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HomeMy WebLinkAbout2011-00845 - heating system � , . CITY OF ORONO PERMIT NO.: 2011-00845 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�ssuEn: 08/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 FOX ST PIN : 04-117-23-41-0008 LEGAL DESC : BEAU MARAIS : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,700.00 NOTE: HEATING SYSTEM: MODINE-NATURAL GAS-4°FLUE- 100,000 INPUT BTU'S-80,000 OUTPUT BTU'S- 1200 CFM APPLICANT MECHAN ICAL 50.00 SAYLER HEATING&AIR STATE SURCHARGE MECH(VALUATION) 135 6800 W LAKE STREET ST. LOUIS PARK, MN 55426- MAIL-IN FEE 2.00 TOTAL 53.35 PAID WITH CC# 3833 OWNER MALMQUIST,JAY&CHRISTINE 2550 FOX ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT l�he 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. "I'his permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions oY laws and ordinances governing this type of work shall be compied with whether or not specified herein."I'his 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance with the S[ate Building Code.This permit may be revoked any time for due caus . � � �/ /� !/ �'/ /o� / Applic nt Permitee Signa ure Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , 58/�112011 14:58 9529222434 SAYLER HVAC PAGE 62/04 C }'[;SE O:�LY . '$� City of Orono �� � �Pen��t� d��—� �,v" ,f�0 Q•` P.O.Boa 66 Date Recei�e . ��,�� �� 2750 Kefley pari:H,ay � .� ,�`�z �J Crys[ai Bay,MN 55323 A.ppcoYed By: Amo�n�S: m��y��� Phone(95�)249�600 F��(952)249�616 9 CYTY O�' ORONO—MECH,A,�i�C,A,L PE��'I,' (All Commcccial pertnia must be appro�ed b;�the Building O�cial or inspector epd/or Fi�a Marshalf) GENERAL INFORMA'T'TOTI 1, You may apply for mechsnieal permits by maii or in person at the City offices, .0.pplications will be reviewed and a permit wi11 be issued within two ti�orking days- 2. Permit cards will be sent by retum mail a(ier a review is completed_ P�,R�v1ITS ARE NOT VAL�D UNTIL YOU REC�iVE A PERMIT. WORK MUST NOT�EG1N UNT�L THE PERMIT CARD IS POSTED OV THE Jl]S S�TE. 3. Mechanica Desi s—Complete ealculations,details and specifieations are required for each ' heating,ventilation,humidification-dehumidificat�or�,and aic condit�onin,g installation iacluding heat loss/heat gain ealeulation,design tcmperatures,equipmcnt ratings and identifieation as to type,mar►ufacmrer and r�odel. Data sha11 be presented on form 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 1�lechanical Code/State Building Code requirem�ents. 6. All work must be inspected(�rougk�-G�a�d�pal). Ca11(952)?49-4600. (Z4-48 hour notice�equired) 7_ House�ieating Tesc ktecord must be submitted before fnal. TYPE OF PERMIT (Check A11 That A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace �'ob Site/Owz�ez znformation: Site Address: ���� (�ul� �T • Owner: ��1/�'� U.� Mailiz�g A,ddress_ City. Qf�'f v Zip: Home Phone: Alternate.Phone: Con�tractor Information= Cp�ltracto�: � P� `(�.- COntact�erSOn: �,1 A.� e A,ddress' (� �� �••J� Gohr,}�. State Bond#: Ctty: JL/ Zip:�� �Expiratiozt Date: Phone: G ���?"0►�� �b �� A�te,c.�ate �'�or�e: ❑ Insuranee—Current: 1 ° 08/11/2011 14:58 9529222434 SAVLER HVAC PAGE 63/04 . . ; . .: ... .. , �,�;I���YS'TEIvf�.B�TT�G rN'STALLED ;N1E . Note: All Geothermal Systems will now require a Site P(a,�&Review by our Building Of�cial_ IS TH15 GEOTH�RMAL? ❑ Yes ❑ No HEar��vc sxsTEMs Quantity: ' Make: �� �n e MOdel_ � � N Fucl; N��• y 1� Fluc Size_ Input BTUs: ��r � Output STUs: U� �V CFM: ��v COOL�NG SYSTEMS Quantity: Melce: Model: Tons: H.Power FIREPLACES Ges Factory Fireplace Brand T`ame= Wood Burning Fireplace Wood Stove Model 10.: Wood Stove With Flue V EN�('[LATION No, hitchen Exhaust duct recirculating cfm No_ Barh�xhausr(must have dvct ouuide) c�ix� No_ Othar Fans: Locations cfm FUEI..S'�'ORA,GE (Must be a�pproved by 1�'ire Ma�sha!!if proposing to abqndon fank in,place.) � Installation � Removal Fuel Oi�' gallons ❑ Underground ❑ Insidc ❑ Outsidc l.P Gas: gallons Other: GAS 1,IlY�OI�f1�Y � Outdoor Grill � Other!List What&V1%herc: 2 ' E8/1I/2011 14:58 9529222434 SAVLER HUAC PAGE 04104 ���i�ZlJ 1�< <�t ,� , �.. , ,;,���;,:�.. �� ; , ,���#T�'.EE�A�„C�,AT�(��1{S} .; - ;f ��i y C"� a ti�c � �l �+ . � �i•��ll'� . ����I?,�ie�oe; 4 f�i ����1��r���, ,�;� �A'1�uJ��'�� � "A'. � Yes,this secTion applics xhe replacement of a Reside�t��xture or avpliance that meets all three of the f�ollowing requirements: 1. Does not require modifcation to electrical ot'gas service. 2_ kias a total cost of$500_00 or less;excludin�the cost of the fixture or appliapce:and 3. Is imp�oved,installed or replaced by the kaozneowner or licensed contractor. Skip r�ext section,i�Fthis applies; Cost of Permit � 15.00 State Surcharge $ S_00 Mail-1n Fee(��'Applicable) $ 2.00 Total�ermit�ee � ._ ,, T , r A . J-�l�T ? �J T� ,Q�,�?�{�1h ' ,'�. :':1 !1)i15��.k�'"�i,1..�/�� F:�,�:!"?.'' •�� �LJ.LV � `-Y����Y E.tS...:'�6JVl/�.AIQ ' 1(.li,•i ,j'!� . If above does no[apply;foliow guidelines belo�%' 1_ CONTRACT PRICE * is �•25%o�contract price with a(Minimum Fee of$50.00) Z700r x_4125$ � :. J'��.., (�oniract price) minimum$SQ.00) 2. �TATE SURCHARGE *'"A.dd tlne St�te Bldg Code Div. Surcharge(�t;n;mum Fee of�5.00) Z7 ot�� �.0005 S �" � -- (contract nrice) �imum S 5.00) 3. AOSTAG�&HANDLING(Only on Mail-tn Applicatio�s) S 2.00 Z 4. TO'�'A�L PERM[T F��(Add 1.ines 1-3 Above) � � 7 � - W CONTRA,CT PRICE or JOS COST mear�s tt�e actual or estimated dollzr amount chargcd for the permittcd work including mate�rials,labor,profit,and oth�r fixed costs. lt is the amouqt to be charged to the customer fo�the wo�k donc. If any material, equipmept, labo�or i�►staUations are fiarnished by che owner, tenant or apy other parry,the t�asorlablo market valu�of such items rrlust be added to the estima[ed cogt or eontract price for permit fee purposes, In the event that thcrc is a dispute on the arnount o�tbe job cost, thc City may request the submissian of a sign�d copy of thc actual contract. • '`*The STATE SURCHF�,RtG�is.0005 timcs the Contract Arice or a minimum of�5.00, : � ,;y G ,. : �,: .,A'��'�ti�T APPL,� A�.�or�,aG�E ;;� ���� The undersigned heXeby applies io the City for issuance of a Mechanical Pennit, agrees to do all work in strict accordance with the ordinanees of the City and the regulations of the Statc of Minnesota, and certifiies that al� statennents made on chis application arc complete, true and cvnCect. A, licant'S SI 113LuzE: f� at�: V���rl I PP g D i . ''tr:;,i�',f.;i':,�: as>'r.,," .�:��"�°: }�!h,-�i�;�::�:,����, 3 �v �--� DAT TIME CITY OF ORONO CALLED IN /D /� � INSPECTION��I E /�Q SCHEDULED /� PERMIT NOO`� � �/" COMPLET ADDRESS �S� OWNER — T PHONE NO��_ O��l�—���� CONTRACTOR �-- / �: DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ PLUMBIN ❑ SE FINAL ❑ FOUNDATION/REMOVAL � OWNE RACTOR T MEET YO�ES_NO � COMMENTS: � W C J `� �T � l�C � � �C7r" _ O �. � O � W � Q ti Z W � W � j GW ❑WORKSATISFACTORY:PROCEED /�1 F�HOJECTCOMPLETE � f�� �` W ❑CORRECT WORK&PROCEED I;�SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIOIV RE�UIRED.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 CopylSite Notice �� DATE TIME CITY OF ORONO CALLED IN � � INSPECTION NOTICE G SCHEDULED PERMIT N0. ���— �� g�'� COMPLETED ADDRESS OWNER EL P ONE NO. �� �y�` `'7�� CONTRACTOR ��a" � >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � '.�r- � r b �_i.. lr� � i��% � 0 � � i ( 'T� 0 � W � Q � Z W � W � � ��ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice