HomeMy WebLinkAbout2004-P08066 - mechanical PERMIT
C�T�Y O F O RO N O Permit Number:
�2750 Kelle y Parkwa y- PO Box 66 P08066
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: ioii2i2ooa
SITE ADDRESS: 2695 Kelly Ave
Excelsior,MN55331
P I D: 20-117-23-14-0008
DESCRI PTION:
Proposed Use:
Permit Class: General
Permit Type: Mechanical Pernuts Pernut Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 275.00 Valuation• $ 22,000.00
State Surcharge Fee: $ 11.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 287.50
APPLICANT: Kleve Hearing&Air OWNER: Charles&Roseanne Simpson
13075 Pioneer Trail 2695 Kelly Ave
Eden Priaire,MN 55347 Excelsior,MN 55331
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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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reuorts. 1-Assessins, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323 l��r I � �1��4
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DesiQns-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
modei. 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 WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: � New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: l0 � V Q Zip: �J�J,3q �
Owner's Name: 1(C �� Phone Number:Q�JL – � 1/ — ��C.�
Mailing Address: ��ZQ cjrl�li�Q,��(l�',��- City: �1 Zip: �J��
Contractor's Name: ��-(J(�, t � ��G Phone Number• Q�vZ, —��� – ��� �
Mailing Address: ���7� j Q�� T_ City: tC��Yl �I�Qir�N_Zip: � �'
1
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: � I
Make: ��`t(l l
Model: - � 5 �0 M V7��"���
< <�1 i r' t'1 a�d l+�C�
Fuel: �
Flue Size: �YC.'JiC.�Q-UQa1l
Input BTUs: I �'J��7
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: n
Model: li E�`�"�
Tons: �
H.Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. � Kitchen Exhaust X duct recalculating cfm
No.�Bath Exhaust (must have duct outside) cfm
No. Other Fans: Locations 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
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; excludin�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($35.001
� .J�
o� � x .0125 $ Z '� 5• "-'
( ontract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50)
� u2 02 � "�U x .0005 $ I (, ��
(contract price) (minimum$ .50)
3. Posta�e and HandlinS (Only mai[-in applications) $ 1.50
4. TOTAL PERIVIIT FEE (Add lines 1-3 above) $ ���. 'rJ" �
*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 fumished by the o�vner,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 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 a ies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the C� and e regulations of th Minnesot t Building Code,and certifies that all statements made on this
application are compl e,true an correct.
Applicant's Signature. Date: %C7 � �
Approved By: Date:
3
N.no , ( o.�•F c.vp"�'C Add..0 �C��7� ICe�lr�, �,�, . (, • 1� �,,
$ 'v� ✓�� Plan# ��'�'/�f�`r Da�'l"�I�IOY #'IO
Total Heat Loss 9 ► =Total Btu (n ut HEAT LOSS CALCU�ATIONs
_ P ( All windowt 8 doors an w��th�tripp�d
�F1. /��� Room � Lgth. • ••Wth. . ..'Ht.9 ' F1.� Room � �qth, , ••Wth. • •• Ht. •
No. Wdth M�qht No.o/ Lin�Mft. Ar�� W;d � H�pht No.ol LirwMft. An� �
of p�ro ofp�ne liqntt o�erKk aq,ft. No.
of p�nr of prN I a pf p�ek p.h.
,� s�,� � 3, a i � �� � ,
_ Z "a- �- ` . o, a.v U y : N,
az? a v a(Q
� S iaoo„ (o
�aoa,
/doon Coet. BTU CoN. BTU
— /doon
nfittntion Windows �U ~� p a�� Intlltntbn Window� i �
nliltntion W/Daon 118 Intiltntion W/Doon ile
nfiNntioe 5/Ooon �1 '��` Intiltntion 3/Dowt 71
E=o.Wall �/�
Eap.WNI
iba 8 Ooor� � G Glw 8 Doon
I�t Esv.W+�I '� 6 � N�t Esp.WNI � � 0 7 O
4 6 D
� •� �r l�V •
;.���� s 6 a 4
Z.
GOirg �
'i°°r ���j�� 731 g � 7 Flow 7 1
IotN Btu. a�S lr' Toul 8tu. �
' FI w �✓'r/� Room � Lqth. • ••WM. • •• Ht1 J , ,• ,Z FI. ( Room �pth. • ••Wth • •• Ht.I0•
No. W'� N�t No.ot LinW 1t. Ar�� WidM M�Ipit No.ol LimNft. rN
or oMr of p�n� 1' b o/enek p,ft. N�• of p�m oi p�m 1 b of p�ek p,h.
