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
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�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
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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