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Home My WebLink About2005-P09152 - mechanical PERMIT CIT* OF ORONO 2750Xelley Parkway- PO Box 66 Permit Number: P09152 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952)249-4600 Date Issued: 9/8/2005 SITE ADDRESS: 4740 Tonkaview Ln Unit# Mound,MN 55364 PID: 07-117-23-23-0035 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 250.00 Valuation: $ 20,000.00 State Surcharge Fee: $ 10.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 261.50 APPLICANT: Metro Air Inc.(See Comments) OWNER: Micheal&Lori Bauer 16980 Welcome Ave SE 2376 Copeland Rd Prior Lake,MN 55372 Delano,MN 55328 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. APPLICANT PERMITEE SIGNATURE I SUED BY SIGNATURE Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic)' Page 1 FOR CITY USE ONLY City of Orono 0-! No P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$ (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fine Marshall) 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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. 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That Apply) ` Residential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ,A-Is I 0,-N 4tl C`j Owner: n Mailing Address: a3 o d City: �T\ \t1 t r4. Zip: S SSS 1 Home Phone: ~1�� , -�1 a� Alternate Phone: 1 a•3�0 3a V Contractor Information: Contractor: M stwzA I ^TVI 1. Contact Person: �h Address: I 1 6 0'Z�(Qe,� State Bond#: City: U r^l �� ' Zip: Expiration Date: Phone: hu l- 1 Alternate Phone: ❑ Insurance-Current: . C IA 1 HEATING SYSTEMS Quantity: Make: C5v 1 CY' Model: S 1 h- Fuel: Flue Size: �i U Input BTUs: Output BTUs: CFM: �O�O COOLING SYSTEMS Quantity: Make: GA✓'r Model: Tons: 3 H.Power Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION No. Kitchen Exhaust�_duct recirculating�v y1 cfm i No. Bath Exhaust(must have duct outside) cfm N� Otl�rOFans: L t' cfm cfm I'll S FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ' ❑ 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;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ �Iiiililid MEM If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) ^ CiJ x.0125$ -) �V (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.50) ''ll V �VA X.0005 $ 1 UT (contract price) (minimum 5 .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT 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 installations are famished 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 Building Department at(952)249-4600 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: Date: NO KWAW_ , 3 � � c Bauer Design/Build, LLC HVAC Load Calculations for Spec. House 4750 Tonkaview Lane Orono, MN 55364 RHVACftSIDIOMAL HVAC LoADs Prepared By: Metro Air Inc. 16980 Welcome Avenue Prior Lake,MN 55372 Friday,August 26,2005 11 E1fl, Project Report snare Pro ec t Inf K Project Filename: C:\Elite\Rhvacw\MetroAir,Bauer,2Story.rhv Project Title: Bauer Design/Build, LLC Designed By: Project Date: Thursday, August 25, 2005 Client Name: Spec. House Client Address: 4750 Tonkaview Lane Client City: Orono, MN 55364 Client Phone: Client Fax: Company Name: Metro Air Inc. Company Representative: Company Address: 16980 Welcome Avenue Company City: Prior Lake, MN 55372 Company Phone: Company Fax: Reference City: Minneapolis, Minnesota Daily Temperature Range: Medium Latitude: 