HomeMy WebLinkAbout2005-P08940 - mechanical PERMIT
ClTY'OF ORONO
27�0 Kelley Parkway- PO Box 66 Permit Number: po894o
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Perniits
(952) 249-4600 Date Issued:
7/11/2005
SITE ADDRESS: 1155 Heritage La Unit#
Wayzata,MN 55391
PID: 10-117-23-13-0022
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 112.50 va►uation: $ 9,000.00
State Surcharge Fee: $ 4.50
Misc. Fee: $ 1.50
TOTAL FEE: $ 118.50
APPLICANT: Center Point Energy Minnegasco OWNER: Mr. &Mrs. Viltoft
13562 Central Avenue NE 1155 Heritage La
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 C]TY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PGIL'vIITEE SIGNA'TURE ISSU D BY SIGNATURE
Copies: 1-File(SignaturesReguired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(IfSeptic, 1-Septic) Page 1
�'b`�'I �
, CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
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Box 66 (2750 Kelley Parkway) �G "��.��
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Crystal Bay, NIN 55323 ���- �,l ��
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GENER.AL INFORMATION �',� ���,s
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1. You may apply for mechanical permits by mail or in person at the City offices. Applicatio�s
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 RECElVE 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 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(rough0in 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 Repa' Repla Residenti 1 Commercial
JOB SITE:J15'.5 `lC�ri-I-Gu e !�.ne Zip: �'�'�y/
Owner's Name: ��c�,,-� V i �-�ra- Phone Number: �S�-�/�3—US�bS
Mailing Address: ll S 5 �jeri}-� � City: Ur��v Zip: '�53�/
Contractor's Name:CenterPoint Ener�y Phone Number: 763-757-6202
- Minnegasco
MailingAddress: 13562 Central Ave NE City: Anoka Zip:55304
SYSTEM DESCRIPTION � ._ �
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HEATING SYSTEMS
Quantity: � �
Make: �u uc�
Model: f�i(s P!� /(� U(rP/�v�
Fuel: ✓VG4-c�,r�( (�� �1J�-�f���i (rG L
Flue Size:
Input BTUs: y�,c:SZ� 7 U,�,c`�!7
Output BTUs:
CFM:
COOLING SYSTEMS
Quant��: � l
Make: �iJc..7� _ �c>c�c�
Model: l>fF�ncv3(7 (�/-1-�Ct.b�y
Tons: " l �
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
�
,R-,.
� . No. Kitchen Exhaust duct recalculating cfin
No. Bath Exhaust (must have duct outside) cfin
No. Other Fans: Locations ��
FUEL STOR.AGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground 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
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If above does not apply, follow guidelines below: 1�`
.�
l. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�
�(��(�, � x .0125 $ ���� ��
(contract price) (minimum $35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
��;ti, � x .0005 $ �, �(�
(contract price) (minimum $ .50)
3. Postage and Handling (Only mail�in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1❑3 above) $ �l� � SZ�
* 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 amount 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 permit fee purposes. In the event that there is
a dispute on the a.mount 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 Pernut, 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 Signatuxe: �, 6� Date: ��� "���
i��G'/�
Approved By: Date:
House heating test record CenterPoint�
Energy
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Owner j,,;�� V .� �"C� Controls Conversion
Address ��5� F-�er.•}�,.�,�- �1��'1�' Thermostat Heatplug Uenisize 1�..
City �'�(,�Yl(� Ualue Kind of liner/size '�
Heat loss Date htg. inst Limit •�l Zc-e��P- Draft hood Regulator
Sald by CenterPoint Energy Limit setting ��C/ Filters:Size ry�-'G� x'��Number �
fnstalled by CenterPoint Ener�ry Fan setting _ _ Chimney location: �Inside � Outsid�
Electrica/work by Cer�%erroinL Enerq.y Pilot type L {�C�.A� Chimney construction �,�}!� ("�
Heat rype: �,FA � Space heater Pilot make Wiring Test tag
Gas/ine by Pilot model Lighting/nst Date tested ,-�,3 2�
Unit heater Other Pilot[iming Company testing CenterPoint EnerAy
Pressure: Hi fire/Lo fire � "�� Tester's name �j�v2� �j��7�
Gas design
Make 1�-u,��J Model U�-P�'re�C A�"��°t COz �y �
�, t��� `1 Input CFH W���*-'� Percent Oz �• 1
Seria!no. �(�� � �L�,�-��1 Q �V�'1��
Stack temp ��� Percent CO �Z
Input �lJ�`°�Ol�:
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��2005 Cente.Point Energy Form 235 Rev.t/05 ID-42352
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DATE TIME
CI�F ORONO CALLED IN
INSPECTION NOTICEc� SCHEDULED �� �/• ��
PERMIT NO. �C� � !�L: COMPLETED
ADDRESS �� S !�
OWNER CONTR. �—
TELEPHONE NO. ����-- �f ��3 C��'�v �
� DESCRIPTION `� ���'�c-F�� � c� �ir C��y��'r
�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
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Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 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: ��Yin� r.`�,��r�c � /,(.�'C�Q (' �',P �
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� WORKSATISFACTORY:PROCEED f:�FiOJECTCOMPLETE
W ❑CORRECT WORK&PROCEED /ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN
%CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor o
Inspector.
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