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Home My WebLink About2016-01369 - mechanical • � ~ CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - PJ 1 3 6 9 * DATE ISSUED: 10/27/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2166 SHADYWOOD RD PIN : 17-117-23-42-0011 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)LUXAIRE NATURAL GAS FURNACE (1)LUXAIRE A/C (1)KITCHEN EXHAUST 600 CFM (1)BATH EXHAUST-50 CFM APPLICANT MECHANICAL 156.25 STATE SURCHARGE MECH(VALUATION) 6.25 AMERICAN AIR SUPPLY,INC. TOTAL 162.50 11257 207TH AVE NW Payment(s) ELK RIVER,MN 55330 CREDIT CARD 7294 162.50 (612)282-7568 Minnesota State License#:mech-MB003497 OWNER LACROIX,STEPHEN&SUSAN 2166 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 Iaws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction suthorized is not commenced within 180 days of the date of issuance,or if consWction 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. P �� Sv �� 7� /,C� Applic ermitee Signature Date Issued By Si ture Date e � ' FOR'CITY USE ONLY � �O A rO City of Orono ��,�',�l/_,� ` <V P.O.Box 66 Date Received: Permit# ��v�v 2750 Kelley Pazkway /� � Crystal Bay,MN 55323 Approved By: Amount$: ��/�� Phone(952)249-4600 Fax(952)249-4616 y��q �.`'� CITY OF ORONO—MECHANICAL PERMIT kE5 H 0� (All Commercial permits 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 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�►s—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 identificarion 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) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Infarmation: Site Address: �O � f�-d Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: Nt.�"i u�,� �� 1u��1��J Contact Person: J��r. � �J�g�uUr� � " I Address: ��5 1 �`��}�{/N{ /U(.1/State Bond#: �� QQ 3��'� City: �� '� Zip: '�,>s�33d Expiration Date: � � �� ^ �v Phone: �� a�� S�cp Alternate Phone: ❑ Insurance—Current: 1 � r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �] No HEATING SYSTEMS Quantity: � Make: �Ai�Q Model: ��'9S�(�1��(�l�p�� Fuel: /U-�-. Flue Size: � (UG Input BTUs: �00,000 output BTUs: �S,D00 CFM: I�DO COOLING SYSTEMS Quantity: 1 Make: v �/� Model: T� ��l$ 3 Tons: > H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. � Kitchen Exhaust duct recirculating �cfin ❑ No. _1_ Bath Exhaust(must have duct outside) S�5 cfin ❑ No. Other Fans: Locations cfrn 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 Grill ❑ Other/List What&Where: 2 � � � , . �� b� ��- ._ 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00 j l 2, S�v� X.oi2s$ I s�- a S (contract price) (minimum$50.00) 2. STATE SURCHARGE l � S�U� / S� x.0005 $ l�� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 7 S� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �d`� ■ * 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. 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: l ��- Date: � v -� �� 3 s� V DATE TIME CITY OF ORONO CALLED IN �NSPECTI�N,�QT�CE��3�j SCHEDULED _�'L T ��.�� PERMfT N0-'�� a"' COMPLETED ADaiESS �� `�c.ae)� ��. OMINER TE PH NO. �OC� �-2gZ =�C�°� CONrRACTOR � � DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWORADIN(i/FILLIN(i Q ❑ FOUNDATION WATERPROOF � PLUMBu'^�',.._ "'�. "...�- ❑TREE REMOVAL Z ❑ RADON SLAB MECHANI ❑ SITE INSPECTION Q 0 FRAMING ❑ MECHANICAL FINAL ❑ RATEO WALLS � � INSULATION ❑WOOD BURNER/FIREPLACE O�� Q Q FINAL ❑ WATER HOOK-UP _ O FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL _ v 0 DEMO-SffE ❑ SEPTIC INSTALL � dINNOYCONTRACTiOR TO MEET lf�ll:_If6B_NO � COMME . � � �+a r��✓ �a �-�i' K r .e�ii?. _ . o � � � U!�' -- �O uf �e� ° . �''� �!/v f� �a uJl G � h � � � i �'. W � OC J W ❑WORK SATISFACTORY:PROCEED O PRW BCT COMPLETE � WOp1C a PROCEED O ISSUE CERTIFCATE OF OCalPY1NC11 ❑ WOW(.CALL FOR REINSPECTION T9iAPORARY � ��N4 PERMAN@IT ❑()OF1fiECT UN3/1FE COfiDIT10N NRTHIN HOUR3. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑ST�OP ORDER PO�TED.CALL INSPECTOR ❑qTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. c�ran��t�o�+u no��os. (952) 249-4600 o�sHe: Inspector: 1Nhib CaP1►Anap�e�or's FlN Can�ry Copyf811�liotic� C-8 '^ D� TIM� y � CITY OF ORONO CALLED IN INBPECTION NOTICE SCHEDULED PERMR NO.��d� �� COMPLETED ADDRESS �� p�WNER T PH E N� • $ '�3 / CONTRACTO m . n �-x-� � DESCRIPTION Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SRE ❑ �E/P�IC INSTALL 2 OMINERlCOKrMCTOR TO MEET YOU:./G YES_NO .�_ / �--- � '�J�, O �O�' � COMMENT� ✓! ��- � �� 7 �68 o �� u n�v J ��`� � � � J T t ° G✓G n �rN � '.� c a� W � G b � �. � � � - !�! ( o v� . � — �'� c � � 3 '� J�`� /� C� W O WORK SATISFACTORY:PFtOCEED PROJECT COMPLETE � O CORRECT WORK 3 PROCEED ISSUE CEFiTIFlCATE OF OCCUPANCY W OD ❑CORRECT WORK,CALL WR REtNSPECTION TEMPORARY V BEFORE CdVERINO PERMANENT ❑CORRECTUNSAFEOONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑8TOP ORDER P08TED.CALL INSPECTOR ��TATION iSSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CsM tor the next inspection 24 hours in advance. (952) 249-4600 Inspector: L�c"�S� WhNe CoP1��1�� C�nary CopyISIN Notla