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Home My WebLink About2000-P03235 - mechanical � • PERMIT CITY OF ORONO 2750 Kelley Parkway - PO Box 66 Permit Number: Po323s Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (612) 249-4600 Date Issued: lt�gi2oo SITE ADDRESS: 3020 Casco Point Rd WAYZATA,MN 55391 P ID: 20-117-23-34-0025 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit T e: Mechanical Permits Permit Sub-type(s): Heating Systems YP Air Conditioning DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUIIIIMARY: Permit Fee: $ 40.00 Valuation: $ 3,200.00 State Surcharge Fee: $ 1.60 Misc. Fee: $ 1.50 TOTAL FEE: $ 43.10 APPLICANT: A/C AND HEATING BY GEORGE OWNER: E LINDGREN JR&B LINDGREN 8750 POWERS BLVD 3020 CASCO POINT RD CHANHASSEN,MN 55317 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 CITl'OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � � APPLI ANT P RMITEE SIGNATURE I SU BY SIGNATURE Copies: City,Applicant,Assessor, Finance Page 1 � . CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Cr��stal 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. l�t�chanical Desi�ns - 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. 4 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 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 j�. Residential Commercial JOB SITE• �o�� C�,G c� �T �U( Zip: �533.3 C?;;�::?r's Name: �� .i,v;�,�,�� 'I'elephone Number: Mailing Address: 3U�z o c,�� , ,¢'jr/�� City: ��,�, Zip: TS3zL� Contractor's Name: �f ,�P ��,¢�,�s �:, �-.P�� Telephone Number: 9�a -�4��- SYa�' � Mailing Address: ,��, �,�,'�. �� City: c'h.m�. ,�„� Zip: .S-:S 3i� SYSTEM DESCRIPTION HEATING SYSTEMS � Quantity: � Make: '' � �. Model: �%�,��,, -o�� Fuel: �,¢�n�� Flue Size: Zii �U� Input BTUs: l p, oo�, �� Output BTUs: Sy� �cro CFM: � ,t-yt.� COOLING SYSTEMS / Quantity: Make: � � Model: �K' �- i Tons: � �i.� - H. Power ,'2 Z � FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name 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) � e Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons ° _� Other �ou.��;�5 ��- �u-��'�- (��-v�- � Gas opening i�/ �t4�' �cre.. �fv�/F�+� PERMIT FEE CALCUL��A�T ON° l. 1.25% of Contract Price* or Mini„� Fee ($35.00) � :��Z� x .oi2s $ 1 � � (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. x .0005 $ ` e� or $.50, whichever is greater (contract price) ��. 3. Posta�e and Handlin� (Only mail-in applications) $ �L.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 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 Sianatu : - Date: j� �- �C� Approved By: Date: ---� F ��0� �� ROBERTS-HAM TC�N �OMPANY � �� ;"��"`HFAT LOSS CALCULATIONS MINNEAPOLIS, M[NN, Weatherstripe A.5.H.V.E.. Con�truction No. Sfo,�c,y� .f� ln�ulation S <<,�.�, Guide Window• Doora Refercnce Out. Wall I Int.Wall Ceilin� I Roof Floor —K�in— How Applied e� No I a--IV'o I 9 (i�%rt;�F L � k'H �� --" � C'tt� I c,[,v►�- _ Fl.l � Room � LenQth o?(�� Widthd,9 � HeiQht /�;Z ' Fl.� Room � L.ength Width Hei�ht Windows and Doors—Crackage and Area Windows and Doors—CrackaQe and Area W�dch HeiRht Nn of Li�t�l(t. Arc� Width Heitht No.of L�nu)ft. Are� No. of pane of pane hshrs o(cr�ck ap ft � No. o(p�ne ot pane h�h[s of cr�ck p (e �si/ i �� 'S ��a/i i .i 3 ' S'iA•; Coef. Bcu Coef. Bcu In6ltration � °�' �� 1n61tration Glnas 1�J�7: Glas• Exp. wall Eap. well Net e:p. wall � Net e:p. wall Int. wall Int. wsll --�- / �i2 `l 5" �� Ceil.or Aoor 5 Ceil. or 800r Total Btu. Totai Btu. Required sq.ft.E.11.R.or eq.ins.W.A.Leader erea D Required eq.ft.E.D.R.or.sq.in�.W.A.Leader area Fl.i �2 Room I Lenath�`� '�Width ��"f-IeiQht /1J Fl.� Room � Lenath Width Hei�ht Windowe and Doors—CrackeQe and Area � Windowa and Doors�rackage and Area �1'Idth Hagh� No of Linul ft. Arc� Width Nsht No.of L�nul k. Are� No. of p�ne of p�ne IiRhts o(cr�ck tq !t No. of p�ne o(p�ne Gshta o(crsck sq h. % � � -Z 3�,� �� Coef. Btu Coef. Btu In6ltration L � .�j0 � Infiltration Glaaa `�0 6 � Glasa E:P. wall � 5 Ezp. wall Net exp. waU 'S� " �S� Net e:p. wall Int. wall Int. wall Ceil. or Aoor � Ceil. or Hoor Total Btu. Total Btu. Required eq.ft.E.D.R.or sq. ins.W.A. Leader area (� Required p.ft.E.D.R.or eq.in�.W.A. Leader area FI., Room � Length Width HeiQht F��I Room � Length Width Height Window� and Dooro—Crackage end Area Windowa and Door�—Cracka�e and Area w'�d�h Huphc No.u( L�ned fc. Aru W�dth Hdshc No o( Linnl(c. Aru No ol prne o(pane i�aht� ot crack a4 (t. No o(p�ne of pane hahq of cnck p.(t. CoeE. Btu Coef. Btu (n6ltration In6ltration Gla�a Glass �p. wall Ezp. wall Net exp. w�ll Net. ezp. wall Int. wall � Int. wall Ceil. or Aoor Ceil. or Hoor Tota) Btu. x Total Btu. Requiredaq.ft.E.D.R.or�q.in�.W.A.l.eaderare� ' Requiredaq.ft.E.D.R.orsq.in�.W.A.Leaderarea D.56 � t . \ ' � • INDIVIDUAL PARTNERSHIP ACKNOWLEt�GN1Et�T STATE OF MINNESOTA ) - � � COUNTY OF ss. On this day of , 't'��D�'-o , before me personally " appeared ' to be known to be the person(s) described in and who e cuted the fore ing bond, and acknowledged that {he/she/they} executed the same as free act and deed. �M�iV��ti��/r��/r��M�M�M�M� i OT��AC�pSSARD � �".�� Notary Public-Minnesota Notary Publi � �t,� � j `t'� My Comm. Expires Jan.31,2005 � COUn�/ Comm. Exp:�S P�a/��rV��/�/��A�^/��M�I�M�M�M�� CORPORATE ACKNOWLEDGMENT FOR PRINCIPAL STATE OF MINNESOTA ) ) COUNTY OF � ss. On this day of , 19 , before me appeared and to me personally known, who being by me duly swom, did say that they are respectively and of . , a corporation, that the seal affixed to the foregoing instrument is the corporate seal of the corporation, and that said instrument was executed in behalf of the corporation by authority of its Board of Directors; and they acknowledged said instrument to be the free act and deed of the corporation. NOTARY SEAL Notary Public County Comm. Exp: Approved as to form and execution Assistant Attomey General Approved and filed , 19 Deputy Commissioner Department of Commerce Full Name of Surety Co. Tr�-state Insurance Companv o Minnesota Home Office Address P 0 Box 80439, Lincoln, Nebraska 68501 Name of Attomey in Fact Erik M Johnson Name of Local Agency Johnson Midwest Agencies Address of Local Agency Box 739, Hopkins, MN 55343 AFFIX HERE ACKNOWLEDGMENT OF CORPORATE SURETY AND ATTACH POWER OF ATTORNEY • o ic um 0 – DATE � ACORD�, CERTIFICATE OF LIABILITY INSUF�AN�E l0,30,2000 PRODUCER JOHNSON MIDWEST AGENCIES THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 1301 CAMBRIDGE STREET #106 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOX 739 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOPKINS 2�7 55343 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (952)938-6343 06-313 INSURERS AFFORDING COVERAGE iNsuRED A/C 6 HEATING BY "GEORGE" INSURERA: OWNERS INSURANCE INSURERe: AUTO-OWNERS INSURANCE GEORGE BIZEK JR. � LOWELL LUND DBA _._ 8750 POF7ERS BLVD iNSURERC CHANHASSEN, MN 55317-9001 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSU�ANCE LISTED BELOW HAVE BEEN ISSI�D TO THE INSURED NAMED ABOVE FOR Tl-E POLICY PERIOD INDICATED.NOl1MTHSTAt�DING ANY REQUIREMEPlT, TERM OR CONDIIION OF ANY CONTRACT OR OTFfR DOCUv1ENT V1ATH RESPECT TO WHCH THS CERl1FICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR 7YPE OF INSURANCE POLICY NUMBER �POLICY EFFECTNE POLICY EXPIRATION LIMTS LTR DATE MNYDD DATE MNVD GENERALLIABILITY EACHOCCURRENCE g lOOOOOO A COMMERCIALGENER4LLIABILITY 994606-08761350-00 2�1�2��0 2�1�2��1 FIREDAMAGE(Anyonefire) $ 5000� CLAIMS MADE �OCCUR � MED EXP(Any one person) $ 500� � PERsonurL&ADV IwUrtv g lOOOOOO GENER4LAGGREGAIE $2000000 GErlLAGGREG4TELIMITAPPLIESPER: PRODUClS-COMP/OPAGG $ 2000000 POLICY jEa LOC �AUTOMOBILE LIA8ILITY �- COMBINED SWGLE LIMIT ' Ap�yA�p (Eaaccident) $ 10��0 �- � ALL CNVNED AUTOS B 41-761-350-00 2/1/2000 2/1/2001 (P�1person)U� $ SCHEDULED AUTOS I HIRED AUTOS BODII.Y INJURY $ NOf�CNJNED AUlOS (Per accident) j _— PROPERTY DAMAGE $ (Per accideM) GARAGELIABILITY i AUi00NLY-EAACCIDENT $ ANY AUTO OTHER TFi4N �ACC $ AUi00NLY: AGG $ �ERCESS LIABILITY EACH OCCURRENCE $ �OCCUR �CLAIMS MADE q��Gq� $ I $ DEDUCTIBLE I g RETEMION $ g WC STATU- OTI+ WORKERS COMPENSATION AND TORY LIMITS ER I ENPLOYERS'LIABILITY I — E.L.EACHACCIDENT $ E.L.DISEASE-EA EMPLQYEE $ . E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEbENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDRIONAL INSURED; iNsuReR ��rrER: CANCELLATION CITY OF ORONO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Z7SO KELLEY PKWY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAILl� DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NANED TO THE LEFT,BUT FAILURE TO DO SO SHALL ORONO MN 55356 INPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. AUTHORIZED REPRESENTATNE ACORD 25-S(7/97) ACORD CORPORATION 1988 TRI-STATE INSURANCE COMPANY OF MINNESOTA LICENSE 8� PERMIT BOND Bond # 720 58 26 KNOW ALL MEN BY THESE PRESENTS: That we, George Bizek, Jr. dba A/C Heating by George Of ST LOUIS PARK, MINNESOTA , as Principal, and TRI-STATE INSURANCE COMPANY OF MINNESOTA with principal office at Luverne, Minnesota, as Surety, are held and firmly bound unto City of ORONO , Obligee, in the penal sum of $2,000.00, for the payment of which well and truly to be made we do hereby bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. SIGNED AND SEALED October 30, 2000 WHEREAS, the said Principal has made or is about to make application to said Obligee for a license as or a permit to L&P Heating & Air Conditioning Plumber for a term beginning on October 30, 2000 and ending on October 30, 2001 NOW, THEREFORE, If the Principal shall indemnify the Obligee against any loss directly arising by reason of the failure of said Principal to comply with the laws or ordinances under which such license or permit is granted, or any lawful rules or regulations pertaining thereto, then this obligation shall be void; otherwise to be and remain in full force and effect. PROVIDED, HOWEVER, AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless cancelled in accordance with paragraph 2 below; but if said license or permit was issued for a term of one year of any other specific term, and said license or permit is renewed for one or more specific terms, this bond shall be and is hereby extended to cover during such additional term or terms. In no event, however, shall the liability of the Surety be cumulative from year to year or from period to period, nor exceed the penal sum written in the first paragraph of this bond. 2. This bond may be terminated at any time by the Surety upon sending notice in writing to the Obligee named herein, and at the expiration of thirty (30) days from the mailing of said notice, this bond shall ipso facto terminate and the Surety shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said date. � rinci TRI-STATE INSURANCE COMPANY OF MINNESOTA BY ��/��."'_. Erik M. Johnson Attorney-in-Fact DATE TIME J CITY OF ORONO CALLED IN /- 3 U �U( 1 �3 5 P�`'� INSPECTION N TICE SCHEDULED �- /- o� /%3 0 F''� PERMIT NO. � 3 Z35 COMPLETED I� N ADDRESS�Oc�C�) co ��• R� " OWNER CONTR.,� C�' riE'f3l��I(r Y✓�c/(rec�� TELEPHONE NO. �� `- ��la � ��o� �f � DESCRIPTION �'I/lGv� /�1X C.� , L� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/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 O5 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DtMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: � W a � �r��4-t D� �h-�� !.).�'�, � 0 a � : 0 � W � Q � z W � W � � // d/�}�WORK SATISFACTORY:PROCEED �OJECT COMPLETE °�`�� CORRECT WORK 8 PROCEED �-; ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL REfURN �' CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C: I NSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-46�0 OwnerlContractor s' • \ J Inspector. White Copyllnspector's File Canary CopylSite Notice