HomeMy WebLinkAbout2009-00783 - mechanical � ' CITY OF ORONO PERMIT NO.: 2009-oo�s3
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/04/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1998 SHADYWOOD RD
PIN : 17-117-23-24-0028
LEGAL DESC : SHADY-WOOD
: LOT 041 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,150.00
NOTE: HEATING SYSTEM
BURNHAM-MODEL P204H
NATURAL GAS
96,000 INPUT BTU'S
APPLICANT MECHANICAL 64.38
WILLIAM F.RIDLER PLBG&HEATING STATE SURCHARGE MECH(VALUATION) 2.58
2908 HARRIET AVE S
MINNEAPOLIS,MN 55422- MAIL-IN FEE 2.00
(612)827-4674 TOTAL 68.96
PAID WITH CC# 4750
OWNER
TRUSTEE,JANET SOLTAU
1998 SHADYWOOD RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
pertnits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if consVuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause,
1��.�� ��,0 51 � 9 ��, o�o
Applicant Permitee Signat • Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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� CITY OF OXtONO—MECHAIVICAL PERNIIT .
(M commercial permm mnat bc ap�+ovod by du Bui1d'u,g ot'ficiat or lnspeaor and/or Fire nrtaistiauj
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1_ Xou may spply f�mechanitxl permits by msi]or in person az the City office.s. Applications will
be reviewed aad a ptmut will be issued wi[hip two'uvorking days.
2. P«mit cards will be sent by cctcun mail after a review is eomplete�. PERMLTS ARE NOT
V,AI,iD UN'I�,YOU RECE�VE A YE�RMIT. WORK MUS�'NOT BEGIN L1Nx'1L T7�
PERMiT C.A,I.tA L5 POSTED ON'fHE JOS 5TfE.
3. Moct��ical D_esi�ns—Complcte cslculations,details aad spccifications are required for each
heating vemilation,h�unidificatioA-dehumiditIeation,and air condhioaing installation ineluding
heat loss/hest gain calculatioa,design tanpaatucea,equipment ratings and idecttiSeation as to
type,maaufach,rcr�►d modet. Aata shall be preseated on form providcd. •
4. 'When arry new constiuction or remodeling is involved,a separate build�g petmit must be
obhained.
S. AIl wock m,ust b�donE in a000rdance with the CJniform Mcchanical Code/Stat�Building Code
requiretnerrts.
6. All work must be lnspected(rough-in and fmal). Ca11(952)249-4600.
(24-48 hour not3ce reqaire�
7. Houso Ficating Test Reoor+d mnst be submitted beffare final.
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�Re.�,idemisl ' �Commercia!(Approva!Require,d)
❑New ❑Additiooaa ❑Rcpairs �lace
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Site Address: ���g ��c���w�
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Owner: n+e,� `�Jo� �a.� Mailing Address: �q5 g 51�,�du
City: �o�D Zip: 55 3"��
, Home Phon�:��a . y'1�•�`13 i . Alternate Phone: ,
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Contra.ctor. V�.a� � �����¢,�- Comact Person: �'�A.r �c��rSor1�
Address: o�90F� ��r��¢�,�r 1-�S State Bond#: 3 —1nr� I
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City: � � �S Zip���0�Expiration Date: �-11—a.01 O
Phone: �o�, R a7 �4�e`t`� Alternate Phone: �p j a. O`�-v; 41��
. ❑ InsuraKtce—Current: �e�n, �,\ ��S
1
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- _�
Nvte:Ali Geathermal Systems will now require a Site Plan 8c Review by our Building Officlal.
iS T1iiS CEOTYiERMAL? ❑yes �o
HEATIIITG S'Y3TEMS
Q��Y� (
Make: h �
M,�del: Q �
Fuol: p��� Q ,
Flue Siae:
�nput BTCTs: �lo,ap0
Outp�t BTUs:
CFM:
COOL�NG SYSfEMS
Quantityr
Make:
Model:
Tons:
H.Power
FiREPLACES
� Gas Factory Fireplace Brand Name:
❑ Wood Buming Fit�eplace
8 W�S� Model No.:
❑ Wood Stove Wich Flue
�A.TlON �
� No. Kitchen Ext�,aust duct racirculating cfm
❑ No_ Bath Bxhaust(must have duct outside) cfm
� No. Other Fans: Locations �
FU�L STORAGE (Must be approved by Fn Marshcll�fProposfng to ab�ndon tank In place)
0 �tts[allation a Removal
Fael Oil: gallons ❑ Underground �Inside �Outsidc
LP Gas: gallons
Other:
CAS LINE ONL'Y
❑ O�door Cmill � Oth«/List What 8t Where:
2
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❑ Yes,this sectlon spplies
The replacement of a Rcside�ntiai fxNre or applianoe that meets ali three of thc followin�reqniraments:
1. iaoes not roquire modificxtion to eleclrical or gas service. �
2. Has a total cost of 5500.00 or less;excla ' thc cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homoowner or licensed co�actot:
Slcip ntzt section,if tbis applles, Cost of Pernlit $ 15•00
State Su�charge $ .50
Mail-In Fee(If Applicablc) $ 2.00
Toial Permit�ec S
�s
� � Y � ��.G.l' , �
If above does not apply;follow guidelines below: '
1. CONTRAGT PR�G'� �is 1.25%of comract price with a(Minimum Fee of 550.00)
5150 X.oias s (a�k ,3�► .
(����) cm��m sso,00�
2• S7'A7'L SU�tC�ARGE **Add the State Bldg Code Div.Surohsrgc(Mlnimom Fce of 5.50)
. 5� 5o x.0�5 $ a , ��
. c�a�� c��a .so>
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �,p0
4. TOTAL PERMI'T FEE(Add Lines I-3 Above) $ ���y
■ s CONTRACT P1tYCE ar 10B COST means the ach�al or eszimated dollar amo�mt charged for th�
permitted work iacluding maztrials,Iabor,Profit,and ad�er fixed costs. Ft is the amount to be chac�ed
to the a�stomer for tfte work done. If any material,equipmeirt, labor or installations are furnis�ed by
. tt►e owner,tenant or any other party,the reasonable market value of such items must be added w the
estimacod cost or cotcaact price for pennit fee purposas. ln thc eve�t that theee is a dispu[e on the
amo�mt of the job cost,the City may rcquest the submission of a signed vopy of the actual contract,
■ **The STATE SIJRC.HARGE is.0005 of the�uilding Departrnem at(9S2)24911600 fot�e price.
The undersigned heneby applies co tlne Ciry for issuance of a Mochanical Permit� agrees to do all
work in strict accordsnce with the ordina�n,ces o;f the Ciry and the regulations of the S�ate of
Minnesota, and certifies that all statemqrts made on this applie,ation are comptette, true a.nd
correct. � ;
ApplicanYs Signattae: ��: \\—�---Q�
�e ■ �- ,�p!�� ����`�
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11/03 2009 18:55 612827B292 W.F. RIDLER HEATING 6 COOLING #4769 P.005 /007
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To: City of Orono � Dafie: 11/4/09 �
Phone: 952.249.4600
Pax: 952.249.4616
Subject: MECIiANICAL PERMIT FOR 1998 SHADYWOOD
Following is a permit application for a boiler replacement. We are
including a heat loss calculation, certificate of insurance, State
mechanical bond and competency card for the pipefitter,
In order to expedite the paperwork, we would like to pay by �redit
card. Please call to advise if all is in order, the amount due, and to
obtain the credit card number.
�`�o�..�. ,
Nan Anderson, Office Manager
Wm F Ridler Plumbing and Heating Co In�.
612.827.4674 ph
612.827.8292 fx
� � �
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� � � V
11���/� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED � � • �
PERMIT NO.�-�C��C�� COMPLETED
ADDRESS � �
OWNER � CON . � �1I � IC�I"Y1 � •
TELEPHONE N0. � S��' � � � I � ����
� DESCRIPTION �����--- �� �'lp1 I
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOH TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
/
W ❑CORRECT WORK&PROCEED �� roSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTIONRE�UIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on sit :
Inspector. l �l /,C���� �
White Copyllnspector's File Canary CopylSite Notice