HomeMy WebLinkAbout2004-P07257 - mechanical . PERMIT
° CITY OF ORONO Permit Number:
2750 Kelley Parkway - PO Box 66 Po�2s�
Crystal Bay, Minnesota 55323 P@CCYIIt Typ2: Mechanical Permits
(952) 249-4600 Date Issued: 2i2ai2ooa
SITE ADDRESS: 706 North Arm Dr
Mound,MN 55364
PID: 06-117-23-43-0004
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: Permit Fee: $ 105.00 Valuation: $ 8>400.00
State Surcharge Fee: $ 420
Misc.Fee: $ 1.50
TOTAL FEE: $ 110.70
APPLICANT' Vogt Heating&Air Conditioning OWNER' Jeff&Cara Ziebarth
� 3260 Gorham Ave � 820 Bayside Lane
St.Louis Park,MN 55426 Minnetrista,MN 55364
Tf�UNDERSIGNED HIItEBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICf COMPLIANCE WI'f H ALL CITY OF ORONO ORDINANCFS AND STATE OF
MINNESOTA BUII.DING CODE RE(�UIREMII�ITS.
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(SiQnitures Required). 1-Avulicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1
�- ��� � f�� ����:��VEt�
' , RECEtVED
� � - �� � � �004
- ���; � � �004
CITY OF ORONO APPLICATION FOR MECHANICA��C��j���0
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 two 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 UNTII.,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 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 (952) 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 WII,L NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair�Replac��Residential ❑ Commercial
JOB SITE: ��:�1 i �����(.,-�11 J� ��t l,% ' Zip: �,��_�7'���1
Owner's Name: __ c���-- Z r-�ti'�4 ���� Phone Number: ;��1� -�'�l —<5�1 Q�-{�
Mailing Address: City: Zip:
'' �,�.t--
+ �,k� �-l�� {I�41i�{ C �' �. �;�-��_ ���/�-
Contractor s Name: , 1��s.��f, �`� Phone Number: l`�-� f '-�
Mailing Address: ���lt,�(j �-�.�\�c,��r� z� City: `7l �(,�.�)j,(,i� Zip: j��,� (�%
1
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SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: `
,'� _ �
� Make: � �
Model: � •�� (_,�{�i
n
Fuel: /���• ��i
Flue Size:
�Put B�rt��:
C�C;��
Output BTLJs:
CFM:
COOLING SYSTEMS
Quantity:
Make: ���,�r1(,vl��
Model: `)1�c C.>;�
Tons: � I �
H.Power
11L'������`�,ti� ��L� C��,a ��L�;��>�a�c-i�ic�k !�'
FIREPLACES GA� LINE ONLY
❑ Gas factory fireplace ❑ Installing a Gas Line Only
❑ Wo��buming�ctory fireplace w-ith fiue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No.,�_Bath Exhaust(must have duct outsicje3, cfrn
No._�Other Fans: Locations C`-�-1��2'� -� cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the folIowing requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit � 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
����% ' �..
x .0125 $ � �<.Jl —
(contract price) (minimum$35.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(� .50)
��C-�%��. x .0005 � y ' ��--'
(contract price) (minimum$.50)
3. PostaQe and HandlinQ (Only mail-in applications) S 1.50
( '`, _1 ,/�
4. TOTAL PERMIT FEE (Add lines 1-3 above) � � �L.j � i�
*CON'I`RACT 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«-ork done.If any material,
equipment,labor,or installation is fumished 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 geater.For valuations over
$I,000,000 call the Deparhnent of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do al]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 comp(ete,true and correct.
/ ^
Applicant's Signature: _ ����� ��,�-4 { .� � ��� �� Date: �"� —����'�--'��
Approved By: Date:
3
. mT6 ' -- —�-•�..��-=r�l�-*s^-'Y'�71--�------- –._��------- ----- -
� ..i � . ..
� �T L.OSS CALCULATIONS DEPARTMENT OF INSPECTION (�qN�ppj,�� �y�,
� Weatbentrips ���a� Coastruction No. Insulatioa
Windows Doors Reference Out.Wall Iat.Wall Ceiling Roof Floor Kind How Applied
Yes-No Yes-No 19_
F1.� Koom L.engtk "� Width �` Height � yFl.� F2com L.enqth � i- WidthZd ' Height �
Windows and Doors---Crackage aad Area " Windows and Doors-Crac�Cage and Area
Wldth H�l[nt No.ot Ltnul tt Ana ��� �� / W1dth Hd�6t No.ot Llnul tL wru
No. o[Dane ot Dane lliht■ eL eraek W.[t. /�7 No. ot Dan� of Dan• I((1�t■ �o[eraet �Q.[L
/� �'S" ` ,�.i �n 3 7. �L 3�� L �� 3 v � /�' J / 7- .� �1
i 3' ,s�'�., oot /9. 3 lo.v ' � � 'L /G. 7 9� 7
/� � �-- �- �7. � io.7 �� �.Ta �x' / y� �o y /�7. c?' /Gtj, ii, _.t
i--f ��' �- /�f'�.o /��d'Coef. Btu . Coef. Btu
Infiltration Infiltration /�i� ,r�� `
Glau Glass //j J 0 s��U
Ezp.wall _ Ezp.wall � 1�r6
Net e_p.waD Alet ezp.wall �/� � /y 1- .�'
Int.wall Int.wall
Ceiling Ceiling �31. /J- �J 76 �
Floor Floor r-,/c,.�-r� P,3 t- - —
Total Btu. _._ Total Btu. 3 3 G ;.:�
Required sq. ft. E.D.R. or:q. ins.WA. I.eader arca Required sq. ft. E.D.R. or sq. ins.WA.Leader area
Fl.� Room Length Width Height F7,� Room I I.ength Width Heigi�t
•Windows and Doors--Crackage and Area Windows and Doors-�rackage and Area
WIdtE He1�ht No.o[ Ltn�al ZL Ar�a W1dtA HaL�At� No.o[ Llne�l 1L Arc�
No. o[Dans of yan• 1{rhu e[enek p.[L xe. o[D�ne of Dae� ilehts ot eraek p.ft
: � S�� L �-s o Li_� -
Cocf. Bcu Coef. cu
In6ltratioa y� ,3� Y � Infiltration
�ass 7-O� .� �O 7�0 D �au
Fsp.wall /S-o0 Ezp.waI]
Net ezp. wall 'J��jY / /���-D Net ezp.wall
InG wall Tnt.wall
Ceilin8 / 7 /y 1�i.1� Ceiling
Floor /O./9 �� �Ur1� Floor
Totpl Btu. �-�/j3..(� Total Btu.
Required sq. ft. E.D.R. or sq. in:. WA I.eader area Requued sq. ft ED.R or sq. ins.W.A.L.eade:aret
Fl. Room �l.ength Widt}: HeiBht �,� �m I(„�ng� Width Height
Windows and Doors—Crac�age and Ana Windows and Doon—Crackage and Aren
wiacn x.�rnc xe.oc I.la�al fL Area WIQLL x.�rec xo.ot L.tn�al[� w�..
Na et D��• of Dan• Il�ht� e[craek �Q.[L No. oL yan• of pae• ll�htt of cracl[ p•ft
Coef. Btu l:oef. Btu
Infiltration Infilt:ation
Clau Glw
Ezp.wall Esp.wall
Net ezp.wall ` Net ezp.wall
Int,wall InL wal!
Ceiiing Ceiling
�loor Floor
- -_. _---- - -- - __ _� _-•- - -- - - - ---- -_-_._---. .
-1 o�a1$Eu. - - - ------ �otal-litu.
R�qnired�. ft. ED.R or aq.ins.WA.Leader area Required�q. ft. ED.R ot sq. ias. W.A.L.eader asea
HOUSE HEATING TEST RECORD ����U�� �" '�l13�
ADDRESS `� �U2�N ���� �2'Ul; APT. F OOR CITY SUBURB ��v��
L
OCCUP�NT OwNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ���T � � � ` ��`�
El�ct►ieol Work By Gas Lin� By S �'`~� ����
TYPE OF HEAT GA FA ' HW STEAM SPACE HTR. UNIT HTR. OTMER ` � � 9
GAS DESIGN CONVERSION CIrY U� � ��`�'�
MAKE ������ MAKE OF BURNER
Mod•1 ��U�I�O�l()� SD bAod.l �
S�iol �,� l� ��3�� Max. BTU Rotinq
INPUT �U���v MAKE OF FURNACE
Mod.l _
CONTROI.S � ll
THERMOSTAT '"�^ Jiwt Pluq V.nt Siz•—
Valv ���- ��� � ��l KIND OF LINER _ SIZE NONE.�
Limit �v Ur n• Droh Hood U`t1L R....,lero� ��-�i 7� QO�;2)
Limit S�ttiny �� Fi1tNs Si:• Numb�r
Fan S�ttinq � _ C1+imn�r Location Insid� � Outsid�
� �f
Pilot Typ� SJ2 C� Chlmn�r Constnrction ���
Pilot Mok. F h �/k� /'
Pilot Mod�l G�7 S�nok� Bomb Wirinq v
Pilot Timin9 � 5�=� Draft T•st Tap -�
L
L.W. Cut Off �_ Doo► Pr�ssw� Llohtlnp Inst.
Pr�ssur� ��� P�ro�nt CO ��L` Dot� T�at�d ���`�
2
Input CFH Q�� P�re�nt O� � Co�Pa�r T.sri�y C"� � l� ,
S1ock T��np. /�r P�rc�nt CO v� Non�of T�st�r