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Home My WebLink About2002-P04845 - mechanical CIT�- OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: Po4sas Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits (952) 249-4600 Date Issued: v29i2oo2 SITE ADDRESS: 1170 Lyman Ave WAYZATA,MN 55391 PID: 35-118-23-43-0028 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: oil to gas furnace replacement with new gas line, New humidifie� FEE SUMMARY: Permit Fee: $ 48•75 Valuation: $ 3,900.00 State Surcharge Fee: $ 1.95 Misc. Fee: $ 1.50 TOTAL FEE: $ 52.20 APPLICANT: Superior Contractors Inc. QWNER: RICHARD R& LYNN R PHILLIPS 6121 42nd Ave N 1170 LYMAN AVE Crystal, MN 55422 WAYZATA MN 55391 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. � �CC � ��-��- � PPLIC NT PERMITEE SIGNATURE [SS1d BY SIGNATURE Cooies: 1-File(Sienitures Required). 1-Apolicant, 1-Monthlv Revorts, 1-Assessin�, 1-Finance Page 1 � i w , �` ' ) ,i ��,� � 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 will 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 Desi�ns - Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calc"!ation, 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 fmal). 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 Residential �Commercial " JOB SITE• I � ��- �Yf�t lk� !� �`� Zip: ,�T.� �.; � � � Owner's Name: /��C K p�-+- ��i p �- Telephone Number: �_�:�— �C� y— �= /.S 7 � �; Mailing Address: /�7 C1 ,�Yrt A ti' ,4(,� City: �eCz�i-=� Zip: 5�� ; Contractor's Name: �U A��o� ��,�,��c�es „�..Telephone Number: �7w� —��•�-.Y�/�� Mailing Address: (�� y�,,.�% /}v-c— �u City: C',�YSTh-z Zip: �5�s�:�� . :� :.� SYSTEM DESCRIPTION HEATING SYSTEMS Quantity: ( Make: ��e Rc� Model: <��,�.fv t c�� Fuel: �v!}-T� Flue Size: �( Input BTUs: (�:��, c�� Output BTUs: �'�,L,r�-� �� CFM: �� COOLING SYSTEMS F� Quantity: "' Make: � Model: �� . Tons: � H. Power � ,� � f'2 i '�C. �C ' c�--c�-'"n.'7- Csu'L.T�-E '� �l�. "�' C� E}-s �c.j ,�N A-c z�. ,�`.�' � �_ �A� �C,/N�� ,t�� u'<<-c i�t G� c--,� �� _ . � . ..,,, .. .. �r..,��:. . .;'� y + � 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 cfm 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 ';a Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �9c�� x .oizs � y�� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ l�� or $.50, whichever is greater (contract price) 3. Posta�e and Handling (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,j�Z�� * CONTRACT PRICE cr JOB COST meuns thc actual ar estimated do;lar amount cha�ged 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 ::;: =s� State Building Code, and certifies that all statements made on this application are complete, true and correct. �� Applicant's Signature: G�� Date: �`��5-��- � F Approved By: Date: � f �,r - r . eX t - . t � � ��;�. h .t t -. � � a� s: �.��. �, ,�w..,....,-... ,. ,. v..r.,s_..�t.Ss.a.at-..�.� ..�.,��:I��.,��.�m�.a�4'.��... ._. .. �1�.._..�.�r _.. .. ..�e..:�, _.�s...Y.,,k...«._�'�`� ....s•'"�: . _as.' .� . ss........,�.':�.�..n.,.>.,...�t:i n� I,��I �� '�� /�`�/I� �I�""-- ' ✓ DATE TIME CIn OF ORONO CALLED IN INSPECTION N E L� SCHEDULED -��.3v-a�- • �� PERMIT NO. ` � J COMPLETED _1�''x'`�"`� /� ( ADDRESS G ' OWNER CONTR. TELEPHONE N0. J� J� — �� io�n� � DESCRIPTION � 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 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CO T �-=-� � � � _- ��. � J O a � O � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE (�J W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConUactor on site: Inspector.�i��z✓�- /'�c r/a S White Copyllnspector's File Canary CopylSite Notice HOUSE HEATING TEST RECORD ADDRESS � �` APT. FLOOR CITY SUBURB r��U OCNPANT � S OWNER HE�T LOSS DAT HTG. INST. SOLD BY `� INSTALLED BY /� El��trieol Wwk Bp y� Gas Lie� Br TYPE OF HEAT GA FA�_HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSIAN MAKE ��'�'��' MAKE OF BURNER Mod�l �fssGrf�la�Gn�F /.3/�CJ Mod.l "� ` ^ S�rial D�dl�S6a�y Mox. BTU Ratiey •'j - INPUT �U�� MAKE OF FURNACE •��'� �� — Mod.l CONTROLS �� THERMOSTAT�H•at Pluy -` Y�nt Sis• Valw ��/�� KIND OF LINER � . SIZE��_NONE Limit �2 Draft Hood R�qulawr Limit S�tfiny �� Filt�rs Sis� ,�LY�-.��L Mu�r� - Fon S�ttiny Chimn�y Loeation Insid� �� Outsid� Ptlot TyP. Chtm�ar Co�:tn,�eion��`�� Pilot Mob�� Pilot Mod�l Smok� Bomb Wirinp � Pilot Timin9 �� Draft ��%�'� T�st Tap � L.W. Cut Off Dow Pr•ssw• Liyhtin� Inst.� Pr�ssun �S� P�re�nt COZ Dat� T�st�d �- �"�'� Input CFH �a� P�re�et 0 Company T�stiny - �, 2 � Stack T�mp. 3�� P�raot CO Nan�of T�st�r Fonn 235