44 Degrees Elevation: 834 Feet Altitude Factor: 0.970 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: -20 0 0 72 0 Summer:: 92 73 50 74 31 �` Total Building Supply CFM: 1,407 CFM Per Square Foot: 0.308 Square Feet of Room Area: 4,567 Square Feet Per Ton: 1,423.414 B . Ri oq✓', ame 4ftyzzut` � * Total Heating Required With Outside Air: 88,337 Btuh 88.337 MBH Total Sensible Gain: 31,374 Btuh o Total Latent Gain: 7,128 Btuh 19 % Total Cooling Required With Outside Air: 38,502 Btuh 3.208 Tons(Based On Sensible + Latent) 3.395 To (Based On 77%Sensible Capacity) 3 .S Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Miscellaneous Report m Winter: -20 0 40 72 -14.59 Summer: 92 73 50 74 30.90 jo s ' A +, N1 is.ti ; 4 x •_ n .c.5 .,ir. <m & 3, n �� ' �s iw�' "S &h '_ ,_ 't5 x >, -e. .,v "s4+t,• Main Trunk Runouts Calculate: Yes Yes Use Schedule: Yes Yes Roughness Factor. 0.00030 0.00030 Pressure Drop: 0.1000 in.wg/100 ft. 0.1000 in.wg/100 ft. Minimum Velocity: 600 ft./minute 400 ft./minute Maximum Velocity: 900 ft./minute 650 ft./minute Minimum Height: 8 in. 6 in. Maximum Height: 10 in. 8 in. t° u 'm�''ti'.,�., t � __ Winter Summer Infiltration: 0.250 AC/hr 0.250 AC/hr Volume of Conditioned Space: X 44390 Cu.ft. X 44390 Cu.ft. 11,098 Cu.ft./hr 11,098 Cu.ft./hr X 0.0167 X 0.0167 Total Building Infiltration: 185 CFM 185 CFM Total Building Ventilation: 100 CFM 70 CFM ---System 1--- Infiltration&Ventilation Sensible Gain Multiplier. 19.21 = (1.10 X 0.970 X 18.00 Summer Temp. Difference) Infiltration&Ventilation Latent Gain Multiplier: 20.39 = (0.68 X 0.970 X 30.90 Grains Difference) Infiltration&Ventilation Sensible Loss Multiplier. 98.19 = (1.10 X 0.970 X 92.00 Winter Temp. Difference) i n 1 e 0,104 , Total Building Summary Loads x qg , "4M 11, lra 3D Window Double Pane Low Emit Wood Frame 562 18,664 0 11,172„M 11,172 11C Door Metal Polystyrene Core 42 1,816 0 426 426 12H Wall R-19+ 1/2"Gypsum Board(R-0.5) 3,504 19,342 0 4,542 4,542 15G Wall 5'or More Below Grade 8/12" BIk+R-11 1,008 3,987 0 0 0 16H Ceiling R-38 Insulation 2,007 4,801 0 2,192 2,192 19E Floor Over Basement/Encl Crawl Hardwood+ R-30 727 1,237 0 0 0 21A Basemt Floor 2'or More Below Grade 1,280_ 2,826 0 0 0 Subtotals for structure: 52,673 0 18,332 18,332 People: 6 930 1,470 2,400 Equipment: 1,000 3,500 4,500 Lighting: 0 0 0 Ductwork: 7,685 0 3,174 3,174 Infiltration: Winter CFM: 185, Summer CFM: 185 18,160 3,771 3,553 7,324 Ventilation: Writer CFM: 100, Summer CFM: 70 9,819 1,427 1,345 2,772 Sensible Gain Total: 31,374 Temperature Swing Multiplier. X 1.00 Total Building Load Totals: 88,337 7,128 31,374 38,502 - >� t�',`'rx h.. i �} ..;.,*f, a';',n i•. +5.,. ,v4,}1 } t ,tsw t9, k%+,,�a�i t4;. xas�,a a;'.�, r c'`c ', std a i nc.;i".. f•11 uvr,; Total Building Supply CFM: 1,407 CFM Per Square Foot: 0.308 Square Feet of Room Area: 4,567 Square Feet Per Ton: 1,423.414 / 112,11a _� - ..,r�i'€ ...� ✓ �", x>i• i'Sti t'df'3 ;�'�} t g,d, 3�' oa �' ,sr,.A�'e Total Heating Required With Outside Air A 88,337 Btuh 88.337 MBH Total Sensible Gain: 31,374 Btuh 81 % Total Latent Gain: 7,128 Btuh 19 % Total Cooling Required Wth Outside Air: 38,502 Btuh 3.208 Tons(Based On Sensible+Latent) 3.395 Tons(Based On 77°x6 Sensible Capacity) �,.,. fit£ . e no:. ` "° ?. �.."r 'rr '.z Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. k Building Bar Graph 25,000 20,000 15,000 Building Loss 88,337 10,000 Btuh 5,000 0 Floor 4.60% Wall 26.41% Door 2.06% Infiltration 20.56% Roof 5.43% Glass 21.13% Ductwork 8.70% Ventilation 11.12% 15,000 10,000 Building Gain 38,502 Btuh 5,000 0 Roof 5.69% Glass 29.02% People 6.23% Ductwork 8.24% Ventilation 7.20% Wall 11.80% Door 1.11% Appliances 11.690/dnfiltration 19.02% 5 Detailed Room,Loads RoomMength�- ��1,280 1 Room Width: 1.0 ft. Zone Number: 1 Area: 1,280.0 sq.ft. Supply Air. 564 CFM Ceiling Height: 10.0 ft. Required Vent.: 0 CFM Volume: 12,800.0 cu.ft. Actual Winter Vent.: 36 CFM Number of Registers: 7 Percent of Supply.: 6 % Runout Air: 81 CFM Actual Summer Vent.: 28 CFM Runout Duct Size: 6 in. Percent of Supply: 5 % Runout Air Velocity: 410 ft./min. Actual Winter Infil.: 93 CFM Design Loss: 0.100 in.wg./100 ft. Actual Summer Infil.: 93 CFM Actual Loss: 0.056 in.wg./100 ft. ME' 'F a »Z e yq p N -Wall-12H 40 X 10 296 0.060 5.5 1,634 1.3 0 384 S-Wall-12H 40 X 10 295 0.060 5.5 1,628 1.3 0 382 E-Wall-12H 32 X 10 278 0.060 5.5 1,535 1.3 0 360 W-Wall-12H 32 X 10 266 0.060 5.5 1,468 1.3 0 345 E-Door-11 C 6 X 7 42 0.470 43.2 1,816 10.2 0 426 N-GIs-3D 2-P SI-4 100%S 104 0.361 33.2 3,454 10.6 0 1,102 S-GIs-3D 2-P SI-4 0%S 105 0.361 33.2 3,487 17.6 0 1,848 W-GIs-3D 2-P SI-4 O%S 54 0.361 33.2 1,793 33.6 0 1,814 Subtotals for Structure: 16,815 0 6,661 Infil.: Win.: 93.4, Sum.: 93.4 305 30.066 9,170 5.882 1,904 1,794 Ductwork: 0.100 2,599 0.100 0 1,095 People: 155 lat/per, 245 sen/per: 2 310 490 Equipment: 1,000_ 2,000 Sensible Gain Total 12,040 Temperature Swing Multiplier: X1.00 Room Totals: 28,584 3,214 12,040 Detailed Room Loads : qEli! . Ing Room Length: 2,007.0 ft. System Number: 1 Room Wdth: 1.0 ft. Zone Number. 1 Area: 2,007.0 sq.ft. Supply Air: 747 CFM Ceiling Height: 10.0 ft. Required Vent.: 0 CFM Volume: 20,070.0 cu.ft. Actual Writer Vent.: 50 CFM Number of Registers: 9 Percent of Supply.: 7 % Runout Air: 83 CFM Actual Summer Vent.: 37 CFM Runout Duct Size: 6 in. Percent of Supply: 5 % Runout Air Velocity: 422 ft./min. Actual Winter Infil.: 78 CFM Design Loss: 0.100 in.wg./100 ft. Actual Summer Infil.: 78 CFM Actual Loss: 0.059 in.wg./100 ft. r } N -Wall-12H 74 X 10 634 0.060 5.5 3,500 1.3 0 822 S-Wall-12H 74 X 10 665 0.060 5.5 3,671 1.3 0 862 E-Wall-12H 45 X 10 418 0.060 5.5 2,307 1.3 0 542 W-Wall-12H 45 X 10 408 0.060 5.5 2,252 1.3 0 529 N-GIs-3D 2-P SI-4 100%S 106 0.361 33.2 3,520 10.6 0 1,124 S-Gls-30 2-P SI-4 0%S 75 0.361 33.2 2,491 17.6 0 1,320 E-GIs-3D 2-P SI-4 0%S 32 0.361 33.2 1,063 33.6 0 1,075 W-GIs-3D 2-P SI-4 0%S 42 0.361 33.2 1,395 33.6 0 1,411 UP-Ceil-16H Dark 2,007 X 1 2,007 0.026 2.4 4,801 1.1 0 2,192 Floor-19E 1 X 727 727 0.037 1.7 1,237 0.0 0 0 Subtotals for Structure: 26,237 0 9,877 Infil.: Win.: 78.1, Sum.: 78.1 255 30.067 7,667 5.882 1,592 1,500 Ductwork: 0.150 5,086 0.150 0 2,079 People: 155 lat/per, 245 sen/per: 4 620 980 Equipment: 0 1,500 Sensible Gain Total: 15,936 Temperature Swing Multiplier. X1.00 Room Totals: 38,990 2,212 15,936 0 4 1 t + 1 t y IIYF C y Detailed Room Loads Room Length: 1,280.0 ft. System Number: 1 Room Width: 1.0 ft. Zone Number: 1 Area: 1,280.0 sq.ft. Supply Air: 96 CFM Ceiling Height: 9.0 ft. Required Vent.: 0 CFM Volume: 11,520.0 cu.ft. Actual Winter Vent.: 14 CFM Number of Registers: 2 Percent of Supply.: 14 % Runout Air: 48 CFM Actual Summer Vent.: 5 CFM Runout Duct Size: 6 in. Percent of Supply: 5 % Runout Air Velocity: 245 ft./min. Actual Winter Infil.: 13 CFM Design Loss: 0.100 in.wg./100 ft. Actual Summer Infil.: 13 CFM Actual Loss: 0.023 in.wg./100 ft. N -Wall-15G 40 X 9 360 0.043 4.0 1,424 0.0 0 0 S-Wall-15G 40 X 9 360 0.043 4.0 1,424 0.0 0 0 E-Wall-15G 32 X 9 288 0.043 4.0 1,139 0.0 0 0 W-Wall-12H 32 X 9 244 0.060 5.5 1,347 1.3 0 316 W-GIs-3D 2-P SI-4 O%S 44 0.361 33.2 1,461 33.6 0 1,478 Floor-21A 1 X 1,280 1,280 0.024 2.2 2,826 0.0 0 0 Subtotals for Structure: 9,621 0 1,794 Infil.: Win.: 13.5, Sum.: 13.5 44 30.068 1,323 5.886 275 259 Sensible Gain Total: 2,053 Temperature Swing Multiplier: X1.00 Room Totals: 10,944 275 2,053 Nalil System I Room Load Summary - �+,, .." ---Zone 1--- 1 First Floor Plan 1,280 28,584 383 7-6 410 12,040 3,214 564 1.16 656 564 2 Second Floor Plan 2,007 38,990 522 9-6 422 15,936 2,212 747 1.00 747 747 3 Lower Level Floor 1,280 10,944 146 2-6 245 2,053 275 96 1.25 120 96 Plan System 1 total 4,567 88,337 1,051 31,374 7,128 1,407 1,523 1,40.7 System 1 Main Trunk Size: 32x9 in. Velocity: 796 ft./min Loss per 100 ft.: 0.048 in.wg W NO W ° , ' :at k , { a 1 , t {fit r,,, � -`' k'k. 3v,h ° e r r lc g g 3{, 3 fry. r i s-e k Net Required: 3.208 81%/19% 31,374 7,128 38,502 Recommended: 3.395 77%/23% 31,374 9,371 40,745 Heating System System Cooling System Type: Model: Brand: Efficiency: Sound: Capacity: Sensible Capacity: n/a 0 Btuh Latent Capacity: n/a 0 Btuh Building Codes and Standard Division Building Codes and Staudard Division Commissioner of Labor and Industry Uns Received and Filed a$25,000 Surety Bond, Commissioner of Labor and Industry As Required by NIS 326.992,for Work Regulated Has Received and Filed a $25,000 Surety Bond, by the State Mechanical Code David Scheele Bond No: 69564333 As Required by MS 326.992, for Work Regulated To: Metro Air,Inc. MB ID: 00241 by the state Mechanical Code Effective Date Expiration Date David Scheele Bond No: 69564333 8/13/2005 8/12/2006 To: Metro Air,Inc. MB Ill: 00241 16980 Welcome Ave.S.E. Prior Lake MN 55372 Effective Date Expiration Date 8/13/2005 8/12/2006 MBFormRC " Department of Administration BUILDING CODES AND STANDARDS DIVISION 408 Metro Square Building jnnesata 121 East 7th Place,St Paul,MN 55101-2181 651.296.4639 FAX:651.297.1973 TTY:800.627.3529 DEPARTMENT OF ADMINISTRATIONSURETY BOND www.bUlldinaCOdes.admin.state.mn.us 69564333 Work covered by the State Mechanical Code(Chapter 1346): BOND NUMBER: Including gas installations, heating,ventilation,air Amount:$25,000 August 13 2005 conditioning,fuel burning, refrigeration(GIHVACR) EFFECTIVE DATE: Pursuant to the terms of this instrument Metro Air Inc. as Principal with its principal office located at:(address,city,state,zip) 16980 Welcome Ave. S. E. Prior Lake MN 55372 company phone number: and WESTERN SURETY COMPANY ,a corporation licensed to transact a surety business in the State of Minnesota,with its principal office located at 101 S Phillips Ave Sioux Falls, SD 57104-6703 as Surety,their successors,assigns,and legal representatives are held and firmly bound,jointly and severally,to the State of Minnesota and any third party sustaining financial loss within the terms of this bond for payment in the amount of Twenty-Five Thousand Dollars ($25,000),as provided in Minnesota Statute 326.992(a). This bond is for the benefit of persons suffering financial loss by reason of the contractor's failure to comply with the requirements of the State Mechanical Code(Minnesota Rules,Chapter 1346)when performing work in the State of Minnesota. The condition of this bond is that the Principal has contracted to do gas,heating,ventilation,cooling,air conditioning, fuel burning,or refrigeration work within the State of Minnesota. If the Principal faithfully complies with the State of Minnesota Mechanical Code and indemnifies any person dealing or transacting business with the Principal from any loss or damage occasioned by the failure of the Principal to comply with any of the laws and rules of the State of Minnesota,then no obligation under this bond shall accrue;otherwise, this obligation shall remain in full force and effect. Your bond must be renewed with a continuation certificate submitted to Building Codes and Standards Division. Renewal Is due annually from the effective date of the bond or continuation certificate. The aggregate liability of the Surety,regardless of the number of claims made against the bond or the number of years the bond remains in force,shall in no event exceed$25,000. The bond may be cancelled by the Surety,as to future liability,by giving written notice by Certified Mail,addressed to the Principal at the address as stated in this bond,and to the Building Codes and Standards Division,Department of Administration as the address appears on this bond. Thirty(30)days after the mailing of that notice,this bond shall be null and void as to any liability thereafter arising,1he Surety remaining liable, however,subject to all the terms,conditions,and provisions of this bond,for any and all acts covered by this bond up to the date of the cancellation. APPLY INSURANCE 4g and Witn ssed this 23rd June day of June 0 5 COMPANY SEAL ` o AITNS T PAL SIGNATURE PRI AL NATURE - TITLE WESTERN SURETY COMPANY WITNE U ETY SIGNATURE 7Z;f H.Dthlatrom,Asst Sec. ��-� SURETY COMPANY REPRESENTATIVE SIGNATURE AND TITLE S•ND FILING FEE-CHECK MUST BE MAILED WITH THIS FORM AND POWER OF •' •' Mail the following items to: Department of Administration, Building Codes and Standards Division,408•R,letro Square Building, 121 East 7th Place, St. Paul, MN 55101-2181. After these items have been processed, your company name will be posted on our website and you will receive a certificate in the mail valid for one year. Page 1 filled out completely including all signatures and insurance company seal(embossed or stick on). Page 2 with the appropriate Business Acknowledgement and Surety Acknowledgement with all signatures. Valid Power of Attorney attached. Check for$15 fee,payable to the Minnesota State Treasurer. Checks returned for non-payment will be charged a$20 fee. (M.S.604.113, subd.2). Approved bonds are on our website in the Bond List. BCSD-ME001P 311105 Pagel Surety Bond continued STATE OF COUNTY OF On this day of before me,a Notary Public within and for said county,personally appeared (print name) to me known to be the person described in and who executed the foregoing instrument,as Principal,and acknowledged to me that the execution of this Instrument was a voluntary act and deed. (NOTARIAL SEAL or STAMP) Notary Public, County, My Commission Expires STATE OF COUNTY OF On this —day of before me,a Notary Public within and for said county,personally appeared (print name) to me known to be a partner in the partnership whose name is subscribed on this bond form,who acknowledged to me that this bond was executed on behalf of the partnership for the purposes therein contained (NOTARIAL SEAL or STAMP) Notary Public, County, My Commission Expires •. . - . p ACKNOWLEDGMENT STATE OF COUNTY OF On this '�;?-7 day of �(l�j E � ,before me,a Notary Public within and for said county,personally appeared (print name) D/4-0?? E SC_}4'arLf. who being first duly sworn,says that he is the i n,--;V i of y a T NC ' . Principal herein and executed the foregoing Instrument for and in its behalf,by authority of its Board of Directors;that the seal affixed to the foregoing instrument is the corporate seal of said ge sa i strum@nt and the exec do hereof to be the voluntary act and deed of said corporation. PATR'ICIA A MUELKEN Ji Myor�iSaldi IES�NES1fA n.91,2010 Notary Public, C o�� County, M AJ x My Commission Expires Of-3,1- d Q 1 y ACKNOWLEDGMENTSURETY OUT • STATE OF South Dakota COUNTY OF Minnehaha On this 23rd day of June 2005 before me,a Notary Public within and for said county,personally appeared (print name) H.D illrom,A551 SBC. ,who being first duly sworn,says that he is the Assistant Secretary of WESTERN SURETY COMPANY . Surety herein,a corporation duly organized and existing under laws of the State of SoutlLDakota ,and executed the foregoing instrument for and In its behalf,by authority of Its Board of Directors; that the seal affixed to the foregoing instrument is the corporate seal lllooff said corporation; and further acknowledged said instrument and the execution thereof to be the voluntary act and deed of said corporation. ,v< A %J"' i (NOTARIAL SEAL OR STAMP) Notary Public, Minnehaha County, SD My Commission Expires M.BENT BCSD-ME001P 3/1/05 Page 2 My Commission Expires 3-2-2008 Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America,does hereby make,constitute and appoint H. Dahlstrom _ _ --___._ of _Sioux_Falls State of _South Dakota ----- _ its regularly elected —saistant—Secretar_v , as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surety and as its act and deed,all of the following classes of documents to-wit: Indemnity, Surety and Undertakings that may be desired by contract,or may be given in any action or proceeding in any court of law or equity, polic�,�pjRftnifying employers against loss or damage caused by the misconduct of their employees; official, bail, and surety and fidelity,(k � TO� Aitys in all cases where indemnity may be lawfully given; and with full power and authority to execute consents and waidn 'sillm, odify o,, p�or extend any bond or document executed for this Company,and to compromise and settle any and all claims or de.tTe inti pinst said Company. �1] rn Surety Iter y further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety U� any duly adopted andi��nr in force,to-wit: �4 .. _s All psipolicies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corp tl kal�rj ne.of<tl1' ftlpany by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officer fes��tf$i� f>Sirectors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appointtff$ftf�` s-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its SeniorVice___President with the corporate seal affixed this 23rd day of June 2005 ATTEST WEST N SURET OMPANY Assistant Secretary By G�-�— -- Paul T.Bruflat, enior Vice President STATE OF SOUTH DAKOTA SS COUNTY OF MINNEHAHA On this -23rd__________ day of June _ _2005 before me,a Notary Public, personally appeared Paul T. Bruflat _ and _ _ A.Vietor who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as _. Senior Vice President_ and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. tyy55yti5yti�,yy^�yyyyyyhyyyy t s D. KRELL s i SEAL NOTARY PUBLIC(S SEAL i SOUTH DAKOTA�e�s tyyhhyyhhvyy5tihhhhyyyySy t --- My Commission Expires November 30,2006 Notary Public Form 672-4-2002 Date: 8/17/2005 Revision Date: 8/17/2005 New Construction Site Information Address 1: 4750 Tonkaview Lane Orono Project#: Bauer Design Build LLC Address 2: Lot: Block: City: County: Subdivision: Application Information Business Name: MN Contractor License#: Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: House Details Square Feet: 4450 sq. ft. Avg. Ceiling Ht: 9 ft. Number of Bedrooms: 5 Ventilation : Balanced Total Ventilation Capacity : 175 cfm. Minimum Continuous Ventilation :90cfm. Intermittent Ventilation: 85 cfm. Combustion Appliance Water Heater: Power Vent Input BTUs: 40,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 100,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 600 Make-Up Air No Make-Up Air Required by Code Combustion Air Round Rigid Required: 4 inches or Insulated Flex: 5 inches Applicant Name (print): Signature/Date: X7•-65" Code Official (print): Signature/Date: 0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 5—' oftTIME CITY OF ORONO CALLED IN INSPECTION N TIC SCHEDULED S — PERMIT NO. 52- COMPLETED ADDRESS OWNER CONTR. ` ' — P ►'rJ1�cr TELEPHONE NO. q5'1qq7 Nl Z—1 DESCRIPTION Wlrsbo — ALr +,e St W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 07 DEMO-FINAL 15 SEPTIC INSTALL, 22 FOLLOW-UP 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: CC W Q_ CC �� 1 O LL ti CC Q f2 Z W W CC Z) d WL ,,❑//WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (952) 249-4600 Owner/Contrac 'te: Inspector. White Copylinspactor's le Canary Copy/Site Notice ITV �C TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NqO_ �/.Sa COMPLETED l I 3-ox- ADDRESS q7A0 TG77 ICCt� �, y I A I OWNER CONTR. Ae-6 xi TELEPHONE NO. �S 7 y 7 DESCRIPTION S (,A W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRAD /FIL I Q02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL 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 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W Q_ cc 0 cc 0 W W cc Q Z W z W CC Z) d � OF SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice fwTIME DTE /, CITY OF ORONO CALLED IN 3 0& INSPECTION NOTI SCHEDULED PERMIT NO. l r COMPLETED ADDRESS y2YO 7d,1 OWNER CONTR.�1�!; TELEPHONE NO. 7 S,�2 SL(7 d'r/1 J�t N- DESCRIPTION � �-� _r e55 C4 C(1 /,;te-S 9-1Ok/e,,- W 01 FOOTING 11 MECHANICAL RI 18 EXCAWGRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS ti O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 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 j 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C J O cc O W W cc Q 2 W W cc O WOR W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Lu 11 CORRECT WORK&PROCEED -7 ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN 11STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the ne t inspection 24 hours in advance. (J52) 249-4600 Owner/Contra r te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice