Loading...
HomeMy WebLinkAbout2004-P07364 - mechanical CITY �OF OR N PERMIT O O Permit Number: 275`0 Kelley Parkway- PO Box 66 P07364 Crystal Bay, Minnesota 55323 Permit Type: Me�h�i�al Per�rs (952) 249-4600 Date Issued: 4�s�2ooa SITE ADDRESS: 2265 North Shore Dr Wayzata,MN 55391 PID: 10-117-23-33-0005 DESCRIPTION: Proposed Use: Residential Pernut Class: General Pernut Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 1,074.94 Valuation• $ 85,995.00 State Surcharge Fee: $ 43.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 1,119.44 APPLICANT: Elander Mechanical Inc OWNER: Kingsley Muiphy Jr. 591 Citarion Drive 2265 North Shore Dr Shakopee,MN 55379 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �..II r`'v"�` /_A ' (� N►v APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE Covies: 1-File(SiQnitures Required), 1-Avnlicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 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 retum 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 Desi�ns-Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation iiicluding neat loss/heat gain calculation;design temperatures,equipment ratings and identification as to type,manufachuer and model.Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be 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=hfl�rEn'Vice required. °�f Ec ED 7. House Heating Test Record must be submitted before final. A�� �- 1 2004 Instructions CITY OF pR�NO Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call(952)249-4600. Please check one: New Addition Repair �Replace �Residential Commercial JOB SITE:�� �j /�o�rY'!1 S�io%` �r-�dt Zip: .SS.3� � Owner's Name:.S-�i.e�n l� -�e� Phone Number: Mailing Address: City: Zip: Contractor's Name: K Q ,l,Vt,phone Number: �(,s"a-Y�.�Y6 �� Mailing Address: 5g/ �'c i City: S�i.4��coP�E� Zip: 5.3�37�7 SYSTEM DESCRIPTION 3r��o�i �.~' ��o.,► dNw,-iv �A/IJ HEATING SYSTEMS Quantity: � � � � Make: /or�c /0.-1� e� c /�r� Model: PiXQ12p�0) P�xooao��i�t PIXUD:tc��l/Z�� PIXu 1 VOq�C�/ Fuel: ,�6�1ti.r...( 1�1��..i..( �1..-+u,.� �l..�v.��.. I r• i� Flue Size: 2-�� Z 3 � 3 Input BTUs: Output BTUs: �S �/��/' (�ZT IlZ Z 7(0/ � —r----•�-- CFM: (Z.p�j �N O U �(o (9-C) �(� COOLING SYSTEMS Quantity: � j 0 � Make: `�o r(c. ��r lc.. �p s k- ��t k- Model: �}' (t�(�,3(p jO�c NI Q.�O`1�o� H�ROoyB'SO(� N/Q�na�/So(� � Tons: .3 3 �Z- � Z H.Power FIREPLACES ___j_ Gas factory fireplace Wood burning factory fireplace with flue �_ Wood Stove Wood stove with flue Brand Name Model No. VENTILATION No. � Kitchen Exhaust duct recalcularing�7 cfm ? No. 7 Bath Exhaust(must have duct outside) cfm No.J_Other Fans: Locations�,,.�� g-o�s�.. 70 cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside or outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION(S) 2002 State Statute 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;excludin¢the cost of the fixture or appliance: and 3) Is improved,installed or replaced by the homeowner or licensed contractor. Skip next secrion; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply,follow guidelines below: 1. Contract Price*is .0125%of job with a Minimum Fee of($35.001 Bs,' 99 s"� X.oizs $ �'075` 9'y �(contract price) (minimum$35.00) 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.50) v o0 � �'S� x.0005 $ `�.3 - (contract price) (minimum$.50) 3. Posta�e and Handling(Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE(Add lines 1-3 above) $ � *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 installation is 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. *•The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over$1,000,000 call the Department of Inspectional Services for the price. The 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 Minnesota State Building Code,and certifies that all statements made on this applicatio complete,true a orrect. c Applicant's Signature: Date: .� � Approved By: Date: , MINNESOTA DEPARTMENT OF HEALTH - BONDING AND INSURANCE CERTIFICATE � This is to certify that Thomas H. Elander, Master Plumber License No. PM003978, representing Elander Mechanical , Inc. . has filed a 525.000 bond , with the Secretary of State on December 15, 2003 and provided evidence of � ; Public Liability Insurance, including Products Liability Insurance of at least �; 550,000 per person and $100,000 per occurrence and Property Damage Insurance '; of at least �10.000 for the year 2004 in accordance with the provisions of � Minnesota Statutes. Section 326.40. , : BONO N0. RLI 504644 , � � Old Re ublic Suret Com an POLICY N0. CPP0696688 � o P y P Y Cincinnati Insurance Company ; '�; Des Moines. Iowa Gary Monnens, Minneso ta Agent Shakopee, Minnesota ; � � � MR THQMAS H ELANDER ! ' ': ELANDER MECHANICAL, INC. � ' S91 CITATION DRIVE �— �• ���• �;, � SHAKOPEE MN 55379 � ��� Patricia A. Bloomgren. Director � � Division of Environmental Health �� Dianne Mandernach. Commissioner �� �1 o , , 1 � �� � 1 ' ,, , 5 �. ;{ __ ....._. �� , . _. _�.__._._.� ._-_--- . _ _ . .:.....�... .__.._._..._,... . - --- . , R.- . _ -- -- __ ... �. __. __ . -..____-�.___�_._.._._--.--___�.. _ --- _ . . -. .-�_::..... ..� -- .- . -. ___ _ . _: .�- .-, ��-_. , � ���� Buildiag Codes and Standsrd Division Commissioner of Administration Has Received and Filed a$25,000 Surety Bond, As Required by MS 326.992, for Work Regulated by the State Mechanical Code To' Thomas Elander Bond No: RLI 561468 Elander Mechanical,Inc. MB ID: 00335 59l Citation Drive Shakopee MN 55379 Effective Date Expiration Date 8/25/2003 8/24/2004 - � � �r�te nf ������o�a M�nnesota B�avd af Electricity �in��trical Safel�r Thre�ugh �in�te�:ota �e�artme�t nf ��a�t�j '���� Pl�3I.1� LkTfT, BC�C 649?5 Ravre�li�rniN�d�`�ttu�i�ian 121 EAgT SF�'VF.T�TJ,�i P�, ST. Pp,i,Tl,, I�H+T 55164-09?5 , Rt�p�,q�� P�118 M�ster Plimiber License ��"�i�l�3T C �ff: 1D/14��U3 P'�I�L.I�K�,AAN�5372 �xp:1 W14l�05 LIC�S�S NO 043�7��I ��a: ��� � 7�an�� H. Flarx3er 2�0� i�,lds L�r1e lYprthwest �ric�' L�, MJ 55372 C/TY 06SAINT PAUL �F�C'�11t@$�Afi� �A'�1 DhTE I ��"•l r.���u,�•��a.,� ow�l Enrfrewnren/ol AoheNsw �j.���.l��{�� �.����.��Q� CERT/FMATB OF COMrBTENCY This is Io ccrtify that: . THOMAS H ELANDER holds the following competencies: Master PUGF 12065 � � �►�r�ic��n ' . • fl'il1iliil IDu 30 9500489f�����lE`i ����'�'`� � RICHARD D ELAN R S i y n a t u7•B: � ��j� Thesc competencies expire: 12/0l/200a Janeea E.Rosas has brrn rrr�ifinl u T y p e—I Ty p e—I I Direttor �r��,rw.-;an.su,.wu.,d M� M ci11�+a.�Nz.en►ran v�nmuKn wr �^,,.` I'Itl)1'I:It Rl:l ltll:l?K.\�'T Ylt,1C7'ICF:� � i �R S E 5`► ...,r..�..m�.a ti M.n_.r.,..,....�r n.w..�.........r..�� � � � � ,•�,= �,,,,,,,,,w,,��„� S�gnsture ofCertified Card Nolder I 1�p IMi�cwrd in yarr pwsession o�tAe job. -------- ;City of 11�nneaP�� 6t2-673-5892 � ----- ;Inapoct9vns Divisioa ; 250 3 4�+ 3t Mp1s 11�T 55415 � CERTII+'ICATE OF COMPETENCY Keep this card in pour posseasion on the job. �Tliis is to certlfy that: THpM7►g E7�ArTDER ,holds the followtng competencies: ; PC�664 Ml►3TER PLIIMSSR/C+7�ggyTTgR � � � � � , THESE C{�MPETENCIE3 E�PIItE; Npq, 01, �004 � D T TIME �/ CITY OF ORONO CALLED IN � INSPECTION TIC SCHEDULED 3-7-05 //� PERMIT NO. � COMPLETED