�.. a 4 S'�.- � � - /�/� �c� �, � � .t/ �j'
r
i � � �� � i 3 S 8 �!o �-- � (� t s
,
a —
6 n �p � — a � , p .• y
� 3� 96 w��• �� SlaoNy� � � Y� ��..... 1 C� �
d' cv i�„ Z� . �..y. a.,. eTu �-`/ �?Y � a . en,
nfNtntion Window� p1�. � /,� �. Intiltrnion Wiadow� � �
ntiltmion W/Doort . .� � 118 ..� InfHtntion W/Doon tls
nliltrnion S/Doon 71 � infiltntion S/Ooon 71
iwP.WNI �((a�� Exp.WNi O�/
iba 6 Ooon � � Gl�w 6 Ooon
bt E rP.WNI - � � Net E�D.WNI 4 � 8 aO'g
/c �.n �S"u o ¢
:Nlirp �(i'� 4 \el- . 4
7 Z 3 a.t Gilinp G
��� �10 F�oor 6
ro�.,.,�. azy o , rot.i ec�. l
� F1. '.. O�` r'1 Room I Lpth. • ••Wth. . ,• Ht.I O" FL Room LQth. • ••Wth. • •• HL •
No. W�th N�iyht No.ol lin�Nft. qr�ft No ' W�h H�qAt No.of �In�Mft. ArM
W D� of P� I' N Ot p�ek of p�n� ol p� 1' ri o1 enek q.ft. . .
� m � a� S ,� �• a�
�-y � � �3 s. ��a� S 3S� ►3 3>o
' ` " E �o
� > ��' . 4S �C o u a
� S-doa, �. � �C� �� /, /�/Z.
s� �.b LC�/doon y Q Cod. BTU � � r�t� � Cp�/. BTU
J
ililtration Window� � � a�3 Inlfltr�tion Window� ( � D `�
dusration W/Oo«i � y 118 �O,� Infi�srnion W/Doon 118
�lilvstioo 5/Ooon ��p 71 � Inlilcrnion S/Doon �� ��
�o.Wsll � O a0 ErP.WNt
ilnt d Doort I 3 � '�� Glsu 8 Oows �A O �+
I�t Enp.WNI 7 1 0 7
� 4 g p,`6o L Net E xp.Wdl
.4_5
` 1�.� l �c� �
��ireq � 4 6 .� 4 6
2 Ceilirq
bor 3 rJ -- ,...__.._
7 1 O F 1OOf 7 1 O
-obl Btu. ��O�
Tot�l Btu.
� HPR. 2.201�1 ��2��48f'h - �-�
h10.E1�7� F.c:•c
; ' �'art �. �F�'1�E�S R��ATIQ►�I" �ROT�C�I�� � -�
�. ��eek apti�a�hed: ❑ Fuel bu�n{ag pmeat (complttr schedules helow) a No fue!buruing eq,,dpment
�.,,_.
, ` � �NS UCT[ NS _�—
1'�?;� ' � E.�►UST I yi,a.i�-irP�iR SC�:UL�*
' �i��ttg 1. Camplete the Combr�srio�E� uipme t Schedule bclatv. Oniy cquipmeat E:cbausr devi ec s over 300 eFm �lo�v
!: ;� ' with a Y(Yes)may be ul�e uad the"Category 1"attemat�. ___ ��
� itep 2. Camplete ExhausdMake-up ir Sch dule on th�rigfit if direct or pon•er ��
' �� vcuteci ar selid fuel amaasph� c v �pace heating equip�,eac is salected, -- ��
�. ;�
' Ov�LBUS'I'ZUN EQLT�'N�,(7'g�g�DL�.E
� � (chccfc�1 cypcs proposed)
� •
;ipace heatizig-naasoHd fuel • S led busridn Y Hearth , nonsolid fuel p S�aled combusuon�� X
'� 0 D�rect or ower veated '�" ! Dsect or power veated Y
A osphkric.�illy vented� N A�o�hericalIy vence3 r�
��i ater hea�n3-nousc�lid fuel � S led a bustinn Y � Space hearing-solid fuel Q AQaasphericaIly veateci Y"
C] Dueet ar nwer ventad Y Wa�er he3ti.ng-solid fue; � Amospt�e:ically vented Y
� A osFh ric.�ily vented \ H�..rr1:-sulid fuel ❑ A�nosp�er.cali.; vence:a Y
" If atmo.spkericaLly ventad solid fnkl ar ' eet or pdwer ventrd noesoIid fueI space �zatiag is ;nsr�Ilea, [IICII QL1kC-�� azr co m�tc�
�ow is required for ezsch individua��.�cha t device wfaich exce�ds 30b�Lbic fzec per minµce.
