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Home My WebLink About2004-P08141 - mechanical ., PERMIT C I�Y O F O RO N O Permit Number: 2750 Kelley Parkway- PO Box 66 P08141 Crystal Bay, Minnesota 55323 Permit Type: Mect�a�icai Permits (952) 249-4600 Date Issued: ioi2si2ooa SITE ADDRESS: 1365 Park Dr Mound,MN 55364 PID: 07-117-23-41-0080 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Permit Type: Mechanical Permits Pernut Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: Furnace and new flue liner,new A/C coil FEE SUMMARY: Permit Fee: $ 67.50 Valuation• $ 5,400.00 State Surcharge Fee: $ 2.70 Misc.Fee: $ 1.50 TOTAL FEE: $ 71.70 APPLICANT' Sedgwick Heating&Air Conditioning Inc. OWNER' John&Terry Young � 8910 Wentworth Avenue S � 1365 Park Dr Minneapolis,MN 55420 Mound MN 55364 T�IE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCFS AND SfATE OF MINNESOTA BUILDING CODE REQUIREMENTS. \ l�vt-e�c.e �� APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Aunlicant, 1-Monthlv Revorts, 1-Assessin¢. 1-Finance Page 1 �_ �� , , �__ a CITY OF ORONO APPLICATION FOR NIECHANICAL P�iTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pemut wili be issued within 2 working days. 2. Pennit 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 DesiQns - 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. Ideatification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remod2ling is involved, a sepa:ate 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 fina�). Call 473-7357. 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 473-7357. Please check one: New Addition Repair ✓Replace sidential Commercial JOB SITE: Zip: o�L�ro�-/ Owner's Name. p : Telepho��Numb�r: �So1, y7d- lo��i� Mailing Addre . c City: Zip: Contractor'sName: TelephoneNumber: MailingAddress• . Cit�: Zip: �� . . SYSTEM DESCRIPTION - ��'�4y 4i J'."�- '"��,�m�,s� ��..... ...��Q�.� HEATING SYSTEMS Ouantiry: � _., �� Make: � � � �1r�?k Model: - �//IlP �C_L/D ' ' � Fuel: ' Flue Size: i��_ Input BTUs: /C,�, v Output BTUs: CFM: COOLING SYSTEMS Quantiry: Make: Model: Tons: H. Power � WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue Factory Fireplace (s) Freestanding Masonry Wood Stove (s) Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. Total VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Eachaust (must be ducted outside) cfm Na. Qthzr Fa:is: Locations cfm Total FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) ��Gr� ' x .o12s � �7.�a (contract price) 2. State Surchar�e. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ ��_ 7� (contract price) or $.50, whichever is greater 3. Posta e and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '�, 7 v * 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 are furriished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimared cost or contract price .or pcmut fee�urposes. In the event that there is a dispute on the amount of tbe 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 conect. Applicant's Signatur�:- � Date: O `�'}2l Approved By: Date: V �/�OA� TIME CITY OF ORONO LLED IN �� INSPECTION N TI E SCHEDULED �S' e?..' �� PERMIT NO. co PLETED ADDRESS ��bS G��'K- � OWNER CONTR. I v TELEPHONE NO. �SZ O �/ �DO � DESCRIPTION��i� f`�%� � 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 REMOVAI Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � J 0 a � 0 � W � Q � z W � W � � d W� ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR RE�NSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION iSSUED ❑ INSPECTION REQUIHED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (g52) 249-4600 OwnedContra ite: Inspector. White Copyllnspector's ile Canary CopylSite Notice SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.S'� �� 6 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS,MN 55420 • (952)881-9000 TEST RECORD ADDRESS � � '��' S rl'A/'� �'� '^ CITY �� a`1- d ��y¢�� ✓�K''C ' ��ti ` OWNER �-.. NQV OCCUPANT i � SOLD BY S ��'1 W 1 C � INSTALLED BY i',�Y o�':�— _� �oNQ MAKE ��^' `� �` MODEL �' �' � �� SERIAL NO. �9� Y� �l-S� 9 INPUT �� e � � Q C rl O THERMOSTAT � � � � b d VENT SIZE �� P� Y � L�- VALVE h�° jt��,?``'r �� TYPE OF LINER ��'�- ~� y "� � LIMIT 1 '�� 1 l LINER SIZE � LIMIT SETTING 1`�� a FILTERS: SIZE c� K `z S �� NUMBER l FAN SETTING � ��-� `r WIRING J��V�� Q� PILOT TYPE �i ��C f�r '� ( L TEST TAG k,l IGNITION MODEL ��`S i LIGHTING INST. ✓ PILOT TIMING� '1 > "'� j0-� ) - O� G DATE TESTED PRESSURE �"� ' �� C PERCENT COZ �/� � COMPANYTESTWG ��ti w ��- � INPUT CFH �l � PERCENT O2 `� 9e STACK TEMP. t�U � PERCENT CO � r� NAME OF TESTER �� "� (�v�� FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELLOW COPY-CITY