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Home My WebLink About2008-00385 - mechanical � CITY OF ORONO PERMIT NO.: 2oos-oo3s5 � � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: lUi3/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2745 SHADYWOOD RD PIN : 21-117-23-31-0003 LEGAL DESC : REG. LAND SURVEY NO.0500 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,675.00 NOTE: 1 CARRIER GAS FURNACE 1 BRYANT 3 TON AC 1 HEATILATER HEAT&GLOW GAS FP 1 KITCHEN EXHAUST 6" 4 BATH FANS GAS LINES-OUTDOOR GRILL,LANTERNS,DRYER,RANGE APPLICANT MECHANICAL 170.94 AIR AMERICAN,INC. STATE SURCHARGE MECH(VALUATION) 6.84 15580 240TH ST.N. TOTAL 177.78 SCANDIA,MN 55073- (651)433-5626 OWNER ZIMMERMAN,JAMES 2745 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 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 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 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 fo ue caus . / " ( �� / / Ap icant ermitee Signa re Date Issued By S� ature Date PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESC BE ABOVE. ! __� FQR,G�3`3C3IS��1�1I.'� ': _ �,¢p�� City of Orono `'u ' � , '� � � �. � P.O.Box 66 Dafe Received, Permit# 2750 Kelley Parkway a� :� � Crystal Bay,MN 55323 `�gproued By: . Amaunt$:� �� (952)249-4600 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officia]or Inspector and/or Fire Marshall) '�7��'I..�+��.1#�,��T�� 1. You may apply for inechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pemut 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 specificarions are required for each heating,ventilation,humidificarion-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identificarion as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construcrion or remodeling is involved, a separate building pernrit 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. �� ; ° s.� ��:�`�e��, � ' - �Residential ❑Commercial(Approval Required) ❑ New �Additional ❑Repairs ❑Replace ��b��e=I Ovvner T�forn�a�ian : '; = ' Site Address: � �'l p Owner: �(,K z��,.„�vm,� Mailing Address: City: �/ '0✓1 � Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �1 r .�4�w,��`L�, ..�k�- Contact Person: � Uoc� _ � Address: ��'r�� o?�'D�l-J�.�� State Bond#: �a(o��Id�,zj City: � � Zip:�L Expiration Date: j a'J d �J�v� ��! �-f Phone: 6rj��-�3�� Alternate Phone: � - s�?��?o?L f ❑ Insurance-Current: 1 ,�,`_ � _ ` Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes '�,No HEATING SYSTEMS Quantity: l Make: �e�t � Model: �)/�'�(/(�7'��a� Fuel: ,(�Lc,,� �j�[g Flue Size: �j�� pU� Input BTUs: rJ� Output BTUs: �_�Z� CFM: COOLING SYSTEMS Quanrity: Make: r' � Model: ��j G�/SE-�3� Tons: � H.Power � FIREPLACES � Gas Factory Fireplace Brand Name: �T�LTI(�9� ��+� Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION No. � Kitchen Exhaust�` duct recirculating �!7('j cfin No. � Bath Exhaust(must have duct outside) ��cfin No. Other Fans: Locations �� FITEL 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: �_k� ��n./�,� 6 ' � 2 / . �y, t ❑ Yes,this section applies T'he replacement of a Residential fixture or a vliance that meets all three of the following requirements: . 1. Does not require modificarion 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 secrion,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 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$35.00) L � x.0125$ (contr ct price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * CONTRACT PRICE or 70B COST means the actual or esrimated 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 installarions 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 pernut fee puxposes. 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. 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 Signatur • Date: � 3 � � C� ATE TIME � CITY OF ORONO CALLED IN �l D INSPECTION �C � ��CHEDULED � �� PERMIT NO. COMPLETED ADDRESS O� CS�Q 4�� OWNER a�� CONT .�` L��f'�l CQ- TELEPHONE NO. �1.� –`��—��' �� DESCRIPTION /[ � -�"[ � � , � ❑ FOOTING �EC A ICAL RI ❑ CAV/GRAD G/FILLING Q ❑ FRAMING ❑ MEC ANICAL FINAL ❑ LAKESHOREM/ETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO ti COMMENTS: � W a o �� °'�:� 1�1�U S � /ln c Q �— � D� � '' �� P �,.�+�cP 0 � Q f}�c� .cr/.� � 5 -�-�e 1 �a.�r �►S. � {'L�'1 �d�� ,� -�— �� -e Z � [�}�e��.. a S j �� ; l� l Ov/L � 'T � �N� ( a W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � �bRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. ��( , r� White Copylinspector's File Canary CopylSite Notice