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Home My WebLink About2013-00272 - mechancial . CITY OF ORONO * z 0 1 3 - 0 0 2 7 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2013 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 425 HUNTER PASS PIN : 25-118-23-31-0008 LEGAL DESC : HUNTER PASS : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 1,715.00 APPLICANT MECHANICAL 50.00 ANGELL AIRE INC. STATE SURCHARGE MECH(VALUATION) 0.86 12253 NICOLLET AVE BURNSVILLE,MN 55337 MAIL-IN FEE 2.00 (952)746-5200 TOTAL 52.86 OWNER Tonkawa,Inc. 301 CARLSON PKWY#275 MINNETONKA,MN 55305- AGREEMENT AND SWORN STATEMENT The 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. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming 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 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 Building Code.This permit may be revoked at any time for due cause. /•�-C `�/�,. � � / / Applicant Permitee Signature Date Issue By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A . . , �� 1� ' �� {"'� City of Orono �..�✓,�jw� P.O.Box 66 ��s+� � �i �� I E � �` u 2750 Kelley Parkway '` � Crystal Bay,MN 55323 Ap�uot�1�� :�, Phone(952)249-4600 Fax(952)249-4616 ` ` � �1 ��~� CITY OF ORONO-MECHANICAL PERMIT �x E$H�A (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) _ _.. .. �i �� € ,;,� , - � ' .: �: , .- Ys -_ , .. , > :., , ;, . �,; .�.i �. _ .. - �� i ...... � .�„ . ' ,L�<�€___; ' . . .: 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specificatiqns are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be present�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 Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call{952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. " �� : ; 9' ,:, r .�.� �� .. &E�^ E� :/ ',� t EE. � �; ��..E .... .. .:. ' � �� €.:��°�� E E�!�•' - _;i... _�- _ E ..... ••� '.. �esidential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace - �t� �� . �# � , + : ,EE:ii.. E .,. ,e, ,, ✓, ::8 Site Address: y�� j�Cin�2 /�ct S�' Owner: i�/lll2.� /�y!�er� Mailing Address: r .t ,�s �d s��-' City: Q'2��v Zip: �'S'�� Home Phone: Alternate Phone: y� � � � ,, �il �.� �...''�. .�f ,E �F Contractor: ��71 i�4 c�c Contact Person: T�/�2�0.�•• Address: �L2 S3 �w�.,f� �`f, State Bond#: M � O O 33� b City: �11�CU,S v��lt Zip: ss'33�Expiration Date: �/Z Z!�y Phone: �SZ-7 Y G- S 2.c� lternate Phone: Insurance-Current: 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: , l Model: ,\ t Fuel: V � �� S Flue Size: � Input BTUs: _ _ Output BTLTs: CFM: COOLING SYSTEMS � Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VEi�TTiLATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ 5.00 Mail-In Fee(Tf Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l ? /,S�' x.0125$ �� '�- (contract price) (minimum 550.00) 2. STATE SURCHARGE / �� -- x.0005 $ . 0 a L (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ s �-• ��' ■ * CONTRACT 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 the 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 price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. T'he undersigned hereby applies to the City for 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 applicarion are complete, true and correct. ApplicanYs Signature: !/ Date: � l � �-3 3 FROM :KOESTER INSSVCS FAX N0. :952-431-2900 Apr. 18 2013 12:11PM P1 NI`I V«"�' A��" CERTIFICATE OF LIABILITY INSURANCE °"oa`�si13Yn THI�TIFICATE 19 IS3UED AS A MAT7ER OF INFORMATION ONI.Y�X END OR AITER T'HE C VERAGE A FORDEDABY THE POLICHES CERTIFICATE DOES N07 AFFIRMATIVE�Y OR NEGATIVELY AMEND, 6ELOW, THIS CERTIFICATE OF INSURANCE DOES N07 CONSTITUTE A CONTRACT BETWEEN THE 188UING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRO�UCER,AND THE CERYIFICATE HOLDER. IMPORTANT: H tho celtiflcate holde� ie an ADDITIONAI. INBURED, the pollcy(lesl rnu9t be endorsad. Ii BUBROOA710N 19 WAIVED, 9ubject to the earms and condiNons of tNe pollcy,cortain pollcle9 may requlra an endorsemen4. A stakament on this csrtlHcatA doee not confar rishts!o the cartlilaate holder In Ileu oi sucN andor9ement s� A� vRovucEa 952-896-8818 � . - Northem Capital Commercial 952-829-0462 P„�NE " F� � � Nortbern Capft�l Ins Op dba �'�� MAI P.O.Box 9396 " MIf1119a�70II9� MN SS444�396 INBURER S AFFORDING COVERAGE NA1C M Koe9ter Insurance Sarvlcee,ln 14184 iNeua�cA:ACUITY Insurence , . weur�o Angell Alre,inc, iNsunEa s: - 12253 Nlcollet Avc. �NauaER c: _„ Burnsville,MN 55337•1650 INBUR R D; ' - u,suAea : COVERA(3ES CERTiFlCATE NUMBER: REVISION NUMBER: THIS 13 TO CERTIFY THA7 THE POL.ICIE9 OF INSURANCE LI3TED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THe POLICY PERIOD INDICA��. NOTwITMS7AN�ING ANY R�Qu1RflMENr,TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMEN7 WITH RESPECT TO WMICH TN�S CERTIFICATE MAY BE 19SUE0 OR MAY PERTAIN, THE INSURANCE AF�ORDEO eY THE POIICIE3 DESCRI6ED HEREIN 19 SUBJECT TO ALL THE 7ERM9, EXCLU310N9 AND CONDITION3 OF SUCH POLICIES.LIMIT9 SHOWN MAY WAVE BEEN 12EDUCED BY PAID CLAIMS. , , INSR 1. V �� C CY EFF OLJCV LIMITB rPe OF INeUw►NC! 1.000,00 ocNewu unewiTM 6ncH occ;URr�cE S L52178 12124J12 12l24113 p Eg Ee n� S � 100�00 A X COMM�CW�OENERA�UnBIUTY 5,00 CWMS-MAOE I�OCCUR M6P ExP An onv ereon i P�R80Nn�8 AbV INJURY S 1�OOO�OO " " GENERALAGGREOATE $ � Z,OOO� GENL AQC�IiEOn�LIMIT APf'LIES PER: PRODUCTs-COMPlOP a00 a 2,000,0 , a POUCY °R�' L C 1,000,00 �uroMoei�eu�e�m ee.c � � u,. A X ANY AUTO Ls2�79 12/24/12 12l24/13 40DILv INJURV l��Dereon} s AI.I.UWNED 8CIIEOULED BODILY INJURY(Pef aoddenl? � AUT08 AUTOS a NON-O�NNEO e�r ec�den X HIRED AUT08 x AUT09 � �. X UMeRELLA LY16 X oCCUR EJ�CM oCCUFRENCE S ' 2,000,00 q exceaeune CLA�MB-MADE �5z�7� 12I2M12 1?J24l13 aco�oarE s�_ 2,000,00 D N WORKfiRBCOMCRN5AT10N X WC3TA U- OTH- ANDEMPLOYER9'LIABI�ITY Y/N L32178 �2�4M2 �2l24/�3 E•L�F,ACNACCIDENT S 500,00 A �NYPROPW6fOWPARTNEWEX6GITWE � N!A OFFICEPrMHh1eER ExCLUDEv'f E.L�D�BEASE•EA EMPLOYE i SOO,OO (Manaarory�n NM) H e deeoriEo unr PE E�L.��9EA9E•POLICY LM�IIT T ��0 DE9CRIPTION OF OP[RATION91 LOCA710N8/VEFiICIFB�Altaah ACORD 101,Addlllonal RemeMs 9ehvduk,If inera ep�a k roqulrod) C R FICA �CE ORONO-- sNOULD ANY OF THe AB01/E DE8CRIBED POUCIES BE CANCELLED BEaORE TH6 EI�PIRATION DATE TNEREOF, NOTICE WILI 6E OELNERED IN Clty Of 0�0110 ACCORDANCfl WIYN TH�POLICV PROVISION$. 2750 Kelley Parkway P.O.BOX BB AUTNORREDR6PREHENTA7NQ Crystal8ay,MN 55323 ¢�.�<..,�. Cr•.�C'�-e..u�� / �1888.2010 ACORD CORPORATION. All rights reserved.