HomeMy WebLinkAbout2013-01017 (Mechanical) � � CITY OF ORONO * z 0 1 3 - 0 1 0�
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1424 BALDUR PnRK RD
PIN : 08-117-23-34-0013
LEGAL DESC : BALDUR PARK
: LOT 009 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 5,625.00
T�[OTE: (1)LENNOX I�URNACG AND A/C
APPLICANT MECHANICAL 70.31
SAYLER HEATING&AC STATE SURCHARGE MECH (VALUATION) 2.81
6800 WEST LAKE ST.
ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00
(612)702-6622 TOTAL 75.12
OWNER
ROHRER, R
1424 BALDUR PARK RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work lor which this permit is issucd 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
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended tbr a period of 180 days at any time afrer work has commenced.
I�he applicant is responsible for assuring all required inspections are
reyuested in conformance with the State Building Code.This permit may bc
revoked at any lime for due cause.
_�%r'�Q�� l � l �3 �/ 3�l l�
Applicant Permitee Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/07/2608 08:06 9529222434 SAYLER HVAC PQGE 01/03
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FOR CITY USE 01��,Y
���> City of Oruno 9 h
f Vj� P.O.BOx 66 Datc Receivgdl���y�ermi[# ���� �V��
� 27�0 Kelley Perkw$y
Crystal Bay,MN 5�323 ADt�ro�cd BY- AmountS:���
Phonc(952)249-46U0 Fax(9S2)249<1616
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���'��sHoR�'G~ CITX OF ORQ�10—N�C�IANXCA�.,PERN��'
(All Commcrciel pe��nils must be approvcd by the nuiiding OFEicial or Insnector and/or�irc Marshal l)
G�NERAL TN;F'pRMATION
1. You rraay apply for mechanieal permits by mail or in person at the Ciry offccs. Applic3tions wil]
be revicwed and a�ermit will be issued within two wor�Cing days.
2- Permit cards w1U be sent by retum mail after a ceview is complctcd. PE�tMITS ARE NOT
VA,L��UNTIL YOU RECEIV�A P�RMIT. W�( RK MUST NQ'�'BEGMN UiV'�1L TFIE
PER A,RD IS T�D ON dOB SITE.
3_ nical De � —Complete caleulations,details and speci�cations are reyu�red for eac1�
heating,vetttilatiqn,hu�idi�cation-dehumidificatior�,attd air conditioning installation including
, he�t loss/heat gai� caleulation,desigq terrtperatures,equipment Xatings and identl�cation as to
type,mar�ufacturer and model. Data shall be presented oq�'orm�rovided.
4. Whet�any new cottstruCtion or remode�ing is involved,�separate building permit must be
ohtained.
5. All woKk must be done in accordance with the 1,1�i#'ortti Mechanical CaddState Buildittg Code
1'eC�u i rerqe�lts.
6. AII work must be inspected(rough-in and final)- Call(952)249-4600.
(24-48 hour notice required)
7. k�ouse Heating Test Record m;ust be submitted before final.
'T"X�E OF PE,R11��T
Chec�C Ali That'A �
y Rcsidential ❑Cotnmercial(�pproval Required)
❑New [] Additional ❑Repairs �place
Job S[te/Owner z�afonnaCion:
SiteAddress: 1`-1L`�l A�D�y� RK (��
Owner: h���<_.ra.NSor„ Mailing Address:
Ci�3'� Zip:
Home�hone: Alternate Phone:
Cont�t'actox>I�aformatioxi:
Contracto�r: SF�'yt.�l� Wt f��w� �(��ontact�ea•son: S1-�ir�.�r� �r�y�F2
Add��ess: _�l�0 W�,�% �.►'4�cE Si State Bo�nd#: �(;�u,.a-g
City: r LUJt7 t•��j;�c-��XplCattOn Date: ���C1�1'"t
Phone: C���~ 7aL� ��ZZ Aater�aate Phone:
❑ lnsurance—Current:
I
04/07/2008 08: 06 9529222434 SAYLER HVAC PAGE 02/03
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'f�'� N.t�11 � .� _ 9 .t .f�..
Note: All Geotherr�a�Systems will now require a 'te & Review by our Suildi�g Of�cial.
