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Home My WebLink About2013-01162 - mechanical ` CIT OF ORONO * Z 0 1 3 - 0 1 1 6 2 * � 2750 KE LEY PARKWAY DATE ISSUED: 10/30/2013 ORO O, MN 55356- (952) 249-460 FAX: (952)249-4616 ADDRESS : 2700 SHADYWOOD RD PIN � : 21-117-23-24-0031 LEGAL DESC � : REG. LAND SURVEY NO. 420 ', : LOT 000 BLOCK 000 � PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL j CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,188.00 I APPLICANT MECHANICAL 5235 ABEL HEATING AND COOLING STATE SURCHARGE MECH(VALUATION) 2.09 6501 CTY ROAD 15 MINNETRISTA,MN 55364- j MAIL-IN FEE 2.00 (952)472-2665 TOTAL 56.44 OWNER MAISER,DAVID&MARYANNE ' 2700 SHADYWOOD I�D EXCELSIOR, MN 55331- AGREEMENT AND SWORN STATEMENT i 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 sepazate permits. All provisions of IaNvs and ordinances goveming this type of work shall be compied with whettqer or not specified herein.This permit will expire and become null and ioid if construction authorized is not commenced within 180 dayslof the date of issuance,or if construction is suspended for a period of 18b days at any time after work has commenced. The applicant is responsible�or assuring all required inspections aze requested in conformance wi�h the State Building Code.This permit may be revoked at any time for due 9ause. � , / / / / Applicant Permitee Sig re Date Issued By S' ature Date EPARATE PERMITS REQUIRED FOR ORK OTHER THAN DESCRIBED AB E. � I� �# %�"s' ��,�'"C'�Z3'�' �SE U�1L�' r � City of Orono ' ti'�l;, y��x � � ��0 P.O.Box 66 � � �'�?r� � z 2750 Kelley Parkway '�`�.`�,��"� ��' � 2 .s,> �*�� C stal Ba MN 553 3 , _ .� �� ,, . rY Y, � � , � � Phone(952)249-4600 Fax�952)24914616 . �, �a��4�". '° ' y`� �.`'�� CITY O ORONO—MECHANICAL PERMIT 9kFSH�� (All Commercial permits m st be approved by the Building O�cial or Inspector and/or Fire Marshall) ,- � ;,.5 r ,�'�' a b" �°k '�,"4�'�`� 1�i 7�, �� '� � Fl>��1� ,�� '�� 1. You may apply for mechanical permi by mail or in person at the City offices. Applications will be reviewed arid a permit will be issu within two working days. 2. Permit cards will be sent by return ma after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A P RNIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON T E JOB SITE. 3. Mechanical Desi�ns—Complete calcu ations,details and specifications are required for each heating,ventilation,humidification-de umidification,and air conditioning installation including heat loss/heat gain calculation,design mperatures,equipment ratings and identification as to type,manufacturer and model. Data s all 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 ith the Uniform Mechanical Code/State Building Code � requirements. 6;, All work must be inspected(rough-in d fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be su mitted before final. �"�a�� s�1a s �,:w'��s� �Q l�� a � �" ��'s� � �s � , � �� F� �,N1„ � �' � _ a`yr t �R�'�"-�<- ` 6�"4 A - r �,4.i . �,rra3 �.t.'��,.�A^;'i3 s). - .l-`.�..`,\.�1� .. . i ', ...'.��. ,. . � .. . I �Residential ❑�Commercial(Appro�al Required) ❑New ❑Additional ❑Repairs eplace Job`�' ,��-��t c�,� � � Site A,ddress: ��C� � S�c�G� B p � ' � �.�7 s ti�c 1�f Owner:J,l l c�,�)'�G� r v1�1 � 5�1'� Mailing Address: n� �/�po� c�ri: �v��, n z�p: � 5 3`3 � Home �hone: ��5��62 Alternate Phone: � �. �,.� - , �� r`�J �✓'� 1�`GII� +/� Contra�tor: cth l; Contact Person: � Address: �J C�'y �Oi, �5 State Bond#: rn�,o o3y � ,lo tI � I �j City: �/1 Zip:�5� piration Date: �� ! '1 � Phone: ��-' y�-'�-6�5 Alternate Phone: ��J Z��Z— �� ' ❑ Insurance—Current: ,.J� C-��'�- i po ��c� � cP321 32 00 , R/'a�/'� 3 - �c/�g/1 � � � Note: All Geothermal Systems will now r�quire a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes „�No HEATING SYSTEMS ! Quantity: 1 Make: �~ :._ ��Q.�1VlO Model: � � ,�■�"��` Fuel: � I�✓�,�: ��l 5 Flue Size: �n Z i ' Input BTUs: _ ; Output BTUs: � CFM. I Z'ZS� COOILING SYSTEMS Quantity: � Make: ,� i Model: �_ Tons: � H.Power � FIItE�'LACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masor�ry � VEN'I�LATION I' � ❑ No. Kitchen Exhaus duct recirculating cfin i ❑ No. Bath Exhaust( ust have duct outside) cfin j ❑ No. Other Fans: Lo tions cfin j , FUEL�TORAGE (Must be approved by Fire arshal!if proposing to abandon tank in p[ace.) � ; ❑ Installation ❑ Re val I � Fuel Oil: gallons � ❑ Underground ❑ Inside ❑ Outside I LP Gas: gallons ' Other: GAS L�NE ONLY ❑ Outdoor Grill ❑ Othe /List What&Where: 2 , .� ' , ❑ Yes,this section applies i I The replacement of a Residential fixture or a liance that meets all three of the following requirements: 1. Does not require modification to lectrical or gas service. 2. Has a total cost of$500.00 or les • excludins 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 Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee S If abo�+e does not apply;follow guidelines belo : 1. CONTRACT PRICE * is 1.25% f contract price with a(Minimum Fee of 550.00) , , ,.,, . � .�� x.0125 $ ��.• �� (contract price) (minimum 550.00) 2. STATE SURCHARGE �/ � (,'� b i� x.0005 $ � � � (contract price) 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1 3 Above) $ �� a ` ■ * CpNTRACT PRICE or JOB COST mean the actual or estimated dollar amount charged for the pernpitted work including materials, labor,pr rt,and other fixed costs. It is the amount to be charged to tt�e customer for the work done. If any m erial, equipment, labor or installations are furnished by the Owner, tenant or any other party, the reas nable market value of such items must be added to the estnilated cost or contract price for permit fe purposes. In the event that there is a dispute on the amount of the job cost, the City may request e submission of a signed copy of the actual contract. The unde�signed hereby applies to the City for 'ssuance of a Mechanical Permit, agrees to do all work in �trict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements ade on this application are complete, true and correct. �I� Applicant'� Signature: LDate: �� ` � C � 3I � , I � `"�� ATE TIME v CITY OF ORONO CALLED IN � -3 INSPECTION N TICE SCHEDULED 2 - -/ � PERMfT NO.� � ��Z-' COMPLEfED r �d ADDRESS a �� S � � OWNER /�1 r/�'lQ-�� TELEPHONE N . g`2' S�7z ZC�`S'� CONTRACTOR ��- SZ �/2 Z �' ��/t-� ew�w.-�f�/Naci � DESCRIPTION � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRAOING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB , ❑ WATER HOOK-UP ❑ PROGRESS � � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL HARD COVER REMOVAL v ❑ PLUMBING RI � SEPTIC FINAL FOUNDATION/REMOVAL ? OYYNERICONTRACTOR TO MEET YiOU:_YES_NO I � COMMENTS: ; � � � � - - } � 0 W � Q � W � W � J d W� WORKSATISFACTOR1hPROCEED ❑PROJE COMPIETE W ❑CORRECT WORK 8 PpOCEED ❑ISSUE C TIFICATE OF OCCUPANCY O ❑CORRECT WORK,CA{.L FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECTUNSAFE NDITIONWITHIN HOURS. ❑pHOTOT KEN INSPECTOR WIL RETURN ❑STOP OHDER POSTE _CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREWIR D.CALLTOA RANGEACCESS. Call for the next' ion 2a hours in advance. 952) 249-4600 OwnerlCorrtractor on e- Inspector: Whits�op�rllnspector's File Canary Co}ylSfte Notiee i I I i