The URL can be used to link to this page

Home My WebLink About2003-P06832 - mechanical - PERMIT C I f Y 4 F O RO N O Permit Num ber: 2750 Kelle y Parkwa y- PO Box 66 P06832 Crystal Bay, Minnesota 55323 Permit Type: Me�h��al Pe�its (952) 249-4600 Date Issued: 9i29i2oo3 SITE ADDRESS: 2791 Pheasant Rd EXCELSIOR,MN 55331 P I D: 21-117-23-3 2-0001 DESCRIPTION: Proposed Use: Residenrial Permit Class: General Pemut Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pemut Fee: $ 62.50 Valuation• $ 5,000.00 State Surcharge Fee: $ 2.50 TOTAL FEE: $ 65.00 APPLICANT: Marsh Heating&Air Conditioning OWNER: L N&L C SLJNDET 6248 Lakeland Avenue N. 2791 PHEASANT RD Minneapolis,MN 55428 EXCELSIOR MN 55331 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. APPLI N PE TI'EE SIGNATURE SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Atrolicant, 1-Monthlv Renorts, 1-Assessin¢, 1-Finance Page 1 , . , . , � iy., . � ,^ � � � � � , " . � . �;, # , 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTII,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. 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: ❑ New ❑ Addition ❑ Repair �Replace� Residential ❑ Commercial JOB SITE: 2- �`� � Ph e�sr��T f�l Zip: � 3�] Owner's Name: Le e �- �o� �s� S k�ld��" Phone Number: 9SZ- ��7/ - �6 Fi� Mailing Address: 279 1 Pheas.��r �d City: �XC P/S r'o,� Zip• �533 I �},VL Co ND,'fifa�1"�5 ��c Contractor's Name:M''�2SN N�r"`� `� phone Number: �6�'-S�6��(�7 `,' z; MailingAddress: (�L'/$ LA-/(�CA�o �'P No City: bR��f��+.��1 Pr►�K Zip: SSy2� '� I � ; � . i , , 1 . � � PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or apnliance 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; excludin�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 Pernut $ 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) S��U�°`' x .0125 $ (contract price) (minimum�35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ (contract price) (minimum$.50) 3. Postage and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ *CONTRACT PRICE or JOB COST means the actuai 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�I,000,000 or$.50-whichever is greater.For valuations over $I,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: ��Nil d� Date: ( � 0� Approved By: Date: .. 3 .��-� � � _ .., �_ _. a _x�� , „�� ,.��. �_ _ ..,,�..�. �.,�-r�— —�.�g. ;' � r � s . � s SYSTEM DESCRIPTION - HEATING SYSTEMS Quantity: f � Make: (�-�"�� C��/J�?� Model: �j�ooUN-(Go�-/3S (,So yN 36h�7� Fuel: J1/� /tT Flue Size: �� ` Input BTLJs: �,75�G�D� d pp� Output BTUs: J O$� 0�o s(�,�po 0 -.g CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ 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 �l , : . � HE�TING TEST RECORD (ORSATI ADDRESS:27g1 Pheasant Rd APT: FLOOR: CITY:Excel s i or DATE:I� /a / 03 OCCUPANT: Lee & Loui se Sundet OWNER: HEAT LOSS: HEATING INSTALLED BY: Marsh Heati n & Ai r ELECTRICAL WORK BY: Spark E1 ectri c GAS LINE BY: Marsh Heati ng & Ai r Condi ti oni ng TYPE OF HEAT: GA FA ROOFTOP SPACE HTR UNIT HTR OTHER GAS DESIGN MANUFACTURER: Lennox MODEL: .. SERIAL:�D 3 �D � INPUT: 70,000 BTU's CONTROLS THERMOSTAT: �7 VENT SIZE: y 4 VALVE: � � KIND OF LINER: /7'lv-� S�zE g y NONE LIMIT: �'rRa �; r,.,,.,,,,� �s DRAFT HOOD: �REGULATOR3� LIMIT SETTING: 7 � IFILTERS- �SIZE: ``X�C�u ol " NUMBER: FAN SETTING: ;,�G aC iCHIMNEY- !INSIDE ;OUTSIDE PILOT TYPE: �SC!(�{-� c i CHIMNEY CONSTRUCTION: PILOT MAKE: I PILOT MODEL: 'SMOKE BOMB: '�WIRING: PILOT TIMING: � ��c�� 'DRAFT: ;TEST TAG: L.W. CUT OFF: ��DOOR PRESSURE: I LIGHTING INST: �` �—D3 PRESSURE: GU C '%CO2 , ✓��o ;DATE TESTED: /8' INPUT CFH: �C� I%02 ?� C� �v 'COMPANY TESTING: /�,�i5 L! �' � �C STACK TEMP: � �,� , �I%CO v� 'NAME OF TESTER: � ��-c,-�_ H EATI NG TEST RECORD IORSATI ADDRESS: 2791 Pheasant Rd APT: FLOOR: CITY: Excelsior DATE: ��l a-/03 OCCUPANT: Lee & Louise Sundet OWNER: HEAT LOSS: HEATING INSTALLED BY: Marsh Heati n & Ai r ELECTRICAL WORK BY: S ark E1 ectri c GAS LINE BY: Marsh Heati ng & Ai r Condi ti oni n TYPE OF HEAT: GA FA ROOFTOP SPACE HTR UNIT HTR OTHER GAS DESIGN MANUFACTURER: nn MODEL: G60UH-60D-135 �-O SERIAL: �BL�� INPUT: 135 000 BTU's CONTROLS -.�5 K THERMOSTAT: /d 7 VENT SIZE: � / k VALVE: KIND OF LINER: �<�`"i �slzE�_NONE LIMIT: � DRAFT HOOD: REGULATOR;3�S'=3 LIMIT SETTING: � �I FILTERS- SIZE: �Xo�� a �NUMBER: C. � i � FAN SETTING: ;,s,,t� i CHIMNEY- ;INSIDE �OUTSIDE PILOT TYPE: ,�+�c_ I CHIMNEY CONSTRUCTION:'�`'��►• PILOT MAKE: � � PILOT MODEL: i SMOKE BOMB: i WIRING: PILOT TIMING: oZ Sc �DRAFT: �'TEST TAG: L.W. CUT OFF: !DOOR PRESSURE: ;LIGHTING INST: PRESSURE: �j, ,��fotJ �- �%COZ . 7 9 I DATE TESTED: Q- �D 3 INPUT CFH: ,� I%02 7o COMPANY TESTING: � �C � �^ �C^.-v„-.`_ STACK TEMP: '%CO o�G I NAME OF TESTER: