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Home My WebLink About2009-00816 - mechanical CITY OF ORONO PERMIT NO.: 2009-00816 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 1U16/2009 • 952 249-4600 FAX: 952 249-4616 ADQRESS : 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 : $ 2,600.00 NOTE: GAS FIREPLACG&GAS LINE FOR 2 GAS TORCHES APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH (VALUAT[ON) 1.30 4342 B SHADY OAK RD TOTAL 51.30 HOPKINS, MN 55343 (952)933-1868 OWNER MARHULA, DAREN 2100 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 does not grant pennission for additiona]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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are reque ted in confor nce with the State Building Code.This permit may be `/ revoke at any time f�r due cau e.�� I _�� / //// �.` ;�� ✓ ,� � / �� / �,� `� � �� .�.. d, i i App ' ermitee Si nature Date Issued By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ti � �'Olx CCTX U5E ON1.Y ��p�� City of Orono � �� ' � P.O.Box 66 Date Reccivod: Pertnit# 2750 Kelley Parktivay � ` 4 ,`� Crystal Bay,MN 55323 Approved By;; Amaunt$: � � (952)249�1600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permit;must be approved by the Building Official or Inspector and/or Fira Marshall) GENERAL INFORMATION I. 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desigr►s—Complete calculations,details and specifications aze 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 Q Residential ❑Commercial(Approval Required) ❑New Q Additional ❑Repairs 0 Replace Job Site/Owner Information: Site Address: 2100 SHADYWOOD RD Owner: MARHULA Mailing Address: SAME City: WAYZATA Zip: 55391 Home Phone: �612)250-94Q0 Alternate Phone: Contractor Information: Contractor: PRACTICAL SYSTEMS Contact Person: �OANN Address: 4342B SHADY OAK RD State Bond#: 558516 City: HOPKINS ZIP: 55343 Expirarion Date: 09/10/10 Phone: (952)933-1868 Alternate Phone: ✓Q Insurance—Current: 01/10/10 1 F :' _: .'�i��161��.��5��#��'(i��: . _ ._ .": . .,'." Note:All Geothermal Systems w�ill now require a Site Plan&Review by our Building Official. , IS THIS GEOTHERMAL' ❑Yes Q No HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input BTUs: _ Output BTUs: _ CFM: COOLING SYSTEMS Quantity: ---- Make: Model: Tons: H.Power FIREPLACES � Gas Factory Fireplace Brand Name: T&C ❑ Wood Burning Fireplace � Wood Stove Model No.: TCWS.54.CE ❑ Wood Stove V4 ith Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfrn � No. Other Fans: Locarions cfm 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 Gril] � Other/List What&Where: 2 GAS TORCHES 2 � PERMIT FEE CALCULATIUN(S) ,, I3�1SED OFF -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 5500.00 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 $ 15.00 State Surcharge $ .50 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: I. CONTRACT PRICE *is 1.25°/a of contract price with a(Minimum Fee of$50.00) 2,600.00 x ��25$ 50.00 (contract priee) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee otS.50) 2,600.00 x .0005 $ ��30 (contract pricc) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines t-3 Above) $ 51.30 ■ * 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 matenal, equipment, labor or installations are furnished by the owner, tenant or any ofher 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. 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 �vith the ordinances of the City and tbe regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. ; � i' Applicant's Signature: '� . ` Date: 11/12/09 � r Reset Form ' " ' 3 �( D T TIME CITY OF ORONO CALLEO IN �� INSPECTION NOTICE SCHEDULED ��- -44' � PERMIT NO.oZ�O �-�� COMP�ETED ADDRESS ��DD C�� OWNER CONTR. +a�d TELEPHONE NO. l Z 2Cf0 Z�g3 � DESCRIPTION � !� / /�.� � ❑ FOOTING ❑ MECHANICAL 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � I�..��T ��!�2 �4 1 r�L1 �,�t�! 0 � /��'C��'�r312 �T�� 5�...-'rt9�-F � LJ :-� U '�tJ C� ' d� � � .��i :�� C� - W � Q � 2 W � W � � d Q��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CEFiTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on sit : Inspector. r � �J� � White Copyllnspector's File Canary Copy/Site Notice