ADDRESS aO��o�/��DY�^- �� �/ OWNER CONTR. P�f TELEPHONE N0. ��a �3 a7� , � DESCRIPTION L2� �- /`ITI�� —�� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLI Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOFi TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J OO � O � ti � Q � 2 W � W � � W ORKSATlSFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN ' INSPECTOR WlLL RETURN IO STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952) 249-4600 OwnerlContr t : Inspector. White Copyllnspector's File Canary CopylSite Notice �� E /t!TIME � CITY OF ORONO CALLED IN ' ���/�/ `07 INSPECTION NO ICE �[ SCHEDULED l� Y PERMIT NO. 3� / COMPLETED ADDRESS �O� �� / V � ���' �� ' OWNER CONTR. ���'� ,�Q� TELEPHONE NO. �5�" S�7 S ��p �Z � DESCRIPTION � ���d2- �'e�� lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PIUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � j d W� [�WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE 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 ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice '' � D � TIME � CITY OF ORONO CALLED IN ' INSPECTION NOJ�ICE SCHEDULED y"r_as PERMITNO. �"a?.3�� COMPL o /� ADDRESS ��o.� f�P-%/-( d!�'"2 c�• OWNER CONTF�L���` �L�. TELEPHONE NO. L�/�� J����� `1� 7C.{� � DESCRIPTION ^ � ���� l� 01 FOOTING 11 MECHANICAL 18 EXCAV/GRADING/FILLING � 02 FRAMING 1 HANICAL FINAL 19 LAKESHORE/WETLANDS h O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � ti � Q � 2 W � W � j W/,�IVORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W�❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspectio rs in advance. (952) 249-4600 OwnerlContr Inspector White yllnspector's File Canary Copy/Site Notice �� ��� / � Y�r� DATE TIME CITY OF ORONO CALLED IN � " ���t INSPECTION NOJ,ICE , f SCHEDULED /�J-�'-d`� �_1� PERMIT N0. LD7 3LvY COMPLETED ADDRESS l ��`-�`� �`-� OWNER CONTR. ��-l-l.-���'� ��� TELEPHONE NO. �'S� y�-� �LD � � � DESCRIPTION ���'��::-,-� /��d� ��� ��L�. lL 01 FOOTING 11 MECH( AL_RI. 18 EXCAV/GRADI G/FI ING � 02 FRAMING 13 MECHANf�AL FINAL 19 LAKESHORE/WETLANDS y O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING Rf 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContra r o�site: Inspector. � „ White Copyllnspecto's File Canary CopylSite Notice �r� � DATE TIME CITY OF ORONO CALLED IN � � INSPECTION N ICE SCHEDULED � � �� PERMIT NO. �-'��` � COMPLETED ADDRESS �� �� ����'� ���� • OWNER CONTR. ��-��� �Ch TELEPHONE N0. C..l l� �' ��� " ��17� � DESCRIPTION ' / �� ���l— �,�c, Iy� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE�NSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � O�K c.�J�,�- 0 � � 0 � W � Q � Z W � W � � O W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � ❑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.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contrac n e: Inspector. White Copylinspector's Fi e Canary Copy/Site Notice DATE TIME ✓ CITY OF ORONO CALLED IN -Z-�� INSPECTION NO�CE �,J_ [, SCHEDULED - 3t �o � PERMIT NO. ��_�-L�T COMPLETED ADDRESS O? �-S ,e ✓' � '�'• OWNER CONTR. ����+- r' - TELEPHONE N0. �s� `7 �S ��P f o� � DESCRIPTION ����`'� �n�`O�/� �� �y 01 FOOTING 1 MECHANICAL RI 18 EXCAV/GRADING/FILLING � 02 FRAMING 1 HANICAL FINAL 19 LAKESHORE/WETLANDS h Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, C MENT : a �d� � � O � � O � W � Q � 2 W � W � � � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W �❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for th ext inspection 24 hours in advance. (952� 249-4600 OwnerlCo site: Inspector. White Copyllnspec r's File Canary CopylSite Notice