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HomeMy WebLinkAbout2003-P06071 - heating system PERMIT C I TY O F O RO N O Permit tvumber: 2750 ��Iley Parkway- PO Box 66 Po6o�i Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Permits (952) 249-4600 Date Issued: 2�2s�2oo3 SITE ADDRESS: 2715 Pence La Excelsior,MN55331 P I D: 21-117-23-3 2-0007 DESCRIPTION: Proposed Use: Residenrial Pernut Class: General Pernut Type: Mechanical Permits Permit Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 35.00 Valuation: $ 2,500.00 State Surcharge Fee: $ 1.25 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.75 APPLICANT: Vogt Heating&Air Conditioning(See Cor. OWNER: Steven Synder&Sherryl Stern 3260 Gorham Ave 2715 Pence La St.Louis Park,MN 55426 Excelsior,MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMEN'TS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � CiI',Yy�'.e�I APP ICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Acrolicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1 � � 1 CITY OF ORONO- APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) � - ' � • ` Crystal Bay,,MN 55323 ,, � . t - - , _ � � . . .. _ . , ' -, �, z�<r { � 1 I :.V. ♦e t,b ��.`:�4�. ...:�. -. �:.'S� � � .-:"t �i . s ��` rf n'3�iT^r?'��5',. GENERAL IlVF�RMATTON; ,. _ „ _ � . � , . , �� • ,�; -> . . ..._ � �...:k 1. You may apply for mechanical permits by inail or in person at the City offices.Applicafions will be .� : reviewed and a permit will be issued"withiiiFtwo working days. ° �°� ' 2. Permit cards will be se tb�%returq mail after a,review is completed.PERNIITS ARE:�IQT,VALID,� �t.. �: UNTII,YOU RECE�. �;PERIVIIT�WO�MUST NOT BEGIN-UNTII.,-THE PERMIT:CARD�,iS - ' g. == � :.- a,r ,�.. • ': � ,-�. POSTED ON Z'HE JOB SITE. _ ��z� s,,;: � L v. 3. Mechanical Desi�ns�`�Complete calculations,'details and specifications are required-fory�each heating, �...-_ ventilation,humidification=dehumidificati,ona and air conditioning installation includ_it��eat loss%heat ., gain calculation,design temperafures,`equipment ratings and identification as to type,manufacturer and model. Data shall be presented on forni provided.Identification of and specifications for water heating • nhall also be provided. : equipment s � 4. When any qw cons�truction or remodeling is irivolved,a separate building permit must be obtained.. � 5. All work mu5t be done in accordance with the Uniform Mechanical Code/State Builduig Code , . .;,. requirements. � 6. All work must be inspected(rough-in and final).Call(952)249�600.24-hour notice required. _ 7. House Heating Test Record must be suba�itted before fmal. - , _ ,:, t ,. Instructions . , _. : ,�. _ Complete all items o�;tlus,apphcation. Cqmpute the permit fee,Sign and date the cerhfication ,,::-_ - _. � WILL�y�T BE PROCESSED.If you have queshons, call , ;, INCOMPLETE APPLI�ATIONS. �,(952)249-460Q. ����k� � - K�... , �, � r � � ���` . . �4 .»�`.",' . ' . _ �;.. _ e" �, �: w��. x (::< { ir., i? ;;5tt a� :� .a:q;uk, �, g:�r, �`,�r�f;y���+�,� �r�`�Y ;;�� 4 ;AM .,S � :4 . �� , ' m:-�M �'''a �, � ... ���� s r;5, - ,'t a.� '� 'S'r _ �... „ . . ,�. ..-: .�-..:.-.:,:.,Q,.. �.,. . . .{� -. .�.. .... . , . �. � .. _ . .. . ..__ _ ..,... ,,, . �.».� . ....��._�.:a�.W.P. .•.i:� „ w.:.;:a�..s<s:� . .' � . . .. . ., :, . , . . . .� �.. . ._,.. . . . .�_.,,. ...... . . a,. _ . - � . . � . . ... .��<. ;.:.. . . �; .. .:-.. . . .. � . .., ::.. ':t. r _�. �� . . . } ..,..- , . . ..:.� ' ' • � JOB SITE: Jr � � Q._ Zlp.� ` Owner's Name: � Phone Number: Mailing AddrFss: U�_ City: Zip: : Contractor's Name >:y ���+►basa� � hone Number: �:�� :.: t�r,�,����� Ma�ling Addriess �- �-�;.�,� ��IIN�1� � ,.r Zlp:� ;�� 7�. ��� � . ,, . . . ....-." , ' ..,{ � . r � � e �j. ,y.�. , .. ... �,�� �k� i����4'[car `�,-' _ i m�� :,� , ��1 �:� ��� �� �:��.�: . l�� ° �,_�� �� � - � �� _ � � . ;;��, ��.: � �::� �.�: �� -�� ��; �., � .. �� > � � �� c: z_, :�� ,��-: .�°�� - . �. � �� '; °�� ����� , x x� ,,�� ���; , � _ , . _ . Y �-e. 5' ..� . �+ r . . ., _ „2....�.y; ...- - .�: . . ... .... . -:.. 7�`. �f"j�«.,��' '�i. ' . . � . . . � - � . . ,e - . r � . . .. . ..x ry.��. . � . . . . ' ' . .,.. 'YtL.: ���,..: . . SYSTEM DESCRIPTION - �.. . F .: � ��.•���_; HEATING SYSTEMS 3 a � �. - Qu�t�ty. . . . � ,. . . . . � . � ..... . _ r�l4. ' . �. . . . . . . . K . . .. . .. . . _. -.qagd} �"" ,:'�. . �, � ..' ' � .; . • _.. .. ;:� �x ' M�e: � � nno�r . .� . �..�,F Iviodel: L 1'�y-�J(/y)r�`.r�f _ _ �,:. �� ,r,� .� Fuel: �_�C�_� � ��- - Flue Size: _ � , `��:. : �=:,� z �� _ ��`� . �,�� � , p �Sm ���� � u � � ut a�rus: � �_�- �� ��,�� � . , �, . -ontput sTuS: � , � { � �M r rt,.�. , . � �-.;�-�.�z,� CFM: � _ �> ' . �, . �. x _ . . _ _ __,;�_..��.._ . 3._,$ COOLING SYSTEMS Quantity: . � - Make: Model: - .� ,;;�����. � � . . . ":E, -:-:.b; Tons: H.Power ��M�z.�,.:: _ _ . , ` ',.:�'�,<. � , ,. . _ _ .. _ .:.._ ._.,,�:�. _ . ._ � . . . _ -- ,. _. � � _ . . . .. ........... . . � �� 4:. . :. '". . ' . . . �.'� . . ,.. � . -; = FIREPLACES" ' . � ;� ���i�y � -: u.. . I�, �.r..i��, ��,�� �- i � �-. � ��r �. ��. ': � , us ti �s� i ���`�": ��'�`5'7.�J eG�,SS�, .�BC�. ;aE�rr. '`� �� .�. - A� , 'k � , r� � . � .� ,� _ �- � ��, .� ,� � ar3':f�� ��. .� 4„ , . .' . . _ _ , �� '��� - . � � ,i. � - a „ ., -- � � � _>, _ ,..; _ .. ,,,,.._... ,.:_ �:.x. . . . , . . t-.,,�:� .`nw.,:�.,�.. j. , �•n >. �. :. , , .�. ❑ Wood s�ove with flue - � :��� _ .. . . . . .. . . . nx+.zcy:`r... Brand Name Model Na �� ;:. ; ,_ .. . - � . �. ��� . VENTILATION{. ,-:_: ... . . _..:_. . . . _. :-.._.;. .. , : :. .: _ ,: ... .. .: �.�r�x�;� � � No. � Kitchen Exhaust duct recalculating cfm w � No.�Bath Exhaust(must have duct outside) S� cfm - � �` No: Other Fans Locations .. .- .:' m - .,- . . , � � _ . . , cfm ' . . .. . ...:._ ..,_:,..: .: ,..,. .. . _.; . . ::. -�,_�- � >^' : .� ...: . : ,.�„ , ,... , F ,; ,.: , r -�t��s ; . �*- ni �`, . : .., . rx��"7 '.+� ,. .. : . . : ;.°�FUEL STORAGE(MUST BE APPROVED�BYrFI]ZE�v1�►RSHAL) . , _ . � ��y , ... � ° `� Installation or ❑Removal 3`` � . ���� � []Fuel oil. - ' : allon.s . under ound� uistde ,Qoutside 'b� ��� .� __. ��..---,.8.� ❑ .._�,.,. S�'.W ��r_ . . ,.. _. �_ _ . . _ . . . ..��� . _. � �LP Gas: gallons - ' _ . _ , ` , _ �-�--f � ❑Other =:Gas npening �-� , - . � . . f F...�'t , � a , . i � . � 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 following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludine 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 I If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) 0�5�•— xA125 $ ��•� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(S.50) �(�� x.0005 $ I ' � (contract price) (minimum S.50) 3.PostaEe and Handlin�(Only mail-in applicationsj $ _ 1.50`��: .:.. �� � .