HomeMy WebLinkAbout2010-00642 - mechanical CITY OF OR NO PERMIT NO.: 20�0-00642
2750 KELLEY PA WAY
, ' ORONO,MN 5 356- DATE ISSUEn: 08/04/2010
952 249-4600 FAX: 52 249-4616
ADDRESS : 2140 SHEVLIN DR
PIN : 03-117-23-34-0021
LEGAL DESC : WEBBER HILLS
: LOT 004 BLOCK 003
PERMIT TYPE : 'MECHANICAL(>$500)
PROPERTY TYPE : '�RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,300.00
NOTE: FURNACE&AC
APPLICA T MECHA ICAL 91.25
TOTAL COMFORT STATE S RCHARGE MECH(VALUATION) 5.00
4000 WINNETKA AVE N
SUITE 10 MAIL-IN EE 2.00
NEW HOPE,MN 55427- MISC FE 0.00
() TOTAL 98.25
OWNER
PETERSON,WENDY
2140 SHEVLIN DR
WAYZATA,MN 55391-
AGREEMENT AND SW01iN STATEMENT
The work for which this permit is issued sh�ll be performed according to
the approved plans and specifications,appli�able City approvals,and the
State Building Code. This permit is for onl�the work described and does
not grant permission for additional or relat work which requires sepazate
pertnits. All provisions of laws and ordin es goveming this type of work
shall be compied with whether or not speci ed herein.This permit will
expire and become null and void if constru ion authorized is not
commenced within 180 days of the date of i suance,or if construction is
suspended for a period of 180 days at any ti e after work has commenced.
The applicant is responsible for assuring all equired inspections are
requested in conformance with the State Bu Iding Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature } Date Issue y S' ature Date
SEPARATE ERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABO .
i
FOR CTTY USE ONLY
� 040�0 City of Orono
P.O.Box 66 Date Received: Permit#
�: 2750 Kelley Parkway
� i;+'�• r ' Crystal Bay,MN 55323 Approved By: Amount$:
t� � j�G� Phone(952)249-4600 Faac(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or F've Mazshall)
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 UNTIL YOU RECENE 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�esidential ❑Commercial(Approval Required)
❑ New ❑Additional ❑ Repairs eplace
Job Site/Owner Information:
c � ` , /`�
Site Address: � �-^� � � ( f V `C�
Owner: � � rC ' � Mailing Address: �� —7� � ����,�,/1(L/'�
City: Zip: �
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Home Phone: 1U —' ��lternate Phone:
Contractor Information:
Contractor� �D��/ (�Z�ld�1�� Contact Person: L-/� /�U/ �
'��,�� �('I,; �-.
Address: �� �!OIT,�t,�Efi'�/`t/����tate Bond#: < �'�L ` rp,���j�
City: -E� Zip���Expiration Date: � �
Phone: /� `(������ Alternate Phone: ��G��JO-��11�Y�
❑ Insurance—Current:
1
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> MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �
HEATING SYSTEMS
Quantity: �
Ma1ce: G��(�/� l��
Model: l�,�f�!��� �f i`" �
Fuel: ""'
Flue Size:
Input BTUs: �
Output BTUs: � ✓
CFM:
COOLING SYSTEMS
Quantity:
Make: ,`� � ei �
Model: �� L ��l ��j'�j
Tons: � �
H.Power
FIREPLACES
Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen Eachaust duct recirculating cfm
No. Bath Eachaust(must have duct outside) cfm
No. Other Fans: Locations cfm
FLTEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What&Where:
2
I
� Yes,this secrion applies
The replacement of a Residential fixture or a�pliance that eets all three of the following requirements:
1. D es not require modification to electrical or as service.
2. H�s a total cost of$500.00 or less;excludine e cost of the fixture or appliance:and
3. Is improved,installed or replaced by the hom wner or licensed contractor.
Skip next section,if this applies; Cost f Permit $ 15.00
State urchazge $ 5.00
Mail- Fee(If Applicable) $ 2.00
Total ermit Fee $
If above does not apply;follow guidelines below:
1. C�NTRACT PRICE *is 1.25%of contract rice with a(Minimum Fee of$50.00)
�� �- � X.a�zs$
-a �-
�onva�c ce, �minim,�m sso.00,
2. ST�ITE SURCHARGE **Add the State Bl Code Div.Surcharge(Minimum Fee of 55.00)
x.0005 $ �' � v
(contract ce) (minimum a 5.00)
3. POSTAGE&HANDLING(Only on Mail-In A lications) $ 2.00
4. TO'�'AL PERMIT FEE(Add Lines 1-3 Above $ ��''��
■ * COIV'TRAICT PRICE or JOB COST means the ac 1 or estimated dollaz amount charged for the
permitted wurk including materials,labor,profit,and o er fixed costs. It is the amount to be charged
to the customer for the work done. If any material,eq ipment,labor or installations aze fiunished by
the owner,tenant or any other party,the reasonable m et value of such items must be added to the
estimated cost or contract price for permit fee purp�s . In the event that there is a dispute on the
amount of t�e job cost, the City may request the su ssion of a signed copy of the actual conh�act.
■ **The STA�'E SURCHARGE is.0005 times the Con t Price or a minimum of$5.00.
!
The undersignqd hereby applies to the City for issuan of a Mechanical Pernut, agrees to do all
work in strict �ccordance with the ordinances of the City and the regulations of the State of
Minnesota, an� certifies that all statements made o this application are complete, true and
correct.
Applicant's Sigpa e: Date: ��G��G�
,:''' � 3
I �Q�
!J`" p� T TIME
CITY OF ORONO CALLED IN o '�
INSPECTION NOTICE— /�/�d��BCHEDULED � � �
PERMIT NO. l �'�� COMPLETED
ADDRESS ��
OWNER ELEPHONE NO��Z �7 ��
CONTRACTOR
� DESCRIPTION ��� d �
� ❑ FOOTING � PLUMBING FINAL ❑ EXCA GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKES ORE/WETLANDS
y ❑ FRAMING MECHANICAL FINAL
Q ❑ TREE MOVAL
Z ❑ INSULATION WOOD BURNER/FIREPLACE ❑ SITE I PECTION
Q ❑ RADON SLAB WATER HOOK-UP ❑ PROG SS
� ❑ FINAL C.1 SEWER HOOK-UP ❑ COMP INT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLO -UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD OVER REMOVAL
J ❑ PLUMBING RI C,'I SEPTIC FINAL ❑ FOUND TION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑WORKSATISFACTORY:PROCE�D OJECTCOMPL E
W ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICAT OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR R�NSPECTION TEMPO RY
V BEFORECOVERING PERMA ENT
❑CORRECTUNSAFECONDITIONI{M1IITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETl1RN I
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL IN$PECTOR
❑ INSPECTION REQUIRED.CALLl�O ARRANGE ACCESS.
Ca11 for the next in�pection 24 hours in advance. (g52) 49-460�
OwnedContractor on si :
Inspector. �
White CopyllnspectoM''s File Canary CopylSite No e
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