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Home My WebLink About2012-01014 (mechanical) , CITY OF ORONO * z 0 1 z - 0 1 a 1 4 * ` 2750 KELLEY PARKWAY DATE ISSUED: 10/09/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 REPRINTGD ON 10/9/2012 ADDRESS : 4495 BAYSIDE RD PIN : 06-117-23-21-0004 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE VALUATION : $ 11,000.00 NOTE: 1 BRYANT NAT GAS FURNACE 1 E3RYANT 3.5 TON AC 1 KICHEN EXHAUST 3 E3ATH EXHAUST APPWCANT MECHANICAL 137.50 METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 5.50 16980 WELCOME AVE SE PRIOR LAKE, MN 55372 MAIL-IN FEE 2.00 (952)447-8124 TOTAL 145.00 OWNER Preservation Properties LLC 145 RAILWAY ST W PO BOX 35 LORETTO, MN 55357-0035 AGREEMENT AND SWORN STATEMENT The�ti�ork for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. "�his permit is for only thc work described and does 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 construction authorized is not commenced within 180 days of the date oY 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�ith the State[3uilding Code.This pennit may be revoked at any tim�for due cause. `�'�CJ�� `'�R l l A"�� l l Applicant Permitee Signature Date �� Issucd B 'ignature te SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED A VE. � FOR C17'1'USE ONLI' ''�" � City of Orono �� P.Q 13ox 6G Dt�te Receivcd: Permil# __ �� ,t,,.,._ 2750 Kcllcy Parkway tl�'�. �� Crystal Bay,MN 55323 Approved[3y: _-- Amount$: � �,� �. �� '��ti��;�'u`,%� Phonu(952)249-4600 I�ax(952)'49-4616 `'t'teesoi'� CITY OF OIZONO—MLCHANICAL PERMIT (AII Commercial permits must be appruecd by thc 13uilding 011�fcial or Intipector and/or Fire Marshall) GENERAL INFORMATION 1. "ou iziay apply for mechanical permits by mail or in person at the Gily offices. Applications will �� re�.'.:wed and a permit will be iss�ied within two workin�d�ys. 2. Per:a:i' cards will be sent by return mail alter a review is completed. Pf?RMI'I'S nRE NOT � VAL1�) UNTIL 1'C`.: sZF,CEIVE �1 PERMIT. WOKK MUST NOT I3EG1N UNTIL'I'HE PGRMI'1,CARD 1'�' �:1STGU ON THE JO[3 SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications arc required for each heating, ventilation,humidificalion-dehumiditication,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to lype,manufacturer and modeL Data shall be presented on form provided. 4. Wl�en any new construction or re��iode�i!�a*is is?vo!ved,a separa±�buil�ing p�rr�it�nust b� obtained. 5. All �vork must be done in accordance with lhe Uniform Mechanicll CodelState [3uilding Code � requirements. 6. All work must be inspected(rough-in and final). Call (952)249-4600. (24-48 hour�wtice required) 7. House Heating Test Record must be submitted before final. 1'Yf'E OF PERMIT (Check All '1'hat A ]v) �,i ;�.e, .�. ,;�-:�1 ❑ Cominercial (Approval Required) ,� ?�:;�,v [� !?d��i�ional ❑ Repairs ❑ Replace Job Silc/ O��ner Iniormation: � � f � Si[c; ^.cidress: � v1 � � \�lQ�/ S1 C� � � � UWIl01': �\ ✓'V,��Or ` � "� GX � � �°�h �VY'�1S Mailing Address: � � c�ty: �_G r Z� V z�(�: � S�� S � Home Phc�ne: �1 S �_`h�l�3� �S U!� Alternate Phone: �i S �-�1 1 3-��-�� Contractor Infocmation: C'ontr�;� �:;�: Contact Person: �) ��h � f � (�1 �-�� METRO AIR, INC. � ��cidr��gg0 W��e Ave. S.E State 13ond#: � �� Prior Lake. MN 55372. , , f �'itv: _ "Li�: Expiration Date: � — ` � - ��1 I'It�,i-.'METRO AIR;INC: A l lerna�c Phone: � ��-�l4 S-�y`10� 952 4 FeX:952-447�8120 ❑ lnsurance—Cu►-rent: � 1� L I MEC�HANICAL SYSTEMS BEING INSTALLED 1Yole: All �,eothermal Systems will now rcquire 1 Site Plan & Review by our Building Ofticial. IS THIS GY��THERMAL? ❑ Yes � No IIF,A"1'ING SYS'1'EMS Quanlity: � ti1ake: ` -�'� V�'�� — _-- fvlodeL• �1��a�� FueL• � �'�� Flue Size: Input BTUs: �� Output F3`I'Us: �3 �� _ CI�M: � � � C7 COOLING :wYSTI;MS Quatttity: �-------- - ---- — - ------- Makc: `-��`'� 1 - Modt��: ��1�`V 1� �� 'I ons: —� �/�--- - — --- — H. Power -- FIRENLACES ❑ Gas Pactory Fireplace Brand Name: ❑ Wood Burning I'ire}�lace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTIL,,� €'ION �] 1�a � Kitchen Exhaust x __d�ict recirculatin 7��0 _cfin � No. � BaUt Exhausl(must I�ave duct outside) �� __c1i�� ❑ Na � OU�er I�ans: Locations _ __cfm f�U E:L S"('ORAC E (Mus1 be rq�prnv�r/by Fire Marsltnll iJproposi�tg to trbrindon trink in pl�rce.) ❑ Installation ❑ Removal Pucl Oil: _ __gallons ❑ Underground ❑ Inside ❑ Outsidc LP Gas: _gallons Other: GAS LING ONLY ❑ Outdoor Grill ❑ Other l List What& Plhere:_ _ 2 � -PERMI'T FEE CALCULA'T'ION(S) _BASED OFF - 2002 STATE STATUE ❑ Yes,diis section applies 'I'he replacement of a Residentiial tixture or appliance that meets all three of the following requirements: 1. Does not require modifiication to electrical or gas service. 