HomeMy WebLinkAbout2006-P10402 - mechanical PERMIT
CITY OF ORONO permit ►vumber:
2750 Kelley Parkway- PO Box 66 P104o2
Crystal B�..;�, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) �+49-4600 Date Issued: l0/3/2006
SITE ADDRESS: 180 Leaf St Unit#
Long Lake,MN 55356
PID: 04-117-23-22-0025
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Hearing Systems
DETAILS:
Approved perresolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 63.09 valuation: $ 5,047.00
State Surcharge Fee: $ 2.52
Misc.Fee: $ 1.50
TOTAL FEE: $ 6711
APPLICANT: Sedgwick Heating&Air Conditioning Inc. OWNER: Rober Hovey&Thomas Healey
8910 Wentworth Avenue S 180 Leaf St
Minneapolis,MN 55420 Long Lake MN 55356
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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APPLICAN P RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
T�' s �Zv� . r
��br� fl� ��t��r� ��L�c����t �o�����c�. ��
. Box 66 (2750 Kelley Parkway)
' ���� ��y, �.v �s�z�
isEN�R�L INg'oRIYtA��t,t
1. You may apply for mechanical permits by mail or in person at the City offices. Agplications will be
reviewed and a permit will be issued within 2 working days.
2. Pezm.it cards wili be sent by return ma.il after a review is compieted. PERR�ITS ARE NdT VALID
UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN U�ITIL THE PERMIT CARD I5
POSTED ON THE JOB SITE.
3. Mechanicai Desi�ns - Complete calculations, details and specifications are required for eacn heating,
ventilation, humidification-dehumidification, and air conditioning insiallation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to rype, manufacturer and model.
Data shall be presented on farm provide�l. Ideatification of and specifications for water heating Pquipment
shall atso be provided.
4. When any new construction or rer�,ode2ing is involved, a se�zrate buildir!g permit must be obtained.
5. All wark must be done in accordance with the Uniforrn Mechanical Code/State Building Code
requirements.
6. AIl work must be inspected {rough-in and fina�}. Call 473-7357. 24-hour notice required.
7. House Heating Test Reeord must be submitted before final.
Instructions Complete atl i[ems on this application. Compute the per�it fee. Sign and date the certification.
IIVCOMPLETE APPLICATIONS WILL Nt)T BE PROCESSED. If you have questions, call 473-7357.
Please check one: New Addition Repair � Replace
x Residential Commercial
JC�� 5TI'E: I p � Q c;�� �'r Z�P� S S �5 (o
O�e�-'s Pdame: ��he�r-j- �-}n�� `��l�ph�r�e��r�'�er: �'1 SZ-`{r7c�- I`�i I-7
P✓Iai�as�g Addr�ss: S . �p �ity: c:��r-c.-,a �ip: SS�S �,
Co��Pac�or's1�11an:e• �F���V�'ICK HEATI�IG d►AIR CONDRIOPIING LLCTeIep�ar�ei�l�ber:
IdYai�angAd�ress: � 8910 Wentworth Ave. City: Zip:
v���nneapo{is,�IA�1 55420
��'S'T�P✓I DES��T�'I��i (�>��) 8�1 •9000
�t i' 2 S 2006
HEATING SYSTEMS ,
�uantitv: � _.� � � - __ �
Make: �„Q,�n S�K
ModeL- C� i�1 M��3�C-.��i C�
Fuel: ��`
�lue Size: l�, `�
Znput BTUs: �j�; �C�v
Output BTUs: �.�y , �,a o G
CFM:
�O�LING SYSTEIvIS
Quantity:
Make:
Model:
Tons:
�. I'ower
�
t •
��OD �LT�.I�IIl�T� �C�L�'�i�I4"I' ,-
Wood stove with flue •
Wood combination or add-on �
�actory fueplace with flue
Factory �ireplace (s) �reesianding �Iasonry
W'ood Stove (s) rrank:in, other
Brand Name ModelNo.
Nlfgr's Min., �Iearances, side , rear , min. flue dia.
