The URL can be used to link to this page

Home My WebLink About2009-00648 - mechanical , � CITY OF ORONO PERMIT NO.: 2009-00648 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEu: 09/30/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 980 FERNDALE RD W PIN : 02-117-23-44-0019 LEGAL DESC : COUNTRY CLUB ESTATES : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE . � v -MULTIPLE VALUATION : $ 6,000.00 NOTE: HF.ATING SYSTEM-NATURAL GAS-3"FLUE,84,800 INPUT BTU'S,CFM-BOILER GASLINES FOR OUTDOOR GRILL AND DRYGR APPLICANT MECHANICAL 75.00 SAFAR,JACK& PAMELA STATE SURCHARGE MECH (VALUAT[ON) 3.00 980 FERNDALE RD W WAYZATA, MN 55391- TOTAL 78.00 OWNER SAFAR, JACK& PAMELA 980 FERNDALE RD W WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work tor 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.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 for a period of 1 SO days at any time after work has commenced. The applicant esponsible for assuring all required inspections are requestcd i for nce with the Sta[e Building Code.This permit may bc revoked ny t�m or due cause. � / / / / pplicant Permitee Signaturc Date Issued By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. . � �t FOR CITY USE ONLY � ,�0�,� City of Orono ` � P.O.Box 66 Date Received�`a� Permit# Daq- O� � �� 2750 Kelley Parkwa�- i � �� "��'�� Crystal Ba��,MN�5323 Approved By: Amount$: � � > ��' "'�`�"r1��7,��,�; (y52)249-4600 ��_� CITY OF ORONO —MECAANICAL PERMIT (All Commercial permiu must be approved by the Building Officiai or Inspector andior Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit wil]be issued within two workina days. 2. Permit cards will be sent by return mail after a re��iew is completed. PERMITS ARE NOT VALID U�TIL I'OL"� RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED O�THE JOB SITE. 3. Mechanical Designs—Complete calcularions, details and specifications are required for each hearing, ventilation. humidification-dehunvdification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment rarings and idenrification as to type; manufacturer and model. Data shall be presented on form provided. 4. Wl�en 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 Buildin�Code requirements. � 6. All work must be inspected(routh-in and final). Call (952) 249-4600. (24-48 hour notice required) 7. House Hearing Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) � Residential ❑ Commercial (Approval Required) ❑ New �Additional ❑ Repairs ❑ Rep]ace Job Site/ Owner Information: Site Address: �I �� ✓� �1 c �� i (,.� ? 5 � Owner: J C�c-k .�.�cr��C•�• Mailing Address: j� % ;- ?r�^C�.� :� 1J� . L��. CitY: �`�'1 �Z.i''�q Zip: `� `� �, ( � —� Home Phone: �S;�� y 7 i�"� Alternate Phone: �� `) ��--3 '�� } " 5 ��.� Contractor Information: Contractor: Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 . �� MECHANICAL SYSTEMS BEING INSTALLED ` Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes QC No ,� HEATING SYSTEMS �� s ��1 �`� � � �✓ � �c �'� �' � o��i� Quantity: Make: _�.��lr Ui Model: L � �y �� Fuel: ��I 1 ��1 Flue Size: �j i `� Input BTUs: J � 71 Q ��` Output BTUs: v��7�+� � 75 �.� � CFM: �3p��,�Y COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ VVood Burnin�Fireplace ❑ Wood Stove Model No.: ❑ �'ood Stove With Flue VENTILAT�ON ❑ No. I�itchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans Locations cfm FUEL STORAGE (Must he approved b1�Fire Marshall if proposi�:g to abm�don tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY �] Outdoor Grill � Other/List What&Where: �� -�� , � r � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modificarion to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin4 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) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S} -JOBS OVER $500.00 If above does not apply;follow�guidelines belo��: 1. CONTRACT PWCE * is 1.25%of�contract price with a(Minimum Fee of 550.00) r� � �, oOD. X .o12s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) x .0005 $ (contract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * COI��TRACT 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 tlle customer for the work done. If any material, equipment, labor or installations 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 pnce for permit fee purposes. In the event that there is a dispute on the amount of tbe job cost, the City may request the submission of a signed copy of the actual contract. ■ **The STATE SliRCHARGE is .0005 of the Building Department at(952)249-4600 for the price. j MECHAIvTICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the Ciry far 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. / 'C'l,,,� � Applicant's Signature: �,(1;, - �a , Date: � ",� t�" � C �r 3 , .Ptoduct Specifications for Buderus Residential Boiler GB142 Page 1 of 1 ;' �� Login :: f r �. i Home About Us Our Products Support News&Events Where to Buy �GBid2 Detailed ProductSpecifications Model GB142124 GB142/30 G6142/45 GB142/60 � �� Specifications a"'�:;• �:� : �� `� t Rated input BTUH 84,800 106,000 160,900 214,800 ' � . � � �� Rated Output BTUH 22,700-75.200 28.100-91.500 42.500-142,000 56,800-19� s� (176°1140'F) 25,300-83,300 30,700-102.400 47.200-158,000 63,200-21 � c : (122°/86`F) '� AFUE% 95 94 95 95 ' , � Max Equivalent 100 100 100 60 ' Vent Length ; t Flue Gas Temp.°F 155 167 151 i51 �` (176`1140'F) �00 100 97 97 ; (122°!86`F) '_3 CO2 Content at Full 92 9.2 92 9�� :k��R� Lo2d 100%pprll ' � Rated Emission 24 23 23 22 Factor(ppm)NOX Venting Material PVC PVC PVC PVC Vent Pipe Diameter 3" 3" 3" 3" Air Intake Dfameter 3" 3" 3" 3" Boiler Supply 1, 1.' 1„ ��. I"� Connection Boiler Return 1" 1" 1�� Connection ``��_""'� System Supply 1" 1„ �" �,� Y. �,$�' System Return 1" 1" 1" 1" �,�`r Boiler Dimensions 28"x 22"x 18'/," 28"x 22"x 18'h" 28"x 35%z'x 18'/:' 28"x 35%z ,,�' ��:�� Weight 1101bs. 1101bs- 1431bs. 158Ibs � ..._. . Water Content 65 gal 65 gai 93 gal t2 gal GB142 Product Details •Onry available in Natural Gas Approvai Codes Performance Details Product Specifications Download Manuais&Literature _ ,x,�:,� �a�.i+c+; �� y I''a � �.. �}� . ..' Find out what enargy prcgr2ms are available in your s<.atz `Jisit our Enerqv Proqram Guide, http://www.buderus.net/OurProducts/GasFiredBoilers/GB 142/ProductSpecifications/tabid/... 8/26/2009 � DA TIME � CITY OF ORONO CALLED IN /� � T��— INSPECTION NOTICE l�Q SCHEDULED //- - --�� PERMIT N0.�40g--'Od� L O COMPLETED ADDRESS (�D ��l�'�'lC��C� �-Q. L� OWNER �G�-� S�Z.�J CONTR. TELEPHONENO. �� 3�� .�5�7 �l�rnGclr��" � DESCRIPTION �I? ��6� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � Si/^E�ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRE T WORK&PROCEED �' ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 � OwnerlContractor on sit : Inspector. � White Copyllnspector's File Canary CopylSite Notice �� / ' � ATE TIME �/ CITY OF ORONO CALLED IN d INSPECTION NOTICE L�Q�CHEDULED OCf / - PERMIT NO. ��` UCOMPLETED ADDRESS �� /"� � OWNE / CONTR. TELEPHONE NO. 5 3 �� - S � DESCRIPTION �iC�Z�� ❑ FOOTING ❑ MECNANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J MBING FINAL ❑ FOUNDATION/REMOVAL OW TRACTOR TO MEET YOU�YES_NO � COMMENTS: � w e � r �� N'Q � � /� -� � ''�" ; � �. � - -- O r�,� � W � Q � 2 W � W � � d `_ W� /�1NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ��ORRECT WORK 8 PROCEED 'J ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerfContractor on si � A Inspector. � !�.f ( :,_ � White Copyllnspector's File Canary Copy/Site Notice