kelley Parkway - PO Box 66 Po4�62
Crystal Bay, Minnesota 55323 Pet'mit Type: 1vlechanical Permits
(952) 249-4600 Date Issued: ti3i2oo2
SITE ADDRESS: 1980 Heritage Dr
Wayzata,IvII�1 55391
PID: a0-117-23-42-0006
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:
FEE SUMMARY: Permit Fee: $ 35.00 Vatuation: $ 300.00
State Surcharge Fee: $ 0.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.00
APPLICANT: Blaine Heating,Air Conditioning&Electri OWNER: Mr. &Mrs. Dayton
13562 Central Ave N 1980 Heritage Dr
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.
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APPL[CANT PERMITEE SIGNATLJRL ISSUE BY SIGNATURE
Copies: 1-File lSiQnitures Required). 1-Aoplicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page l
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a pemut will be issued within 2 working days.
2. Permit cards will be sent by retum 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,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
sball also be provided.
4. i�'hen any new canstruction or remodeling is involved, a separate ouilding 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 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 permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
� Residential Commercial
?�DB sITT�: Jc �v �i�r; �-U�t� �r. zip: �5 S 3�/
Owner's Name: Le v h�a,r,! �!/3z�h ��-y�o�-, Telephone Number: �t�,7 -C!7 5 -3��7
Mailing Address: 5c,,�. City: Zip:
Contractor'sName: f j[�j/�. �(PGtI-r�y , �}�L �t C���t��L- TelephoneNumber: '?63-)5�-6.�;�
MailingAddress: j3 5(�,� C��n�r�1 /��e �'E _City: �„��,�, _Zip: 5�3c�
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: �
Make: ��„c�
Model: �rp�-t,�-C:Ch/�kr�
Fuel: /l�':�}vr.,l �i+-5
Flue Size:
Input BTUs: �5, t��
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 , min. flue dia.
Total
VENTILATION
No. Kitchen E�chaust ductecl recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: I,ocati�r� ��m
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
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� ���.U� x .oi2s $ 35v Cc�
(contract price)
2. State SurcharL�e. ** Add the State Building Code Division
Surcharge to each permit. `3 i�U, ��Z� x .0005 $ , SO
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �7• v�
'� CONTRAC i rRiCE ur JCB�OST,..eaas the actua: or�stimated dollar ac�ount charged for the permitteti
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 are 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 pemut 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 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 statem ts de on this application are complete, true
and correct.
, �e2� � � ��-��'�. Date: l�'���
Applicant s Signaturc:
Approved By: Date:
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED '(J' �-d�- __9.-�Z
PERMIT N0. 7�P� COMPLETED
ADDRESS C D �L �
OWNER ��itc./� CONTR. UZ�Gi-c. ���9 lf'/�C •
TELEPHONE NO. ��� LI7.S� .J� 77
� DESCRIPTION < S 2C - ?
� 01 FOOTING 11 - �-RI�--.. 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAI 19 LAKESHORE/WETLANDS
y 03 INSULATION 24725-itV66B-Bt1RiV 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
�BING FINAL , �� 36 FOUNDATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W - ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIREO.CALLTO ARRANGE ACCESS.
Call for the ext inspection 24 hours in advance. (952� 249-4600
OwnerlContract site:
Inspector. �
White Copyllnspector's ile Canary CopylSite Notice
HEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC, INC.
�
ADDRESS � ��� '� 'r � APT. FLOOR CITY �✓��� "
—� � SUBURB
OCCUPANT ' '�r OWNER SL�'vv��
HEAT LOSS DATE HTG.INST.�/^1 —C'Z
SOLD BY 1/IY�'" G t INSTALLED BY % IurY' ���/ /i+�;`'�� '�
Electrical Work By Gas Line By ��lI��1' � _� L�t f"' �'C
TYPE OF HEAT GA FA H STEAM SPACE HTR. UNIT HTR. OTHE R � �
J� GAS DESIGN CONVERStUN
MAKE �`�Jv�'� :�
Model � �L' � � Vent Size
Serial �Lj9 p 3�Z f �f�l��g%� KINDOF LINER SIZE NONE�_
INPUT ��,LL"�C� Draft Hood V���'
Regulator 3Z
Filters Size �3 � Number �
CONTROLS Chimney Location Inside Outside
THERMOSTAT �G►�`t" (^'{ � Heat Plug Chimney Construction � ��Ul'�
Value �✓
Limi[ �f/H4 i� Smoke Bomb Wiring �1
Limit Setting o Draft Test Tag �
Fan SetUnB �G Door Pressure Lighting Inst. X
Pilot Type_17i v��"�% �iD�� Date Tested "' ��'Z
Pilot Make�L�-' Company Testing ,`t E L= C=
Pilot Model_ N//� Name of Tester
Pilot Timing_�Q >�C.
L.W.Cut O(f
Pressure � � 5 Percent COZ � Pressure Percent COz
Input CFH �/ Percent OZ �� Input CFH Percent Oz
Stack Temp._ 7�,(7 Percent CO � Stack Temp. Percent CO
HEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
AND ELECTRIC, INC.
ADDRESS % C.� /�/Y'�"t��� �/� APT. FLOOR CITY �E�f��'.�'
OCCUPANT GE�O/1t9� 7� SUBURB
/�� OWNER �7�✓U1''
HEAT LOSS DATE HTG.INST.���—C�Z '-7 /�
SOLD BY � i N�/ a �L- C� INSTALLED BY !7IK1�Y C�'h �"�P(�
Electrical Work By �s t�� " , �-� Gas Line By
TYPE OF HEAT GA FA_� HW STEAM SPACE HTR. UNIT HTR. OTHER
` GAS DESIGN CONVERSION
MAKE �1 a
Model � Vent Size
Serial G � �c D KIND OF UNER SIZE NONE �
INPUT 7 � �
Draft Hood � Regulator
Filters Size �(k �7 �1� � Number �
f� CONTROLS Chimney Location Inside � Outside
THERMOSTA� ` �"� 1� Heat Plug Chimney Construction �� V r'11
Value � ���1. i _ _ ___.��`S
Limi� 1i]�C-L.t� Smoke Bomb Wiring x
Limit Setting �1.� Draft
Test Tag �
Fan Settin �L�c Door Pressure Lighting Inst. x
Pilot Type ✓' �:- � µ� � Date Tested ' `0`Z.
Pilot Make� '
Company Testing �w -CL
Pilo[Model /�� Name of Tester
Pilo{Timing q� J�l�
L.W.Cut Off
Pressure Percent COZ � Pressure Percent COz
Input CFH Percent 02 �I Input CFH Percent OZ
Stack Temp. �l �5 Percent CO � Stack Temp. Percent CO