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Home My WebLink About2008-00074 - mechanical CITY OF ORONO PERMIT NO.: 2oos-000�4 t � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISsuEn: 07/22/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2118 SHADYWOOD RD PIN : 17-117-23-42-0016 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 29,000.00 APPLICANT �CHANICAL 362.50 KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 14.50 6365 CARLSON DRIVE SUITE G EDEN PRIAIRE,MN 55346 MAIL-IN FEE 1.50 (612)941-4211 TOTAL 378.50 OWNER HANSSEN,PAUL&LEANN 2118 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 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.l'his 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�►� � ' ' 7� �, �8 Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED OVE. t , FOR C1TY USE ONLY • City of Orono ' f g�� P.O.Box 66 Date Received: � Permit# ' �� 2750 Kelley Parkway ��M27(y`:. r Crystat Bay,MN 55323 Approved By: Amount S: ��; ,b` (952)249-4600 v CITY OF ORONO—MECHANICAL PERMIT (All Commercial pertnits 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 retum 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 Desiens_—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditionin�installation including heat toss/heat gain calculation,design temperatures,equipment ratines and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodelin�is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Ntechanical Code/State Buildine Code requirements. 6. All work must be inspected(roueh-in and final). Call(952)2�9-4600. (24-43 hour notice required) 7. House Heatin�Test Record must be submitted before final. TYPE OF PERNIIT I Check All That A 1 �Residential ❑ Commerciai(Approvai Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: O�� O�vner: MailinQ Address: City: Z►P= Home Phone: Alternate Phone: Contractor Information: Contractor:KlPVP ut.g, �. a�c� Inc Contact Person: T� ► �ri�Cj� � Address: 6365 Carlson Dr . Ste GStateBond #: RT,T-56� 165 Ci[v: Eden Prairie Zip: 55346E�piration Date: 8/14/06 Phone: 952-941-4211 Alternate Pf�one: 952-345-7242 ❑ [nsurance — Current: 1 � :�� s�`�.��'��'��C�HANI�-��Y�.S�MS:.�E�GFII`�ST��ED�}57��'��',�;bi�.'3��:�;:A.. _�. � �� 1 c��' 1�:� HEATING SYSTEMS � Quantity: I Make: Modei: `� Fuel: Flue Size: Input BTUs: � . Output BTUs: CFM: COOLING SYSTEi�IS Quantity: I �(al:e: � h�todel: Ll4C�� Tons: H.Power FIREPLACES Gas Factory Fireplace. [� Wood Burning Fireplac�' ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Ntodel No.: VENTILATION ❑ No. ( Kitchen Exhaust duct recirculating cfm �f No. � Bath E:chaust(must have duct outside) cfm (� No. � Other Fans: Locations I�(IAPi� __ cfm FUEL STORAGE (i�tUST BE APPROVED BY FIRE 1�tARSHALL) _ ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Under�round ❑ Inside ❑ Outside LP Gas: eallons Other: GAS LINE ONLY ❑ Outdoor Grili � Other% List What�C �Vhere: IJ�.1 �,�. ��r�i�Ri1LXi� � r L � � ; �° �� t��{�.+n�t'��7r��bR�Y`'"-�''�PERMIT FEE``CALCUL,A'TION(S)a��, ` �° �� ;�;- � � � 1�_�1�~S,i�Ay+ fiy �ti ��/'tijrii5�i F�,..= u,..�L tivlNr t)? �.w�r�s l.�.�Y4-�cC�� <._:'4F��y�' l�r J L T�"�y r tr l . .�'� �.'':�;;4�.��..f;�',�%�,'��;4�•�`.�i.�$ASED:OFF;`'20025.'I'ATESTAT'UEY�`,�': ��?��r :r.�.':.'.� ❑ 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 tess;excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeo�vner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surchar�e $ .50 Mail-In Fee(If Applicable) $ 1.�0 Total Permit Fee � �`�- -`� �=::��`�-�- PERMIT FEE CALCUI;ATION S �=JOBS OVER$500.00 - If above does not apply; follow�uidelines below: 1. CONTR4CT PRICE * is 1.2�°'0 of contract price with a(`Iinimum Fee of S35.00) aqoa� . .o�� S �, ��2.� ( onv�ct pnc.j (minimum 5S�A0) 2. STATE SLRCH.-�RGE *' Add the State Bld�_Code Div. SurcharRe (�tinimum Fcc ofS.�Q) � a� oa� . .000, s �� .� (contract price) (minimum 5 50) 3. POSTAGE �: HANDLI�iG (Onl}� on �tail-ln Applications) S 1.�0 -4. TOTAL PEFLIIIT FEE(.�dd Lines 1-3 ?�bove) 5 0 • * CONTR�CT PR10E or JOB COST means the actual or estimated dollar amount char:ed for tlie permitted work including materials, labor, profit, and other fired costs. It is the amount to be char:ed to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party, the re�sonable 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 Ciry may request the submission of a si�ned copy of tl�e actual contract. • **The STATE SURCHARGE is .0005 of the Buiidin�Department at(9�2)249-4600 for the price. - � _'�MECHANICAL PERMIT APPLICATION AGREEMENT The undersiened reby a ies to the City for issuance of a Mechanical Permit, a�rees to do all �vork in strict cordance �v� the ordinances of the City and the re�ulations of the State of Iviinnesota, a certifies that l statem s m on t is application are cocnplete, true and correct. Applicant's Si�na Date: V1 W ,�� Reset Form� . . "�'... ......:.... . , � �— DAT TIME ✓ CITY OF ORONO CALLEo IN �� INSPECTION NOTICE SCHEDULED � — l�:D'7� PERMIT NO. ��-��a�� COMPLETED ADDRESS al/�' tS�lQ � - OWNER CONTR.�� '�,� TELEPHONE NO. �Pla �Da � 7�a � DESCRIPTION ��sf ��'�`� `��_ � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL p SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAI ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�n COMMENTS: � W a o C� 1L i� 1�0�1`/� �fod � � � 0 � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site• Inspector. Whfte CopyllnspectoPs Flle Canary CopylSite Notice � � �c" ' E�/ TIME CITY OF ORONO CALLED IN � '�° � INSPECTION NOTI �CHEDULED Z O � PERMIT NO �� COMPLETED ADDRESS a/l� ��2�-yGcJ�C-- � OWNER CONTR.� � TELEPHONE NO. a�� - � � DESCRIPTION � lJ ��Z�'dr�-S � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � � °° �'�S�e C-FG� /4-I" �L� �1'ilnC W Q �� A n,�,- 4 fi S��.-ha l � z W � W � � � �WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �❑�RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 �edConVactor on site: � `or. White Copyllnspector's File Canary CopylSite Notice