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Home My WebLink About2012-01031 - mechanical CITY OF ORONO * 2 0 1 2 - 0 1 P1 3 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 129 CHEVY CHASE DR PIN : 36-118-23-41-0020 LEGAL DESC : HILL O'WAY MANOR : LOT 015 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 1,800.00 NO'I�I?: 1 CARRIER I1EAT[NG SYSTEM APPLICANT MECHANICAL 50.00 RIVER C[TY SHEET METAL INC. STATE SURCHARGE MECH (VALUAT[ON) 0.90 8290 MAIN ST.NE SUITE 39 MAIL-[N FEE 2.00 FRIDLEY, MN 55432 TOTAL 52.90 (612)754-2199 OWIYER SAHLSTROM, DAVID&JEAN 129 CHEVY CHASE 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 specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[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 permi[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 I80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in eonformance with the State Building Code.This permit may be revoked at any time for due causa. !(Z� �' / / / / Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB VE. . FOR CITY USE ONLY ' %�� City of Orono � � P.O.Box 66 Date Recerved: Permit# � �� 2750 Kelley Parkway ,� i�"�'*• �.- Crystal BaJ,MN»323 Approved By: Amount$: �`�e�y 1r .. c'.>' (952)249-4600 .. t11i�A�'•:... CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Buildina Offic�al or Inspector and/or Fire Marshalll GENERAL INFORMATION 1. You may apply for mechanica(permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards wil( be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT ' (Check All That A ly) �Residential ❑Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ' 2� ��,��_�,�Q� �I� . Owner:J�.UY� � � S'4'1�(�� Mailing Address: ��'YYLG City: Zip: Home Phoneq5 `'�7,?7' ��g-1 Alternate Phone: Contractor Information: Contractor: �.��v LI+-v Sh�� M�� ContactPerson: Chn_`�p Address: g2�o I�I� Sf" /l�E �3y State Bonci#: City: �� Zip: �5y32- Expiration Date: Phone: 1�3•�5''f 2I '�.1� Alternate Phone: ❑ Insurance—Current: 1 , . . ; �r��'��.�i�w��'T��'`�„ �k��..`$�:�,�T) ��. ��, HEATING SYSTEMS Quantity: � Make: I.GrY� Q,� Model: �G��. � SqT�S � I DD � ZI' �� Fuel: Flue Size: Input BTUs: oucpUt sTus: 1��, 0 0 (� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: 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) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ -Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grili ❑ Other i List What&Where: � . � . " �� PEt�VIIT��EE��CALCCILATIC)I�I{S} � B�1SED Q�F - 2�lOZ STA'TE STA7'UE I ❑ 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�as service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance:and 3. ls 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) $ L50 Total Permit Fee $ , .,;.K;� ;;��; •'�"'_ . _ . If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) p0 I�Oo . X.0�25 � ��5� � (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) x.0005 $ � � � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � .�_ ■ * CON'I'RACT 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 fumished 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 Buildine Department at(952)249-4600 for the price. �� " r�"`�;G�:ANICALT'ERM�'T`;AP1'LICATIt�N 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 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. Applicant's Signature: ` Date: � � � I � � � K�� - Res�t Form ` �� _... .�� ;: 3 �� qATE TIME V CITY OF ORONO CALLED IN ��/22- INSPECTION NOTICE SCHEDULED �� Z� �Z -�d�L PERMITNO.o2��a —� « 3 � COMPLETED ADDRESS �d 1n �� OWNER �� S�S LEPHONE NO. 452 C�73 o78-nj CONTRACTOR ��-L �� —� �� : DESCRIPTION ��A��' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED ;�'�JECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. � . �� White Copyllnspector's File Canary Copy/Site Notice