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Home My WebLink About2013-00181 - mechanical , CITY OF ORONO * z 0 1 3 - 0 � 1 B 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 03/19/2013 . � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2765 SHADYWOOD RD PIN : 21-117-23-24-0060 LEGAL DESC : REG. LAND SURVEY NO. 0415 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIXTURES-MULTIPLE VALUATION : $ 11,000.00 NOTE: (2)GOODMAN HEATING AND COOLING SYSTEMS- APPLICANT MECHANICAL 137.50 RIES HEATING&A/C INC STATE SURCHARGE MECH(VALUATION) 5.50 13986 ZUMBRO AVE SHAKOPEE,MN 55379- TOTAL 143.00 (952)445-5676 PAID WITH CC# 7034 OWNER RANDGAARD,THOMAS 1730 KENWOOD PKWY MINNEAPOLIS,MN 55405- 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 Sta[e 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 specitied 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 afrer 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 an e for ue cause. / / .�/ / pplican er it ignature D te ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. � R TTY USE ONLY - �,�D�O City of Orono ��f� l� P.O.Box 66 Dat.�R � � Pertnit# € 2750 Kelley Parkway �/ � „ !� Crystal Bay,MN 55323 ApprovedBy: Amount$-��JI`� , �G� 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 I1�TFOR�ATIC}N 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 Desiens—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 t��'F��,MI'I' Ch�ck Al� , , t A' 1 ❑� Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/C�v�er Infc�rrnation: ' Site Address: 2765 Shadywood Rd. Tom Rand aard 2765 Shadywood Rd Owner: g Mailing Address: c;�,: Excelsior Mn Z; 55331 P� Home Phone: Alternate Phone: (612) 803-9888 Cc�ntractor I��orm�tion: Ries Heating&A/C Inc Bill Brown Contractor: Contact Person: Address: 13986 Zumbro Ave State Bond#: MB0037O3 ciry: Shakopee Zlp:55379 Expiration Date: � O/� 5��4 Phone: (952) 445-5676 Alternate Phone: (612) 799-0574 ❑ Insurance—Current: 1 . Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS Q„ant;Ty: one one M�e: goodman goodman Model: 9mh950703bx gmh 950904� F„e,: natural natural Flue Size: 2" direct vent 3" direct vent �npUt BTus: 69000 92000 o��ut aTus: 66000 88000 cFM: 1200 1600 COOLING SYSTEMS Q„�,t;�,: one one M�e: gmc gmc Moae�: vSX 13024 VSX 13036 Tons: 2 3 H.Power 17.9 amp 21 .9 amp 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 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;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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) 11 ,000.00 X.o12s$ 137.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE 11 ,��.�� J. 'rJ� x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $143.0� ■ * 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 aze 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 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�� " Date: O3/�8/�3 ,�------�„ �,�,,., ,.. '..i, 3 � C/ `�,/,r/� DATE TIME ✓ CITY OF ORONO �LED IN �� INSPECTION OTICE SCHEDULED 7 -�/3 �.� �O PERMIT NO. -�`� PLETED ADDRESS 7 S D OWNER T P ONE NO. �� 57� CONTRACTOR -� L� >; DESCRIPTION `��GGL � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTHACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a o /l,��_c� i`��--'�/lJ�P�?_( � � �� , i..�A ��' l�e��ef` 0 � w � Q � z W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice