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HomeMy WebLinkAbout2005-P08398 - mechanical CITY OF ORONO PERMIT 2790 Kelley Parkway- PO Box 66 Permit Number: P08398 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 1/31/2005 SITE ADDRESS: 220 Northgate Rd Wayzata,MN 55391 PID: 36-118-23-41-0051 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICESIREMARKS: FEE SUMMARY: Permit Fee: $ 37.50 Valuation: $ 3,000.00 State Surcharge Fee: $ 1.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 40.50 APPLICANT: Cronstroms Heating &Air Conditioning OWNER: George&Majorie Dixon 6437 Goodrich Avenue 121 Washington Avenue S.-#617 St.Louis Park,MN 55426 Minneapolis,MN 55401 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. Lh APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(Sknitures Required),1-Annlicant,l-Monthly Reports,1-Assessing, 1-Finance Page 1 CITY OF ORONO ig 6122494616 05/19/00 12:37 :02/03 NO:921 CITY.QF ORONO 'APPLICATION FOR MECHANICAL.PERM!'l: 'Box 66-{275©Ke11cy Parkway) Crystzll lUl MN 55323 GENERAL)ti�}FOAMA'>FIAN . L You mai j1pp}y.for.mechauical.petiaits b4 ma#} or in perlaln at rtltr City o€ftces. ApplicMilas will be 'reviewedl.nd.a perm!.-Will be.issued within 2 Working.days. Permit cards will be asst by retummad after a mvicw is cas PlEwd. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK`hdUj NnT RFl`:tnt t �iTIL THE MR1KL CARD IS POSTED ON • - .THE 1QB 9FTE.- . '. . 3. Medlatlital'hou ns -'Complete ealeWation.S, details and specifications are*required for each heating, YentitaClon,liumidiPlealiun hurttidifXAhotl..aW air conditioning installation including heat loss/heat gain wtictt}atloti..desigo'temperatures, equipment ratings and identification as to type, manufacturer and model. Dista shall be presenicd_on form provided. Identification of and specifications'for water heating equipment 91WI also be provided. 4. .When airynew construction or renwdeling.is_involved, a separate building-permit must be obtained. S.. All work must,-betion int accordance with the-Uniform Mechanical Code/Slate Building Code requirements. 6. All work,must he'iti4pe .d.(rough-in and final).. Call 249-4600. 24'-hour-notice requlrcd. 7. Hous e'1164;rag Test Record must be'stibi>litfed before firm}. IQ�fiwa Compidte all itemi on lh6i applicatirnt. Compute.the pennit fee. Sign and date the cenifieation. 1NCUMPI.ETI;:.A•PPLICATI0NS WILL Nanix PROCESSED. If you have gpestions, call 249460D Rlewe'.check ont: _- Naw• Adifitiuti. Repair .Rcplace Retidential Cot1z' eMal - :. JOB SI' :�g —^ Z�• -- � l Owner's Ntame: Telepho>3e Number: IMrCM ��.2� Citi►: Zip: CRiIia Addontraetur's Name: Telephone Number:. 1MafNtigAdc�ess:' City- LA! Zlp; SY57FEM IfESCR�I'TION . HEATING SYSTEMS lI Make. 'Mtxlel: . Fuel: Flue Size: . Input BTUs: ' . lffi (Z Output BT> s CFM. . COOLING SYSTIrNCS . -Quantity: Tons:H. Power. — _Y CITY OF ORONO -ff 6I r4y4din u:)i tyiUU ec:a( Ly :Va/w NV:yci Gaa, factory fireplace Wood.bursting factory fireplace with flue _ ..•l�t>ost Sfove . Wood.stove Willi flue Brand Name.'.* = Moc}eTNn. V ;NTILATION Kitcheci Exhaust ducted recirculating 0M Nti.• Hath�Exhastet (must be ducted outside) cfm . :No.. . Other Fans: l ocations cfm [�:i.STORAGE NUS'T BE APPROVED BY FIltl MARSHAL) nstallation, Ri:mnvR} Fuel:oil: gallons underground inside . outside ..LP:Gk: - gallons Otfit:r Gas.opening PIRM11ZBE CALCULA i. l.. 1.22 %'of'Contract Price* or MiAimWt1 Fee , - (conut}ct price 2. I �trrcti '" Add theState Building Coda Division eJ.V Surcharge to eath.perinit. x .4005 $ ► . or'$.50; whiche"ve.r is.greater (eoncract price) 3: i&Stage and.l!landlit Q• (Only. mail-in applications) , 4. . . ".:TQTAL FERM1'1'•.FEE (Add lilies.1-3 above) $ ; CONTRACT PRICE or JOB.CM means the actttal or r9tirttatsd dollar$meront ittrd wprk including materials,laboi.profit,attd uthet fixed costs,'It is the amount to be charged to the customer for•the wsukc dam. ..l€aay material, equipment:labor,or.i86ra1}atit>tr are faraishcd by•the owner,tenant or any other parry the reasonable m6rket value of such items must be added to the e$timnted cosi or contract pries tar permit fee pttc}uises. In dee evEnt that there is enispute nn for attt+►unt of ftjob cost,the Ciry may request tha 9ukitniesion .f a signed copy of the actual eotttract. SURCHARGE it..0003 of the coiatraci price unikr 51,000;(0 or .S.SO- whichever is greater. For valuations uvcr S l��cal,-the Depactge u a buPectioeal-Services f0 the-prica. T}lc uniirrsEgnt;d rel j applies to ibex City_for issuance of a Mechartit-al PertTrlt, agrees co do all work'in.stricr acc4rdatice with.the ordinances of-lite City and the regulations of the Minnesota State itulld�itig Code,.and certifies tharall statements trade on this application are complete, true and cors -It.: �tipplicant's Signatur ' 1 Appr �t}sy:` KECEIVEC MAR 1 4 2005 CITY OF ORONO PERMIT# H USE TING TEST RECORD I/ ADDRESS a CITY I . n OCCUPANT OWNER HEAT LOSS DATE HTG.INST. INSTALLED BY ELECTRICAL WORK BY TYPE OF HEAT GA — FAN HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN F-0 MAKE \ V SERIAL 1 MODEL INPUT(BTU) CONTROLS KIND OF LINER SIZE NONE COMPANY TESTING FILTERS SIZE ll NUMBER NAME OF TESTER PRESSURE , '7) PERCENT CO2 INPUT CFH PERCENT 02 INPUT bo00 STACK TEMP `1 G- l o PERCENT CO ��