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Home My WebLink About2012-00013 - mechanical CITY OF ORONO PERMIT NO.: 20�2-000�3 � 2750 KELLEY PARKWAY . ORONO,MN 55356- DATE ISSUED: OU04/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 1750 SHADYWOOD RD PIN : 17-117-23-21-0021 LEGAL DESC : SHADY-WOOD : LOT 016 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,034.00 NOTE: 1 RUUD NAT GAS FURNACE APPLICANT �CHANICAL 50.00 SHARP HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 0.52 7221 UNIVERSITY AVE NE FRIDLEY,MN 55432 MAIL-IN FEE 2.00 (763)572-0459 MISC FEE 0.00 TOTAL 52.52 OWNER SHAW,GRETCHEN 1750 SHADYWOOD RD WAYZATA,MN 55391- 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. 1'his 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 cause. `"�VI.�, (�tV i i � Applicant Permitee Signature Date Issued B 'gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . FOR CITY U3E ONLY . � ,¢0�� City of Orono P.O.Box 66 Date Receivad: Pecmit# � � 2750 Kelley Parkway q �� Crystal Bay,MN 55323 Appmved By: Amotmt S: D-�� Pho�(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 INFORMATION 1. You may apply for mechanical pemuts by mail or in persan at the City offices. Applications will be reviewed and a permit will be issued within two worki�g days. 2. Permit cards will be sent by return mail after a review is cpmpleted. PERMITS ARE NOT VALID UNTII.,YOU RECENE A PERNIIT. WORK M�JST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STI'E 3. .Mechanical Designs—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 ty�,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 OF PERMIT Check Al1 That A l �Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Site Address: / �� Owner: Mailing Address: � � � � l�v�Q{� City: D�D�O Zip: yS� Home Phone: '� " � Alternate Phone: Contractor Information: Contractor: r P` . . Contact Person: �W � � � Address: 7p?0� ' , , �� State Bond#: City: � � Zip:��Expiration Date: Phone: 7(0�'� ( -� Alternate Phone: ❑ Insurance—Current: S 1 / Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �o , HEATING SYSTEMS Quantity: Make: U Model: � Fuel: Flue 9ize: Input BTCTs: Output BTC7s: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power F`IREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood 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 FLTEL 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 � ❑ Yes,this section applies The replacement of a Residential fixture or agpliance 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 homeownet 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 contr ct price with a(Minimum Fee of$50.00) 3 .vv _ X.oi2s$ � . (contract price) (minimum$50.00) 2. STATE SURCHARGE � x.0005 $ • (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ ��o�_ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other ftxed 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 contrac�t. The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do a11 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: G � i 'f 'h ;�'� q��, I� ' ' 3 �<� `J �~I DATE TIME ✓ CITY OF ORONO CALLED IN � /i � / �Z INSPECTION NOTICE � SCHEDULED `� �Z- ��1 PERMIT NO. `� I��lG� L�r l� � COMPLETED -��-- {.., �,_ ti ADDRESS � =� S v '�f�i' r r (,,�.�ao:�-( �iC I OWNER ��l'�� C��1�F�1 TELEPHONE NO.�� 3�–� ��7�' CONTRACTOR -� r��I��l r l� — � /�-, � DESCRIPTION � ( L �<� � 1 � ;`r��`� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:�YES_NO . � COMMENTS: � � � c_ _ I � ' � Y_ �,�--�_ �,C`i� �� ._�_l� �� -�-'(/\S�.'L�. .��C VL�C-c� c, ��_ � ! ' o � �\ � '�� 0 � W � Q � z W � W � � /�s GW ❑WORK SATISFACTORY:PROCEED v�"PROJECT COMPLETE W ❑CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: � Inspector. White Copyllnspector's Fiie Canary CopylSite Notice