2. I las a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next seclion, if this applies; Cosl of Permit $ I 5.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) 9� 2.00 Total Permit Fee �_ �� PERiV1i"l, �EE C,�+i_C uLAT1�i�i�S) -30'rs� O'v ER $�v0.v� --� li'ab��=_-�1oes not apply;follow guidelines below: 1. COn'TRACT PRICE * is 1.25%of contract price with a(Miui►num Fee of$50.00) �� `/ x .O125 $ � � � �/ _ (contract pricc) (minimum.9',511.1111) 2. S"CA'TE SURCtIARC1. �/ S'S�� 11 U;�v X .000s x f--- � (conl[acL p[ice) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2•��___ �F. �i'€3TAL PEIZMI't' REL(Add Lines I-3 Above) $ �y� � ■ * CON�I�RAC"I, PRII'� �r JOa COST means the actual or estimated dollar amount charged for thc permitted work includins�ma�erials, labor, profit, and other lixed costs. It is the amount to he charged to the customer for the work done. If any material, equipment, l�bor or installations are furnished by the owner, tenant or any other parly, the rcasonable markel v�lue of such items must be added to the � estimated cost or contract price for permit fee purposes. In the event that there is a dis��ule on the ai��wcnt i�f the job a�sL the City may request the submission of a signed copy of thc actual cuntract. MECHANICAL PCRMIT APPLICATION AGRELMENT "l�he undersigned hereby applies to the City �for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of �lle City and the regulations of� the State of Minnesota, and certities that all statements made on this application are complete, tcue and co rrec>.. �,� � ��,1v�� 10- �- ) � npplicant's Signature� � Date: Reset Form 3 C�� E TIME �/ CITY OF ORONO �-CALLED IN �� INSPECTION TICE � SCHEDULED � ' PERMIT NO � c LETED ADDRESS OWNER TE� HONE NO. a ( CONTRACTOR � DESCRIPTION / VI �.1"/� �I��'V� �'Vl � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ 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 � ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j �-�/t('��ac'_��'� �J 'f�' �� ll� 0 a � ° _1� � ; f � � �'�nS ��..-� C G�T W � Q �=� � %f� � � z W � W � � a � iK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � �l�//""�" DATE TIME � CITY OF ORONO caLLED IN INSPECTION NOTICE SCHEDULED � -� '� �`'�- PERMIT NO.�, I�' .'1�)� COMPLETED ADDRESS � � � C� �J c�' �,�.� I 1, U OWNER TELEPHONENO. �� y� ��a�l CONTRACTOR I �' l��' �i r �: DESCRIPTION � ^- f— �"��fl �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAI ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL �i ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES r4 NO � COMMENTS: � W a o ,;�- �� F ' S -f-� � rlJ �- � :� �% � � � � A" /Yt, n �i (� rCJ ��'; ��'�l/Lk'� W �/ � °��'!L. Q � .:�'�(,��% -t-l��% � � � z � l� r} � � �A ��tc� � � �`�� A ��"��` �1.1J� `( ivr W ❑WORKSATISFACTORY:PROCEED ��'� �❑�OJEC"I`COMPLEf�� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlConUact n site: � Inspector. White Copyllnspector's File Canary Copy/Site Notice � � �� Tg TIME I F R N ��'vG ALLED IN ��° --��- �s�' �.'�� 0 � � C � INSPECTION I�OTICE /� SCHEDULED � PERMIT NO. ��I(II � COMPLETED ADDRESS "T"`t �� ,�� C' �� OWNER TELEPHONE NO. �G1�7' S�7�ZJ� CONTRACTOR �; DESCRIPTION , � / T' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLAND�j/yy;,�� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL �K Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �S Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT L�� J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT)¢FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:7!�YES_NO �— � COMMENTS: � :r- �J/�AJ _" �Oc�.�u � rG U—A-r�� o ! � � ° G�- � � � , W °� 1'� a _ �v�-� Q _ � � n� �� S�� r � � O W ❑W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � GYC�RRECT WORK� ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIOtJ RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice