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Home My WebLink About2013-00398 - mechanical ,, �1 CITY OF ORONO * 2 0 1 3 - PJ 0 3 9� 2750 KELLEY PARKWAY DATE ISSUED: OS/22/2013 , ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 3472 SHORELINE DR PI1V : 17-117-23-43-0094 LEGAL DESC : NAVARRE HEIGHTS : LOT 018 BLOCK 006 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,150.00 NOTE: 1 ARMSTRONG 2 TON AC APPLICANT MECHANICAL 50.00 SEDGWICK HEATING&A/C STATE SURCHARGE MECH(VALUATION) 1.58 1408 NORTHLAND DR- SUITE 310 MENDOTA HEIGHTS,MN 55118- MAIL-IN FEE 2.00 (952)881-9000 TOTAL 53.58 OWNER BLOCK,JAMES 3472 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 does not grant permission for additional or related work which requires sepazate 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 wnstruction 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 permit may be revoked at any time for due caus� i�K� � / / C�;�'�l.Qy�_ l l Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. y�:� ��:�- �S��Sf3 � � FOR CITY USE ONLY � �0� City of Orono P.O.Box 66 Date Received: Permit# ��"+� � 2750 Kelley Parkway � j � �� Crystal Bay,MN 55323 Appmved By: Amount$: ��v,y�..�o� Phone(952)249-4600 i'ax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OCficial or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Pernut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations, detaiis 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 pernut 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 Apply) �Resident:a: ❑ �o:i.-r�rc:a:(�.pprcval Required) ❑ New ❑Additional ❑ Repairs �Zeplace Job Site/ Owner Information: SiteAddress: 34`�� Z ��1��,1,.,v�,�- �V. Owner:�I YYl �j� QC� Mailing Address: City: �1�1N�0 Zip: �j 5�r'► � Home Phone: Alternate Phone: Contractor Information: ' Contractor: Contact Person: SEDG ING LlC 1408 Northland Drive Suite 310 Address: Mendota Hegnts,MN 55120 State Bond#: MpJ��'��3 City: Zip: Expiration Date: �� 1 Phone: Alternate Phone: ❑ Insurance— Current: 1 ' '�",� i �� , .; , ,�':� �� '; NZCAL S'�'STEMS BEING INSTA��, .� m. � '� � ��°, � � ,�� ,>t. Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: I(� Model: L{- 'N(', �3 L a�� 3 Tons: � H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to aba�zdon 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 l ,'t`` . PERMIT FEE CALCULATION(S) �� BASED QFF - 2002 STATE STATUE' ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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; excluding 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 Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ � a� � �� . x zs, �� ,�{�� ''� .��'.r�'"''� �m, ��' �.'�"�g�r3`" �.t�,_a If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ��C� ` � x .0125 $ �� (contracC price) (minimum$50.00) 2. STATE SURCHARGE � ��C�' °� x.0005 $ � „ � � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMTT FEE (Add Lines 1-3 Above) $ � • � ■ * 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 pemut 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 APPLTCAT�(JN AGi�EEMENT ' ', The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ardinances 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. , � S i� r3 Applicant's Signatu : Date: 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO. '� � COMPLETED ��'r�"�3 ADDRESS 3�l'70� S/�or�/��.a �� OWNER TELEPHONE NO. CONTRACTOR ��r�,�� f'�lG � DESCRIPTION ��G � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ��LOW-UP = 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERlCOI�ITRACTOR TO MEET YOU:_YES_NO h COMMENTS: 4' � � �a��t� �4./c�.� � G�t !� ��.�� p rwr-. j � � �,/rls` irls�i�s�.. �. � ° ��G l'�/I/_a�e.rta..�� - W � Q � 2 e�P�r�c sG �-eurc.c�� — � /,�Jo �!�C rb.�r� !�e _ � - �er ...c.� �.�r.e�.�Q - � � ❑WORK SATiSFACTORY:PROCEED � PAOJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a11 for the next inspection 24 hours in advance. (952) 249-4600 c=tractor on site: V�""`' Inspector: White Copyllnspector's File Canary CopylSke Notice