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Home My WebLink About2003-P06612 - mechanical PERMIT �17`� O F O RO N O Permit Number: 2750 �Celley Parkway- PO Box 66 Po66i2 Crystal Bay, Minnesota 55323 Permit Type: Me�n��al Pe�ts (952) 249-480� Date Issued: 7/31/2003 SITE ADDRESS: 272o Kelly Ave EXCELSIOR,MN 55331 PID: 21-117-23-23-0055 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Pernuts Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate pernuts required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 75•38 Valuation• $ 6,030.00 State Surcharge Fee: $ 3.02 Misc.Fee: $ 1.50 TOTAL FEE: $ 79.90 APPLICANT: Sedgwick Heating&Air Conditioning Inc. �WNER: CATHERINE HANSON MEAGHER 8910 Wentworth Avenue S 2720 KELLY AVE Minneapolis,MN 55420 EXCELSIOR MN 55331 TT�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. � ", � „ -'C'Yl.� �t,a.� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Cot�ies: 1-File(Si�nitures Required), 1-Auulicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 �-�� . � . - . CITY OF ORONO APPLICATION FOR MECHAlVICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAI,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 2 working days. . 2. Permit cards will be sent by retum 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 Desiens - 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 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 249-4600. Please check one: New Addition Repair �Replace Residential Commercial JOB SITE• ' ` - � �.� ZiP:SS.�� Owner's Name: � � Telephone Number:�5�1��1- �!1/;,��/ Mailing Address: City: Zip: Contractor's Name: .��:�C�a�':l��: . Telephone Number: Mailing Address• �10 4`Jen'�� City: Zip: r:�:f��tiapc:;_ ..; SYSTEM DESCRIPTION �"�"�`i`�`'�-�'� - HEATING SYSTEMS Quantiry: f Make: : u Model: ;r��r'.��i.��C l�>G` Fuel: �' Flue Size: '' , �• Input BTUs: _�;ji�:� Output BTUs: CFM: COOLING SYSTEMS Quantity: f Make: �;r;t�.�,:�-�l Model: � _�G 'i Tons: �'„z� H. Power . . - � � WOOD BURNING EOUIPMENT 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. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fazs: Locations cfm 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) �l.�� y x .0125 $ '/�5. �.5 l�nntract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ �-�-�"� or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ "��1 �j�� * 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 aze fumished 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 amour.t 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 statements made on this application are complete, true and conect. l---. Applicant's Si;nature:'� ' �. Date: '�� d� � ` � Approved By: Date: SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.� � � � � 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-9000 TEST RECORD ADDRESS ��Z O 14 e-1 V"E� CITY � '� <+2-1�L ��1- 5 � 3 3 j OCCUPANT �.'F��T�}u '� ��0� :..- v�� L�t��1�(-' OWNER 4 ' „�.. , . .. .. SOLD BY �L,J�nr• � ��\22 INSTALLED BY � , � .._ . MAKE '�'�'n��"C MODEL � .�-r L' � � 3 6 �S � � u f � SERIAL NO.r�L� P3 �y Q � � INPUT �� U L� [2 THERMOSTAT r� _/� � .7 6 � VENT SIZE 7•� VALVE I`lG�'i iC�i.l..�t L� TYPE OF LINER ��v"'l%/Lc� LIMIT I.a� f�L'"f'r-'�7 i/ LINER SIZE � LIMIT SETTING / 7� � FILTERS: SIZE �-Z�� S�?�,t��: :L/ '� NUMBER r FAN SETTING ��✓h� '�� WIRING 'J��nJ`��-- PILOT TYPE ,�- �« '��m�� f c- TEST TAG � IGNITION MODEL��a� LIGHTING INST. v PILOTTIMING � � �'��ti� � DATE TESTED �� 'C � PRESSURE ';'J �/�� PERCENT CO2 � f= INPUT CFH �! PERCENT OZ Lr'�7ts COMPANY TESTING ��., �� :C CC �) � �. �'j� ` ! STACK TEMP. � � PERCENT CO ��- NAME OF TESTER � "+'� ��'�-'� f � � FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY V DATE TIME CITY OF ORONO CALLED IN � � �fa� INSPECTION NOTICE SCHEDULED �1LL� �A� PERMIT N0. �� i Z- COMPLETED ADDRESS .J�l a(� �e �l �-1 6'��-e- OWNER CONTR. SP_.r�l-�-`-' ` �-� �r'-f� TELEPHONE NO. �S a � � � — ��S� � DESCRIPTION �� ' �( � 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 FINAL 14 SEWER HOOK-UP O6 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 J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j ' O >. � O � W � Q � 2 W � W � J ��ILVORK SATISFACTORY:PROCEED ❑ PFiOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContra site: Inspector. White Copylinspect r's File Canary CopylSite Notice