The URL can be used to link to this page

Home My WebLink About2013-00893 - mechanical � ` CITY OF ORONO * Z 0 1 3 - 0 0 8 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2795 SHADYWOOD RD PIN : 21-117-23-31-0002 LEGAL DESC� : REG. LAND SURVEY NO. 0500 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,710.00 NOTE: NEW A/C-BRYANT MODEL#126B-2-1/2 TON APPLICANT MECHANICAL 50.00 PRECISION HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 1.36 3650 CHESTNUT ST.N CHASKA, MN 55318 MAIL-IN FEE 2.00 (952)556-0187 TOTAL 5336 OWNER NAYFACK, SHIRLEY 2795 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 separate 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 aze requested in conformance with the State Building Code.This pertnit may be revoked at any time for due cau . �'i �i �' i'z� i /3 App ' ant Permitee Signa re Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j � ,.,t ' iro •rr��sE rn+a�.�r � City of Orono �� r.o.aoX� n�ce / r�c��,� cl3 0 2750 Kelley Parkway .��,�� Crystal Bay,MN 55323 Approv�By: Amwpd�:�� Phone(952)249-4600 Fau(952)249-0616 y`�� .�� CITY OF ORONO—MECHANICAL PERMIT KFSHOa (Ail Commercial pertniu must be approved by the Building Official or Inspector and/or Fire Marshall) G�RAL INFOIt,R�lATION 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. C�,�VED (24-48 hour notice required) R� 7. House Heating Test Record must be submitted before final. UG 3 O 2013 TYPE QF PER1�T Check Ali That 1 C►TY O�ORON� ❑Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Ovvner Informatian; Site Address: oZ�� /�('(�O� � Owner: Mailing Address: �' �� City: ��(�Y1C3 Zip: _.s1��/ Home Phone: Alternate Phone: C�/9 �' 17�3 Con�actor'Information: Contractor: ��C�C�S,r v� � � � Contact Person: \ \ 5 Cn Address: �(��C3 ��'1P_"s�Ylu��]� State Bond#: City: Zip�!J / J10 Expiration Date: Phone: ,, � O(�S� Alternate Phone: ❑ Insurance—Current: 1 � ' ._ , �c��vicA�,s�s��s sE��rrsr�,L�v � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTL`s: _ ___ __ i_ Output BTL`s: CFM: COOLING SYSTEMS Quantity: -----� — -- — -- Make: � t\ 1 � — ----_ ModeL• �(��__ _____ _ � Tons: _ � __ H. Power ;�� !J� FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ V4'ood Stove Model Na: _ ❑ Wood Stove with Flue%Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating _ _ cfm ❑ No. _____ __ Bath Exhaust(must have duct outside) ___ cfm ❑ No. Other Fans: l,ocations cfm FUEL STORAGE (Must be approved by Fire Marsha!l if proposing to ubandon tank in pluc�J ❑ Installation ❑ Removal Fuel OiL• gallons ❑ Underground ❑ Inside ❑Outside ---.___._. . LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other i List What& W'here: � � , r � � , � ' �"�T F�GALCULATi4I+T{S) : BASED OFF-2fld2 ST�4'i'E S'fAT[JE ❑ Yes,this section applies 1'he 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;excludina 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 $ PER:MIIT FEE CALCULA'fI4N S —JQBS OVER$5�?.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is I?5%of contract price with a(Minimum Fee of 550.00) � �-7� - '�/ �� x.0125$ ,7�-- (conaact pncr) (minimum$50,00) 2. STATE SCRCHARGE '�a 7�" -,.. - � L x .00OS $__ �----_ _ ___--- � -- I contrart pnce 1 3. POSTAGE& HANDLI.NG(Only on Mail-In Applications) $ 2.00 �Z �� 4. TOTAL PERMIT FEE(Add Lines I-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 pany, 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 Ciry may request the submission of a signed copy of the actual contract. IbfE�HA�*TICAL PE�MIT AF�'LI�ATID�AG1tEE1�lENT 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: `"�J S C ��C_�"` Date: �' �,� `S I� , > DATE TIME ,/ CITY OF ORONO CALLED IN ✓ INSPECTION NOTICE SCHEDULED PERMIT NO. �6/�-��3 COMPLETED 3_3 i`�— ADDRESS a�9b- S��wo�� Cd� OWNER TELEPHONE NO. CONTRACTOR ��'��a w �f `3' �� DESCRIPTION lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �F1NAL ❑ WATER HOOK-UP �'�FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS:�mr,u.t �� .1�a0 7S �t�� ' Q a T'rY��l�<01 � � O � �' �i.�✓✓ittL �'�,0/• - � O • � " ec��SZ%o�l C -�'i.fr S I�A2� W Q � S�/,r� Ca•rc5c�sE•-;. - 2 - v��c� o� W � W � �f/O�l� Cow��ICtG - �OE/vt•� �/Ks��-0 � d � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO AHRANGE ACCESS. II for the next inspection 24 hours in advance. (952� 249-4600 Owner or on site: � /�d✓�� Inspector. �/�-- � White Copyllnspector's Flle Canary CopylSite Notice