HomeMy WebLinkAbout2012-01134 - duct work , � ' CITY OF ORONO * z 0 1 z — 0 1 1 3 4 *
2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2735 COUNTRYSIDE DR W
PIN : 04-117-23-12-0018
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 003 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 1,000.00
NO"fE: (I)K[7'CHEN F,XHt1UST-DUC"C 300 CFM AND GASLINE POR KITCHEN RANGE
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APPLICANT MECHAN[CAL 50.00
SAYLOR HEATING&AC STATE SURCHARGE MECH (VALUATION) 0.50
6800 WEST LAKE ST.
ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00
(6l2)702-6622 TOTAL 52.50
PA[D WITH CC# 3833
OWNER
ALEXANDER, TIM
2735 COUNTRYSIDE DR W
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
Thc 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
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein."Chis permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuanee,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[3uilding Code.This permit may be
revoke�any time for due ca�se.
/l / �' / /o�-- // / / �--
Applicant Permitce Signature Date [ssu By Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
11/07/2012 12:17 9529222434 SAVLER HVAC PAGE 02/04
FO Cl USE OIYLY
�'�'��'�'d P.o Hox Orono Dete Re�iv�/ 7 Z perrl�it�V o201 oZ—D �.��
i z750 Kelley Parkwxy �� �
'� Crys�al�aY��N 55323 ApproveQ By:. . Asnount S:
�' c� phone(952)249-4b00 Fax(952)249�616
CITY OF ORONO—MECHANICAL PERNII'I'
(qJl Commercial permia cx�usc be approved by the�uilding O�cial or Jnspector and/or�ire Marshai►)
GENERAL INFORN�;A.T�O�T
�. You may apply for mechanical permits by mail or in person at tlae Ciry o�ces_ A,ppaications wi11
be reviewed and a permit will be issued within two working days.
2. �ermit cards will be sent by rehurn mail after a review is completed. ���ZMI'!'S.A�E NOT
VAL1D UNTZI.XOCJ�2.EC�IV�A P�RM�'�. VNOK2K N[UST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3- 1V�echanical Desians—Com��ete calcu�ations,derai�s an�d speci�catiops are required for each
heating>vent�lation,,humidi�catiozt-dehumidif cati.on,and sir conditioning instsllaCion including
heat loss/heat gain calculation,design tcmperatures,equipment rac��,gs and ade�ti�cataon.as to
rype,nnanu:Facturer and model. Data shall be presented on�'onrr�p�rovided.
4. When a�y new constructaon or rem,odelipg is i.nvolved,a separate building permit must be
obtained.
5_ A11 work must be done in accordance wi[h[he Unifor�xi Mechaaical Code/State Suilding Code
requirements_
6. All work musc be inspected(rough-in and fir►at). Call(95Z)Z49�600.
(24-48 hour poNce required)
7_ House Hearing Test�Zecord r�ust be submitted befo�re fir�,al.
� . TYPE OF PERM�'I'
.
� Check A11 That A 1
�tesideptia� Q Commercial(App�roval klequiired)
❑New ❑Addii�onal ❑Repairs ❑ Replace (�m+0��it,1
Jo6 Site/Owne�r Infoirnation: `
Szte Address: Z�3� �O�aTt��S�O�i 0(�- W
Owner: ��� �X�•�+D�lt Mailing Address:
City: Z�p:
k�onr�e�k�or�e: Alternate Phone;
Contractox�za�ozxnati.on�:
Co�ntractor: 5Ay�(�. ��►� �t�►��Conta.ct Person: 5►�►*+�- 5��+��
Address: ro800 ��yT [.�k�c �, State Bond#:
City: , S�_���� PA��Qip: �glt�,�x�iration Date:
P�o�e: 6��-7od�- 66� Alternate Phone:
❑ Insuzax�.ce—Cu�ent: __ _
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11/67/2012 12:17 9529222434 SAYLER HVAC PAGE 03/64
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Note: A,aa Greothezzr�al Systems will now require a Site Plan 8c Review by our Building Official.
xS T�IS GEOTHERMAL? ❑ Yes ❑No
HEA�'1NG SYST�MS
Qusntiry:
Make:
Model:
Fuel:
F1Ue Size:
Input BTUs:
Output BTUs:
CPI�_
COOLING SYSTEMS
Quantiry:
Make:
Modcl:
To,�s:
H.Power
FIREPL,�,C�S
Gas�actozy F�replace Brand Narne:
Wood Buming Fireplace
Wood Stove Mpdet No_:
Wood Stove With�]ue
VENTILATION
Na ( Kitchen Exhaust X duct rociroulating 3� cfin
No_ Hach Exhaust(must have dua outside) cfm
No. Other�'ans: Locations cfin
� FUEL STORAGE (Must be app�oved by Flre Marskal!ifproposing�o abanalon tank ln plac�)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Ot�1CC:
GAS LIN�ONLY
� Outdoor Grill � Other/List Whaz&Where: k�TLKQ� F�'�fd�
2
11/67/2012 12:17 9529222434 SAYLER HVAC PAGE e4/e4
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i aT\�t 1`ri�..'�t���'J� il,-;��7C�S.',.:.Sa`y� r ._�1q�/y;, f���le� ����,,Mr'�,�.,Yd�,i��a��tWF�,nI�.
r 4'rt. �ir
� Yes,this section applies
The replacement of a Residenrial fixttue or appliance that meets ala three of the following requirements:
1. Does not require modification to electr�cal or gas service.
2. Has a total cost of$500.00 or Icss;excludin the cost of the�ixture or appliance: and
. 3. Is impraved,installed or replaced by the homeowzlet or licensed contractor.
5kip next section,if this applies; Cost o�Permit $ 15.00
State Surcharge $ 5.00
, Mai�-In�Fee(If Applicable) $ 2•Oq
`�'otsl�ermit k'ee �
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If above does not apply;follow guidelines below:
l. �ONTRACT PRICE *is 1.25%o�Econta'act p�ice with a(Manimum Fee of$50.00)
�.00�,00 x-0�25� SO.oO
(contract p�ce) (minimum$50.00)
2. STATE SURCHARGE "s Add khe State Sldg Code Div. Surcharge(Minimum Fee ofS5.00)
l pUd,D O x.0005 $ S•DO
(convact price) (minimum S 3.00)
3_ POSTAG�&iTA.M�I.17VG(Only on Mail-Io Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines l-3 Above) $
■ '� CONTI7ACT P1210E or JOB COST mcans the actual o� escitr�ated dollar amount charged for the
�eamitted work including nn,aterials,labor,pz�o��,and otb�er faxed costs. It is thc amount to be charged
to the custo�mer�ior the work done_ If any matcriai, equipmcnt,labor or installations ere furnished by
I che owner, tenatat or any other party,r,�e re�or�able�ar�Cet value of such ite.ms must be added to the
estimated cost or con�act price for permit fee purposcs. ln the event that there is a djspute ott khie
amount of the job cost,the Ciry may request che Submisslon of a sigrled copy of the actual contract.
■ �*The STATE SURCHARGE is.0005 times the Contract Price oc a mininautn,of$5.00.
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The u�dersigned hereby applies to the City �or issuar�ce of a�echanical Permit, agrees to do all
work in sfict accvrdance with tk�e vrdi�nances of tk�e City and the regu1ations o:F the State o�
Minnesota, and certifies t�,at all 'statezx�,ents m,ade or� this applieation are complete, true and
correct.
,Ap�lican.t's Sigziature: � bate: ����'�Z
�t,y;::,• pL ''�
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11/07/2012 12:17 9529222434 SAVLER H�AC PAGE 01/04
�
,� SAYLER
Heating &Air Conditioning, lnc.
FAX
To: F�om: Jim Vogelsberg
Company: City of Orono Pages (including cov�r):
Fax: 952-249-4616 Date: 11-7-2012
Re: HVAC permit
Comments:
Please call me for credit card number,
Thanks Jim
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Thank You, � �
Jim Vogelsberg
P, 612-816-5851
F. 952-922-2434
iim@saylerhvac.com
8900 West I.dke Street•3t.Louls Park,MN 55t26•Phone 612-702-6622•Fax 962-922-2434•
www.saylerhvac.com
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� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED ��Z� ���
PERMIT NO 0 - � �� �COMPLETED
ADDRESS a7�s C�
OWNER TEL HONE NO. (P�o� 7�9 �Z'�
CONTRACTOR S�/��� h��Z�
>; DESCRIPTION l"`�w` /�'�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ S1TE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� .-�.1QIQRRK SATISFACTORY:PROCEED [_� PROJECT COMP�ETE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOPORDER POSTED.CALIINSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector. �� �
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White Copyllnspector's File Canary CopylSite Notice
5� _ � T TIM E �
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE � / SCHEDULED I-I�� ���
PERMIT NO. a 0� a -U � �3 't COMPLETED � N
ADDRESS ��3 5 ����-/�-� �/Z �
OWNER TELEPHONE NO.��2- 7I�'1 �Z-�S�
CONTRACTOR S�t-N��
� DESCRIPTION M�� !�" � ��(
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W �ORK SATISFACTORY:PROCEED �PROJ CT COMPLETE
� � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. •
Call for the next inspection 24 hours in advance. �95Z� 249-4600 �
OwnerlContrac o sit •
Inspector.
White Copylinspector's File Canary CopylSite Notice