HomeMy WebLinkAbout2013-00457 - mechanical CITY OF ORONO * Z 0 1 3 - 0 0 4 5 7 *
, 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2013
ORONO,MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2640 NORTH SHORE DR
PIN : 09-117-23-13-0009
LEGAL DESC : COLWELL ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,700.00
NOTE: 1 NY THERMAL TFT 175 NAT GAS BOILER
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APPLICANT MECHANICAL 71.25
SIGNATURE MECHANICAL INC. STATE SURCHARGE MECH(VALUATION) 2.85
8260 ARTHUR STREET NE
SUITE A TOTAL 74.10
SPRING LAKE PARK, MN 55432- PAID WITH CC# 0300
(763)788-9844
OWNER
HODDER,KENT H&JUDITH B
2640 NORTH SHORE DR
,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 separate
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 aIl required inspections aze
requested in conforman ith the State Buil ing Code.This permit may be
revoke t any ti or d cause.
CD ��e � i i
App an rmitee Signature Date Issued By Sign re Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
' FOR C1TY USE ONLY
� O���O City of Orono
P.O.Box 66 Date Receivedr Pe�it#
2750 Kelley Pazkway
�� � Crystal Bay,MN 55323 Apptaved By:. Amonnt$:
�a (952)249-4600
CITY OF ORONO-MECHANICAL PERMiT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Macshall)
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. PERNIlTS ARE NOT
VALID UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiffis—Complete calculations,details and specifications aze required for each
heating,ventilation,humidification-dehumidificarion,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 presented on form provided.
4. When any new construcrion 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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF-PERNIIT ,
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. ' Check All That A A,.l,
�.Residenrial ❑Commercial(Approval Required)
�New ❑Addirional ❑Repaus ❑Replace
Job Site f'Owner Information:
Site Address: a2te�l o rl S�2� t7lt.
Owner: (G��T t-I�o��-� Mailing Address: 2V�(o �.( 5 f�/Le- p�
city: �tt,v�ro zip: '7�a'3�{ 1
Home Phone: Cv 1 2- 3d�- �o�4 Alternate Phone:
Contractoi Informa.tion::
Contractor: S i r� R�e Ykc�t�E Contact Person: .,i� r�/L�r"���
Address: e Z�o �(tTltvG ST J�1� State Bond#: w1�j O O�(O �I 1
5v tr� �4
City: �s Zip:�"�{yZExpiration Date: 1�1 Z � �'O 1�
Phone: �`3'?S 8-�j $�I y Altemate Phone: (a (Z-2E�2- h'7 8?
❑ Insurance-Current:
1
HEATING SYSTEMS
Q�riri: �
Make: �1 Tt�CaNtr4c..
Model: T� ��rs
Fuel: /�(�T- `✓�t S
Flue Size: 3 t� P V L,
�nPut B�s: -1,��r 3•i- l'15,0��
.
ou�ut Br[rs: ( b 3 , on�
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FII2EPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Elchaust(must have duct outside) ��
❑ No. Other Fans: Locations ��
FUEL STORAGE(MUST BE APPROVED BY FIItE MARSHALL)
❑ Installarion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other.
GAS LINE ONLY
❑ Outdoor Crrill ❑ Other/List What&Where:
2
❑ Yes,this section applies
The replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1. Does not require modification to elechical or gas service.
2. Has a total cost of$500.00 or less;excludine 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 $ .50
Mail-In Fee(If Applicable) $ 1.50
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$35.00)
��'7 0� x.0125$
(conhact price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50)
x.0005 $
(oon4act price) (minim,im$ so)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
• * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including ma.terials,labor,profit,and other fixed costs. It is the amount to be chazged
to the customer for the work done. If any material,equipment,labor or installations are fmnished by
the owner,tena.nt or any other parly,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 contrac�
' **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 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 State of
Minnesota., and certifies that all statements made on this application aze complete, true and
correct.
Applicant's Signatur : Date: �o��(��(�
I �
3
. � .
, -�.. ��.�9��a�. Load Short Form Da e:
Entire House 8,,:
' • - • •
For:
� - • • •
Htg Clg Infiltration
Outside db(°� -16 97 Method Simplified
Inside db(°F� 70 75 Construction quality Semi-tight
Design TD(°� 86 22 Fireplaces p
Daily range - M
Inside humidity(%) 30 50
Moisture difference(gr/Ib) 32 50
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Model Cond
GAMA ID Coil
ARI ref no.
Efficiency 80 AFUE Efficiency 0 SEER
Heating input 0 Btuh Sensible cooling 0 Btuh
Heating output 0 Btuh Latent cooling 0 Btuh
Temperature rise 0 °F Total cooling 0 Btuh
Actual air flow 1949 cfm Actual air flow 1949 cfm
Air flow factor 0.024 cfm/Btuh Air flow factor 0.047 cfm/Btuh
Static pressure 0 in H20 Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.93
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
Main Floor 1600 74074 36967 1750 1732
Upper Level 896 8440 4633 199 217
Entire House d 2496 82514 41600 1949 1949
Other equip loads 8697 0
Equip.@ 1.02 RSM 42432
Latent cooling 3176
TOTALS � 2496 � 91211 � 45608 � 1949 � 1949
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
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/1� DATE TIME
CITY OF ORONO c E��,a o w Y�� —1�
INSPECTION NOTICE /�-�'`J SCHEDULED �-/(� - � , ��
PERMIT NO. ����-���'`�/ COMPLETED
ADDRESS c�{o�"� �/ Srl�Y� c��l �.
OWNER ' TELEPH NE NO. � o �-�1�7�
CONTRACTOR >� -
�; DESCRIPTION ��' t. ` `�6� ��
l�`ii ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW /I�[/Q�2KSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlConUactor on site:
Inspector. `t� '�� � l
White Copyllnspector's File Canary CopylSite Notice
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.��13� GZ'�4S,� COMPLETED '`�-/ �
ADDRESS �/� �10 �n_�Z`�i5�r'r vc.
OWNER TELEPHONE NO.
CONTRACTOR �it�e�`4.��- /�I��
� DESCRIPTION 'g�•le i'
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �INAL ❑ WATER HOOK-UP �OLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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Ca11 forthe next inspection 24 hours in advance. (g52) 249-46�0
OwnerlContractor on site:
Inspector.� / � ��
White CopYllnspectoPs File Canary Copy/Site Notice