HomeMy WebLinkAbout2000-P03435 - mechanical PERMIT
CITY �F ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po34�s
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanicat Permits
(612) 249-4600 Date Issued: 12i29i2o
SITE ADDRESS: 3444 Livingston Ave
WAYZATA,MN 55391
PID: 17-117-23-43-0019
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Sub-type(s): Heating Systems
Per►nit Type: Mechanical Permits Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 61.61 Valuation: $ 4,929.00
State Surcharge Fee: $ 2.46
Misc. Fee: $ 1.50
TOTAL FEE: $ 65.57
APPLICANT: STANDARD HEATING&AIR CONDIT OWNER: PATRICIA J GOAR
410 WEST LAKE STREET 3444 LIVINGSTON AVE
MINNEAPOLIS,MN 55408-2998 WAYZATA MN 55391
THE UNDERSIGNED I-IEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECLFIED
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 ISSY�ED 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) r.
Crystal Bay, MN 55323 ,� ���'`,` v � ,
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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 2 �i-orking days. �;
2. Permit cards will be sent by return mail after a re�iew is completed. PERMITS ARE NOT VALID UNTIL � '`y
YOU RECEIVE A PERMIT. WORK MUST NOT BEGIlV UNTIL THE PERMIT CARD IS POSTED ON
THE JOB SITE. �'+
3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating,
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ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain '��
calculation, design temperatures, equipment ratinos and identification as to type, manufacturer and modeL ���
Data shall be presented on form provided. Identirication of and specifications for water heating equipment "�;
shall also be provided. x
4. When any new construction or remodeling is in�-olved, 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 fmal). Call 249-4600. 24-hour notice required.
7. House Heating Test Record must be submitted txTore final.
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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 ommercial �
JOB SITE• c �( � I �' � � � � �
Zip: '
Owner's Name: � U r- Telephone Number: ��s a� �`�/ — �7 �{G � ��
Mailing Address:3 �_/� ( `-� �` � , ,, . � , ;>�, ity: ��C'�•'�<� ZiP� ��L z,1 � �.
Contractor's Name: Telephone Number: �`��
Mailing Address: City: Zip:
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SYSTEM DESCRIPTION
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HEATING SYSTEMS
Quantity: I
ivlake:
Model: �3
Fuel: ,< <
Flue Size:
Input BTUs: . -�
Output BTUs:
CFM:
COOLING SYSTEMS ,
Quantity: `',y''
Make: `�;
ModeL• � 01�lS
Tons: �_
- H. Power Z�
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FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfin
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: 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
Z � ��' x .0125 $ � (��
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(contract p ice)
2. State Surchar�e. ** Add the State Building Code Division t /
Surcharge to each permit. � �1 �-�'� x .0005 $ �-� `� �
or $.50, whichever is greater (conuacc price)
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �;�-5 '1
* 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.
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:
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� ����� GAS WORK ORDER
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1072 Payne Ave. � �`�' �TAN DARD 410 W. Lake St. �
St. Paul, MN 55101 ����' ;�' � �..�EATING � Minneapolis, MN 55408
651/772-2449 ;�`' 612/824-2656
� & AIR CONDITIONING
A Blue Do�' Service Co. EQUIPMENT INFORMATION
LAST �=�-G� �- ,�' FIRST r �;: ., � .� .��r TYPE r.-.,...._ ._
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ADDRESS ,�; ��`� �--� �°.,��G �, �n_ ,�� �s� MAKE -��--
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CITY , � .! � >r ZIP 3 � MODEL .��4-�/�l ..,�'>",9'>� �:. ,, ;::
HM PH �' `� >- �'�> -` WK PH SERIAL � � 0
TECH ; ; � - DATE -'�r� /.:� y`- .- - INPUT �. / ,��� `
ORSAT TEST RECORD
CO2 (.:� , �;� % METERED INPUT - � cfh CHIMNEY TYPE ,! .,,�-�;;�
02 `� ` � % LIMIT SETTING ��-(j � FLUE SIZE in.
CO r"� ' % PILOT OUTAGE ,,✓�r,�,�; sec CONNECTOR SIZE � in.
NET STAG�K TEMP � TOTAL CHIMNEY INPUT ����,', ._ , , btUh