HomeMy WebLinkAbout2002-P04761 - mechanical } � PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P04761
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: ii3i2ooa
SITE ADDRESS: 3551 Livingston Ave
Wayzata,MN 55391
P I D: 17-117-23-43-0047
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: PermitFee: $ 90.00 Valuation: $ 7,200.00
State Surcharge Fee: $ 3.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 95.10
APPLICANT: Kleve Heating&Air OWNER: Brenshell Dev.
13075 Pioneer Trail P.O.Box 125
Eden Priaire,MN 55347 Mound,MN 55364
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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PLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Signitures Reauired), 1-Apnlicant 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway) � ,:.
Crystal Bay, MN 55323 - �
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GENERAL INFORMATION
1. You may apply for mechanical pemuts 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 cazds 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 including heat loss/heat gain � �
calculation, design tetnperatures, 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. � E
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. '�
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7. House Heating Test Record must be submitted before final. �';�
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Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. 't^ :j
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. +'�;
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Please check one: ew Addition Repair Replace ` n
Residential Commercial °�
JOB SITE• ' ; Zip: ;��:
Owner's Name: Telephone Number: �
Mailing Address: �� }� /d,t City: Zip: j
Contractor's Name: I p �,q,��_+ t�J[. Telephone N ber: . a,,(� ��'
Mailing Address• '`
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SYSTEM DESCRIPTION - ` �
' � �, '� '— h�;
HEATING SYSTEMS '�` + � '`
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Quantity: � � �
Make: �nl�x �` � w.
Model: �'r,�p�-1_�
FueL• `
Flue Size: � '�
Input BTUs: ���
Output BTUs: �'
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CFM: :, , �
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COOLING SYSTEMS `'
Quantity: � �'`� �'
Make: � 1�
Model:
;�
Tons: _
H. Power
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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. 1 Kitchen Exhaust �ducted recirculating�p�cfm
No. � Bath Exhaust (must be ducted outside) �_ cfm
No. �_ Other Fans: Locations 1 1 cfm
FUEL STOlaAGE �P✓IUST BE APPROVEB 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) �
'7�.00 .ao X .oi2s $ �
(contract price)
2. State Surchar� ** Add the State Building Code Division
Surcharge to each perniit. ��_(x� x .0005 $
;� or $.50, whichever is greater (contract price)
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` 3. Posta�e and Handling (Only mail-in applications) $ 1.50
''� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ G� � • 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 fumished by the owner,
tenant or any other party the reasonable market vzlue of such items must �e ad�ed :o the estimated cost
or contract price for pemut 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 �;f
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. ;�f
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 f
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State Building Code, and certifies that all statements made on this application are complete, true yf
and conect. j.
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Applicant's Signature: �� Date: � al � l E
Approved By: Date:
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DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED -' /C �
PERMIT NO. � COMPLETED
ADDRESS ���5� C i G�/.7 G�� ��i'7 �/�
OWNER CONTR.�=-��2� /�/�i e`,��!'�'.
TELEPHONE N0. �.Sfr� ( y l ��- II
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� DESCRIPTION `Cl—
� 01 FOOTING 11 MECHANICAL RI 18 EXCA�//GRADING/FILLING
Q 02 FRAMING 1 CH NICAL 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
v 07 DEMO-FINAL 15 SEPTIC INSTA�L. 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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W� �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUEO
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on si�e:
Inspector. �-� �-r `��'-�c�+
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White Copy/lnspector's File Canary Copy/Site Notice
HOUSE HEATING TEST RECORD
ADDRESS ��,7'�.2J Li 6jt��J��!'�7'I.� APT. FLOOR CITY ^ ' � �SUBURB
OCCUPANT '-'�" OWNER �—'
HEAT LOSS�_DATE HTG. INST. ���
SOLD BY _1�11'�..J� 1-� T-�a- INSTALLED BY, LCC�L'� f-IZ, .
Electrical Work By �j"�"j-}�}(G��'� Gas Line By �L6s,1��7=� �
TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS OESIGN CONVERSION
MAKE �^L-_`'�'��'�� , ' MAKE OF BURNER
Modsl ����.�����% Model
� � L � Max. BTU Rating
$eria l � d '
INPUT '>�,���'�`����� L _ ��� MAKE OF FURNACE
Model _ �
�{�►,h;."`�'t+�°-��-�ONTROLS ,. �,
THERMOSTAT_ `
( I J�� Heat Plug _ � Vent Size _�
Valve (��57L/��(.C��-�LL KIND OF LINER SIZE NONE�_
Limit ���[�� , � Drah Hood ln��i"`',:- Regularor ��1�,Y/T��Y? "_.'�.�_�'_"�
Limit Settinq ��� �'" Filters $ize `> � � _Numbs� �
Fan Se►ting ��T�Z�����`T Chimney Location Insjde �Outside _
Pilot Type ��fyLr= C� Chimney Construction «t ���
Pilot Make S��'�'`LILa/��' _
� y r'�
Pilot Model _ $moke Bomb _ �t� Wirin
Pilot Timing �SC�["(�7L��S Draft _���.-�C�C.�J Test Tag �� �"• .���
L.W. Cut Off �� Door Pressure
�� ��, Lighting Inst.
Pressuro ��•� `� G Percent COz C Date Tested ��/��
Input CFH �� Percent 0� � � Company Testing �
$tock Temp. Patrcent CO r Name of Tester
Fcrm 235
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO � SCHEDULED � �„�(
PERMIT NO. COMPLETED << �^
ADDRESS �S—S—f �l,�i/''�y`�17iN ,�t/E..
OWNER CONTR. ,,��-G'� �.'�i�:i�
TELEPHONENO. �_� ��l ����
� DESCRIPTION � G� �• � t'r '
� 07 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL FI 19 LAKESHORE/WETLANDS
y 03 INSULATION 5 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINA� 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATIONlREMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W XdWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContr r on s' :
Inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice