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Home My WebLink About2012-00555 - mechanical , CITY OF ORONO * 2 0 1 2 - 0 0 5 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2012 • • ORONO,MN 55356- (952 249-4600 FAX: (952)249-4616 ADDRESS : 1710 SHADYWOOD RD PIN : 17-117-23-21-0018 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMTT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 10,500.00 NOTE: 1 LENNOX GAS FURNACE 1 LENNOX 3 TON AC APPLICANT MECHANICAL 131.25 GOLDEN VALLEY HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.25 5182 WEST BROADWAY CRYSTAL,MN 55429- MAIL-IN FEE 2.00 (612)535-2000 TOTAL 138.50 OWNER FITZPATRICK,JOHN&JOAN 1710 SHADYWOOD RD 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 dces 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 aze requested in conforntance with the State Building Code.This permit may be revoked at any time for due causP. �y'.c'a-�.! �n" i i ��7�� l l Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. FOR CITY USE ONLI' ' ,�� City of Orono P O.[3ox 66 Date Received: Permit# �.� , ��` 2750 Kelley Parkwav � ;j�`�' s�� Crystal Bay_MN 55323 Approved By: Amount$�. t�� '��E�,�6�%� Phone(9i2)249-a600 Fa�(9i2)249-4616 � �,�4tiaKo�, CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Otiicial 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 RECE[VE A PERMIT. WORK MUST NOT BEGIN UNT[L THE PERMIT CARD IS POSTED ON THE JOB 51TE. 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. 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 PERMIT (Check All That A 1 ) �,Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: � � � � Site Address: � � � �" � ��«��' �� C!� Owner: ��l t�1 t�� 1C � Mailing Address: ..� City: Zip: Home Phone: ` cJ �- �� -�� Alternate Phone: Contractor Information: Contractor: Contact Person: 6Zt�59 NW `1�1��.b� Address: tt�Aen�.rnua �c-�a� �� State Bond #: '�NI blV'8 JfVI�y�H %�'"�� City: �ip: Expiration Date: lk � (� G.V. HEATING &AIR INC. Phone: 51$2 W�ST BRnADWAY Alternate Phone: CRY�TAL, MN 55429 763-535-2G0� ❑ Insurance—Current: � � 1 M�CNANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes �No / �, HEATING SYSTEMS Quantity: Make: � � Model: �ilr0� lC�� l�Xv��L� Fuel: C�] Flue Size: Input BTUs: ��U�� Output BTUs: �1 � l�d CFM: COOLING SYSTEMS Quantity: , Make: �� 1C1 x Model: I l"� C��J J�v Tons: J H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na _ 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 iJproposing to abandon tank in p[uce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 : �� PERMIT }�EE CALCULATION(S}� � � � � BASED OF� -2002 STATE STATUE'� � � ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�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 $ I 5.00 State Surcharge $ 5.00 Mail-[n Fee([f Applicable) $ 2.00 Total Permit Fee $ PERM[T 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) I C 5 c�� c� X .o�25 � �J �. � 5 (c tract price) (minimum 550.00) 2. STATE SURCHARGE �� x.0005 $ �� S (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 i . � 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. MECHAN��AI,,,,PERMIT APPLICATIflN 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. �, � � ' c.� � � �� Applicant's Signature: Date: Reset Form 3 �� DAj TIME � CITY OF ORONO CALLED IN `/� ---�-�,� INSPECTION NOTI E /�/ SCHEDULED �l� �� PERMIT NO. Q �DD! O �OMPLETED ADDRESS 7� � c� �7,G� OWNER �l7��"� LEPHONE NO. 9Sz �� 7�SL9 CONTRACTOR L-I��-C_-S� �-��'v�C >: DESCRIPTION '"'�� l" "`� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED 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 ❑ COMPIAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � MBING RI ❑ P I L ❑ FOUNDATION/REMOVAL � OWNER ONTRACTOR TO MEET Y U: YES NO � OMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �.PRdJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on�S'te: � Inspector. White Copyllnspector's File Canary CopylSite Notice