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Home My WebLink About2013-00757 - mechanical , '' CITYOFORONO * 2pJ 13 - 00757 * 2750 KELLEY PARKWAY DATE ISSUED: OS/05/2013 ORONO, MN 55356- (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 : MECHANICAL-MULTIPLE VALUATION : $ 2,100.00 NOTE: 1 KITCHEN EXHAUST 1 BATH FAN 1 DRYER GAS LINE TO KITCHEN STOVE RECONNECT SUPPLIES AND RETURNS APPLICANT MECHANICAL 50.00 LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 1.05 1371 144TH STREET NEW RICHMOND, WI 54017- TOTAL 51.05 (612)940-4565 OWNER BEST,WILLIAM&TEDDE 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,app(icable City approvals,and the State Building Code. This permit is for only the work described and does no[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. The applicant is responsible for assuring all required inspections are requested in wnformance with the State Building Code.This permit may be revoked at any time for due cause. Y �.e� `�� A plicant Permitee Signature Date Issued y Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB ♦ , � �� FOR CTI'Y USE ONLY �O . ` City of Orono 1��0 P.O.Box 66 Date Received: Permif# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fa�c(952)249-4616 a � �� ` tq'�ESHO��G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 Desiens—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. „ 1� > ��„ 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. TYPE OF PERIVIIT (Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: a Q S c, oW c,,�d �. �on � ��' S�3S�C Owner: )c�ol� �cs� Mailing Address: _��n� City: �'m{ Zip: S�iht Home Phone: ��(�'`G�3 Alternate Phone: Contractor Informa�ion: Contractor: L�� ; G��ontact Person: � ��CJ�� Address: i37I ��14�� S� State Bond#: City: N�l,J � � Zip��17 Expiration Date: Phone: ��1�f� - ySC S Alternate Phone: ❑ Insurance-Current: 1 1 .t� >� �;� , , . . ,.�._ � �_.�� , , ��_._ , � ; � � ` �� , �� ' �,_.� � .a�� .. .;� ��, .., �� . ' . � ' ' 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 Modei No.: ❑ Wood Stove with Flue/Masonry VENTILATION �' No. ' Kitchen Exhaust�_duct recirculating L� cfrn No. Bath Exhaust(must have duct outside) cfm � No. OtherFans: Locations (�'t,T� _��cfin 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: �•�C�ir/1 �7 cUC �e��fG�� J4P��<<S �d'�/' l�P��`/I1 S r , . � . . . ati�s . � , , � . ., �_.. _,. ,_ .� �.2 , ...� . a� . . �.., �x,,�. ❑ 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;excludinQ 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 $ � � ,� , .� � . „ � . . ��. , , � � �� . . . � � � �,.�,�s��- �.. �.�t � If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �,��/,�/ x.0125$ (contract price) (minimum$50.00) 2. STATESURCHARGE x.0005 $ (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. �� }. ..s .. ,. ;._, � 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: �,�� Ti��r.�`' Date: FS/S��3 3 DATE TIM CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULEO PERMR NO. �d,�,�3- U��3 7 COMPLETED a d�/� ADDRESS �!1 S� 5�� p�- OWNER TELEPHONE NO. CONTRACTOR �ew�s � ,� ��r- � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ��3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE FiEMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q�FICIAL ❑ WATER HOOK-UP �FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP �J HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 �NNERfCONTNACT�R TO MEET YOU:_YES_NO � COMMENTS: ��/�•Z-` /faL�tr �C�ll.� G¢/� �r' T a �,�?E� �/l S.lJ�G�/a... '� J � O � o� O � � � �'r.�t .Lr" � ��O ci��.L' W Q �- ?�it�- bo�a9' nn �-ly- � — � W � w � � �.�.d� a W O WORKSATISFACTORY:PROCEED COMPLEfE � ❑CORRECT WORK 6 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR YVlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advanc�. (g52) 249-4600 r on site: � Inspector: �-' White CopyAnspectoPs Flle Canary CopyfSite Notfee