HomeMy WebLinkAbout2000 - P02017 - gas line inspection PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit P02017
Crystal Bay, Minnesota 55323
(612) 249-4600 �✓d4 �fiype: Mechanical Permits
Date 2/14/00
Issucd:
SITE ADDRESS: 320 Woodhill Rd
WAYZATA,MN 55391
PID: 02-117-23-13-0005
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
Gas Line Inspection
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 75.00
Valuation: $ 6,000.00
State Surcharge Fee: $ 3.00
TOTAL FEE: $ 78.00
APPLICANT: Hovde Plumbing And Heating Inc OWNER: J L CONNER&G J PAULUCCI
2222 Edgewood Avenue 322 WOODHILL RD
Minneapolis,MN 55426 WAYZATA MN 55391
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.
,oty A
(frYLO/17A
APPLICAN RMITEE SIGNATURE ISSUED BY SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
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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 2 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. 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 fmal). Call 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 249-4600.
Please check one: New Addition Repair Replace
+� Residential Commercial
JOB SITE: Sao LiDe:)(!)c L i R Zip:
Owner's Name: C—t `�ek,A.1,.,.. Telephone Number:
Mailing Address: 3 o G,9n,,mt City: Zip:
Contractor's Name: }LN lQ (�l $ ► j S,�� Telephone Number: -�-$F
Mailing Address: Z.z - _ E jc worl d A,.' S City: Sf LvKcs P k Zip:Ss
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity:
Make:
Model: c. c.
Fuel: N0..$ G-rt-5
Flue Size:
Input BTUs: 30, poo
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
Gas factory fireplace
Wood burning factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name C41,. Model No.
VENTILATION
No. Kitchen Exhaust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
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)
(,,,00c)`S= x .0125 $14-7t.cae,t}
(contract price)
2. State Surcharge. ** Add the State Building Code Division w
Surcharge to each permit. (9 c ---) x .0005 $ 3
or $.50, whichever is greater (contract price)
3. Postage and Handling (Only mail-in applications) $ l>Sb
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 installation are 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$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 correct.
Applicant's Signature: . Date: zfib I do
Approved By: ce6e Date: 7--1 ? C�
. .. - o-o ucTna\c, c. RA_ R.fre.Q.C.C.,--....-CC: c\44-15-v--..,
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION , MINN.
Weatherstrips A•S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out.Wall Int.Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19_
J._ Fl.( /1/\ f (??toom Length j C Width 2_2-.-Height K' `{ F1.I Room I Length Width Height
Windows and Doors—Crackage and AreaWindows and Doors—Crackage and Area
�1 L
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane lights of Crack •p.ft. No. of pane of pane lights of crack sq.ft.
i . U T . 3C 'z- )61' 5 15'U '33 1-� (14�
1 a4 ;7--•--f 2- )L.o IC,.'7S ;.
Coef. Btu _ Cod. Btu
Infiltration .�. "'' $ 1 ) ,) Infiltration
Glass1).to- SZ1 3 vs. Glass
Exp.wall 9 IL to, Exp.wall
Net a._p.wall ,.I 1 el a Net exp.wall
Int.wall Int.wall
•
Ceiling 2-ti L cf 40 Ceiling
Floor __ Floor
~
Total Btu. ' 5<43 _ Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required s . ft. E.D.R. or s
qu q q. ins. W.A. Leader area
Fl.I Room 1 Length Width Height F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Are•
No. of pane of pane lights of crack •p.ft.
No. of pane of pane lights of crack sq.ft.
—.
Coef. Btu Cod. Btu
Infiltration Infiltration
Glass Glass
Exp.wall Exp.wall
Net exp.wall Net exp.wall
Int.wall Int. wall
Ceiling Ceiling
Floor Floor
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins.WA. Leader area
FI.1 Room I Length Width Height Fl.I Room I Length Width Height
Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area
Width Height No.of Lineal ft. Area Width Height No.of Lineal ft. Area
No. of pane of pane lights of crack sq.ft.
No. of Dans of pane lights of crack sq.tt.
Coef. Btu 1 _ Coef. Btu
Infiltration Infiltration
Glass Glass
Exp.wall I Exp.wall
Net exp.wall Net exp.wall
Int.wall Int.wall
Ceiling Ceiling
Floor Floor .
Total Btu. Total Btu.
Required sq. ft. E.D.R. or sq. ins.WA.Leader area Required sq. ft. E.D.R. or sq. ins. WA. Leader arra
4FEDERATED MUTUAL FEDERATED
INSURANCE COMPANY
HOMEOFFKErOWAT 2AZ INSURANCE
MWNESOTA 55/A61L240/
Bond No.
9330667
LICENSE BOND
KNOW ALL PERSONS BY THESE PRESENTS, that we HOVDE PLUMBING & HEATING CO. , INC.
2222 EDGEWOOD AVE S ST LOUIS PARK MN 55426
as Principal and FEDERATED MUTUAL INSURANCE COMPANY OF OWATONNA, MINNESOTA, a corporation,
organized and existing under the laws of the State of MINNESOTA and having its principal place of business at 121
East Park Square, Owatonna, Minnesota, as Surety, are held and firmly bound unto
CITY OF ORONO
P 0 BOX 66 Crystal MN 55323 as Obligee,
in the sum of--TWO THOUSAND & NO/100 Dollars ($2,000.00--- )
for payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors
and assigns,jointly and severally,firmly by these presents.
The condition of this obligation is such that WHEREAS the above named Principal is desirous of obtaining a license
from CITY OF ORONO
to engage in the business of MFC.HANICAI INSTAI I AT IONS
NOW, THEREFORE, in consideration of the issuance of such license, if said Principal shall well and truly comply with
such Ordinances, Rules and Regulations and any Amendments thereof, as require the execution of this bond, then this
obligation shall be void, otherwise to be and remain in full force and effect.
This obligation shall become effective on the 9th day of February, 2000 , and shall
remain in force for a one year period thereafter.
If the Surety herein shall so elect, this bond may be cancelled at any time by the Surety herein by giving the Principal
and to the Obligee TEN ( 10 ) days written notice of such
cancellation.
Signed and sealed this 9th day of February , 2000
H( , `PLUMRTNG HEATING CO. , INC.
.�`J ( rincipal)
BY. Gu�Il .-�2�
(Title)
FEDERATED MUTUAL INSURANCE COMPANY
BY: ( L11(__
ELLEN VALEK attorney-in-tact)
White:Obligee's Copy
Canary:Principal's Copy
Pink:Division Office Copy
Goldenrod:MR Copy
BF-2M (11-96)
STATE OF
COUNTY OF ss. v
On the day of J 19 , before me o
personally appeared to me known to be the m•
person_ described in and who executed the foregoing instrument,and acknowledged that 3'
executed the same as free act and deed. c
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Notary Public County 0
My commission expires 3
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STATE OF -f
COUNTY OF - ss:
On this day of 19 , before me a
0
personally appeared to me known to be one z
of the firm of y
described in and who executed the foregoing instrument, and acknowledged that he executed the same as the free act 7,
and deed of said firm. c
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Notary Public County m
My commission expires 0
STATE OF MINNESOTA rn
3
COUNTY OF HENNEPIN - ss:
On this 9th day of February 19( 2000, before me
appeared PAUL HOVDE c)
0
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to me personally known, who, being by me duly sworn, did say that he is o
the President
0
the corporation described in and which executed the above instrument; that the seal affixed to the foregoing instrument z3,
is the corporate seal of said corporation; that the said instrument was executed in behalf of said corporation by authority Pg
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of its Board of Directors; and said is ' . 1. • , .E
acknowledged said instrument to b t,.:- ---"4,- aCAI A1R tDi h,t a•3 n. //
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NOTARY PUBLIC MIN S`, _,....../ _ / , 0
�� My Commission Expires J i.:viii• ,.I I C / 177m
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_ t y commission expires
STATE OF MINNESOTA
-
COUNTY OF STEELE ss
J
On this 9th day of Fahruary A Limo, before me
appeared ELLEN VALEK y
c
0
to me personally known, who, being by me duly sworn, did say that he is the Attorney-in-Fact of the FEDERATED MUTUAL
INSURANCE COMPANY; that the seal affixed to the foregoing instrument is the corporate seal of said corporation, and g
that the said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors; and c
the said ELLEN VALEK
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acknowledged that he executed said instrument as such Attorney-in-Fact and as the free act md deed of said corporation. 0
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Ifti LISA ROUSHAR Nota Public STEELE County -INOMMIS ION EXMINNESOTAcommission ex ires 1-31-2005
MY COMMISSION EXPIRES 1.37.2005 My P
• . R
AF-39 Ed. 8-89 Printed in U.S.A.
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That FEDERATED MUTUAL INSURANCE COMPANY, a Corporation duly organized and
existing under the laws of the State of Minnesota, and having its principal office
in the City of Owatonna, State of Minnesota, does hereby constitute and appoint:
ELLEN VALEK of the City of OWATONNA State
of MINNESOTA its true and lawful attorney for the following
purposes:
To sign its name as surety to, and to execute, affix the seal, acknowledge and
deliver any and all surety bonds and penalties not exceeding:
ONE HUNDRED THOUSAND DOLLARS ($100,000) EACH
The execution of such bonds or undertakings in pursuance of these presents
shall be binding upon the Company as if they had been executed and acknowledged by
the regularly elected officers of the Company.
This Power of Attorney granted by Federated Mutual Insurance Company shall
terminate when the designee ceases to be:
1) Employed by Federated Mutual Insurance Company or
2) Employed by Federated Mutual Insurance Company in a job for which
such Power of Attorney is required.
IN WITNESS WHEREOF, the said FEDERATED MUTUAL INSURANCE COMPANY has caused this
instrument to be signed and its corporate seal to be affixed by its Senior Vice
President and Assistant Secretary this the 27th day of March 19 96
FEDERATED INSURANCE COMPANY
BY - 1. •
(SEAL) Senior Vice President
and BY
Assistant Secret
STATE OF MINNESOTA
COUNTY OF STEELE
On this 27th day of March 1996 personally appeared before me, the
undersigned notary public, Jon R Berglund and David W Ramsey to me personally
known, who, each being duly sworn by me, did say that they are respectively the
Senior Vice President and Assistant Secretary of the FEDERATED MUTUAL INSURANCE
COMPANY and that the seal affixed to this instrument is the corporate seal of said
Corporation and that this instrument was signed and sealed on behalf of said
Corporation by authority of its Board of Directors and said Jon R Berglund and
David W Ramsey acknowledge said instrument to be the free act and deed of
said Corporation.
■ •
KELLY J. HAGEN
(SEAL) ;. 4 NOTARY PUBLIC-MINNESOTA
MY COMMISSION EXPIRES 1-31.2005 71r--e-e.�j if
t
COPY OF RESOLUTION
"BE IT RESOLVED that the President or any Vice President in conjunction with
the Secretary is hereby authorized and empowered under the corporate seal of the
Company, to appoint any person or persons as attorney or attorneys-in-fact, or agent
or agents of the Company, in its name and as its act to execute and deliver,
anywhere in the United States or Canada, any and all bonds and undertakings of
suretyship and other documents that the ordinary course of surety business may
require."
"BE IT FURTHER RESOLVED that the Power of Attorney or other document appointing
such person or persons as attorney or attorneys-in-fact or agent or agents of the
Company may either be personally signed by the President, any Vice President, the
Secretary or may be executed by said officers by means of facsimile signatures. The
said personal signatures or facsimile signatures shall not require the Company seal
or any other seal and shall be valid and binding on the company if executed either
by personal signature or facsimile signature and with or without the Company seal
being affixed thereto. "
I, the undersigned, hereby certify that I am a Senior Vice President of the
FEDERATED MUTUAL INSURANCE COMPANY, a Corporation duly organized and existing under
the laws of the State of Minnesota and that the foregoing is a true and complete
copy of the original Power of Attorney given by said Company to:
ELLEN VALEK of OWATONNA, MINNESOTA
authorizing and empowering such person to sign bonds as therein set forth, which
Power of Attorney has never been revoked and is still in full force and effect.
I further certify that said Power of Attorney was given in pursuance of a
resolution adopted at a regular meeting of the Board of Directors of said Company
duly called and held at the office of the Company in the City of Owatonna, Minnesota
on the 20th day of April ,, 19 82 at which meeting a quorum was present and that the
foregoing is a true and correct copy of said resolution, and the whole thereof as
recorded in the minutes of the said meeting.
PURSUANT to the By-Laws of Federated Mutual Insurance Company, Article 8,
Section 1; in the absence or inability of the Secretary to act, his duties shall be
performed by the Assistant Secretaries in the order of their rank.
IN TESTIMONY WHEREOF, I have hereunto set my hand and a ixed the seal of the
FEDERATED MUTUAL INSURANCE COMPANY this the / day of /�lir ,,% -
FEDERATED MUTUAL INSURANCE COMPANY
(SEAL) I
A_ . i
L,.._...AL
i
Seniorice President
DATE TIME
CITY OF ORONO CALLED IN ID-40— ' 1# 3 v
INSPECTION NW ICE SCHEDULED I -7- .,OO
PERMIT NO. I/O /7 COMPLETED� � / ' -7-0o
ADDRESS 49-0 • af� - Q p
OWNER P u-t'-Gt-- CONTR. i-' av eie,ih T .lu47�!�/
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TELEPHONE NO. ��,,,, �J 115
• DESCRIPTION . JG2�- —
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01 FOOTINGMECHANICAL RI 18 EXCAV/GRADING/FILLING
02 FRAMING MECHANICAL FINAL-- 19 LAKESHORE/WETLANDS
ti 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
• 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
IQ 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES NO
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INSPECTOR WILL RETURN
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contrac o on site:
Inspector. / C 6-()6z„G1
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONOi CALLED IN
INSPECTION NOTIAE T a'1 f SCHEDULED '!S-L l • -_:,
PERMIT NO. Y-0 COMPLETED 215 `'t 7: 3c
ADDRESS C% ( 'iC. kl 1 l
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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
W M _ _ 23 SEPTIC FINAL 35 HARD COVER REMOVAL
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Z OWNER/CONTRACT RTO MEET YOU: YES NO
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INSPECTOR WILL RETURN CITATION ISSUED
El STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
Owner/Contractor on site:
Inspector.l77 r. _672-L.4-7)
White Copyllnspector's File Canary Copy/Site Notice
DATE TINI E
CITY OF ORONO CALLED IN SL-L"-`..) ,;3:3 cD
INSPECTION TIC e SCHEDULED - 0 0 -v"
PERMIT NO. e 0 l COMPLETED �/=—�'ck' _ C2c
ADDRESS - 0 V) vo- 2/L
OWNER Pc ,,,co- -t_ — CONTR. fI 0 UI e
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• DESCRIPTION
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O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
• 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
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09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
✓ 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
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INSPECTOR WILL RETURNI CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-4600
OwnerlCont a t r on site:
Inspector. �G"/t-vo-1
White Copy/Inspector's File Canary Copy/Site Notice