HomeMy WebLinkAbout2014-01031 - mechanical , � CITY OF ORONO * Z 0 1 4 - P1 1 0 3 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: 09/11/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2240 SHADYWOOD RD
PIN : 17-117-23-42-0001
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 008 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: REAPLACEMENT FURNACE AND A/C
APPLICANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
FREEMAN,CHRISTINE TOTAL 117.00
2240 SHADYWOOD RD Payment(s)
WAYZATA,MN 55391- CHECK 13822 117.00
OWNER
FREEMAN,CHRISTINE
2240 SHADYWOOD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this perrnit 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
permits. All provisions of laws 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 authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 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.
L�/'/iv�.�(.r� � l� l
Applicant Permitee Signature Date Is d By Signature Date
1
• . �� FO C, ` USE�(�NLY
�O A T City of Orono f
1 V P.O.Box 66 Date Reeeive� Permit# �/ '�'
� � 2750 Kelley Parkway "
Crystal Bay,MN 55323 Approved By: Amount$: �� �
Phone(952)249-4600 Fax(952)249-4616
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`� �,�' CITY OF ORONO—MECHANICAL PERMIT
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(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. 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 cazds will be sent by return.mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERI�IIT. 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. 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.
TYF`E OF PERiVIIT
'(Check All Tha�t A 1
� Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs ❑Replace
�ob Site/Owner Infarmation:
Site Addres • '� � C'l�afl `�`�-;�
Owner: ,/Lt,/ " Mailing Address: l�
City: �/J�tli� i' Zip:
Home Phone�����7��7,6� � Alternate Phone: ��ol�� �������
Contractor Information:
�,v.�x�- /
Contractor: ��� Contact Person: `�
Address: ,G�6�9 � p� State Bond#:
City: C�� 1 Zip:�gExpiration Date:
Phone: <���� ���—�lf�� Alternate Phone:
❑ Insurance—Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
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 duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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
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❑ Yes,this section applies
The replacement of a Residential fixture or�pliance 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;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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�"�� x.0125$
(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.
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.
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Applicant s Signature: X-L/1 /12.Qy,��z, � Date: /
3
License lookup Page 1 of 1
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LABOR&INDUSTRY
License/Certificate/Registration Detail
MECHANICAL
Class Type: CONTRACTOR BOND Number: M6682131
Application 335507 Status: ISSUED
No:
Expire Date: 12/29/2014 Effect 6/3/2014
Date:
Orig Date: 6/10/2014 Print 6/16/2014
Date:
Enforcement NO
Action:
_ _ _ _
Name: SHUSTER THOMAS DBA C L FURNACE
SERVICE
Address: 6669 N LONG LK RD
CHISHOLM , MN 55719
Phone: 218-254-4734 Fax: Other:
Business Relationship Requirements �� �
Name: Lic/Reg No:
Status: Application No:
Expire Date: Effect Date:
Orig Date:
_ _ __ _ _ __
� .Another Lookup9------.�
https://secure.doli.state.mn.us/lookup/licensing.aspx 9/11/2014
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Note: All Geothermal Systems will now reyuire a Site Plan &Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �_
Make: v �
Model: � � �� D���
Fuel: l��S
Flue Size: �" ��1...,.
Input BTUs: �
Output BTUs: �(D -3��
CFM: _1��
COOLING SYSTEMS
Quantity:
Make: Cj 4o IM C�n
Model: � J / �
Tons: _- p��
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations 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 Grill ❑ Other/List What&Where:
2
� FOR CITY USE ONLY
City of Orono �
g-��O P.O.Box 66 Date Received: Permit# ,
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249�600 Fax(952)249-4616
� �
yF �
tqk�SyO�F,�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL.IN�ORIVIATION ,
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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 Desiens—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.
TY1�E OF T'ERI�IIT
� � � '� (C�ecl�All�That A 1 �
�Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Repiace
7ob Site/Owner Information:
Site Address:
Owner: Ma' ing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor�nfarmation: `
Contractor: Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
C. L. FURNACE SERVICE
6669 N. Long Lake Road
Chisholm, MN 55719
August 5, 2014
Re: Christine Freeman
Furnace &Air Conditioner
TO WHOM IT MAY CONCERN
I had made a previous inspection of the furnace and air conditioner at Christine Freeman's residence.
It appears the drip pan on the air conditioner rusted out and leaked down through the furnace and onto
the floor and below. The air conditioner and furnace are water damaged and non-repairable and I
recommended replacement of both. Prior to that however,the floor issue and any structural damage
must be repaired.
If you have any questions, I can be reached at either( 218) 254-4734 or(218)969-0133.
Sincerely,
Tom Shuster, Owner
C.L. FURNACE SERVICE
�-��o
C ITY OF ORONO
� � Street Address: Mailing Address: Telephone(952)249-4600
�, G� 2750 Kelley Parkway P.O. Box 66 Fax (952)249-4616
l,y tp Orono, MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us
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March 23, 2016 / �
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Christine Freeman
2240 Shadywood Road
Wayzata, MN 55391
The City of Orono issued permits for work to be completed at 2240 Shadywood Road. Our records indicate
there are open inspections. The contractor that pulled the permit was required to call when the work was
ready to be inspected.
Permit Number: 2014-01031
Contractor: CL Furnace Service
Type of Work: Mechanical final for replacement of furnace and air conditioning unit
Permit Number: 2014-01053
Contractor: CL Furnace Service
Type of Work: Mechanical final for water heater
Please call 952-249-4600 to schedule the inspections within 10 business days so we can verify correct
installation for your safety. If this project has not been inspected within the 10 days allotted a new permit will
be required before this work can be inspected. If we do not receive a response your property address file will
reflect an uninspected improvement and could be problematic when selling your home.
If you have any questions please do not hesitate to call me at 952-249-4625 Monday through Friday during
business hours 8:00 am—4:30 pm. I can also be reached via email at rpeitsoC�ci.orono.mn.us.
Sincerely,
CITY OF ORONO
��
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Roger Peitso
Building Official
c CL Furnace Service; 6669 N Long Lake Rd;Chisholm, MN 55719
c-� �� �/
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � a:ob
PERMIT NO. ao�� - 0103� COMPLETED
ADDRESS �";` � o� 05 3 � S �
OWNER�. �c�asi`un� TELEPHONE NO. � • •^I��Q
CONTRACTOR
� DESCRIPTION � + C-O'r1� • �
lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED JQ PROJECT COMPIEfE
W ❑CORRECT WORK 8 PROCEED ��❑ SI SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. ��/ � �
White Copylinspector's File Canary CopylSite Notice