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.
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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 �
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04/17/2009 10:24 FAX 76a4792183 BERGERSON CASWELL INC 1�001
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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 : �
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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
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�D/��Ey TIME
CITY OF ORONO CALLED IN � /
INSPECTION NOTICE QSCHEDULED -`� �3'�D
PERMIT NO. ��Ol —��S( COMPLETED
ADDRESS ��� �� �f
OWNER CONTR. ��� �eD �����
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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:
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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:
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� ❑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
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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:
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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