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Home My WebLink About2015-01248 - mechanical ' � CITY OF ORONO �� * 2 0 1 5 - 0 1 2 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 965 EDGEWOOD HILLS RD PIN : 02-117-23-14-0001 LEGAL DESC : REG. LAND SURVEY NO. 1098 : LOT 000 BLOCK 000 PERM�T TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 2,500.00 NOTE: (1)KITCHEN EXHAUST-900 CFM ADD(3)SUPPLIES GASLINE TO FIREPLACE AND KITCHEN RANGE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 SAYLER HEATING&AC MAIL-IN FEE 2.00 6800 WEST LAKE ST. ST. LOUIS PARK, MN 55426- TOTAL 53.25 (612)702-6622 Payment(s) CREDIT CARD 3833 53.25 OWNER BJORK,ROBERT&BETH 965 EDGEWOOD HILLS RD 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 approva►s,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 l80 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. , � C , � �� _ '�-e-�:� �! , od�,�5 Applicant Permitee Signature Date Issued Signature Date � �05/2010 03:09 9529222434 SAYLER HVAC PAGE 02/04 ' r' � �oR c�rY vsE v�v�,x ��}� City ot�Orono 'V� P•O.8ox 66 Date Received; Pemiit# � z7j0 Kelley Parkw;�y ^ Crystal Say,MN 55323 ApprovedBy: Artcount$: � Phone(952)249-c16U0 F2�;(952)249�161 G .{ �, °-, �r �C�'`��SHOQ`4'G� ��'Z'Z'OF OR4�T0-MECHANICA,L PERMIT (All C�mo�ercigl pertnils must be epproved I>y the py;l�{i�g Official or Inspector ar�cl/or Fire Marshell) G��i�RAL TNFORM.A,T�OI� 1. Xou may apply for mechanical pe�'mits by mail or in perso��at the Ciry ofFces. A�pplicatior�s will be reviewed and a perrnit will be issued withan two working days. 2. Perrnit cards wil�be sen,t by return mail after a revicw is completed_ pERtvI�TS ARE I•[OT VALID UN�'l�.YOU RECEtV�A PER]v(IT. WORK N T �GiN UNTIL T P��MIT CARD IS FOST�p ON THE J0�3 S�1'E. 3. Meehanical Desigtts—Cott�plete calcuEatioias,det�lls And specifications are requircd for each heati�zg,vetrtilation,humidification-dekiumidification,and air conditiot�ing installation including heat►oss/heaC gain calculation,desig�a temperahucs,equipm�nt ratittgs and identification as to rype,manufacturer attd moclel. Data shall be preset�ted on form provided. �. W11en any aaew corlStn�ction or remodeling�s it�volved,a separate bui)di�tg permit must be obtainect, 5. All work must be done in accordance witla the Ut�iform Mechanical CodelState Building Code requirements. 6. ,All work�nust be inspected(rougkt-in 1nd�nal). Ca11(952}249-4640. (24-48 hour notice requared) 7. �-Iouse kieating Test Record must be submitte�l before fina�. TYPE OF PER�T (C;�teck,A,��'h�at l�PPIY) �,Reside�ttial �Commercial(Approval Required) [�New �,4dditional []Rcpairs ❑Replace Job SiCe/Owner�nforimation: Site Address: r'1�$ L. �oCWt7t� �1�t.t... Ow�aeX� lC Mailing Adda•ess: ��+ME. City: Zip: Home Phone: Alternate Ptione: Contractdr In�'orrnation: Contractor: �� ,1��A�N� t- Contact Person: �SK�}N� Address� �s,.� w�a'� ��_ �:, State Bond�: y��voy�.�1P, Caty' �� LW�7 R��Qip:SS`12{.Expiration Date: Fhone; �12.-10�.-66ZZ Alter•nate Phone: ❑ Insuc•ance-Currerrt: 1 ��/05/2010 03: 09 9529222434 SAYLER HUAC PAGE 03/a4 .,...,: : � . .�. ,... . ._._ ., __ . . .�._.. ._._... i ��r��,��4 9 �0,� ,. � � : � � . �. .... ,� � . ,. � .� �v i�� e"`�� . i� � � �... lf�84r ��1'�;pldlSfF8�4atfd��'�4�, Note: A�1 Geothermal Systerns wi11 now��eqt�ire a Site Plan& eview by our Building Of�cial. XS TH�S GEOTF�iERMAI,? �] Yes ❑No 4#Gr�T1NG SYS"�'�MS Quantity: Make: Model: Fuel' F'lue Size; Input BTUs: Output BTUs: CFM: COQLINC SYSTEMS Quantity: N1ake� Model: Tans: �{. Power FiR�P�,a�CES ❑ Gas Pactory Fireplace Brand Nfune: ❑ Wood$uming Fi�replace ❑ Wood Stove Ntodel No.; ❑ Wood Sto�e witl�Flue!Masonry w V'EN�'ILATION � No, � Kitcbcn Exhaust ),4 duct reciroulating c140 cfm No. Bath£xhaust(must havc duct outside) cfm ❑ No, pther Fans: I ocations cfm A�8 �� ,�x.,�.s FUE�,STORAGE (Mr�s[h��pprove�l Fire MarSha111jproposing ta abmxlon tank in placP.) ❑ Installation (� Reinova� Fuel 4i1� gaflons ❑ Underground ❑ lnside ❑Outsidc �.P Gas: gallons Otkier� GAS LIN� N X ❑ Outdoor Gri11 � Other/List What&Wfaere: �RNt.�L EC�TW�tw1 1 J �� LI N i� i o �1�!C�-tl� �4/�5/2010 03:09 9529222434 SAYLER HVAC PAGE 04/04 „ I IFl �N.a I P�L r�l J �; �7n��1'.L 1'-�L7��1J�le l � . � �' —s 'Y 1� F: aV��t��?iw d 1��+��dR71el i �� . � .,, � „� _ },� a�r�'��!`��:"; z{1��-�'T�.��'�-�.-�`�� '' r:_ :. �� 4 ❑ Yes,this section appiies The replacement of a Residential fixture Qr appiiance that meets all three of the£ol1owit�g requirements: 1- 17oes not require modi�cation to eleCtrical or gas service_ 2. Has a t ta of�500.00 or less;exc1udina the cost of the fixture or appliaqce:a�d 3. Js improved,installed o�replaced by the hotneowner or licensed cantractor. 5kip next section,if this applies; Cost of Pennat $ 15.00 State Surcharge $ 1.00 Mail-In�'ee(If Applicable) $ 2.00 Tota1 Per►t��t k'ee $ u��a��,r r � _._. �� __ " , i��F e y ,��. rl�,1!��v�N�� 9� �J'_;_._ . �� i�r ��,t��!'.'a`��I{i'h4��IFni !�B a�u➢�"vB,�� If above does not apply;foliow guidelines below: 1, CON ' is 1.25%of contract p��ice witlf a(N�inimum Fee of�50.00) ZSL�U X.0125$ ��OU (contt�tct priCe) (minimam SSO-00) 2. STATE SURCH,ARGE ^ �S�Q x.0005 � 1�2� (contract price) 3. POSTAGE&HANDI,ING(Only on Mail-In Applications) $2_00 4. TQTA,L PERMIT FEE(Add Lines 1-3 Above) � • '' CONTR,�CT PRIC� or JOT3 COST means the actual or estirriatcd dollar amount aharged for the permitted work including materials, labor,pro�t,and othcr fixcd costs. It is the amount to be ct�arged to the customer for the work dona If any material, equipmeqt, labor or it�stmalations arc fumishcd by the owqer, tenant or any other parEy, the reasonable market value of sactc itcros must be added to the estimated cost or contract price for pe�7nit fee purppses. ln the event that there is a dispute on tt�e amount of the job cost, the Ciry may request the submission of a signed copy of the actval contrack. ��Fs�H� �, e }y �� _ ..;:y� i 7 a•bf6, r ��,. '. .:� y'. , "�7�9'��{��" h.�.;�(� ,;�..�� C., ,o`;�x� i, Yp'.:,�e�.,i it�' �'�!1'R'; r f ,k>;�!.��._-�� "� The undersigned hereby app�zes to tbe City for issuance of a Mechanical Perrnit,agrecs to do all work in strict aecordance with the or•dinances of the City and thc rcgulations of the State of Minnesota, and certifies that all statements made on this a�?plicat�or� are eprnplete, true and cot�c•ect. Applicant's Signature: Date: 9-�$"-1� 3 �-S �e�- .�-- , DATE TIM CITY OF ORONO CALLED IN �2!O INSPECTION N �I {E CHEDULED ! 2 L/-�S /D:O� PERMIT NO. v -��Z�OMPL ED ADDRESS S OWNER T PHONE NO��1'7�5� CONTRACTOR � DESCRIPTION , � lL ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUM ING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 9-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSfte Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION DLQTICE SCHEDULED PERMIT NO. o�� ^G�� COMPLETED � — �`I� ADDRESS �f`5 E��.� �!� /e�• OWNER TELEPHONE NO. CONTRACTOR ��lP✓ • '� /�� DESCRIPTION �� - lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �M6GNANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTFiACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W a o �`I wo✓� G� wc-p/�e -- �. � 0 � W � Q r � �a/w).� �rlr6�� 2 W � W � � W ❑WORKSATISFACTORY:PROCEED �RAJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAII FOR REtNSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector:�i �- t� White Copyllnspector's File Cenary CopylSfte Notice