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��CEIV ED ou c► ��usr oN�.v <br /> City of Orono / ' l009 <br /> �O�O P.O.Box 66 ��� �� �O�rt Date Rece e� �� Permit# �l�" <br /> 2750 Kelley Parkway 0 G�)', � <br /> Crystal Bay,MN»323 Approved By: Amount$. �� <br /> Phone(952)249-4600 Fax 952) <br /> �, � LyTY�OF b�� <br /> � <br /> F � <br /> l9kESH���G CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BECIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> type,manufacturer and model. Data shall be presented on form provided. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. All work must be inspected(rough-in and final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test Record must be submitted before final. <br /> TYPE OF PERMIT <br /> (Check All That A 1 ) <br /> � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑Replace <br /> Job Site/Owner Information: <br /> Site Address: 2650 COUNTRYSIDE DR W <br /> Owner: GERI JORGENSON Mailing Address: 2650 COUNTRYSIDE DR W <br /> City: �RONO Zip: 55356 <br /> Home Phone: 612-810-8996 Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> ACICII'eSS: 6161 GOLDEN VALLEY RD,BLDG A Stat2 B011d #: MB003503 <br /> City: GOLDEN VALLEY Zlp: MN EXp1CltlOtl �1t0: 08/20/2016 <br /> Phone: 763-512-��65 Alternate Phone: <br /> OLD REPUBLIC INSURANCE CO. <br /> ❑ WORKERS COMP&EMPLOYERS LIABILITY <br /> I11SUr111Ce—CUC►'e11t: POLICY#WLRCC48597075 <br /> oni irv oGoinn_n�in�nm�nvn�np�� <br /> 1 <br />