The URL can be used to link to this page

Home My WebLink About2013-00117 - mechanical CITY OF ORONO * 2 PJ 1 3 - B PJ 1 1 7 * , 2750 KELLEY PARKWAY DATE ISSUEll: 02/20/2013 ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1670 SHADYWOOD RD PIN : 17-117-23-21-OO15 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 6,000.00 NOTE: 1 I(EATING SYSTEM&2 COOLING SYSTEMS APPWCANT MECHANICAL 75.00 PRACT[CAC, SYSTEMS STATE SURCHARGE MECH (VALUATION) 3.00 4342 B SHADY OAK RD HOPKINS, MN 55;43 TOTAL 78.00 (952)933-1868 OWNER KIELLEY, DONALD&ARLENE 1670 SHADYWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIYT "Che work for which this pennit is issued shall be performcd accordinb to thc approved plans and specifications,applicable City approvals,and the State Building Code. "I his permit is for only the work describcd and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this rype of work shall be compied with whether or not specified herein."Chis permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended Yor a period of 180 days at any time after work has commenced. The applicant is responsible Yor assiuing all required inspections are req � on�rmance with the State Building Code.This permit may be �� re ked at e for duc cause. �_ �— � , . ^ . � �� .-l. �,�- � c' ('r1't<r;�� i_ v�G' . � Applicant Pe itee Signature Date Issued By Sig ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' FOR CITY USE ONLY �� City of Orono (j� . O¢��O P.O.Box 66 Date Received: Permit# �! (`t'J' 2750 Kelley Paricway `� � i"'*� � ' Crystal Bay,MN 55323 Approved By: Amount$: t�'"+ '� . c` Phone(952)249-4600 Fax(952)249-4616 �t 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 DesiQns—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 fmal. TYPE OF PERMIT Check All That A 1 ■�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ■�Replace Job Site/Owner Information: site aaaress: 1670 ShadywOOd Rd Owner: D O Cl K@ I I I e�/ Mailing Address: S a m e ciTy: Wayzata Zip; 55391 Home Phone: Alternate Phone: Contractor Information: Kline Corp.,DBA:Praclical Systems J o a n n Contractor: Contact Person: 4342B Shady Oak Rd M B003510 Address: State Bond#: clty: HOpkll'ls Zlp.55343 EXpuatlon Date: 09/17/14 Phone: (952� 933-1868 Alternate Phone: 0 Insurance—C�nent: 1�1/14 1 Y � �v r�_,,�'J i�.5�,�x;�ti»� �E s3�� ,,.�. H.rc ��c at 2 §.�__ � v:€,: �=��.. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS Quanary. � Make: U r11C0 Moc�el: MB2430L Fuel: Natural gas Flue Size: Input BTiJs: 24,�� Output BTtJs: �9,2�� CFM: COOLING SYSTEMS Quanrity: 1 1 M�e: Trane Unico Model: 4ttb3024e1000a MC2430CX Tons: 2 2•5 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Ea�haust duct recirculating cfm ❑ No. Bath Eachaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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;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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totai Permit Fee $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 6,000.00 x.ol2s$ 75.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 6,000.00 3.00 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $78•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. MECHANICAL PERMIT APPLICATION AGREEMENT 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: O2/�4/�3 Reset Form 3 �� $ ✓ a��3 TIME CITY OF ORONO CALLED IN r�_ � , J� INSPECTION��I�I�//� SCHEDULED �—�(jP f� ��r "'� PERMIT NO. � CO LETED ADDRESS G OWNER t EL ON NO. � 1��-' CONTRACTOR �� S� S a DESCRIPTION ��- � ' Y� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POUAED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW f�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. .��/`�� - White Copyllnspector's File Canary CopylSite Notice