HomeMy WebLinkAbout2005-P08497 - mechanical PERMIT
C l�TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 P08497
Crystal Bay, Minnesota 55323 Per'mit Type: Mechanical Permits
(952) 249-4600 Date Issued: 3igi2oos
SITE ADDRESS: 425 Oxford Rd
Long Lake,MN 55356
PID: OS-117-23-41-0023
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
&Gas Line
FEE SUMMARY: Permit Fee: $ 38.75 Valuation: $ 3,100.00
State Surcharge Fee: $ 1.55
TOTAL FEE: $ 40.30
APPLICANT: Heating&Cooling Two Inc. OWNER: Jon&7ane Schwartzman
18550 County Road 81 425 Oxford Rd
Maple Grove,MN 55369 Long Lake,MN 55356
<
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.
�
� �� -
�,� � % � j� ��� � �, �1�1 ��i � r���_1
APPLICANT PERMITE SIGNATUR ISSUED BY S[GNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
� Mar-10=2004 03:03pm Fro�-CITY OF ORONO +g522494616 T-899 P.001/003 F-339
CITX' OF ORONO . ,A.PPI,ICA'I'�OTT FO�t MECHANICAL P�tivIIT
Box 66 (2750 KeIIey Parkway)
C�ystal Bay, MN 55323
� �II�tAI.INFORMA'i'��N
I. 'You may apply for mechanical permits by mail or in person at the City offices.Applications will be
reviawed and a perazit will be issued within two worldng days.
2. Pernut cards will be sent by return mail aftrr a review is completed.P��tMITS AlZE NOT VALID
UNTII.YOU RECEIV$A PERMTT.WORK MCTST NOT BEGIN UNTIL THE PEIZMTT CARD IS •
POSTED ON THE JOB SIT�.
3. Mechariical Desi�ns-Complete calculations,details and specifications are required for each haating,� �
ventilauon,humidification-dehumidification,and air condirioning inscallation including heat loss/heat
gain calculatian,d�sign temperatures,equipment ratings and identification as to type,manufacturrr and
model.Data shall be presented o�form provided.Idenrification of and specifications for water heating '
equipnteni shall alsa be pro�vided. �
4. When any new construction ar remodaling is involved,a separate building perniit�s►ust bc obtaiued.
5. All work must be done in accordance wi�h the Yl'niform Mechanical Code/State Building Code
requirements.
6. All work must be inspeeted(rough-in and final).Call(952)249-4b00.24-hour notice r�quired.
7. House Heating Test Record must be submitted before final. •
Ynstru�tious
Complete all items on thi,s application. Compute the permit fee. Sign and date the certification.
1NCOMPLETE APpLYCA�ONS WII�L NOT BE PROCESSED. If you have questians,call
(952)249-4600.
�c�r���� �
Please check one: ❑New [� A,ddition []Repair ❑Replace� Residential ❑ Commercial
�OB SYTE• � � C�J� ��.%' zip:
Owner's Name: �� Pb�one Number:
Maiiiwg Address: City: �ip;
/ �
Contractar's Name: ' C.o f��v� ��o Phone Number: ��� `�Z� �� ��
Mailing Address: � l City: G��, � Zip: ,�;'��C'i
1
' �ar-10-2004 03:04pm From-CITY OF ORONO +g522494616 T-B99 P.002/003 F-339
SYSTEM DESCRIPTION �
H�ATINC SYS'Y'EMS
Quanrity: ��_
Make:
Modcl: �
Fuel: �
F1ue Si2e:
Input BTUs:
Output BTUs:
C�i:
COOLINC S'YSTEMS �
Q�h�
Make:
Model:
Tons:
H.Powtr
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplace � Tnstalling a Gas Line Ouly
❑ Wooci burning factory fireplace v�+ith tlue
❑ Wood Stove
❑ Wood stove with flue
Brand Name Model No.
VENTIY.�iTYON � e�l� ��/!o f'7a�i'`'� �� A->ti' v�,,�� .
/ZFd7 v�T i�a� G�i� /���
No. Kitchen Exhaust�duct rccalculating cfm �
No. Bath�xhaust(must have duct outside) ,�,cfin
No.�Other�ans:Locations cfm
Fi7EL STORAG�E (MYTST BE.APPROVED BY�Y�tE MAIZSHAY.)
❑Installation or [a Removal
❑Fuel oil: gallons ❑underground ❑inside []outside .
❑LP Gas; gallons .
[]Other Gas openi=tg
2
� Mar-10-2004 03:04pm From-CITY OF ORONO +9522494616 T-899 P.003/003 F-339
�� -
PERMYT F�E CALCULATYUN(Sl
2002 StaEe Statute ❑XeS This Section Applies �
The replacement of a Residc�ntial fixture or appliance that meets all tt�res of the following requiremtnts:
1) l�oes n_e_t require modification to elechical or gas service.
2) Has a total cast 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.
Sl�p next section; Cost of Pem�it $ 15.00 �
State Surcharge$ .50
Mail-Tn Fee $ 1.50 .
If'above does not apply,follow gaidelines below:
],. Contract Price*is .0�25%of jab with a M➢nimum�'ee of fS35.001
��da x.0125 $
(contract price) (minimiun$35.00)
2.State Surcharee. '��'Add the State Building Code Aivisiou a Minimum Fee pf($.50� •
x.0005 $
(con�act price) (minimum$.50)
3.Posta�e aud Handlin�(O�sly mail-in applications) $ 1.50
4.TOTAL PE�1�T FEE (Add lines i-3 above) $
�CONTRACT PRICE or JOB COST tncans slit actual or t5timated dollar amount chargcd for the permitted work irtcluding
material5,labor,profet,�nd o�her fixed coscs.It is the arr►ount to be charged to the customer for the work doQe_If any material,
equipmeltt,labor,or instsllation is furnished by the owner,tenant or any other patty ihe�easonable marite�value of such items
must be addtd to�te estimated cost or eon�raet priee far permit fee pqrposes,ln dte event that there is a dispucc oa the amounr of
the jab cosr,[he Ciry may request the submission of a signed copy of[he ae�uat eonttaet. ��
•'The S't'ATE SURCHARGE is.0005 of the contract price under S 1,400,000 or$.50-whiehev�t is gteater.Foc valuations over
$1,000,000 cail the Aepacvnenc of Inspectional 5ervices for the p�ice.
The undersigncd hercby applies to the Ciry for issuanee of a Mechanical Permit,agtees to do all work in strict sccordance wich
[he ordinattces of the Ciry arsd the reg�ladflns of the Minnesots State�uilding Code,and certifies that aU staiemencs made on this
application are completc,trae and correct.
r
✓ 4,/�
Applicant's Signature: Date:_s�� �
Approved By: Date:
3
�.
Date: 2/24/2005 Revision Date: 2/24/2005 Existing Construction: Pre 1994.
Site Inforr�'ation
Address 1: 425 OXFORD Project#:
�
Address ?: � Lot: Block:
City: County: Subdivision:
Application Information
Business Name: Heating & Cooling Two Inc MN Contractor License#:
Contact Person: AI Hebing � �
Office Ph: 763.428.3677 Fax: 763.428.3682 Cell Ph:
Address 1: 18550 County Road 81
City: Maple Grove State: MN Zip Code: 55369
Square Feet
Square Feet: 9000 sq. ft.
Combustion Appliance
Water Heater 1: Natural Draft Input BTUs: 75,000 Independently Vented
Water Heater 2: Natural Draft Input BTUs: 75,000 Independently Vented
Furnace/Boiler 1: Power Vent Input BTUs: 100,000 Independently Vented
Furnace/Boiler 2: Power Vent Input BTUs: 80,000 Independently Vented
Other Combustion Appliances
Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): Yes Solid Fuel Appliance(s): Two or more
Exhaust Equipment
Exhaust Fan Rating (cfm): 960
Make-U Air
Total Make-Up Air Required (cfm): 358
Power Make-Up Interlocked With Largest Exhaust System. (cfm): 358
No Passive Make-Up Air Required. � • '
Applicant Name (print): Signature/Date:
Code Official (print): Signature/Date:
�2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1