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HomeMy WebLinkAbout2009-00159 - mechanical CITY OF ORONO PERMIT NO.: 2009-00159 2750 KELLEY PARKWAY v . ORONO, MN 55356- �ATE �ssuEn: 04/17/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2640 FOX ST PIN : 04-117-23-42-0008 LEGAL DESC : REG. LANU SURVEY NO. 1249 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 83,300.00 NOTE: 2 WATER FURNACE ELGCTRIC GEO'Il{ERMAL HEA7'ING SYSTEMS 1 TRIANGLE"I UE3E NATURAL GAS HEATING SYSTEM 1 WATER FURNACE 6 TON AC 1 KITCHGN EXHAUST 6 BATH GXHAUST GAS LING FOR DRYER,RANGE I COOD AND FIREP[.ACE APPLICANT MECHANICAL 1,041.25 UMR GEOTHERMAL 5115 INDUSTR[AL STREET STATE SURCHARGE MECH (VALUATION) 41.65 MAPLE PLAIN, MN 55359 MISC FEE 1.50 (763)479-6325 TOTAL 1,084.40 OWNER WESTLING, TOM 2640 FOX ST WAYZATA, MN 55391- AGREEMEIVT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved pians and specitications,applicable City approvals,and the State Building Code. 'I'his permit is tor only the work described and does not grant permission for additional or rclated 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.'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 ot�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 Quilding Code.This permit may be revoked at any time for dus cause. �iyC� l l G�`�yt-a�--✓�-� l l Applicant Permitee Signature Date [ssued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. .' ., r��u<�rr��i��si� <>�i.�� �0� CityofOrono � ���-� S-9 � � P.O-Box66 D:rtc Reccivcd� ��l�Q�Pcrinil it _ 2750 Kelley Parl.�aav �� � '� +� '� Crystal[3ay,MN Si323 r�ppro��ed 13��� t7•� _ ;Aniuunl X� _ , h � �c�,' (952)249-4600 xsaxa" ' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OfYicial or Inspector and/or Fire Mnrsh,dl) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the Cit��ofifices. Applications will be reviewed and a permit will be issued within two�vorkin�days. 2. Pennit cards will be sent by return mail lfter a revicw is completed. PI:R\�IITS .aRC� ��OT VALID UNTIL YOU RECEIVE A PERMIT. WORK �1UST NOT f3EGIN l'�\�"I�IL THE PERMIT CARD IS POSTED ON THE JOB SITG. 3. Mechanical Desiens—Complete calcul�tions,dctails�ind speciticatiun�arc required I<�r each heating,ventilation,humidification-dehumidification, and air conditionin�� installation including heat loss/heat gain calculatio��,design temperatures, cquipment ratin�s and identification as to type, manufacturer and model. Data shall be presented on form providcd. 4. VVhen any new constructici�or:en:odelir,g is im�olved,a se;�arate builclin��,�rmit must be obtai��ed. 5. All work must be done in accordance with the Uniform h�lechanical C'ode/State liuilding Code require�ne��ts. 6. All work must be inspected(rough-in and final). Cail (95�)249-4G00. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (C:heck All That A ply) � Residential ❑ Commercial (A��proval Requirecl) ❑✓ New ❑Additional � Rcpairs ❑ Rcplacc Job Site /Owner Information: Site Address: 2640 Fox Street Owner: Tom & Lori Westing Mailin`� Acldress: 2650 Fox Street Cit Orono Li 55391 Y� I�� Home Phone: �Iternate Phone: Contractor Information: Contractor: UMR Geothermal, Inc. Contact Person: Pat Hughes Address: 5115 Industrial Street State F3ond #: 929289728 City: Maple Plain 2i��:55359 �:���i�.��tion Date: 09/16/09 Phone: �763)479-6325 �Iternatc Phone: �651) 336-9445 � 09/01/09 Insurancc—Ciirrent: I . ` MECHANtCAL SYSTEMS F3EING INSTALLED Note: All Geothermai Systems �vill now require a Site Plan K lZevic��� bv our L3uilclin�� Of�f�icial. IS THIS CEOTHERMAL? �✓ Yes ❑ No HEATING SYSTEMS Quantity: � � - �- - - - Make: WaterFurnace WaterFurnace Triangle Tube Model: EW042 NDV072 TTPRES25 FueL• Electric Electric Natural Gas N/A N/A 4" PVC Flue Size: Input BTUs: �����v Z`�,D DD 250000 Output BTUs: 42000 720Q0 225000 CFM: COOLING SYSTEMS Quantity: � Make: WaterFurnace Model: N DV072 Tons 6 H. Power FIREPLACES ❑ Gas Factory Fireplace 13r1nd Nainr. ❑ Wood Burning Fireplace ❑ Wood Stove I��iodel Nu.: ❑ Wood Stove With Flue VENTILATION � No. � Kitciicn Exi�aust _� duct _rccirculatin�� 600_cfm � No. 6 Bath Exhaust(must have duct outside) _50___cfm � No. Other Fans: Locations _ _ ___cfm FUEL S7'ORAGE(MUST BE APPROVED BY FIRE �tARSHALL) I f propos ing to abandon tank � Installation � Removal �-n place . Fuel Oil: �allons � l'ndergroiuul � Inside ❑ Outsicle LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Othe��/List�Vhat& \��'herc: Dryer, Range Hood, Firepla� � . . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STn"I�IIE ❑ Yes,this section applies The replacement of a Residential fixt�n�e or appliance that meets�II threr of the ibllu���in�� rryuirements: I. Does not require modification to elecU•ical or gas service. 2. Has a total cost of$500.00 or less;excludint�the cost of the flxturc ur a��pliance: and 3. [s improved, installed or replaced by the homeowner or liccnsed contractor. Skip next section, if this applies Cost of I'crmit S_ I 7.O0 Statc Surcharge S .>0 hiail-In Fee 1 I f r1����licahle) `� I.�0 "I�otal Pcrmit I�ec !ti PERI�.�IT FCE CALCULATION(S)—.10[3S OVC;R $�00.00 � If above does not apply; follow guidelines belo���: I. CONTRACT PRICE �' is 1.25%ofconU�act�iricc���ith a(\linimum I�ec uf�S3�.U11) 83,300.00 1,041.25 � .UI'� `s (cuntract pricc) lniiiiimuin`�3>n0) 2. STATE SURCHARGE ** Add the St�te 131dg Code Div. Surcht�r�e(�linimum Fec ofS.�ll) 83,300.00 � ������� ,� 41.65 — --_— — — — (cuntraci pncrl Iminimuni`� .>U) 3. POSTAGE& HANDLING(Only on Mail-In Applications) �; I.�0 1,084.40 4. TOTAL PERMI"C FEE(Add Lines I-3 Abovc) �+ ■ * CONTRACT PRiCE or JOQ COST means the actual or estimatcd dollar amount �h:ir�ed (or the pennitted work including materials, labor, profit, and other fixed costs. It is the �inu,unl to be char��ed to the customer for the work done. If any materiaL eyui��ment. labor or installatiuns are furnished by the owner, tenant or any other party, the reasonable markct value oi�such itcins must he added to tlie estimated cost or contract price for peri��it fee purposcs. In the event that thcre is a dispute on the amount of the job cost, the City may request the submissi�m of a si��ned co���� <�f the actual cuntract. ■ ** The STATG SUP.�HARGE is .000�of the F�uildin�� Departmcnl,�t (9�'.l _'���--4(�00 f��r the price. MECHANICAL PERMIT APPLICA"I�ION AGIZEI;MI'.N�I' � The undersigned hereby applies to the City for issuancc of a Mechanical ('crmit_ ❑��rces to do all �vork in strict accordance with the ordinances of the Cit�� and thc rc��ulations of ihe State oi� Minnesota, and certifies that all statements made on this a����lic��tiun arr c��in��lc�c. true and correct. Applicant's Signature: � T)atc: ����y�b / ��� Reset Form � 1 ' �n�p{q f3c INDUS�tRY � !.�.ItlNF�. �.'.\l;'..t�, fa:ri::':i�i,— � LABOR & It^�DUSTRY �y Construction Codes and Licensing llivis�on C'ommissioncr of Labor:in�lndustry Construction Codes and I,icensing Division I��y�iccci�cd and I�iled a 525,00o 5�����ty�ilond. �s Rcquircd b)'11ti 32G.99'-,fur�\'urk Regul.�tcd CO1T11111SS�OI1Cl' Of I�i1�70C All(� �III�UStC)' bv ihc Stalc�icch.�'ucai Code Iias Rcccivcd and Filea .l �Z���n� SU�'Ch' 130I1t�� Itobcrta,I.Ilcnrich I3ond tio: 92922i�)728 As Required by MS 32G.�)92, for W��rk Regulatcd '1'u: � �i�i c,���i,��.����i �11f ID:0059:} {�:fTr:live Dale I�:xpirAliun U:ite by thc State Mccl�anical Codc �»��i�uo�� ,�;;�izoos Roberta J. flcnrich 13ond No: 929?89728 "T�): M13 If): 00594 UMR GcothcrmTl 5115 Industrial S/. � � Maplc Plain MN 55359 � F.xpiration U.►tc MBFormRC Effective Date ��������� 9/17/2008 � , :�':, I;��. 04/17/2009 10:24 FAX 76a4792183 BERGERSON CASWELL INC 1�001 � � � � N , , ._.._'��) � � � � Y � C '/� st C� � ('�.� • � � � � � � ' � . b� � ': � � . �.l 7 n :��. � �:G�--;�:� � J S . . . �-- � 3 , � , � � � � � °�ae ,,,� O �� . � �� :� � . -� �_ � �� N �,� � r � � / � � � � � I� �^ ' � � � `-. ti_, � ,� � �„- w `�----- `' � � � � � .� ; v � � � �7 � " � �' � ' ,� v�f` � � i, �1` �i'. � ! _i ; r� � �1 � ' '� C � y �'; � .� f .��' �-- .� � � � � � � � a� V�d � C� Q � '�� .,,..,, � �� �) ., '� . ' . � � l ..�,�'�`a.. �'�'�, ��� a',�., r` 1>.:.. . �ri . . � :. � ' .J.y K .c � �. r l] N � i. �:�4 Y � ' _.. . . \�]] S w`� � . � ' � ���-� .,'S�1' ' 1 - 1 `� �� 1R Y, , , ,. , �� +� . ��� ` .. , ���...�i:�.o-.�A�.���S.ln�4`�"S''. . . � '�.. ��--�- c��� DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED 3 �/O "`�/ o?-'�D PERMIT NO.e�����1-�9 COMPL TED ADDRESS a i�Z� OWNER CONTR. ��/�' �/�� �� TELEPHONE NO. � 5 �'��� �a�� � DESCRIPTION `j����� ' /� �. � ❑ FOOTING �YvtEG'FIANICAL RI ❑ EXCAV/GRADING/RLLING 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOft'TO MEET YOU:�S_NO � , � COMMENT : � � W a • � � O a � � �� - �' �. � S -r- W Q �� ��� � �� � Z W � W � � d W� �lORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: ' Inspector. �e �S White Copyllnspector's File Canary Copy/Site Notice �� �- �/ �D/��Ey TIME CITY OF ORONO CALLED IN � / INSPECTION NOTICE QSCHEDULED -`� �3'�D PERMIT NO. ��Ol —��S( COMPLETED ADDRESS ��� �� �f OWNER CONTR. ��� �eD ����� qr TELEPHONE NO. 15z- �% � v 7'J�p � DESCRIPTION �����r�'' /`� � ❑ FOOTING � MECHANICAL ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q ti Z W � W k � d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor o ite: inspector. lv.� � 1 � White Copyllnspector's File Canary CopylSite Notice � � �— `� DATE TIME ✓ CITY OF ORONO CALLED IN f v INSPECTION NOTIC SCHEDULED � : �� PERMIT NO. d — 9 COMPIETED / ADDRESS OWNER CONTR. � TELEPHONE � 3^ �� �� � DESCRiPTION ��i%�C_-C��Y�- ' �, � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W C C RRECT WORK&PROCEED =� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. G PHOTO TAKEN INSPECTOR WILL RETURN =7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REC�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. � � c� S White Copyllnspector's File Canary CopylSite Notice dC/1 QDAT n TIME � CITY OF ORONO CALLED IN ` �v INSPECTION OTICE L� SCHEDULED ��l-+� :QO PERMIT NO.�����/ COMPLETED ADDRESS a6� 17�d7� S�' OWNER CONTR. �m/� �%��i���O . TELEPHONE NO. lO�l 33�0 9T�� � DESCRIPTION ���� � �� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. O WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o ��� �4 .�L-�� ���� a � � 0 � W � Q � 2 W � W � j O W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W CORRECT WORK 8 PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on ite: Inspector. t White Copyllnspector's File Canary CopylSite Notice