�S THiS GEOTH��A,�? ❑ Yes �No
HEATING SYSTEIVIS
Quantity: 1
MAkc: �.N NO�F
Nlodel: EL�q�eDF'o40
Fuel: NAT (�5
F�ue$�ze:
input BTUs: ��s o00 �
Output BTIJs: �
CFNI:
GpO�.ING SXSTEMS
Quantity: (
Make: 4.,�NN ax
Model: 1'-�A�'+�—d3fa
Tons_ �
�i.Power
�i��P�,A.CES
❑ Gas Factory Fireplace �rand Name:
❑ Wood Bua-raing�arep�ace
❑ Wood Stove Model No.:
❑ Wood Stove�vith Flut/Masonry
VEIVTI[,ATiON
❑ No, Kitchen Exhaust ducc recirculatiaig cfm
❑ No. Bath Exhaust(must have duot outside) cfm
❑ No. Other Fans: Locations cfm
�U�[.STORAGE (Must be approved by FYre N(arshall lfproposing to abnncfon tnrek in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground �Insidc ❑Oufside
LP G�s: gallons
Other:
S�S LiNE ONLY
Q Outdoor Gr��l ❑ Othcr/List What&Where:
2
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�—_.._ _ PE:R'�11"(� FEF C,�t.CL'L:�`1��1()'�t'Sj �
� E3t�`��i�C7T"k� -200? STt�TE 5"i A I U E �
� 1 c>.Yh;>>i�IIC�,? ;i�)4?!ic�
T-hc r�;pl��cment af a R�sidcntial tixture nr a�plianee that mczts all tliree c�f thc fi�lli����in�requirements:
I. D��es�iot require rn��ditication to cl�ctrica9 03�_a�;er��icr.
_'. N�s a T�t<�I cc�,t��f 5?4(.�.0(i or less:c�cludin��tlic�<�st�?f the tixture or appliance: ;3nd
i. I: impro��zd, installed��r replaced b�� thc h�arne�7titi�ner i>r licensed contractc�r.
tikip r�e�t sectiun, if Chis�pplies: Co�t c�f Pemtit 5 1`•D�)
State tiurd�ar=_=e S `.(?()
`�tai1-In F'ee a�If�Appli�able� 5 ?,00
Totai Pennit Fee S
FERI�4IT FFE C�E.,C:IJL;ATION(��—JC7B� O�'E�I2 $SOO.C10. -
I��bCitic dt�t�ni�t atppl}: t���ll,��� ��iiid�(it'�'ti bc'I:���:
;. COV�7�R.�C I� PFtICE " i� 1.�'�"nofcontraetprice�citha(�tiniminn Fer€�t�50.00)
.5�z� ._� x .0��� s �7 p , 3 l ----
� ,L� ,t�5ci t'-ric.i tminimum�g{}.(1Clj
'. 51�:��1�F:5l KC�"H�C2GE
,..`�i�ZJ'r- x .t)005 5 ��`C3(
___ ___ —_—__. _
,:,.�, t ��:ti
3. PUST.�GE� F{.�\L�LItG tC)nl��an �lail-In .A�.��licatiunsi � �.a0 __
-t. I�OTAL PFR>ii�1� Ft:f�: ���dd�.i«e� 1-3 _�bo�e� 5 �J.1�L.
� ` (`Q�;�I lt.�\C`T PR[('E�: ar .IOF3 CC)S'T means the actual or esTimated c3olla�r ar����int ch<tr�cci fnr tl�te
{��rn�itteci ��ork includira� matcriai>. labc�r. profit. atid i>ther fixed c�?�t�. IS is t}�e amount to be char�_ed
ir, d�e customcr tor the �Ftark dor7e, IY�n}� m�terial, equipment, labor or i�utallatit�m are furnished f���
the u«�ner. tenant or :�n�� c�ther pr�rt}�. the reas�nable marke�l �alue of s�ch it�ms i�3ust bC �zdde� to tf�c
estit�tat�d cost t�r cuntract F�rice for p�rnlit tee purpc�ses. In the e��ent th��rt iherc is a disputr on the
amount af the job co>t, the Cit� ma� rec�uest the suh7iiissian ofi a �'t��ned e�,E��� at the actua! �ontraet.
� MEC'Hs�'�IC�I. �'t�K�11}Z"�I'PLIC:�T[()N .4C;1ZEE?�tENT �_�._�
The undrrsi�ncd t�ereb� aE7F�lies tc� the Citv for issuance c�f a '�lechanicril Permit, a�rezs tc� cio all
���rk ir7 strict accardarlcz �+�itli the ordinarlces �f the Cit}� �nii tk�� re�u(4�tic�r�s +�t' th� State of
'�linnesota, anti certifie� that all statesnerzts a�zad� c>r� this application are complete. trti�e and
correct.
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�ppli�ar�t'sSi�natur4: _ _ ,�,�_�' __ _ Date: ... ``�T '�-�'' �
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CITY OF ORONO CALLED IN lV lJ � �
INSPECTION NOTICE SCHEDULED lD �
PERMIT NO. � �� co PLETED
ADDRESS �
OWNER TE ONE NO.��7/ —��`,f
�
CONTRACTOR
>; DESCRIPTION �-�/C—
�
� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �CT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site-
Inspector.
White Copyllnspector's File Canary CopylSfte Notice