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Home My WebLink About2008-00151 - mechanical CITY OF ORONO PERMIT NO.: 2oos-oo�5� ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/19/2008 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 2280 SHADOWOOD DR PIN : 27-118-23-32-0015 LEGAL DESC : SHADOWOOD FARM : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 12,000.00 NOTE: IN FLOOR HEAT WITH ELECTRIC BOILER AS SUPPLEMENTAL HEAT ONLY APPLICANT MECHANICAL 150.00 METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 6.00 16980 WELCOME PRIOR LAKE,MN 55372 MAIL-IN FEE 1.50 (952)447-8124 TOTAL 157.50 OWNER COLEMAN,SHARON 2280 SHADOWOOD DR LONG LAKE,MN 55356 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 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. 1'he 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 d�e cause. `�� B� l9 � 08 Applicant Permitee Signature Date Issued B i g nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. FOR CITY USE ONLY � City of Orono O�"�'�O P.O.Box 66 Dato Received: Peama# 2750 Kelley Parkway 3�� Cryetal Bay,MN 55323 Apprw+od By: Amom►t S: �L (952)249-4600 CITY OF ORONO—MECHA1vICAL PERNIIT (A1l Commercial pem►ita muet be approved by the Building Official or Inspector and/or Fire Marahall) GENERAL INFORMATION 1. You may apply for mechanical pennits 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. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TIiE PERNIIT CARD IS P05TED ON THE JOB SITE. 3. Mechanical Desiens—Complete calcuiations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air canditioning installation it�luding heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufachuer 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(mugh-in and final). Call(952)249-4600. (24-48 hour notice rcquired) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) ❑New �Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: �a O C� ..S hh U► ��.�(U �11► IJ1�. � ' (`� ` Owner: �� `� `�� Mailing Address: �� S11 y 4 0 W�O d �►^ city: v f �-,h o zip: 5 S 3 .S��o Home Phone:�1� ��3�� 3 Alternate Phone: �'1� a M�1�-�-S�`� Contractor Information: Contractor: ��^�--�� Contact Person: 1 v �h� Y S l'1 C t,1 < � Aaa��s: 1 b 5�o ��,�r� state sonct#: lo `1� ��1333 City: p '��`' `�l V. Zip:SS��Expiration Date: � '�a - 0� � Phone: � � �'v��ay Alternate Phone: (��DS ��Q� � Insurance—Current: �M C. 1 . HEATINGSYSTEMS aJ�SAi�'vlti�"�� n�� p��1n��,r1�lOVr'1QLt� � .,�, k� ��.. c�o,�� G� s u p�►��,1 � �ntrty' lh� 1/ l Make: Model: Fuel: Flue Size: Input BT'LJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIltEPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTTLATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE O�TLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does�t require modification to elech-ical 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 Pernut $ I5.00 State Sutcharge $ .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$35.00) � a OOQ �� x.0125$ tSV� (contract price) (minitnum 535.00) 2. STATE SURCHARGE "Add tl�e State Bldg Code Div.Surcharge(Nrnimum Fee of 5.50) ��.O O Q �j x.0005 $ �9�� (coatract price) (minimum S .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 1 � 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ I � � S ■ • CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,pmfit,and other fixed costs. It is the amount to be charged to the customer for the work do�. If any material,equipment,labor or installations are fiunished 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 actuel contract. ■ s s�e STATE SURCHARGE is.0005 of the Building Deparlment 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 are complete, true and correct. Applicant's Signature. \�'`�"` Date:�_ _ ' �, � � � � . 3 � 7 � �j� DATE ,�/y TIME CITY OF ORONO CALLED IN �� INSPECTION N TICE SCHEDULED �� PERMIT NO. ��COMPLETED ADDRESS ��n :C�� ,�/ � OWNER CONTR. �lr' TELEPHONE NO. ��` �� 7' � DESCRIPTION G�.7�7� � � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT `� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO v�, COMMENTS: � �C� � W a � J � :�r '1� �-r �S "PSs ��3 [�'�� ° �-�6 -o� � Q � z W � W � � � d � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑IPtSPECTIONREQUIRED.CALLTOARRANGEACCESS. . Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: inspector. � � White Copy/lnspectoPs File Canary Copy/Site Notice