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Home My WebLink About2014-01296 - mechanical � CITY OF ORONO * Z 0 1 4 - 0 1 2 9 6 * , 2750 KELLEY PARKWAY pAT�ISSUEn: 11/OS/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2032 SHADYWOOD RD PIN : 17-117-23-31-0012 LEGAL DESC : GUST S JOHNSONS ADDN : LOT 005 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,300.00 NOTE: RELOCATE HEAT RUNS&RETURNS-GAS LINE/KITCHEN EXHAUST APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.15 SOUTH MECHANICAL CONTRACTORS TOTAL 51.15 21005 LANGFORD AVE SW JORDAN, MN 55372- Payment(s) (952)492-2440 CHECK 21184 51.15 OWNER STRONG, STEVE 2032 SHADYWOOD RD WAYZATA, MN 55391- AGREEME1vT AND SWORN STATEMENT The work for which this pertnit 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 o;laws and ordinances governing this type of work shall be compied with whether or not specified fierein.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 ti e after work has commenced. The applicant's responsible for assuring al equired inspections are requested in nform ce the State ilding Code.This permit may be rev ed at time r d e ca s � - � �� l � � s-,� �-f p e Signature Date Issued By gnature Date � � � , FOR CITY USE ONLY � City of Orono �-O� P.O.Box 66 Date Received: Permit# � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 F�(952)249-4616 -� >. y � F � r�kESHo�`�� CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL 1NFORMATION 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 Desi�ns—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. Ali work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All wark 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 Ap ly) ❑ Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/ Owner Information: ._, . , � � Site Address: �(.i . �T` v�� " '�% L'L' �- � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��c.� �'�`eC'-�w" Contact Person: `��"�Jv i� �� Address: �(DU J �—�`�� ' State Bond #: �� b.�� City: �(��'-ti Zi 55�� Ex iration Date: -�� P�—�" P � Phone: 75,�-L� �"�y�� Alternate Phone: ❑ Insurance-Current: 1 z� �� a � MECHANICAL SYSTEMS BEING INSTALLED ' Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes "�-�Io 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 Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION / !� � No. � Kitchen Exhaust /f duct recirculating cfin ❑ No. Bath Exhaust(muhave duct outside) cfin ❑ No. Other Fans: Locations 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 � _ ��,� j% . J�� ❑ Outdoor Grill � Other/List What& Where: � ' ��J�,1 /�� \�C/\V �w 1 j��-- � - G+,�4��./1 ��v V- C/ �.. � V, �Vl/1 �'. � _.. ��V � � f PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�piiance that meets all three of the following requirements: 1. Does not require modification to electrica]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,�i�f Chis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total 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$50.00) �� ,, ., :�U� -t-�`' x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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. 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: 3 �V ,� �� / DATE TIME / CITY OF ORONO CALLED IN �/ INSPECTION T SCHEDULED _G�- PERMIT NO. COMPLEfED ADDRESS �� OWNER TELEPHO, E NO.��'- =�� ; ,, � - CONTRACTOR � �f � DESCRIPTION �� '�` � "�"�'��- ��a�' � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILUNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI INAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � � Ci�L� /i rl�� - 3�f� �� Cc.O�-r _ o �(�v1��N.c�ar,cS �[�'tss ' _ ��r L� �g� � har�� o ps� �,K�e �i- a�- �y � 0 � W � D�� bv¢ � Q � z W � W � j d ' W �511NORKSATISFACTOFiY:PROCEED �PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �---�ic�. t/ White Copyllnspector's Ffle Canary CopylSfte Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMITNO. �KI�[�I�.� COMPLETED _��''�O�-�S ADDRESS a�.3o'� ��F.r�u t..Jo� �D • OWNER TELEPHONE NO. CONTRACTOR �SoufJf ��I�- �'o.r�r�lzsi S � DESCRIPTION �E'�` �i�� t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRAD�NG/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �ivIECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 �MNERICONTRACTOR TO MEET YOU:_YES_NO c�n COMMENTS: � � � /Y��• �.J�� IL Cb.+,,n/,�6 e — 0 o� o . W � ��✓.ti�� .1.t1�� Q � W �v W � � � ❑WORKSATISFACTORIFPROCEED PROJECTCOMPLETE W ❑CORRECT WORK 3 PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pMOTOTAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call rorthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ��^r' � White CopyAnspector's File Canary CopylSfte Notks