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Home My WebLink About2014-00716 - mechanical i� . CITY OF ORONO * 2 0 1 4 - 0 0 7 1 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2248 SHADYWOOD RD PIN : 17-117-23-43-0126 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 4,500.00 NOTE: (1)BOSCH GREENSTAR COMB.-NATURAL GAS-3"FLUE APPLICANT MECHANICAL 56.25 STATE SURCHARGE MECH(VALUATION) 2.25 WESTONKA MECHANICAL INC TOTAL 58.50 6501 COiINTY RD 15 MOLJND,MN 55364 Payment(s) (952)472-4966 CHECK 34238 58.50 OWNER LAGERSTROM, ED 2248 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 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 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. (��-�_�•'m�,,.,:,, ? 1� I � � 7 � � �/5� "�Applicant rmitee Signature Date Issued y Signature Date , F R CITY USE ONLY City of Orono I, � �` �/�j �O�O P.O.Box 66 Date . �Y Permit# � — 2750 Kelley Pazkway � f /(' Crystal Bay,MN 55323 Appro ed Amount$:y � Phone(952)249-4600 Fa�t(952)249-4616 a � ti ` `� �.�' CITY OF ORONO—MECHANICAL PERMIT `�kEs y�� (All Commerciai 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�—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 musf be submitted before final. TYPE OF PER1ViIT ` (Check All That A 1 � Residential ❑ Commercial(Approval Required) �New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 7 � �g' �j'1G�;/' �'1/�O oi d �� Owner: ��A• �tr o m Mailing Address: �2 y 4' S�+A�y �aax� Y�c� city: dro�na zip:SS3g( w`''y z a`f0. Home Phone: Alternate Phone: Contractor Information: Contractor: U�e� ��ea ti Co h� sh�ontact Person: ��aK� W)o N n�Sa v1 Address: C�So) c-ty/�el/,S State Bond#: City: yYJb�a � Zip:SS3��/Expiration Date: Phone: ��y72 � y ai CQ_ Alternate Phone: ❑ Insurance—Current: 1 r . , �� . ,. ,: ,. ,,, , , . � . � � � �� „ w� �'��"=:�� x'� Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: � P S�}1 G r-e.�r� �0.r Model: G�•we.nStcv� Cornb� 1m O Fuel: I]�a"f c�n�) G4 S Flue Size: � 1� Input BTUs: 35�,(' —� /� 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 cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall tf 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 �,: .� a ti.. .� , ., a. „ ,�. �.., � _ � � • , � � , ..� n ❑ 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 Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S � _�, ,. . . � �„ , . . , - � ��:� � s �,� .��.: .f ��.�� ,� �.m If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) Dr- �f SDd x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (conuact 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 ar 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. N� . , , . ., � . . . . .� �.; �� 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: �� ( � 3 �.^ � � D TE TIME 1 / CITY OF ORONO CALLED IN — — �' INSPECTION NOTI E SCHEDULED — � PERMIT NO. �� COMP ETED ADDRESS a � OWNER T LEP ONE N . a��' CONTRACTOR �- a DESCRIPTION '� V�"�- � �U � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a `� 1 j O �. � O � W � Q � 2 W � W � � O W� ❑WOR ATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL�NSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hou in advance. 9 -46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �/� �; CITY OF ORONO CALLED IN —� E � ---�,T��1�/ INSPECTION 1�i� � ��SCHEDULED — �3J � PERMIT NO. COMPLETED i ADDRESS �Z--�a ��"�`��-� OWNER' �-�� l� tfS'��rr� TELEPHONE NO. Z' 6�- �� CONTRACTOR �� -%'� � �; DESCRIPTION r � (�r� � W ❑ FOOTING 0 PLUMBING ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ LAKESHORE/WEfLANDS y ❑ FRAMING CH IN ❑ TREE REMOVAL Z ❑ INSULATION O OD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a �'6► lt� — Z�� O � �-,� ��- t -� �- fy 0 � W � I,�/6 r Ca �--c Q K' (j(�S /�r�d 2/r+.t�t ��1 � �r Q�1rK� T � /�1 � • I_ ` � D ► 1 �w �� ' _. J � ❑WORKSATiSFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING pERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ��'"' � White Copyllnspector's File Canary CopylSite Notice