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Home My WebLink About2009-00630 - mechanical r. � CITY OF ORONO PERMIT NO.: 2009-00630 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/28/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1700 SHORELINE DR PIN : 10-117-23-14-0014 LEGAL DESC : LJNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,845.00 NOTE: 1 LENNOX NAT.GAS HEATING SYSTEM PD WITH 2 CHECKS $38.48#2477 $14.94#2478 APPLICANT MECHANICAL 50.00 SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 1.42 6219 CAMBRIDGE ST ST.LOUIS PARK,MN 55416- MAIL-IN FEE 2.00 (952)926-4488 TOTAL 53.42 PAID WITH CASH 14.94 OWNER ETAL,IRWIN JACOBS 1700 SHORELINE DR WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if conswction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This pertnit may be revoked at an time for due_cause. �"iI�'�- _ � ` � � l/��..�j(. / / Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , a FOR.CCTY USE ONLY �,�p�O City of Orono PA.Box 66 Date Received: Permit# '� 2750 Kelley Parkway , � ' � Crystal$ay>MN 55323= Approved By: Amount$: .�_ �, (952)249-4600 -' CITY OF URONO—1�ECHANIC�I.PERMIT (All Commercial permits must beapproved by tJ�g Building Ofticial orinspector and/or Fire Marshall) GENERAL INFORMATTON T. You may appiy for mechanical pernrits by r�nail Qr in person at the City offices. Applicarions will be reviewed and a pernut will be;issued'wit�in two working days. 2. Permit cards will be sent by retum maii aft�r a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECETVE A PER1vIIT. WORK MUST NOT BEGIN UNTIL THE PER�VIIT CARD IS POSTED ON THE'J`OB SITE. 3. Mechanical Desiens—Carnplete calculario ,dttails and specifications are required for each heating,ventilarion,humidification-dehum$dification,-and air cor►ditioning installarion including heat loss/heat gain calculation,design temp�ratures,equipment ratings and idenrification as to type,manufacturer and model. Data shall be presented,on fo�provided. 4. When any new construction or remodeling is involved,a separate building pernut must be obtained. , , 5. All work must be done in accordance witfi�he Unifortn Mechanical Code/State Building Code . requirements. 6. All work must be inspecfied(rough-in and f�nal), Call(952)249-4600. (2�t-48 I�our notice reqaired)` 7. House Hearing Test Record must be subirutked before final. TYPE OQF P�i�MIT ' Check A11.'That A ''i �esidential Q Commercial(Approval Required) ❑New ❑Additional ❑Repairs �Replace / Jo�Sit�/Ow�er Iriformation: Site Address: � [ �G�� L►n1�u� C��L�tl� Owner:�(2-w�� odS Mailing Address: City: Zip. Home Phone: Alternate Phone: Contractor Inforrnation: Contractor: �t=L�t-T �• Contact Person: �� S�j�2A Address; �a'�� -��'r' State Bond#: �L ��,�30�-1a- City: � Wil t �-Zip:5�« Expiration Date; ��l c��o -�— Phone: �'Sa-��--��$ AlternatePhone: [Sd" a�S �(,�9 ❑ Insurance—Cunent: W�S-f�� 1 �/—r�l�', y',6 < ya� i . . . �Ii� �'r.Y a,Y ! }_j + �''"'G S Z '�� fi':. '� •x ��tp�",r�TF k�..� {i' �� L'3' . ,s ,� a..��..�1.CSC .r� J � t 4� �a:�: ��'h.,F'�',9.�,a�^,a'�;n�+'��g ..r�3��'T,�� HEATING S�'STT�1'VIS Quanti 'ty: � Make: L�J'r//t�1�jc Model: �SD 1J6�-�A—/�y� Fuel: �6 Flue Size: 9� Input BTUs: ��QC7 Outpu#BTUs: �� /� � CFM: w _ . COQLING SYSTEIVIS QuantitY. _ Maice; ' Model: Tons: H.Power FII�EPLACES ❑ G�,s Factory Fareplace � ❑ Wood Buraing Fireplace ❑; Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION .. ;r ..�;n.�.. .: ... :-- � � , ._�- :,.;. ' �Dy No. Bath Exhaust(must have duct outside) recircularing cfrn cfm � Na ° Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Izsstallarion ❑ Remoual Fuel OiL• ' ;gallons ❑ Underground ❑Inside ❑Outside LF Gas: gallons Qther: GAS I.�INE 01ATLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � . .. �K,'a �'4:Sx+�� .��'$.t�'$ ,. ��y� r�� 'y "� � ,'.i ti .�.. 4 ..., �"i a ,Fx itl.i�"'' ,�c1 �.,t��kui+� r4.� 3. � . � . . ��;��'�`Y�'�'�n ,t��; f e � c� ' ,,�s �t �" U.� � � '�'�3 '� k� ��s 1M ` r � .� , d� x� +' '�xy w � t rh�k!1j�+?1�^� kaP ��`$ ��r��H� Y'�tg��"�Sti}�q�lf '. � . � ,}'t t" 'd y�� • �...��'..� '(� '� R� �, t uif .a � �# �S' ♦ r � � ' ` � � � '�a. -:��r.. C i 5��r��4�:v t �;�� .��4+�'�. ��r.}'�.A,�,..•:.�Pt 4 _��r 1 ,�.,5 i a �.a'. ��y�r�,�;a � ❑ Yes,this section agplies` � The replacement of a Residenrial fixture or appliancb that meets all three of the follow'►a�g requirements: ; , L Does not require modificatio�to electr�cal or gas scrvice. ' 2. Has a t 2a1 c s of�$500.00 or less;exc udin the cost of the fixture>or appJ:�anca:and 3. Is improved,installed or repiaced by the homeow�er or licensed contractor. , � Ski�next section,if this applies; � Cost of Permit $ 15 A ; State Surcharge $ .50 ; Mai1-In Fee(If Applicable) $�4 ; Tofal Perrnit Fee $ f:� �,y�j }�� "{� ,.,4. f� /�►(� � . K�r�,�,�.�:�- �,s ; r i��;.�}.�^�.J�;��.V�.�. ��;L�� i 13��81!14��hU,N 4 u'� ��:i r Yt,(a,`kv',�'�S��. ... .. . If abowe does not apply;follow guideliaes belowi 1. CONTRACT PRICE *is 1.25%o�'dontract price with a(Mit�imum Fee of$3$.00j , �� x.0125$ �c�,��p ;(c�ontract price) (minimum$35.00). � 2: STA'TE SURCHARGE **Add the$tate Bldg Co.de Div.Surcl�arge(Minimum Fee of 5.50) i x.4005 $ // y� (pontract price) (minimum$ .50) 3. POST�GE&HANDLING(Only on Mail-In,Applications) $ 1.50 4. TOTAI.P�RMYT FEE(Add Lines i-3 Above) $ u o- � , , • * CONTRACT PRICE ar 7�B COST means ithe actual or estimated doilar amount c�arged for the pemutted woric including materials, labor,prof�t,and otMer fixed eas�s. It is the amount to be charged to the customer for the work done. If any mat�rial,equi�ment, labor or installations are fumi,sl�ed by the owner, #enant or any other party, the reaso}�able muket value of such iterns must be added tn tlze estimated cost or contract price for pernut fe� pur�oses. I� t1�e event Ch2# 'there is a dispute on the amouat of the job cost, the City may request 4he subrnission of a signed copy of the actual contract. • **'The STATE StJRCHARGE is.0005 of the$uilding Department at(952)249-4600 for the price. � ` � �l'�EC�li�IC,A�=PERI+i�II�' , -P4��GATTQ1�AxA��N�N� � � 'The undersigned hereby applies to the City fo� issuance of a Mechanical Permit, agrees to do all<' work in strict accoxdance with the ordinance's of the Ciry and the reg�alations of the State of Minnesota, and certifies that all statements made o� this application are complete, true and correct. A�plicant's Signature: Date:' / ' '�"�d'� 3 �rs � � ,/ D T TIME � CITY OF ORONO CALLED IN J INSPECTION OTI SCHEDULED _,Q'2• �v PERMIT NO ��G�co PLETED �� `t ADDRESS OWNER u CONTR. TELEPHONE O. — 'S � � DESCRIPTION t'(�C,V /Lv��(,,� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV7GRADING/FILLING Q ❑ FRAMING �MECHANICAL FINAL ❑ LAKESHORFJWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPIAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ WARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMME T ` a '� � -8'� S .Sj� � � O �. � O � W � Q � Z W � W � � d W� ��(AlORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContract Inspector. White Copyll�spector's File Canary CopylSite Notice