HomeMy WebLinkAbout2009-00680 - mechanical � CITY OF ORONO PERMIT NO.: 2009-00680
� 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 10/07/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2100 SHADYWOOD RD
PIN : 17-117-23-31-0041
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 030 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 24,500.00
NOTE: 2 LENNOX FURNACES
2 LENNOX AC
1 KITCHEN EXHAUST
4 BATH EXHAUST
APPLICANT MECHANICAL 306.25
ECO AIR INC. STATE SURCHARGE MECH(VALUATION) 12.25
16820 HIGHWAY 10
ELK RIVER,MN 55330- MAIL-IN FEE 2.00
(763)413-7831 MISC FEE 0.00
TOTAL 320.50
OWNER
MARHULA,DAREN
2100 SHADYWOOD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pem►it 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 sepazate
permiu. 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 consVuction 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�o l O 7 / ��I l l
pplicant Permitee Signature Date Issued B gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O
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FOR CiTY USE-ONLY
' O,¢p�O City of Orono
P.O.Box 66 Date�ieceived: Permit#
' 2750 Kelley Parkway
� �� �� Crystal Bay,MN 55323 Approued By: Amount$:
��goy (952)249-4600
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts 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 condirioning installarion including
heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification 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 Hearing Test Record must be submitted before fmal.
TYPE(JF PERMIT '
� � � (Ch��k�1��T�at A ly '�.
��Residential ❑ Commercial(Approval Required)
(�New . ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: o��d� �1j��� �Do�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information: '
� ./. �
Contractor: �o ;� .�n G- Contact Person:
Address: ���a0 �i..,//0 �SLi�e� State Bond#: p�! 77�� G'�D�Odq 7
City: ���� .''v�� Zip:S�'�° Expiration Date: 7�/�0� OI�
Phone: �����)� 7�3� Alternate Phone:
❑ Insurance—Current:
1
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes (�f No
HEATING SYSTEMS
Quantity: � �
Make: �.n n o x' �-�1 h�1�'
Model: �rr+ p �
Fuel: �f�(�,�- ��-'
a �. a ,-
Flue Size:
Input BTUs: O 4�� ��,o O�
Output BTUs: O �ir ���
CFM:
COOLING SYSTEMS
Quantity: � �
Make: ��p� 1��1f1��
Model: l,3 �G� l3 �i,D
Tons: � �
H.Power '
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. � Kitchen Exhaust duct recirculating yS�cfin
❑ No. �_ Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Locarions cfm
FUEL STORAGE (Must be approved by Fire Marshal[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:
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❑ 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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
yV�a� x.0125$
(co tract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $
(contract price) (minimum$ .50)
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
pernutted 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 installarions are fumished 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.
■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
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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: � � d�
3
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TY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED // /(p D9 �
PERMIT NO � �O COMPLETED
ADDRESS �d d !�� .��
OWNER CONTR. ��O
TELEPHONE NO. �J-��Ji/�I L� — 7�P3'��.3� �S��
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� DESCRIPTION -
� ❑ FOOTING ICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
O ❑ 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
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CO�/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETl1RN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REWIRED.CALLTOARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. 1l/ �rt► � ��
White Copyllnspector's File Canary CopylSite Notice
-
�� � �_ �
� � DATE • � TIME
CITY OF ORONO CALLED IN ��—, �
INSPECTION NOTICE SCHEDULED -��c� -�,_-��
PERMIT NO. ,�CiC,%�I —C�'��S�' COMPLETED
ADDRESS � ( L�C� � �c�c�� �� t L;C�.'C:c� (�S �
OWNER TELEPHONE NO. ���C-"�-�.-�� "���?l
CONTRACTOR � � ��- t'� � �}
>; DESCRIPTION
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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O ❑ 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 ❑ SE�C FINAL ❑ FOUNDAT�ON/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:' YES_NO
� COMMENTS:
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��RKSATISFACTORY:PROCEED CJ PROJECTCOMPLETE
W�O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on te:
Inspector. ,_, �
White Copyllnspector's File Canary CopylSite Notice