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Home My WebLink About2008-00209 - mechanical . CITY OF ORONO PERMIT NO.: 2008-00209 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuED: 09/10/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 785 FERNDALE RD N PIN : 36-118-23-11-0012 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 12,000.00 NOTE: HEATING SYSTEMS:2 BRYANT NATURAL GAS FURNACES COOLING SYSTEMS: 1 BRYANT 3.5 TON AC APPLICANT MECHANICAL 150.00 KLEVE HEATING&AlR STATE SURCHARGE MECH(VALUATION) 6.00 6365 CARLSON DRIVE SUITE G EDEN PRIAIRE,MN 55346 MAIL-IN FEE 1.50 (612)941-4211 TOTAL 157.50 OWNER JR, MICHELLE&THOMAS CULLUM 785 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permi[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 rela[ed 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 oY 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. `?1�c�? � / / � � Applicant Permitee Signature Date Issue By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. � FOR CITY USE ONLY City of Orono � g�� P.O.Box 66 Date Received: Permit# �y��.r,.�,� 2750 Kelley Parkway • � ,1�Z�j�� Crystal Bay,MN 55323 Approved By: Amount 3: ��'�; (952)249-4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Officia(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 sen[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. lvtechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditionin� installation including heat loss/heat gain ca(cular.ion,desi�n temperatures, equipment ratines and ide�tificatiur.as to type, manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodelin� is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the llniform Ivtechanical Code/State Buildin�Code requirements. 6. All work must be inspected (rou�h-in and final). Call (952)2�19-4600. (24-43 hour no[ice required) 7. House Heatins Test Record must be submitted before finai. TYPE OF PERIv1IT I Check All That A lv �Residential ❑ Commercial (?.pproval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: � v � �t-�� '�^� • • O�vnerTaM (.,6��Q� Mailina Address: �! Cirv: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:Kl PvP ut-g _ �, n,/� I nc Contact Person: Ashley Griffin Address: 6365 .r1 son nr . Ste GState Bond �: Rr,T-561 1 F�5 Citv: Eden Prairie Zip: 55346Expiration Date: 8/14/b9 Phone: g52-941 -4211 Alternate Phone: 9S2—�a5-7242 ❑ [nsurance — Current: 1 .[+. '-1'r,-' �y.�. A•'R,' '� . . ... � �'�� 1: � �1:.� . _i. .,� � .:a�;��F.°;��4��c�Artic�`�SY�S�MS.BEI�IGF�S`r�L;ED��n:��.,,,::�.��_.r��,:._ ' HEATING SYSTEMS Quantity: I I Make: � — _ Model: ��v��'�AV(�' �� _ - Fuel: •� ��,�1-�- - --.... Flue Size: Input BTUs: �� - Output BTUs: - CF�t: COOLING SYSTEi�IS Quantity: � - �lal:e: �� - ti�odz�: II�s�NAO Z Tons: •J H. Power FIREPL�CES ❑ Gas Factory Fireplace ❑ Wood Bumin�Fireplace ❑ �Vood Stove ❑ Wood Stove 1Vith Fiue Brand Name: titode! No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculatin� cfm ❑ No. Bath E:chaust(must have duct outside) efm ❑ No. Other Fans: Locations cfm FUEL STORAGE (�1UST BE APPROVED BY FIRE Nt.�,RSHALL) _ ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Under�round ❑ Inside ❑ Outsid� LP Gas: Qallons Other: � GAS LiNE ONLY ❑ Outdoor Grill ❑ Othcr' List �Vh:u �� "hcre: � f ' ;��`t�!- �t -4Y,I/tl}`(`4Jt=11`h �{+�PERMIT:FEE CALGCJLATION(S) > ` , .�� ;;=r ; -� � i.� .� � S �� k�y�. ti . �tir4 �.��,., t� ;;'tror�1�1 ' ��..�.r 4 <. �F� � =� 1 Ci.f� ��v.�l ✓ �� '.,.; ` 4{,`�•�;�'�'n,.;;�� '_f-�BASED.:OFE;::2002,STATE STATUE ,,. ,� ,_"��- �� .�• .5 '- ❑ 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; eYcfudin�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 � 1�.00 State Surchar�e � .50 Mail-In Fee(If Applicabfe) � 1.�0 Total PcrT�iit Fee S � - � PERNIIT FEE CALCUI;ATION(S)=JOBS OVER $�00.00 If above does not apply; follo�v Quidelines belo�v: 1. CO�ITR.-�CT PRICE * is 1?�°0 of con[ract price�vich a(�Iinimum Fee of 53�.00) O � �a Qod.� . .o�� S � . '�cqy�v�c:pncc� (min�mum��00) 2. ST.-�TE SURCH.�RGE " Add che State Bld�� Code Div. Surchar�e (�tinimum Fcc of5.�0) �� .000� S � .� (co�tract price) • (minimum� �O1 3. POSTAGE R H.�NDLING (Onl�� on i�tail-In Applications) S 1.:0 -1. TOTAL PER,�IIT FEE (.add Lines 1-3 Above) S � . • ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the Ferrrtitted worK includin� materials, laoor, profit, and o[her fixed costs. It is the amount to be cnareed to the customer for [he work done. If any material, equipment, labor or instal(ations are fumished by the owner, tenant or any other party, the re�sonable marl:et value of such items must be added to the estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the amount of tl�e job cost, the Ciry may request the submission of a si�ned copy of tlie actual contract. • **The STATE SURCHARGE is .0005 of the Building Department at(952) 2=49-�600 for the price. - - - : ' MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Ntechanical Permit, a_rees to do all �vork in strict accordance with the ordinances of the Ciry and the re�ulations of the State of Ivtinnesota, and certiFies that all statements e on this application are complete, true and correct. ( Applicant's SiQn ate: �y`� ~ O� ;;-�. Reset Form�. , � .:�. • . . . `",,�:. ..:::.:.:.. . .. . .. -, � . � TIME (/ �' �=� � CITY OF ORONO CALLED IN l � INSPECTION TICE S HEDULED � PERMIT NO. nnP�ErEo ADDRESS r ��R CONTR. TELEPHONE NO. ��` �� — � " � ,� � DESCRIPTION a'�� /`�'� � `�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q � FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:,�I YES_NO � COMMENTS: � ,��/�� /I y "F✓f �l�Z� ° �-�Y�C � ` �� `J � � O '- ', ��N,q c�Q � 0 � w � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED L7 SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice