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Home My WebLink About2013-00176 - mechanical CITY OF ORONO 11 111 111110111111101111111111111 I II I IIII 11 11111 • * 2 0 1 3 - 0 0 1 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 665 ORCHARD PARK RD PIN : 31-118-23-11-0005 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,000.00 NOTE: GEOTHERMAL I ARMSTRONG NATURAL GAS HEATING SYSTEM 1 WATER FURNACE 5 TON COOLING SYSTEM 1 WOOD BURNING FIREPLACE 1 KITCHEN EXHAUST-6"DUCT NON-RECIRCULATING 300 CFM 4 BATH EXHAUST GASLINE FOR RANGE,DRYER AND FURNACE APPLICANT MECHANICAL 162.50 UMR GEOTHERMAL STATE SURCHARGE MECH(VALUATION) 6.50 5115 INDUSTRIAL STREET MAPLE PLAIN,MN 55359 MAIL-IN FEE 2.00 (763)479-6325 TOTAL 171.00 OWNER REYNOLDS,WILLIAM&MOLLIE 3630 LIVINGSTON AVE 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 •t any time for due•:use. 4110 /i Applicant Permitee Sign ure Date Iss!,T Signature 4 ® � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. let City of Orono �# ''^ I f0 PO.Box 66 � 2750 Kelley Parkway s ' � (t Vii!. ii Crystal Bay,MN 55323 • ;?fie Phone(952)249-4600 Fax(952)2494616 � ? �� ,1. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 141,7 r,. "": C -"P r 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 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 final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. t, ara d a '" y�g .4 a Ys �'., z".c '' r`' , ,, ?;4! �' r' m-,1 ' tea t ■❑Residential ❑Commercial(Approval Required) ❑New ElAdditional ElRepairs ElReplace M it 8 �V Site Address: 665 Orchard Park Rd Owner:Mollie & William Reynolds Mailing Address: 665 Orchard Park Rd City: Long Lake Zip: 55356 t Home Phone: Alternate Phone: liibilVi 1'. t UMR Geothermal, Inc. Jeff Torgerson Contractor: Contact Person: Address: 5115 Industrial Street State Bond#: MB003275 City: Maple Plain Zip_55359 Expiration Date: 09/17/14 Phone: (763) 479-6325 Alternate Phone: ❑ Insurance—Current: 9"11'13 1 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes ❑No HEATING SYSTEMS Quantity: 1 Make: Armstrong Model: A95UH090C205 Fuel: Natural Gas Flue Size: 3° PVC Input BTUs: 88,000 Output BTUs: 85,000 CFM: 2000 COOLING SYSTEMS Quantity: Make: WaterFurnace Model: N DZ064 Tons: 5 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: 0 Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION CI No. Kitchen Exhaust 611 duct Non recirculating 300 cfm El No. 4 Bath Exhaust(must have duct outside) 520 cfm El 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 El Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ElOutdoor Grill El Other/List What&Where: Range, Dryer, Furnace 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(If 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$50.00) 13,000.00 x.0125$ 162.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE 13,000.00 6.50 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 171 .00 • * 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. 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: 4/14) Date: 03/13/13 3 03/27/2013 08:55 FAX 7634792183 BERGERSON-CASAELL 49J002/0C32 >001 tilkL. s ----, -, i, IA I a ( ...... 00'0£ , 3 I,00,00.00 s = .!_Z i - _ \ CPIVHDHO iii. \a.s�tSVR =-L 1 r $J�) ter/ - „/ --- t:::___ q i — -114\:—'"----F— 'T---'77.-' -----'-A-- -'11. „,, ii . 3 I i , r1 : 1 I i i li 1 I e5-1 g L: fill , I 2 !\`\n\ �\ /. +. I,I.... ;,.r Imo` ��>C,�l'\/ 0 � � +— d •-•:,•-:".\-::- . il :7 11 Dee;' ' " °5.-� �/ 2 1/.•\ 1.4 '''`. \'`, 111S11.6-1771.11*11° , ' , .-4,61r----'"- ..• _I a * al Mk- r ' • 4'�-' '�g ..- .� ii 0 r. § : ril ., I Z t._.._.,y� 1—'fir(sou ote-a foufv '_��_ 1 ,n. - M A '(/i °I 7 W��Z '7L'{ / tip_-_ eta.�'r' � ll 1/,.. �go.� n A e 76-1 ' a ? ,,//DATE TIME ` CITY OF ORONO CALLED IN �'-� INSPECTION N*TICE " SCHEDULED PERMIT NO. // -� /7/0"COMPLETED 1 ADDRESS � � �L-��( OWNER TELEPHONE NO.7�j 3 b3 CONTRACTOR �J!/�/ (iC C .�/f ,III 4a t DESCRIPTION 77/4,"C-I OW tediv 4610 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV1 DING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKE •RE/WETLANDS y ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO V)• COMMENTS: cc W Q.. cc 0 cc 0 W cc W W cc d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner{Contracto ,e Inspecto /� White Copy/Inspector's File Canary Copy/Site Notice 6-7 ,. - ., DATE TIME t/ CITY OF ORONO CALLED IN ___ _�' INSPECTION NOTICE SCHEDULED 7- 7-13 3.3O PERMIT NO o' /j-0/�7k COMPLETED p,, ADDRESS (6.05 ex_. OWNERTELEPHONE NO. I /P� �'36 A_Fir CONTRACTOR ,/n)4/ , DESCRIPTION clka u / 1 I-- LU El FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS t7 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP cI 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL S OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc W a cc O f 1n.A-Also w. .A-1r fid..S-f— 0 I< cc Fi re Pi olef n t.s T 14-6-LAR cc •04,c(a JS 1 0 cc i k --aFc-- st or Ch ase 1> i mea T' w cc GW ISATISFACTORY:PROCEED ITIfROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED Li ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on Inspector. til/( White Copyllnspector's File Canary CopylSite Notice