—.---.�
�w
Par� �x. 'V��'+l�'IILA. � ��Y (Co�xx�ru�tion lA.ir�'eop�e ��r)
. 1 � ���tiTIY.ATIOIti QC�.Y?ITY '.......—
(vitehaaiea�ventil�ti�n m�ssc be pr���ed per che !ar3e-quaneie�calc��:sr�d bel���v i
�' 0 3� cubic teet r U.OpS�" � " _ � . �y �
3 ...,m�nl�ce /77 cfm � � ;3� x 13 cfrrvbedroom) � � =�fn, = �Q j cfn�
; ';;alume of ha itable cooms ��I � ( ms::�er of beeroums
;-,'� I VENTILATION F:�.�SCHEDCZ.E �—
,:�
-i�'heck meihad(s)proposed 3 ❑ E.�cha t onlv • Balanced (t�ear cecove:v veurilator, sir exchang�r,ec:.)
;,,;�• , ..
a',;�an descri cion oc lncaaon � Uey, .•�',( �.o TOT_�LS
'ENTII.ATZON ititake cfm cfrl cfrn c.5-n a� c�
ta
;�.5 DfiSIG�fED E.�chaust c�n ctin � c5n c� ac�o cf:a
� ;� �
' �'�tacement af Co�plia�nce: 'Ihe p�a osed uildiu�; e�csi� ccprese[�ted in L':�se e�or.une�cs is consis�en� wic� the bui!dic,g placs,
`��ecifiCatiotis, and ather eaIeutadons �bmitt d wic,�: the per.nit app!icar.oR. T1;- pcoFosed buildir:g has been desirned co ;,ieec ct:e
;� ��quirement3 of t�te i1�tinaesota�nargy�odr.
,�L�p� ,�,.� -�. ,B�-� ��1�� ssa-9 y�c�ai�
;pplicant(princ name) Si atvse pa•� ' -
:
• Te?ephone r.ur.�ec
�
�?�r� `�-,►z• V ��\ .l. ,� �1�11� (Sub�nit P�rt C2 upaa comp[etion of syste� verifir.atioa�)
'C -------------------i___ --_�-- ------- ------ ----- -------- ----- ---, ------
;�b Site Addt:ss;��e// , C�✓�"'o P.:mu N�rr:r_:
, -------
; ��►n d�scripaon or tocaaon � ( 70't'ALS
,":.E.�SU'R.ED Intaicc � ' cfm � cirn ' cfm cf�: c�rh
'i�12F4R.�L��iCEfi E:ch�ust cfm � c;r-: c�rr, c�:n i cfm
�—..__.^
' Vtntitation race mus�be maasured�nc ve:r�tird �.�'EteR tfl� pe;ie.�a^c:opt:ur. is u5ed in l�eu of ch� prescripriv: cp���.,; for :t;: s::�licg
oPjoitits in the buildir.g condirionc� �:r:velc�p= (fror.: Par..�).
,�mp(isnce Statement: Ins�ulfe�vrnt�:acion ��;tcro s ir.<.ompl:an�e �.�•::'^. �C� �r.z:��v Co�e 1r.� is sizcd to pr�v;�r. ;hc d_�tg� �ii t?o��.
`'`1 — -� — "� — — ------�
�p 1 n[(prtr.[name} , Si;; aNrc Ca�, _ ,..i. �
T...,. .or.z r.�.r�:�r-
� �� O �' D�1T _ j �
I ( ���l L TIME
��ITY OF ORONO CALLED IN �
INSPECTION�OT SCHEDULED ������
PERMIT NO. D COMPLETED
ADDRESS o�C,P S ���.C C,
OWNER CONTR. ' � � �
TELEPHONE NO. �J�` ����"�o��I I�����
� DESCRIPTION / �`� � "`-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
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAI 14 SEWER HOOK-UP 06 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
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
�CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-46��
OwnerlContract�cc�i �e:
Inspector.
White Copy/inspector's le Canary CopylSite NoUce
�� DATE TIME �
CITY OF ORONO CALLED IN �
INSPECTION N TICE SCHEDULED -0 - -
PERMIT NO. O COMPLETED
ADDRESS
OWNER NTR. � ����I_J-��
TELEPHONE N0. 52- � Z� �
� DESCRIPTION Z��i/li ! //�-C�C
� 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
Z 04 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 MEEf YOU:_YES_NO
� COMMENTS:
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� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (J52) 249-4600
OwnerlContra or site:
Inspector.
White Copyll�spector's File Canary CopylSite Notice