Total
�1�'T'II.AT�ON
I�lo. Kitchen Exhaust ducted recirculating cfm
No. �3ath Exhaust (must be ducted outside) cfm
IVTo. Othe: Fans: Location� cfsn
'I'otal
�I. S'�"�RAGE (MUST �E APPROVED BY FII-�E M.A.RSHAL)
Znstallation Removal
Fuel oil: gallon� undergraund inside outside
LP Gas: � gallons
Other Gas opening
���I'�` k�� C�S.I.,�tTLA�'It3�
l. 1.25% of Cor.tract Price* or I1��rir�um Fe� {�3�.0�)
Sc��-i� _ �U x .0125 � �, �3 - b �
(contract price)
2. �tate Surchar�e. ** Add the State Building Code Division
Surchar�e to each permif. �oy�. o c� x .0005 $ Z S �Z
(contract price)
or $.50, whichever is greater
3. . Posta�e and HandlinQ (Only mail-in applications) $ 1.5�
4. TOTAL PERIlrIIT FEE (Add lines 1-3 above) $ fo � • I I
* CONTRA�T PRICE or 70B CQST means the actual or estimate.�l dollar amount charged for the permztted
work including materials, labor, pmfit, and other fixed costs. It is the amount to be charge� to the
customer for the work done. If any material, equipment, labor, or installation are furnished by the owner,
tenant or any orher par[y the reasonabie 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 Ciry may request the submission of a signed copy of the actual contract.
** The STATE SURCHA.RGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,Q00,000 call the Department of Inspectional Services ior the price.
The undersigned hereby app�ies to the City for issuance ot 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 certifes that all statements made on this application are complete, tnie
and correct.
�4g�iicant's�ignature�� " C�� i�ate: � ZS G
���
t�pt�roved�y: �ate:
`�� {� �`U� DAT TIME �
CITY OF ORONO CALLED IN � ` �3 �
INSPECTION N TI E SCHEDULED �v� � �! v�
PERMIT NO. o��a COMPLETED
ADDRESS � �D ��� F 5-E-
OWNER CONTR. � �-/"+.� �- l�� Q
TELEPHONE NO. 15�`� � � � 1 �{ � � �6�� ��
.,.,(,
� DESCRIPTION
LL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z LL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� E 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 MEEf YOU:_YES_NO
� COMMENTS:
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� � WORK SATISFACTORY:PROCEED ;/ �OJECT COMPLETE
W G CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. L, pHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ection 24 hours in advance. (952� 249-4600
Owner/ConUactor o sit
Inspector. '
White Copyllnspector's File Canary CopylSite Notice
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.�`�'�o c�
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952)881-9000 TEST RECORD
ADDRESS ���� ��� ���\ "1� CITY �� �U�'V U
OCCUPANT OWNER ���J` ' � �� � Vr � `/�
SOLD BY �E� �� l�'���'� INSTALLED BY
MAKE " '� �� � U � MODEL �" � ( � �" ✓C�C C) 7 C�
SERIAL NO. �, L� 6 ��Z� 3 � C INPUT�l� �- 4 � �J'
�—
THERMOSTAT v �6 v U�"� VENT SIZE � �r � V �
VALVE H6�� � �+�V c � TYPE OF LINER 'J"�--�
LIMIT ��� � LINER SIZE `� �l
LIMIT SETTING `�S� FILTERS: SIZE ��Y S,� �p C NUMBER �
FAN SETTING �`"� ` WIRING �1c/�c1'r'�'^�
PILOT TYPE ��{c�F-F 0✓��( � TEST TAG ��
IGNITION MODEL �SS LIGHTING INS�
PILOT TIMING L IL C�•t �' Cj`�.�_� �ry
r DATE TESTED /
PRESSURE �-���C C PERCENT COZ ��-
INPUT CFH �/,L_ PERCENT 02 `'� !0 COMPANY TESTING cS GC,� �
STACK TEMP. C 2 d� PERCENT CO 6, NAME OF TESTER �'I�`L— �(/�e.- �:1:� '�
FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY