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HomeMy WebLinkAbout2018-00423 - ventilation CITY OF ORONO 1 1 2750 KELLEY PARKWAY * 2 1 8 - 0 0 4 DATE ISSUED: 04/06/22 011 8 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 430 BROWN RD S PIN : 03-117-23-42-0011 LEGAL DESC : STRONGHOLD : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. KITCHEN EXHAUST-300 CFM APPLICANT MECHANICAL 50.00 ZAHLER HEATING&AIC STATE SURCHARGE MECH(VALUATION) 0.25 6985 WASHINGTON AVE S MAIL-IN FEE 2.00 EDINA,MN 55439- TOTAL 52.25 (612)282-2959 Payment(s) Minnesota State License#:mech-MB004790 CHECK 005088 52.25 OWNER MARLOW,TONY 430 BROWN RD S WAYZATA,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 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 separate permits. All provisions of laws and ordinances governing 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. ?e-i Applicant Permitee Signature ate Issued S gnature Date R USEO °_et"(043-3 AT City of Orono /�pl v O2RECEIVED `V P.O.Box 66 Date Recer Permit# 0 Kelley Parkway ��n Crystal Bay,MN 55323 Approved By: Amount$: U Phone(952)249-4600 Fax(952)249-4616 ti�q CITY OF ORONO-MECHANICAL PERMIT ,8 CITY OF ORONO kE5 H Ott (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 Designs—Complete calculations,details and specifications 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 presented 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 fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB 0 PVB] 0 New ❑Additional ❑Repairs [Replace Job Site/Owner Information: Site Address: 430 Brown Rd S Owner: Marlow Mailing Address: 430 Brown Rd S City: Wayzata,MN Z1 P: 55391 Home Phone: Alternate Phone: Contractor Information: Contractor: Zahler Heating&AC,Inc. Contact Person: Sue Zahler Address: 6985 Washington Ave S State Bond#: MB004790 City: Edina,MN Zip: 55439 Expiration Date: 1/1/20 Phone: 952-492-5558 Alternate Phone: 612-282-2960 Nif Insurance—Current: Acuity Insurance I (Catati+, ) +,' �? y '�fre s+-aZ h{'S'� u � aF_Sr a.,_ _ „ 9'�a�A _ k rza«,an,. ':. .uw2ua. ,wb.msa. mw,,.m.rs.rAa�` „ c�.A .;...r-�.. .n ,w•e'kFTF'r?^n4 Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION 51 No. 1 Kitchen Exhaust duct recirculating 300 cf n ❑ No. Bath Exhaust(must have duct outside) cfm ❑ 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 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)`` 5 00 x.0125$ SO OC) (contract price) (minimum$50.00) 2. STATE SURCHARGE 50 O x.0005 $ 2 5 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 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 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. n ° jl ';47. , 7' yr 4t +T a °t @ 'k` `. � fi�.e.:ia*..cam,..-t�..rr. a.,.xz�' ,oma sti,,,,..w�,rF, �.an .r.�a„,.x.:ey[ �u.ah,..rn.,mx._ rvamwa,", iir' "iVS 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 are complete,true and correct. Applicant's Signature: i Date: ;"" I 3 ' ZAHLE-2 OP ID:DE '4TE(MPA/DINYWY) `C,----- CERTIFICATE OF LIABILITY INSURANCE °"07/171017 07/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Business Insurance Brokers NAME: Dale Lachelt Affiliate of Northam Capital PKINN 952-996-8818 (AIC. ,No):952-829-0482 P.O.Box 9396 AE-MAIL Minneapolis,MN 55440-9396 Dale Lachelt INSURER(S)AFFORDING COVERAGE NAIL A INSURER A:ACUITY Insurance 14184 INSURED Zahler Heating&Air Condition INSURER B: Greg Zahler 6985 Washington Ave S INSURER C: Edina,MN 55439 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD DL S yp POLICY NUMBER POUCY EFF POLICY EXP UNITS (MMIDD/YYYY) (MMIDWYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR U5201 07/17/2017 07/17/2018 PREM SES EaENTED ) $ 100,000 MED EXP(Any one person)_ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A ANY AUTO L25201 07/17/2017 07/17/2018 BODILY INJURY(Per person) $ X ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PRS PERtDAMAGE $ X HIRED AUTOS X AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _ $ 1,000,000 A EXCESS UAB CLAIMS-MADE L25201-9 07/17/2017 07/17/2018 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATIONPER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE L25201 07/17/2017 07/17/2018 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Heating&Air Cond-Install,Service or Repair CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Orono THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 66 2750 Kelley Parkway AUTHORIZED REPRESENTATIVE Orono,MN 55323 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD / /L ®q�/ c TIME CITY OF ORONO CALLED IN / ( ( T INSPECTION OTI E SCHEDULED WM:, % per- Ot PERMIT NO. /1 G`0 7-4 3 PLETED ADDRESS 1/3 0 S OWNER TE(L ONE NO. �( �a -2)9s! CONTRACTOR '�'L 2 6 i DESCRIPTION -e �"Ce (-L W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL •:( ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL 0 RATED WALLS I,▪ ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL J ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO • COMMENTS: CC ku 0.. A JL4 c,i 'v049 t rd --- T G!jt re CJ CC 14. I,X 9CT {''p nb,etas W cc Q _ 11 10 P/0 0!,b.p1 pi LA .76Cd/C� odii'E. S W Z W R Iii RKSATISFACTORY:PROCEED ❑PROJECT COMPLETE ctW 0 CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. Li 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. (952) 249-4600 Owner Contractor on site: Inspector. 9//w 7V--- White Copyllnspector's File Canary Copy/Site Notice