� � .-.. . . � . .. .5s� `PS:�.f'Y.. . . ' . .:,. :� . ,rt: . .., - ' � . . . � . . � ' � � . . . 4.TOTAL PFRMIT 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 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 greater.For valuations over $I,000,000 ca(1 the Department of Inspectional Services for the price. 'fhe undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict acco;dance with the ordinances of the City and the regulations of theMinnesota Sfate Building Code,and certifies that all statements made on this application are complete,true and correct. _ ; � ApPlicant's Signature: { � �.���v�J. Date: ;:�/��. ' � ___Ltit.�.1'`. � Approved By: � = Date: ' : ' 3 HOUSE H EATING TEST RECORD ���G� � `O�` ��3 � ^ / ., ADDRESS � �/� r�C� `-��� APT. FLOOR CITY SUBURB O�k� OCC�PANT OWNER . 11EA�LOSS DATE HTG. INST. SOLD BY INSTALLED BY ��C `� � ` El�ctricol Work By Gos Lin• By �`�u'�� TYPE OF HEAT GA FA HW STEAM SPACE HTR. �z�UNIT HTR. OTHER j GAS DESIGN CONVERSION MAKE �`- n�N� MAKE OF BURNER Mod•I L- � �� ' Mod•I S�riol �3 � ? Max. BTU Rotinq INPUT ����� MAKE OF FURNACE Mod•I _ -�f�/�/ CONTROLS �ll THERMOSTAT �o �� H. t Pluy �^ V.nt 5i:•_ Volv �Q �ad� KIND OF LINER SIZE 0�� Limit S�h�CV Draft Hood ��r� R.�.,laro�� Limit S�niny Filt�rs Si:� Numb�r Fan S�ttin � � C3�imn� Location Insid��0utsi Pilot Typ� ^ 7 t`�� Q�imn�r Construetion � � �S-� � �— � Pilot Mok• Pilo� Mod�l � � `�� �U� Smok� Bomb Wlrinq Pilot 7imioy � S�C Draft T�st Taq � L.W. Cur Off Dow Pr•ssw. Liyhtiny le+st. � Pr�ssun � P�►e�nt CO '� Dot� T�at�d �� ^ � 2 I�put CFH �T ��� P�rc�nt 0� ��T— Cornpany T�atiny �� Swck T�rnp. �_P�rc�nt CO ��d NonN of T�st�r HOUSE HEATING TEST RECORD v�U� 1 �a��3 ADDRESS �� �� Pr�C�'% �A'�� APT. FLOOR CITY SUBURB O��O OCQIPANT OWNER HEAT LOSS DATE HTG. INST. +��� � SOLp.�,,BY INSTALLED BY V'��� c ! �, W��col Wo.k By Gos Lin• By � TYPE OF HEAT GA FA HW STEAM SPACE HTR. �UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE � KN�X MAKE OF BURNER Mod�l ' — AAod�l Swiol Mox. BTU Rotiny INPUT �r<�� MAKE OF FURNACE INod�l_ CONTROLS 4 THERMOSTAT � �� Hwt Pluq V�et Sis�_ Valw 112�av KIND OF LINER SIZ N Limit s7r�'`` � Wok Hood �� Rpulowr k "� 0 Limit S�»iny Fi1tNs Si:� Num�► Fon S�ttinq � n . t]�ime�r Location lesid� Ountsid� Pilot Trp� ' ''�� C CJ+imn�r Constnidion —��� ��—11 Pilot Mok� `� Pilot Mod�l �� "�n� tV�` Smok� Bomb Wirinq �� Pilot Timiny S � Draft T�st Tao L.W. Cu�Off �^ Door Pr�ssw� Liq�Hna Inst Pr�ssw� �' P�rc�nt COZ�� �ON T�at�d � Input CFH dUV PNc�nt 0� Co�o�r T.stt�9 Stock T�nq. �T_PNpn1 CO �'V Non»of T�sta l C���� DATE TIME � CITY OF ORONO CALLED IN '-a.� INSPECTION N TICE SCHEDULED : � � PERMIT NO. COMPLETED ADDRESS r�`7�J�" ��G�- �Gh��� OWNER CONTR. ��,�� �d� TELEPHONE N0. 9. . �'�- �' � �`7(c�'7 � ,/ /�, � DESCRIPTION -� /"�C�i�--. � 01 FOOTING 11 MECHANICAL RI � 1s8, CAY/GRADIN LING Q 02 FRAMING 13 MECHANICAL FINAL �a�L�9��OR�E?� y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR T EET YOU YES_NO ` t � COMMENTS: ' � � � 4 � 1���� � Q �� j� � o L41 �" � � 0 � W � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W O CORAECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CA�L INSPECTOH ❑INSPECTIONREDUIRED.CALLTOARRANGEACCESS. Cail for the ne inspection 24 hours in advance. (952) 249-4600 OwnerlContrac,t�n i e: Inspector. ��-- White Copyllnspector's Fil Canary Copy/Site Notice