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Home My WebLink About2011-00002 - mechanical CITY OF ORONO PERMIT NO.: 2011-00002 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 01/03/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2740 SHADYWOOD RD PIN : 21-117-23-24-0065 LEGAL DESC : REG. LAND SURVEY NO. 0420 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,000.00 NOTE: I CARRIER NAT GAS FURNACE APPLICANT MECHANICAL 50.00 CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 5.00 7402 WASHINGTON AVE EDEN PRAIRIE, MN 55344- MAIL-IN FEE 2.00 (612)941-1044 MISC FEE 0.00 Minnesota State License#: 00TR93 TOTAL 57.00 OWNER PAGONIS, ELAINE 2740 SHADYWOOD RD EXCELSIOR,MN 55331 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 separate permits. All provisions of laws and ordinances governing 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued B`ignature / ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AIBOVE. , . , „. , ..__, .4 , ,'" 1 1/(2/". q. EOR CITY USE ONLY ~,- City of Orono to,' permit# P.O.Box 66 Date Received: Q y 2750 Kelley Parkway Amount$: 11 11 Crystal Bay,MN 55323 Approved By: *f. (952)2494600 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 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 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 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 Apply) Residential oi Commercial(Approval Required) )16eplace❑New ElAdditional ❑Repairs I Job Site I Owner Information: I Address: 9.0 — -5 IT,..IT,.. QOci 1 L Q" SItep�7 Owner: L' / �-- 41:1 t'v C. jLO/1L Mailing Address: d2 7 VI) 4.• dyu' Ai City: ORO AN0 Lip: 55 • 33 / `` S4 Alternate Phone: Home Phone:G6 J;" 31� 4 IContractor Information: Contractor: Contact Person: 1-cc Sec f'4/.'"'` Centraire State Bond#: ,3 / 73µ/ Address: ag pa_,_ti *., 1-x,1 7402 Washington Avenue �/E? /i f City: Eden Prairie,MN Zip: Expiration Date: 1 5,57 •— 841=1044 /---7�`'� /—f Phone: Alternate Phone: / 0 </Ye Insurance—Current: C C r(f-, G/go 1 '2-incar.#7 , MECH./041M SYSAMS OEM: Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes 1;410 HEATING SYSTEMS Quantity: Make: 4 Ye! ^ Model: r.� (¢ ' iiL'41040 00, Fuel: IU'e` Flue Size: tt,k Input BTUs: /+r/® 0'� 7 '" Output BTUs: 5CVC CFM: / 2 S-0 COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES 0 Gas Factory Fireplace Brand Name: CI Wood Burning Fireplace ❑ Wood Stove Model No.: CI Wood Stove With Flue VENTILATION E3No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfmcfm 0 No. Other Fans: Locations FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) 0 Installation 8 Removal Fuel Oil: gallons ❑ Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY 0 Outdoor Grill Other/List What&Where: 2 PERMT FEE CALCUL'.{ t : MPS $ASE OFF-2062FA `: " El Yes,this section applies The replacement of a Residential fixture or appliance 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 $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ { PER T FEE CmCULATIOWS)==Itit I i }' ; If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee j$50.00) 3000 x.0125$ .519 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee ko, x.0005 $ 5— (contract price) (minimum$ 50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 57 ■ * 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 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 contract. • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. I MECHANICAL PERMIT A PucA ' ... r The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all 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. / - / 4 *-/.37//f/fer Applicant's Signature: ,� 4 t Date: Reset foils - 3 471AT TIME CI OF ORONO c(– GALLED IN ‘71/6" INSPECTION NOTIC 0,51 CHEDULED �/ /,6 PERMIT NO. �. l�c � COMETED ADDRESS - 7 LSG ZcZ OWNER •TELEP • / N.. , CONTRACTOR G v 61.e./l"-- DESCRIPTION AUIA.Ata— ord 6(J � ❑ FOOTING LI PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION • 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc O CC O U- W CC W W CC S d I ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W EllCORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (..t) White Copy/Inspector's File Canary Copy/Site Notice