HomeMy WebLinkAbout2004-P08014 - air conditioning �ITY OF OR N PERMIT
O O Permit Number:
2750 Kelley Parkway- PO Box 66 P08014
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 9/30/2004
SITE ADDRESS: 575 Kokesh Farm Rd
Maple Plain,MN 55359
PID: 31-118-23-11-0011
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Permit Sub-type(s): Air Condirioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 75.00 Valuation• $ 6,000.00
State Surcharge Fee: $ 3.00
Misc.Fee: $ 1.50
TOTAL FEE: $ 79.50
APPLICANT: Kleve Heating&Air OWNER' 7ames&Norma Leslie
13075 Pioneer Trail � 575 Kokesh Farm Rd
Eden Priaire,MN 55347 Maple Plain,MN 55359
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 SfATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Si�nitures Required), 1-Apnlicant, 1-Monthlv Reoorts. 1-Assessin�, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATTON
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two worldng days.
2. Pernut cards will be sent by return 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 Desiens-Complete calculations, details and specifications aze 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 (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.
1NCOMPLETE APPLICATIONS WII.,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace�'] Residential ❑ Commercial
JOB SITE: �j" ' �'1t7�� 5{� Farr-� �4C�C� Zip: 55���0
Owner's Name: ��_ �Gf"1 Vt� Phone Number:
Mailing Address: City: Zip:
Contractor's Name: Kleve HVAC znc Phone Number: g5�-9d1-4�1 1
Mailing Address:13075 Pioneer Trail Cj�; Eden Prairie Zip; 55347
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: UIU� C.d H�-�/2�0 'Uf� •q��
Model: �iO���" - /�
Tons: '�'O l�b
H.Power �/Q��[ (,/
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.
VE NTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations ��
FUEL STORAGE (MUST BE APPROVED BY FIRE 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; excludins 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 Surchar;;e $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125%of job with a vlinimum Fee of($35.001
`�_1�,���- X .oi�s � 75.�
(contract price) (minimum$35.00)
2. State Surcharae. ** Add the State Building Code Division a Nlinimum Fee of(� .501
� ll�.,�/w.� x .0005 $ �, �
(contract price) (minimum S.50)
3. PostaQe and Handlins (Only n:ail-i�: applications) � 1.50
4. TOTAL PERVIIT FEE (Add lines 1-3 above) $ . 5�
*CONTRACT PRICE or JOB COST means the actual or estimated dol(ar 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 owne-,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-whichevec is�areater.For valuations over
$1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to e City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with
the ordinances of the City and e reg ations of the Minnesota State Building Code,and certifies that all statements made on this
application are complete, and corr t.
Applicant's Signature: Date: � ��
Approved By: Date:
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Jarne �-� '`- `�'�'� '�; � Address Plan� Date �0
HEAT LOSS CALCULATION8
�otal t5eat Loss =Total Btu Input I q��W{��=g dpprf ue w�nhwstripped
�Fi. �'/ �t��r' �oom � Lgth.�S�: ••Wth��� . .. Ht.� ' F1. Room � Lpth. • ••Wth. , •• Ht. '
Width H�pht No.o� Lin�alft. Ares No Width H�pqt No.ot LinNlh. ArN �
No. af p�n� of pane liqfnt o1 enek eq.It. of p�n� of p�rn IiyM4 01 crsck p,ft.
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�� �u `,�� c�- . c �{� -
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�__ ��,s Coet. BTU ���f Coe/. BTU
ifiltrstionWindows �.� ~� ��j�'� IntHtr�tbnWirWow� 39
diltnuon W/Ooors � 118 Inliltntioa W/Dow� 118
,filu�tion SfOoon 77 Infiltntion S/Doort 71
ao.Wal� � .,.:�Q;�.� Ew.W�11
�4..s 000,f ;� t� a ^ cu..b�oo.. 364e�
i�t EaO.Wdl `(�(� /'6 � 1C' N�t ExO.WNl ! S 7�
�a�6 j �- /C?o� � 3
�9 4 6I I -l-----
��aili �r�. ��'� �.`C��J Gllinq I I 4 3i
2 3
/ 3
ioor �t:<� �OS ,> �'`,:'. F�oor � � �3��
'oul Btu. � `%� .;� 7oul Btu. I + �
ri. s�oo�+, � �qcn. . ..wm. . .. Hc. • FI. Aoom � ��cn. , ..wcn. . ,. 4t. �
„o WitlM H�iy�t No.of lin�Nft. Arq y�/idtn N�p�t No.of LImM t. Ati�
ol r,�rN al p�M I' ts of en[k p.H. �o. of parn of p�M i' b � ot cf�ek 7p.ft.
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/doon Coet. 8TU i � /doon � :aN. 9TU
+iiltr�tbn Windows � �I �nfiltration Wlndowt � j �
�fihntio�kv/Doon 118 intiltwUon W/Dou� ' ' � �t�
�liltrrtion S/Ooon 71I Infiltrnion S/Ooon � � + 71
�.Will I Exo.Wall I �
ilw S Doort 3�� Glws&Doon
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i.c e xo.w.n 8 �; a 7
4 6----- Ne�Exa.Wsll I ` ��
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:ai��nq Zs 36 I Cei�fng j � �;�s
�oo. 3 5 � 1 S
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'ocsl8tu. � TotelBtu. �
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�I. Fioom I Lgth. , ,•Wth. , „ Ht. ' FI. Room � LqM. • ••Wth. , •, Ht. '
I W�dth H�iqht No.of LirMNft. Arae
No. of p�ne ot pena li tf of crsek tq,ft. Na Width H�pIH No.ot Lin�Mft. An�
of p�n� ot p�ne IiqPts ol�r�ck �q.ft.
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Idppff! -�r�.
� icoo.� c�� a-u id�..) co.r. 'eTui
�rilvation Windowi � Infiltrstion Wiedow� ' i �
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���hrat�on W/Doon �18 Infihrsvon W/Doon ' � � '8
�fllrr��ion$/Doort �� ;nfiltretion SlDoors � ��
�D.Wsll
:xD.Well
Iat�S Doori 38'� Glast di Doors 38'�i
at Exo.NINI 4�5�I I Net Exp.Wall i ����I -
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ailing 2 3 Ceilinq -- I �I_ 2�� I-----
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, � T��a,�t� ------— � �
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� ATE TIME �
CITY OF ORONO CALLED IN -3�
INSPECTION N T SCHEDULED ��
PERMIT NO. � D COMPLETED �' �
ADDRESS �7 � �� �� -
OWNER CONTR. � p��
TELEPHONE NO. ��� ��� �Zl �
� DESCRIPTION � C � ��
t� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WAIL 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
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W �WORK SATfSFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL�NSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContract r on si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice