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Home My WebLink About2009-00023 - mechanical _�. CITY OF ORONO PERMIT NO.: 2009-00023 ` 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: OU26/2009 , 952 249-4600 FAX: 952 249-4616 . ADDRESS : 2680 SHADYWOOD RD PIN : 21-117-23-24-0046 LEGAL DESC : SHORE HILLS : LOT O15 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL ' CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 38,000.00 NOTE: 2 BRYANT GAS FURNACES 2 BRYANT AC 9 VENTILATIONS GAS LINES APPLICANT MECHANICAL 475.00 KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 19.00 6365 CARLSON DRIVE SUITE G EDEN PRAIRIE,MN 55346- MAIL-IN FEE 1.50 (612)941-4211 TOTAL 495.50 OWNER SEWALL,BARRY 2680 SHADYWOOD RD EXCELSIOR,MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 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�ause. � . / / / / Applicant Permitee Signature Date Issued By ignature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. ,,, FOR CITY USE OfYLY , ' � City of Orono Og O� P.O.Box 66 Date Received: Permit� � 2750 Kelley Parkw�y � ��"?1��_ � Crystal Bay,MN 55323 Approved By: Amount 3: ��}��.; (952)249-4600 CITY OF ORONO- MECHA.IVICAL 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 permiu 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 UNT1L 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 losslheat gain calculation,design temperatures, equipment ratines and identification as to rype, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeline is involved, a separate buildine permit must be obtained. 5. All �vork must be done in accordance with the lJniform ivlechanical Code!State Buildin� Code requirements. 6. All work must be inspected (roush-in and final). Call (952) 2a9-�600. (24-43 hour notice required) 7. House Heatins Test Record must be submitted before final. TYPE OF PERIv1IT I (Check All That Apply) �Residential ❑ Commercial(�pproval Required) �.New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: �O � � O�vner:��` Y' �1�'' �Z_�PMailino Address: Ciry: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:KlPVP Ht.g_, �, alC Inc Contact Person: Ashley Griffin Address: 6365 - -r� �on D . Ste GState Bond �: Rr,T-56 � 1 F�S Citv: Eden Prairie Zip: 55346Expir�tion Date: 8/ 14/b9 Phone: g52-9a1 -4211 Alternate Phone: 952-345-i 242 ❑ Insur�nce - Curren[: 1 � I�� j �`��S 'flll• J .6' . .� . . .. � r ... . � � :_ '� .. �;...:: ,,. ��r�`�f-��*��%fEGHANICAI;S. .Ys.�IvIS.BEI�1Gi�ST�1I:..L•ED;�in,, ,,;;:� �'��:.r,:� ':,. HEATING SYSTEMS Quantity: ' ' Make: _^��— Model: 3�5\.f�W��oQ ��V�aOO Fuel: � . ►"�`�•CF-v Flue Size: Input BTUs: 1�� Output BTUs: �� CFM: COOL1vG SYSTE�IS Quantity: I �i a}:e�. �� il.� i��lodel: ��T'�I��`�-(g Tons: •� H. Power FIREPL,�.CES ❑ Gas Factory Fireplace ❑ Wood Burnins Fireplace ❑ Wood Stove ❑ Wood Stove 1Vith Flue Brand �1ame� Modei No.: VEVTILATION �., No. � Kitchen Exh�ust duct recircula[ine �iVV c(m � No. �� Bath Exhaust (must have duct outside) cfm � No. �_ Other Fans: Locations dK.}C,►r� cfm �— FUEL STORAGE (tiIUST BE APPROVED BY FIRE ti1,�RSH,4LL) _ ❑ installation ❑ Removal Fuel Oil: �allons ❑ Under�round ❑ Inside ❑ Outsid� LP Gas: �allons Other � G.-�S LIyE ONLY' � Outdour Grill � Oth�r ' List \\-hat �C \�'hcrr: � �� ep CQ� � ��'� �r Tl� `--�—�� ` __ _� � r . , " • ;" ,�;'ii �,;��,�� y��;��yLh""�ERNIIT FEE.�CryALCULATION(S) �F, �'_,�� :r';� ,%� :��' ` . ' ` ,. �;.,.`.� .,,`=�,a?#n,.•,' �.-�;,,.�BASED�OFF, :2002.STATE STATUE ,, .;: , _�� ,,•_ ..� �.` ❑ Yes,this section applies "I�he replacement of a Residential fixture or appliance that meets all three of the foilowing requirements: ]. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; e�ccludine 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.�0 Total Permit Fee S - - PERMIT FEE CALCUL;ATION(S =JOBS OVER $500.00 lf above does not apply; follo�v�uidelines belo�v: l. CONTR�CT PRICE * is 1.3�°0 of contr�ct price with a (�linimum Fee of 53�.00) �(�(� ( �.� c�o� W`J � .01�� 5 `� � (contrac:pnccj (minimum��00) 3. ST.-�TE SURCH.aRGE " ,Add the St�te Bldc Codc Div. Surch�r_e (�Un�mur,� Fcc ofS.��) I �G 3$OOc� . 000� S �°l . (contr�ct price) (minimum� �G1 �. POST�GE & H.-�NDLf�IG (Onl� on tilail-In .�pplic�tions) S 1.=0 -1. 7�OTAL PEIL�IIT FEE (.add Lines 1-3 �,bove) 5 � �\.J -V� • ' CONTRACT PR10E or JOB COST means the actu�l or estimated doll�r amount char�ed for the permitted �vork including materials, labor, profit, and other fixed costs. It is the amount to be char�ed to the customer for the work done. lf any material, equipment, labor or installations are fumished by the owner, tenant or any other p�rty, the reasonable m�r�:et value of such items must be added to the estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the amount of tlie job cost, the Ciry may request tlie submission of a si�ned copy of tlie actual contr�ct. • " The STATE SURCHARGE is .0005 of the Buildin� Department at (9�3) 2�J9-�1600 for the price. • : � MECHANICAL PERMIT APPLICATION AGREEMENT The undersioned hereby applies to the Ciry for issuance of a Ivlechanical Permit, a��rees to do all work in strict accordance with the ordinances of the Ciry and the re�ulations of the State of Niinnesota, and certife that all statements made on this application are complete, true and correct. Applicant's Si�nature. Date: � �� ,, � Reset Form • . .. j � � �%�-. ATE TIME � CITY OF ORONO CALLED IN �9 INSPECTION g�T,JIC^ SCHEDULED � PERMIT NO ��/ '� COMPLETED ADDRESS � � OWNER CO R. TELEPHONE NO. � � d —��l—� / � DESCRIPTION ��-�-�L, , � _ � 1' � ❑ FOOTING CHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNEFiICONTRACTOR TO MEET YOU:�ES_NO c�n COMMENTS: � W a � r�M J �' �"�� ` O O �.e � IQ �+'►�1 O o� � , � �O, n -F S � 13l/L, s/� ° I ,�NC�S _ W � Q z �Z"� S _'►�' - S �-t�S�-- W � W � � O W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlConiractor on site: Inspector. ��,�/ �,[�S' White Copyllnspector's File Canary CopylSite Notice C� � D TE TIME � CITY OF ORONO CALLED IN INSPECTIONNO�T�I,C E SCHEDULED ;oo PERMIT NO.a�''l—D�d� COMPLETED ADDRESS `��80 �,�OGQ {� OWNER CONTR. ��lJ�_� TELEPHONE NO.� ��Z ZOZ `f�S � � DESCRIPTION /"l�� ^`�X � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIRE�� r� /, ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP (� ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ 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 c�., COMMENTS: � W a J 0 5�� ., O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIJ TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cat1 for the next inspection 2a hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. ( ,� White Copyllospector's File Canary Copy/Site Notice