HomeMy WebLinkAbout2010-00630 - mechanical CITY OF ORONO PERMIT NO.: 2oiaoo63o
' ' 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/27/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3200 NORTH SHORE DR
PIN : 08-117-23-41-0001
LEGAL DESC : UNPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,965.00
NOTE: (1)BRYANT HEATING SYSTEM-355CAV0160100-NATURAL GAS-INPUT BTU'S 100,000-OUTPUT BTU'S 95,000
(1)BRYANT COOLING SYSTEM-126ANA036-3 TONS
APPLICANT MECHANICAL 112.06
STATEWIDE GAS SERVICES STATE SURCHARGE MECH VALUATION 5.00
201 WEST MAIN � �
WACONIA,MN 55387- TOTAL 117.06
(952)447-7185 PAID WITH CC# 2501
OWNER
HALPER,BARBARA
3200 NORTH SHORE DR
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 consVuction 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 confortnance with the State Building Code.1'his permit may be
revoked t any time for ue c se.
� � ��� �� ��2�ck-- 7, 7, �o
Applicant Permitee Sign re Date Iss e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
JUL-27-2010 01:11P FROM:STATEWIDE �AS SERVIC 9524674605 TD:2494616 P.2
� ` �O�C11'Y UfiR ONLY
O�p�O City of Orono , ^ .
P.O.Bo�66 , I�atv Racoived: T_�,,,_,_ Yertni4 N
2730 Ke{ley Pivkway ' j , I
� � Cry9lnl Bny,MN SS3Z3 ARprovot11�3y: ... .__., Amount 31;-.-_ . -.
Phono(952)249-4600 Fax(934)Z49-4616
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CITY OF ORONU-11�EC�AN';ICAL PERMJT
(AU Gommcrcinl pertnite muat ba approved by�Uro 13uildmg Off cisl or Inapecto�and/or Firo M+ushall)
�'i'rEI�ERAL INFORIVIATION �
1. You may s�pply for ineclwnical pernuts by mail vr in person at lhc City o�ccs. Applications will
be reviewed and a pernut will.be issn�within two wodcing days.
2. Permit cards will be sent by�eium mail atter a ccview is complet�d. PERNaTS A'RE NOT
VALID UNTII.YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTII.THE
PFR1V[IT CARD IS POSTED ON THE.iOB SIT.�.
3. Iv�ecl�anic:il Desi�—Complete calculadoas,dctails�nd spccific�tions are required for each
1�eatin�,ventilaaon,lwmidification-dehumidificatioq and air conditionins instaUadon including
heat loss/lieat gain calculation,design tempe�atures,equipment ratirt�s und identiGcatian as ta
type,mtmuf�ictucec and inodel. Data sUaU be presented on forra providod.
4. Wt�en Any new const�n�ction or�enwdeling is imolved,a separate buiWin�permit musl be
obtained. ; ' I
5. All work must be done in occordance with the Uniform Mecha�cal Code/Stata Building Code
c�equire►nenls.
6. All work must be inspected(rough-in and Fnal). Cttll�952)249-460�.
(24-48 hour noticc required) ;
7. House Heatin�Test Record musk be submitted befoie final.
TYP�QF PFR�t!�iT
�heck A�I!That A l
❑Residential ❑Commercial(Approval Required)
❑New �Additional Q Repairs �Replt�ce
Jab Site/Qwrter Znformation;
Site Address: ���1� ,�,1d,�,`�., ��r+,`- � l�l` •
Owner; �e-r M.ailin��Address:
City: , Zip:
Home Phone: Alternat�Phone:
�O�1trActOf�n£orniadUn:
c � �� f
Contractor: d'f3�%a�wtrJ� �9 ���3 Contact Person: ���1a.1'�
► � s �.�� 39l
Address: � W� f�r� �P_ State Bond #� �S
City; WA�v� Zip:��Expiration Date: 9-a�ot•-i�/D
Ahone: ������y�3 , Alternate Phone: �o/�� �a�3/�a
� Insurance-Current: YtS
1
JUL-27-2910 01:11P FROM:STATEWIDE GAS SERVIC 9524674605 TD:2494616 P.4
M�CHANICAL SYSTEMS B.�ING INSTALI.ED
Note:All Geothermal8ystems will now require a Si e Pl &Review by our Buifding Official.
TS TAIS GEOTHERMALY ❑Yes�No
HEATING SYSTEMS Rt.��l.c,s t,JG�.�},'y•I
Quantity.
M�e: �
M���: 35'�'c.9�/o/�O/a�
Fuel: �N�
��
Flue Siza: �o�_,
Input B1'Us: d O
Output BTUs: S� ID '
CFM:
COOLING SYS7'EMS �� �.Kr S�i�
QuantitY: �
Make: ��
Model: ,��/� �.�ip �
Tons: �
H.Power
�REPLACES
Gas Factory Fireplace Brand Name:
Wood Burning Firepface
Wood Stove Model No.:
Wood Stove With Flue
VENTiLAT[ON
No. Kitchen Exhaust duct recirculating cfin
No. Bath Exhaust(must hsve duct outside) cfin
No. Other Fens: Locations cfm
FUEL 3TORAG� (Mpai be approved by F7re MarsbaU jpropasing fo abaAdon 1aRk Jn plac�)
� Jnstallation � Removal
Fuel Oit: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
�AS LiNE QNLY
� Outdoor Grill � Other/List What 8c Where:
2
JUL-27-2010 01:11P FRDM:STATEWIDE GAS SERUIC 9524674605 T0:2494616 P.3
P�RMTT FCF CAI�C[JI.ATIOI�t(S)
I�ASED UFF - ?l)02 STATE ST�T��L
� Yes.this secl.ion applies
The rcpl;�ccmcnl of a Re�lenlia3 fixt�irc or annliance Q�at ineets all tl��c oi'lhe following rcqui�ments:
l. 4oes not�quirc modiGcalion to eleclrieal or gas servica.
Z. Has a t4 I cas�of�SOO.W or less; I in th�cosl of the i'ixtu�e or appii�nce:and
3. Is unproved,installed or�pl�cc;d by the homeowner or licensed c�nt�ctor.
Skip next section,if lhis applies; Cosl of Pennii � LS•00
SIaCe Su�cl�argE S S.UO
Mait-Jn Fee(if Applicable) � 2.00
Total Pcrmit Fee $
PFR]1�1T FFr CA�,CY.f[.,AT'Tt�N(S � .II�F�S (}VER $SOO Afi
If above does not apply;foUow guidelines below:
1. CONTRACT PRIC� �is 1.25%of contract price wilh a(Mtaimum Fee of SSO.AO)
�
� , X.ol2s� If�. Qb
( n�rsct prica) (minimum$50,00)
2, STATE SURCHARGE **Addtlie State Bldg Codc Div. Surchacge(NUntrnum Fee oISS.00)
� � o� `e�
x.0005 $ 7,
( troc�pricc) (minimum$5.00)
3. POSTAGE&HANDLING(Oiily ai Mail-in Applicalions) $ -�:AA+
4. TOTAL PERMIT FEE(Add Lin�es !-3 Above) $ ���, �b
• • CONTRACT PRTCE or JOB COST means lhe acluxl or estimated dollsu anwunt charged for tlie
pemtitted work including mt�terials,labor,profit,aiul other fixed cosls. It is tl�amount to be chnrged
to the cuslomer for lhe work do»e. If any material, equipment,labor or insttill�iions are fucaished by
tlu owner,tenent or any odur porty,the rcasonable maiicet valuc of such itcros must bc added ta Q�c
estimated cost or contract price for permil fc� purposes. In the event tl�at lherc is a dispul;e on the
amount of tl�e job cosl, lhe City mt►y request the submission of a signed copy of the actual contn�ct.
• +}The STATE SURCFiARCE is.0005 times thc Contract Price or n minimum ofi$5.00.
1�/IF.CHAIVIf:AL AFRMIT APPLICATiON ACiRRFMTNT
7he undersigned hereby applies to the City for issuance of a Mechanical Pecmit, agr.eea to do a!I
work in strict accordance with the ordinances of the City and the r�egulations of the State of
Minnesota, and certi.fies that all statement� made oa this application are complete, true and
correct.
Applicant's Signature: � f'�--� Date: ��a7�"/v
� � �� ��'� 3
..:.
JUL-27-2010 01:12P FROM:STATEWIDE GAS SERVIC 95246746�5 T0:2494616 P.5
snort Focm . Job: ,o�`
Dab: Jul Z7,Z010
Entire House i er:
Statewide Gas Services` '
� �
- . . •
For: Helper Residence ' i
3200 North Shore D�.,Orono,
�
� • • �
H� Clg Inflltratlon
Outside db(°F� -11 88 Method Simplffied
Inside db(°F) 68 75 Const�uction quality Tight
Design TD(°F) 79 13 Fireplaces 0
Daily range - M
Inside humidity(%) - 50
Mcfsture difference(gr/lb) - 26 ', '; �
�
HEATING EOUIPMENT ' ' CO�LiNG E�UIPMENT
Make ,� � Meke �
Trade � Trelde'`'
Model ; , Cond�'
� �oil �
Efficiency 80 AFUE Efficiency 0 EER
Heating input 0 Btuh Senaible cooling 0 Btuh
Heating output 0 Btuh Lste�t cooling 0 Btuh
Tempereture riae 0 °F Total cooling 0 Btuh
Actual air flow 1187 cfm Actual air fl�r 1187 cfm
Air flow factor 0.017 cfm/Btuh Air filow factor 0.042 cfm/8tuh
Stetic pressure 0.00 in H20 Stetic pressure 0.00 in H20
Space thermostat Load sensible heat ratio 0.87
ROOM NAME Aree Htp Icad ! Clg toad Hte AVF Clg AVF
(ft� (Btuh) (Btuh) (cfm) (cfm)
8asment 1040 12468 i 3636 210 153
Main 1040 ` 23915 13610 404 574
Second 676-� 33856 i ; 'FbH79 573 459
Entire House d 2756 ; ; 70340 28126 1187 1187
Other equip loeds " i 7273 'y 1188
Equip. � 0.83 RSM ' � i 27232
Letent cooling 4262
TOTALS 2756 ` 77613 ; 31494 1187 1187
Printout ce�t�ed by ACCA to meet all requiremerrts of Menuel J 8th Ed.
�wnghtsoft RIphA•Sults Reslderqid 8.0.13 RSRI1286 1010-Ju1.1710:14:12
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� .C7%� AT TIME
CITY OF ORONO CALLED IN 7 `���
INSPECTION NQT CE CHEDULED �
PERMIT NO. �l � OMPLETED
ADDRESS _ _T,
OWNER ' TELEPHONE NO.��a'3�70�
CONTRACTORr" �w�� __���1
� DESCRIPTION ` ' CJ c�' /` S �`� ���� 1
4~j ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORE/WETLANDS
y
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRE RK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46�0
Owner/Contractor on site:
Inspector. � _ � `C�J
White Copyllnspector's File Canary CopylSite Notice