HomeMy WebLinkAbout2003-P06583 - mechanical PERMIT
CITY OF ORONO Permit Number:
2760 Kelley Parkway- PO Box 66 P06583
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
(952) 249-4600 Date Issued: 7/24/2003
SITE ADDRESS: 225 Northgate Rd
WAYZATA,MN 55391
PID: 36-118-2341-0048
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: $ 61.13 Valuation: $ 4,890.00
State Surcharge Fee: $ 2.45
Misc.Fee: $ 1.50
TOTAL FEE: $ 65.08
APPLICANT: Vogt Heating&Air Conditioning(See Cor OWNER: ELIZABETH VELIE WEBB TRUST
3260 Gorham Ave 225 NORTHGATE RD
St.Louis Park,MN 55426 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.
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File(Si-anitures Required). 1-Annlicant. 1-Monthly Reports, 1-Assessing, 1-Finance Page 1
CITY OF ORONO APPLICATION FOR MECHANICAbNE
Box 66 (2750 Kelley Parkway) O�O
Crystal Bay, MN 55323 6'ONO
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 UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Designs-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 WILL NOT BE PROCESSED. If you have questions, call
:(952) 249-4600.
Please check one: FJ New Addition ❑ Repa>s,[Replace,Residentialential ❑ Commercial
n
yy
JOB SITE: cj (�h ld�l ��1 Zip:
Owner's Name: L-Z u_,e U 1 Phone Number:
Mailing Address: City: Zip:
Contractor's Name: VOGT HEATING&AIR CONDITI(N N6 Phone Number:
Mailing Address: ST.LOUIS pA City: Zip:
929-6767 SERVICE 929.4011
1
r
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: I
Maker
Model:
Fuel:
Flue Size:
Input BTUs: U YY)
Output BTUs:
CFM:
COOLING SYSTEMS
I
Quantity:
Make: V(1 Y1G
Model:
Tons: U
H.Power
FIREPLACES
❑ Gas factory fireplace ,
❑ Wood burning factory fireplace with flue r:
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTILATION -
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No: Other Fans: Locations 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
.r'
PERMIT FEE CALCULATIONS)
2002 State Statute ❑ Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less; excluding 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 $ 611- 13
(contract price) (minimum$35.00)
2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50)
_x.0005 $ <� 45
(contract price) (minimum$.50)
3. Postage and Handling(Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE(Add lines 1-3 above) $
*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 is 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: 14 Date:
Approved By: Date:
3
HEAT LOSS CALCULATIONS
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19_
/ F1.1 4.z, Room I Length Width ?,k, Height �' FI.) Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Craekage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of Dane of pane lights of crack sq.ft. No. of pane of Dane lights of crack sq.ft.
Coef. Btu Coef. Btu
Infiltration 3_2y 3J 15;y.? Infiltration
Glass v"Z?v y 2 Glass
Exp.wall Exp.wall
Net exp.wall /3d / S Net exp.wall
Int.wall % rx,�� Int. vall
Ceiling 3(b /ryx 2 Ceaing
Fluor —' Floor
Total Btu. 'fs'1 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
!!�f F1.1 Room I Length 5- Width Height �7 FV Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Helght No.of Lineal ft. Area Width Height No.of Lineal It. Area
No. of pane of pane lights of crack sq.ft.
No. of pane of pane lights of crack sq.ft.
Coef.1 Btu Coef. Btu
Infiltration fy ?? 1S �h� Infiltration
Glass f4 Glass
Exp.wall Exp,wall
Net exp.wall 9, (fl,/ Z Net exp.wall
Int. wall &a 3 sl_ `GS' Int.wall
Ceiling Ceiling
Floor Floor
Total Btu. 23 2,0 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins.W.A. Leader area
ffl Room I Length Width Height F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Helght No.of Lineal ft. Area Width Helght No.of Lineal ft. Area
No. of Dane of pane lights of crack sq.ft. No. of pane of pane llghte of crack sq.ft.
Coef. Btu Coef.1 Btu
Infiltration Infiltration
Glass Glass
Exp.wall Exp.wall
Net exp.wall Net exp. wall
Int.wall Int.wall
Ceiling Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft. E.D:R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _
I Rnnnt I I_encrth Width Height Fl_I Room I Length Width Height
Pb (015 1-75 0L'�I0
03
HOUSE HEATING TEST RECORD
ADDRESS �� ``Cy� "'' C �� Poop APT. FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
144
SOLD BY INSTALLED BY --
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
/ ,C GAS DESIGN CONVERSION
MAKE t`r (14U`\ MAKE OF BURNER
Model U F FU Model
Serio) ,'�U3 a LHO Y) Max. BTU Rating
INPUT �l�t � MAKE OF FURNACE
Model _
CONTROLS [f�
THERMOSTAT 'k'I t Plug �^ Vent Size
Valve KIND OF LINER SIZE N N
-Regulator
'
Limit S 7� �v Drnft Hood IL 1 9IZy
Limit Setting Filters Size Number
Fan Setting Chimney Location Inside ` Outs'd•
Pilot Type Sit n Chimney Construction ti (, t
Pilot Make
Pilot Model Smoke Bomb Wiring
Pilot Timing SI'C Draft Test Tag
L.W. Cut Off Dow Pressure j l Lighting Inst.
Pressure 3' Percent CO2 Date Tested ��`�
Input CFM fJ �1 Percent O2 { Company Testing 0
Stack Temp. Pocent CO 010 Nome of Tester 1