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Home My WebLink About2014-01454 - mechanical CITY OF ORONO * z � 1 4 -� 5�4 � � 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 . ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2780 SHADYWOOD RD PIN : 21-117-23-24-0041 LEGAL DESC : REG. LAND SURVEY NO. 1 196 : LOT 000 BLOCK 000 PERM[T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,378.00 NOTE: BRANDT HI:A"I'1NG SYSTEM APPLICANT MECHANICAL 54.73 STATE SURCHARGE MECH (VALUATION) 2.19 STANDARD HEATING& AIR CONDITIONING MAIL-IN FEE 2.00 130 PLYMOUTH AVENUE N. MINNEAPOLIS, MN 55411- TOTAL 58.92 612-824-2656 Payment(s) CHECK 47754 58.92 OWNER CARTER, RICHARD& JEANNE 2780 SHADYWOOD RD EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT "fhe work for which this permit is issued shall be perfomied 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 separatc pemiits. 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 alter work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. �J,� t�! / � l�� I � c� f �_,�� c�� iz , z �, �c� Applicant Permitee Signature Date Issued By Signature Date / �C � � FOR CITI'iiSE ONLI' � Cit�°of rono d 4 � '�' ��"� P.().Bos Date Reeei�zd: Pernut'' ♦ �� 2750 Kelley Par a r, � F Crystal Bay,MN 55323 �ypro�ed Bt': ---- .�noun[$: _ � �P ��r�L-.�`,�, (9�2)249-4600 ,,r„��o$$�. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspec[or and/or Fire Marshall) rGENERAL 1NFORMATION 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 retum mail after a review is completed. PF.RMITS ARE NOT VALID UN1'IL 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,eentilation,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 pennit must be obtained. 5. All work must be done in accordance with the Uruform 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 (Checl: A1111iat A 1�-) �Residential �Commercial(Approval Required) ❑ Ne�� ❑Additiunal ❑Kepaus �Replace Job Site/O»ner Inforination: Site Address: �� Lc> �e� Owner. �( L � � � ng Address: ��i✓}�� City: �8�� Zip: �S ��,� Home Phone: �� Al�t�e�rnate Phone: Contractor Information_ Contrac�r�ndar � � ning Contact Person: 130 Plymouth Avenue North Address: Minnea olis, MN 55411-3445 State Bond#: 61 - - City: Zip: E�piration Date: Phone: Alternate Phone: ❑ Insurance— Current: 1 _ _ --� MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothernial Systems will now require a Site Plan&Re��iew by our Building Official. IS THIS GEOTHERMAL? �Yes �No HEATING SYSTEMS Quantity: ' Make: Model: Fuel: � r�, C�� Flue Size: Input BTUs: I � v Output BTUs: CFM __ _ ____ __ _ _ _ COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace B Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION � No_ Kitchen Exhaust duct recirculating cTm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved hy Fire Marshall if proposing to abandon tank in place.) � Installation � Removal Fuel Oil: �allons ❑ Tlniierground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Uther/List What&Where: 2 � �� PERMIT FEE�CAL�'ULATION(S} �� ' BASED OEF -2�U2 STATE STATUE �f 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 ne�section,if this applies; Cost of Permit $ I 5.00 State Surcharge $ 50 Mail-InFee(TPApplicable) $ 2.00 Total Permit Fee $ � PERMIT FEE CALCULATION(S),--_JOBS OVER$�00:00 If above does not apply;follow guidelines below: _ _ _ _ _ _ _ 1. CONTRACT PRICE *is 1.25%of co tract pnce th a(Minimum Fee of$50.00) � � Y.oizs$ � � �3 conVac[price) (minunum$50.00) 2. STATE SURCHARGE **Add the S e Bldg Co e Div. Surcharge(Minimum Fee of$.50) �� x.000� $ �` ` (contract price) (minimum S .50) 3. POSTAGE&IIANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ - 1 �� ■ * 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 fumished 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 SLJRCE�ARC'rE is .0005 of the Building Department at(952)2�9-4600 for the price. � � � MECHANICAL PERMIT APPLICATION AGREEMENT� � � � � � � 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 this application are complete, true and correct. Applicant's Signature. llate:' �Y / �` / y Reset Form 3 � � � DATE L�, TI� CITY OF ORONO CALLED IN l�-3�/ / INSPECTION�QT�Ci _�� SCHEDULED l -5—�5 ��.3� PERMIT N�� COMPLEfED ADDRESS ��D OWNE E H N[l�/.�a�'�""�77".7� CONTRACTOR ,^ � DESCRIPTION �,/'��-�G�- �%�%�'«-C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � a �(�(r v�.s�e /'e.11�• - j — o - �.�i .S��i c �Gs �.'`t �. � ° ' �a/e — i � ve zL — W / - . � � Q `r I�e�L� Ti�/v✓L t K t O ' � Z w I�a r� �s��e�� — , j /,1`ovr.�l.�� 2c.C�� W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: �1 Q41c1 ��— Inspector. � �— White Copyllnspector's File Canary CopylSite Notice