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Home My WebLink About2017-00231 - mechanical CITY OF ORONO * Z 0 1 7 - 0 0 2 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2017 .. ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2800 SHADYWOOD RD PIN : 21-117-23-13-0023 LEGAL DESC : REG. LAND SURVEY NO. 1 196 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 13,125.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW: IN-FLOOR HEATING SYSTEM(HTP) APPLICANT MECHANICAL 164.06 STATE SURCHARGE MECH(VALUATION) 6.56 HEATED FLOOR SYSTEMS INC. TOTAL 170.62 150 GRENADIER AVE.N. OAKDALE, MN 55128- Payment(s) CHECK 8848 170.62 (651)739-7787 Minnesota State License#: mech-MB003193 OWNER BERGH, HANS&SHARON 2800 SHADYWOOD RD EXCELS[OR, MN 55331- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specifica[ions,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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ,1 ;, �,� 1�� -� <, <;c��-_ 1 f _ �_� -i `;� - �� :-� �� _.� 1 a,,,-,� � .r�— " { ��l�pp icant Permitee Signature Date Issued By Signature Date �FOR CPCY USE ONLY `.� -i City of Orono � � y�, �" '�r 1� " �, �� P.O.Box 66 Date Received:Y_��Permit# (,V�� 2750 Kelley Parkway .!� ,�� ,, ' ' Crystal Bay,MN 55323 Approved By: i�' y,�J Amount$:�!L�`� Phone(952)249-4600 Fax(952)249-4616 �� t'�k£y f{OQ'�G CITY OF ORONO-MECHANICAL PERMIT ��` (Ali Commercial pemiits must be approved by the Building Official or In,�n.ctor undior Fuc Marshall) GENERAL INFORMATION 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 liNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desi�ns—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 Mechanicai 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 finai. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] , �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 2-�SG� �'� 11�A�� 1U`�,�. \� 1�-� � —� Owner:��-1r�� Cj:.�S�"- �jr•��Iailing Address: � '�Z3 S (��' �� City: �'�qv�� Zip: �j�3 e I Home Phone: � l03 �`�5� ' ��1 J Alternate Phone: Contractor Information: Contractor: '�,E��►� �►,.�2 S�S�c`�,4,�s Contact Person: 1�A��> ' ��.a�oz-�,,95-�� Address: `S� �►��'"l�q ll 1E12_A�i�e' IJState Bond#: ;��'S rJ� �3 p, � 3 City: ��\G-+��+-� Zip:S�l Z-�Expiration Date: `� 1 � �4�� Phone: ��"2'�U �'�Z�1� Alternate Phone: (�'� 1 � 13`1 - ��1 �S� ❑ Insurance-Cunent: 1 r • Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Q��: a C I u F��. � ��,�J Make: �T� Model: ��1�7 Fuel: �.\4'S1A►�� ,�5 Flue Size: `Z�� Input BTCTs: �C ,v J J Output BT[Is: 1(O U�� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fuepiace ❑ W�d Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm F[JEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY , ❑ Outdoor Grill ❑ Other/List What&Where: 2 ' , PER1v1IT�'EE CALCULATIQrI5 1. CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) ' � � �,,�� 3 \ ZS x.olzs$ �� ! ` (contract price) (minimum$50.00) 2. STATE SURCPARGE � �,��(; x.0005 $ �`�' (contract price) • 3. POSTAGE&HANDI,ING(Only on Mail-In Applications) $ 7:�00 / r!� �� ` `, 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � , ll " �� ■ * 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 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. 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 made on this application are complete,true and correct. Applicant's Signature:��,,�-..�� /� �',� �`��--Date: � �� Zv 1'-? 3 �1�� n�� `/ � �-' � DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE �y^; SCHEDULED __��7 __�� PERMIT NO. ��L� � �w��COMPLEfED ADDRESS ��. ��: �l'1C�c� r , � OWNER TELEPHONE � O.�GSI`�:3G '�/�L� CONTRACTOR �--f �'Cr��L,^ ��,C'6"CC/S'f: � DESCRIPTION `-�"� ��0� `� / — � f�i �' _ F'S� tL ❑ FOOTING ❑ DEMO-FINAL �L ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVIGRADING/FILLING Q ❑ FOUNDATION WATERPFOOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ' MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ S�PT INSTALL J 2 01NNERICONTRACTOR TO MEET Y�OU: ES_NO � COMMENTS: ` � I�e� ��5��c� �i�. �l '` r�•.o ,��►.wc — o - a.� �e s t hol��.� �� s� - �. ° I�K -�s-- G�v�� W ' � Q � W � W � � � �VM6RItSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector: � White CopyAnspector's Flle Canary CopylSfte Notice �'� (� D TIME � CITY OF ORONO CALLED IN '� �l� �, �� INSPECTION O ICE p� SCHEDULED — � - !.�3.t_ PERMIT NOr�� w COMP o ADDRESS OWNER ,,�P/HO /- 30^ Z�3 CONTRACTOR �U r �S � DESCRIPTION 'v�'� � � ly ❑ FOOTING ❑ DEMO-FfNAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OlNNEAICOKTRACTOR TO MEET YOU:_YE$_NO � COMMENT� g � �la�v T�V �li!/�'G j O - � P� ��'-S d!� oj" r�y,� �oa„� - o ' _ � - a� � v� c5Z /� ,�jd (��uc � W � Q i �� v¢ `� � w a� � � �R`6ATISFACTORY:PFiOCEED ❑PROJECT COMPLETE W ❑OORRECT YMORK 3 PROCEED O ISSUE CERTIFICATE OF OCxUPMNC� O ❑CORRECTYMORK,CALI FOR REINSPECTION TE�APOFiARY V BEFORE CdVERINO pER1iAANENT ❑CORRECTUNSAFECONDITIONWffHIN HOURS. p pHpTOTAKEN INSPECTOR VYILL RETURN ❑3TOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPEC710N REQUIRED.CALL TO ARRAN(3E ACCESS. CaN for the next tnspectfon 24 hours in advsnoe. (952) 249-4600 OwnedContrector on site: Inspector: VYhit�CopyAnsp�ctors FlI� Caruiry CoppfSlt�Notie� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �'�� PERMIT NO. �� COMPLETED �/� ADDRESS oZ�C'� ��`r,k.r�ad � . OWNER TELEPHONE NO. CONTRACTOR �� y��'� �; DESCRIPTION Sh '�� '� �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Q 01MNENCOKTRACTOR TO MEET Y�U:_YES_NO � COMMENTS: ��1 ��G�r J1s.� - G�OSec9 ��15�� - ,f�o/%✓ ^ 6�K � - ?/¢� r /�� -ok � J SeGt,�.c T O 1Z �/�lve c�..�..� /,rt� � �e.�/ ��a� �v K Co-�Dle�- 4L �a�''s 0 �G o� Q • 2 �"or I�'Gr.�- ,l�-,��,,�.,�� i14l.rY � W � J W ❑4VORKSATISFACTOHY:PROCEED �ECT COMPLETE � ❑CORRECT WORK 6 PROCEED ❑ISSUE CERTIFICATE OF OC.CUPANCY � ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOWERIN(i PERMANENT ❑CARRECT UNSAFE CONDITiON WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CaN for the next inspection 24 hours in advance. (g52) 249-4600 OMn�erlContractor on ske: Inspector: �/ �'" � YYhite CcPYnnspector's FIM Gnary CoPYlSita Notke