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Home My WebLink About2011-00127 - mechanical CITY OF ORONO PERMIT NO.: 20��-0012� ` 2750 KELLEY PARKWAY r ,� ORONO,MN 55356- DATE IssuED: 02/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2256 SHADYWOOD RD PIN : 17-117-23-43-0125 LEGAL DESC : WILEYS PARK LAKE MTKA : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,000.00 NOTE: 1 CARRIER NATURAL GAS FURNACE 1 CARRIER 2 TON AC APPLICANT MECHANICAL 162.50 ACTION HEATING&AIR STATE SURCHARGE MECH(VALUATION) 6.50 8140 ARTHUR STREET NE-SUITE SPRING LAKE PARK,MN 55432 TOTAL 169.00 (763)780-0844 PAID WITH CC# 0625 OWNER BURKE,FORREST&RENEE 2256 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.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 constr n is suspended for a period of 180 days at any time after work h menced. The applicant is respo ble for assuring all re � d inspe ns aze requested in confo ce with the State ng Code is permit may be revoked at any ' for du ause. / / / / App ' ant P ' ee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � FOR CITY USE ONLX � O,�D�,O City of Orono P.O.Box 66 Date Received: Permit# r� 2750 Kelley Parkway �. Crystal Bay,MN 55323 Approved By; Amount$: �a�AA�`� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO-MECHANICAL PERMIT (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 pernut 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 Designs—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,manufachuer 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 Al1 That A 1 )' �esidential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Re lace P Job Site/Owner Information: Site Address: �.� S 6 yl G� C.c�C� �t, /c'� Owner: Mailing Address: c�ty: o r� no z�p: S- �� 3 � � Home Phone: Alternate Phone: Contractor Information: Contractor: /-I C�Jor? ��Ca�� 1 �Contact Person: �°� ��!�'`n� �S � Address: �� r��"�f 5� State Bond#: 36 �'� - ��3 City: ��n� Lg��C (�01��- Zip: 5 s��Z Expiration Date: � ' l� ' ?v �� Phone: �63 ��^ ��`�`� Alternate Phone: �i f Z - � 6 cl - p Z Z 'f ❑ Insurance-Current: '-��.o�� c ol` 1 � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS 1 Quantity: Make: CG�f J� Model: S��✓G Fuel: � Flue Size: � ��2 t�C Input BTiJs: ��,Oc-c� ouc�ut BTus: �'6,o� CFM: `�OC� COOLING SYSTEMS Quantity: ' Make: Ccad�� Model: a��4�D A 5 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ 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 Grill ❑ Other/List What&Where: 2 � ' � ❑ 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 Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � . ,.,., - .,..� . .. , . �. �, . , . �.s�, � If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l3,oc,o . �� x.o12s$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) �3/�� x.0005 $ (contract price) (minimum$5.00) 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 esrimated dollar amount charged for the pernutted 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 puiposes. 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 times the Contract Price or a minunum of$5.00. .. � . .� . . . � , �n e� �:� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in sfict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this plication are complete, true and correct. Applicant's Signatur • Date: �� Z �+ � � 3 �`—" DAT TIME " CITY OF ORONO CALLED IN `� a� INSPECTION NOTICE SCHEDULED �L�L !.�3� PERMIT NO. c�Ol�-Od ��7 COMPLETED ADDRESS 6��.J � ��-��C� � OWNER TELEPHONE NO.��Z 3� Daa Co CONTRACTOR �� : DESCRIPTION � �� -L- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FAAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � GW .LI;WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �Q52� 249-46�0 Owner/Contractor on site; Inspector. C J�,y •�% 1�S White Copyllnspector's File Canary CopylSite Notice