HomeMy WebLinkAbout2001-P03674 - mechanical ° ' PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po36�4
Crystal Bay, Minnesota 55323 Permit Type: Mecnanicai Permits
(952) 249-4600 Date Issued: 4�4�2ooi
SITE ADDRESS: 2845 Little Orchard Way
Wayzata,MN 55391
P I D: 09-117-2 3-21-0011
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems
YP Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUAAMARY: Permit Fee: $ 490.00 Valuation: $ 39,200.00
State Surcharge Fee: $ 19.60
TOTAL FEE: $ 509.60
APPLICANT: COUNTRYSIDE HEATING AND COOL OWNER: Fleischhacker
6511 HWY 12 2845 Little Orchard Way
MAPLE PLAIN,MN 55359 Wayzata MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE TI�REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII.DING CODE REQUIREMENTS.
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L ISSUED BY SIGNATURE
Copies: City,Applicant,Assessor,Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wilt be
reviewed and a permit will be issued within 2 working days.
2. Permit 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 are required for each heating,
ventilation, humidification-dehumidification, and air conditioning installation includinQ 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
��esidential Commercial
JOB SIT'E: ;y,�t-1 S t l�'�L � C�2C 1-1 A R n w 1�0� Zip:
Owner's Name: �'"t C-� Sc 1-�(-�/�C��C� Telephone Number:
Mailing Address: `:�f��ME City: Zip:
Contractor's Name: co�►r.-,-�cz�s�p� �+cia;�c��,v�qr>z,�phone Number: -��,� -ti� � - I �� �'
MailingAddress: c�.S,� i��,,._,,��; � � City:nnA4�c_ t���J�Zip: SS3Sq'
SYSTE�T DESCRIPTION
�
HEATING SYSTEMS
Quantity: �
Make: �3nc.,���,;,�
Model: �355r�+tiuEUaa�c;
Fuel: +� . � •
Flue Size: 2 "
Input BTUs: c.>c> �____
Output BTUs:
CFM: �� a-O �
COOLING SYSTEMS
Quantity: � �'
Make: t3�Ati� � -»�c �
Model: S5� A�xO��- �uc��CsS S��t�
Tons: z TU r� � °�-� r;
- H. Power
P.. .,Tae+.e,�. �.�.'€' ,..t`..� .-.��. .�,-;r '� .�*�;,. , ,ya•c;; r'° . ► „
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. �.'f• � -3�y . �� :*a.. . -
�.�� � �: ' ' ..�.�. :. , .
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1` �� . . M1 . . '. . � �.1''. _
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y s -.. .... . ...'�... ��..
s . . . . . ., , . . .. . � . � .. . � � . ' . _ . �. ..':.�'� y. � ,«�
t t;�,
?;' FIREPLACES � `` ��=';
� Gas factory fireplace � ''
�>
Wood burning factory fireplace with flue -
Wood Stove
Wood stove with flue -
; 'k
\ Brand Name Model No.
-�; -
VENTILATION <
'�' No. Kitchen Exhaust ducted recirculating cfm
No. _� Bath Exhaust (must be ducted outside) cfm a;`
No. Other Fans: Locations cfm
��;,
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) -
Installation Removal _ ,y�<s
Fuel oil: gallons underground inside outside � �^;
:9
LP Gas: gallons �'
, �
,., Other Gas opening
_ , ��
PERMIT FEE CALCULATION '' ��r
1. 1.25% of Contract Price* or Minimum Fee ($35.001 '�
� ��� x .0125 $ �-! Q � ,��Z3 f�
� (con ract price) ��.`�
2. State Surchar�e. ** Add the State Building Code Division � �;
Surcharge to each permit. 3S �oG x .0005 $ l �l � b� <; K '�
or $.50, whichever is greater (concracc price) =r ``
3. Postage and Handlin� (Only mail-in applications) $ 1.50 "
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ S o � , �,a �''
;`
* 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 are 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 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.
fi �
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 correct.
Applicant's Signature: /�� - - Date: �--� - � �
Approved By: Date: �,
. , .
� ' S/N RSRWFI23354 RIGHT-J SHORTFORM 3-23-01
Filename: FLEISC�I.RSR
Job#: Htg Clg
For: Fleischhacker residence Outsidedb —20 95
2820 Little Orchard way Insidedb 70 75
Orono MN Design TD 90 2 0
Daily Range - M
Inside Humid. - 5 0
By: Countryside Htg & Clg Grains Water - 33
6511 Hwy 12 Method Simplified
Maple Plain NIN 55359 Const. qlty Average
763-479-1600 Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 8 0.0 AFUE Efficiency 0.0 EER
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 532 CFM Actual Cooling Fan 532 CFM
Htg Air Flow Factor 0.013 CFMBtuh Clg Air Flow Factor 0.0 4 3 CFM/Btuh
Space Thermostat L,oad Sensible Heat Ratio 7 9
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
Loft East 660 21979 8043 289 348
Loft West 840 14892 3342 196 145
theater rm 624 3554 900 47 39
Entire House d 2124 40424 12285 532 532
Ventilation Air 0 0
Equip.@ 1.0 0 RSM 12 2 8 5
Latent Cooling 3 3 3 8
TOTALS 2124 40424 15624 532 532
MANUAL J:7th Ed. Right-Suite:V4.1.27
V DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE/ �,( SCHEDULED � � 44t��
PERMIT N0. ��tf�� 1 COMPLETED
ADDRESS � �� <S �-� � � Q��GI���Q �"`l
OWNER CONTR. ��'hf�i�S!�1L ►�l� �ro��
TELEPHONE NO C.P�a' �O�'l g'C�� �j C UL�/'I�t% S�_
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� DESCRIPTIOf�� �.S t°-
� Ot 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 OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 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
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlConUacto on site:
Inspector.� li13
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN � y'/t�
INSPECTION NOTIC SCHEDULED �� !--'�/�.�
PERMIT NO. �7� COMPLETED —0 /D ;30
ADDRESS�7 Sy L%���_ D/°-C�f�P1> �,¢--y
OWNER �L-r�iS�l���lcc;' CONTR. (��c/n��ffSi�r.�e ��i•��c�✓I
TELEPHONE N0. �� 3 7 7� ��cG
� DESCRIPTION -l— .�i'1���r � -
� 07 FOOTING ECHANIC RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 ME AL 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 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnedContractor on site:
Inspector.1/�✓�� 1/Q,UI�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN --��
INSPECTION N TICE SCHEDULED
PERMIT NO. � COMPLETED � ^0 6----�
ADDRESS � � �L
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OWNER CONTR. -
TELEPHONE NO. � � -'
� DESCRIPTION ��i ' -•,L
� 01 FOOTING 11 MECHANICA 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATIGN 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 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBfNG RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� CO MENTS:
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContr tor on site:
Inspector.11/,T�C,�G �j/! /
White Copylinspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED ��� �
ADDRESS c�.
OWNER CONTR. ' i�—
TELEPHONE NO.
� DESCRIPTION „�'�n C�.-Q �f'Y��.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 OS FINAL 14 SEWER HOOK-UP 06 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:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP OROER POSTED.CALL INSPECTOR
❑CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-460�
OwnerlContrac r on site:
Inspector.����
White Copyllnspector's File Canary CopylSite Notice