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Home My WebLink About2008-00268 - mechanical � � CITY OF ORONO PERMIT NO.: 2oos-oo26s 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/02/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2455 SHADYWOOD RD PIN : 20-117-23-11-0017 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 002 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: (1)BATH EXHAUST-50 CFM-RELOCATE DIFFUSERS. APPLICANT MECHANICAL 37.50 THERMEX CORPORATION STATE SURCHARGE MECH(VALUATION) 1.50 3529 RALEIGH AVE S ST LOUIS PARK,MN 55416 MAIL-IN FEE 1.50 (952)922-0606 TOTAL 40.50 OWNER ERIC ENGLUND,DDS 2455 SHADYWOOD RD NAVARRE,MN 55392- 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 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 tt►e 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 aze requested in conformance with the State Building Code.This permit may be revoked at any tim�for due cause. �� / � Dl � lD Applicant Permitee Si re Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � < FOR CIT USE ONLY City of Orono l �/' Q / �� O O P.O.Box 66 Date Received!b �/1� Permit# ��v �� "� �;,�,_� 2750 Kelley Parkway 0 C`� ,_ a �y' !� Crystal Bay,MN 55323 C � Approved By: Amount$:� ��},�o� (952)249-4600 � � � � � �xos `-� CITY QF pRONp CITY OF ORONO—MECHANICAL PERMIT (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 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 DesiQns—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. TYPE OF PERMIT Check All That A 1 ❑Residential �Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: . _._ R - Site Address: �� _�� /1 �-��'0� � , Owner: Mailing Address: ; _ City: �;�;I,�„?�.�'t,��. Zip: Home Phone: Alternate Phone: , Contractor Information: �i �� Contractor: ��r��`r��' �� G Contact Person: v�`� J�� 0'� L•bh i� �ly,i-� Address: -3 S�`� �� i� �`�� State Bond#: �U�� 110�� 6 a��j ( � City: �{- ��t`; � f�, Zip:��`��(� Expiration Date: �� I �' y Phone: ��a� (1 c�-�- � �, k �`' �� Alternate Phone: �,] Insurance—Current: � 1 MECHANICAL SYSTEMS BE1NG INSTALLED . HEATING SYSTEMS _ 1 C �(�-�P � �� _.�_�_�( S� V, Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin �]( No. �_ Bath Exhaust(must have duct outside) ��cfin ❑ No. Other Fans: Locations cfrn FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 . ' • F PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ 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;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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 3 �;�'(�7 : �� x.0125 $ : i `'-r (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(M;nimum Fee of$.50) x.0005 $ � =r�l� (contract price) (minimum$ .50) 3. POSTAGE&I-�ANDLING(Only on Mail-In Applications) $ 1.50 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 STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. MECHANICAL PERMIT APPLICATION AGREEMENT T'he 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: ��, . 1 `�h-�\��. J 1 �' C� - �� _�,�-�v_ i" Date: _ > �` Reset Form _. 3 C� <� 'n �( TIM E v CITY OF ORONO CALLED IN /��`� /oU INSPECTI� TICE SCHEDULED � a � ,..�ERMIT N "r� � � COMPLETED {�K.Rr'�i�q - (�✓� � . L j.jS L� OWN ER CONTR. TELEPHONE NO. �f'�P J •- �� -� -��,� � // I�tQCkl ? CQ- � DESCRIPTION �`/� f'1�]' (' � �I� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W � � �?��--�--�-T �� 1�f�l� 0 � ,�,'n c;�'1°�� C�. 0 � ° � t � �.,��l�e� �c'�rv� P�� Q , � � z � _ I �l. ; �1s �� , �' `� •+-e.r.'� r'- c�-c - Wr � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CEATIFICATE OF OCCUPANCY W �T WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ,� White Copyllnspector's File Canary CopylSite Notice