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Home My WebLink About2013-01253 - mechanical , -� CITY OF ORONO * z 0 1 3 - 0 1 2 5 3 * 2750 KELLEY PARKWAY pATE �SSUED: 12/02/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1205 FRENCH CREGK DR PIN : 10-117-23-23-0001 LEGAL DESC : FRENCH CREEK : LOT 001 BLOCK 001 PFRMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : t-{EATING SYSTEMS VALUATION : $ 3,800.00 NU"I�}�:: 1 BRYAN"I�N�1"I�GAS FURNACI�; APPL[CANT MECHAN[CAI, 50.00 HEATING & COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 1.90 18550 COUNTY ROAD 81 MAPI,E GROVE, MN 55369- TOTAL 51.90 (763)428-3677 OWNER W WSLOW, CLARK& SHARON 1205 FRENCH CREEK DR WAYLATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be perCormed according to d�e approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only thc work describcd and does not grant permission tbr additional or related work which requires separate permits. All provisions of la��s and ordinances governing Chis type of work shall be compied ti ith ti�hether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced widiin I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced- I�he applicant is responsible for assuring all required inspections are requested in confom�ance with the State Building Codc."I�his permit may bc revoked at anv time for due cause- l l '' �%�l�/�'�—'�' l l npplicant Permitee Signature Date Issue y � nature � D SFPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . .;�,� �� City of Orono - ----- —FOR CITY USE Oi�'L1' ---- ' s�" ��\� P O.Box 65 _ 'I �.�•-'N Z i�0 Kelley Parkway Date Recei�ed: Pem.;it# � ` ��1�`,f` '�- � Ciystal Ba}•,N1N>j323 ��1 I��'��` 952 249-4600 APProved By Amount$: � � ( ) ��kE&tto¢� —. . __—_— CITY OF ORONO — MTCHANICAL pE (All Con�mercial perTnits must be approved by the Euildir.g OCficial or InspectorRanNdloT�re Mar;hail) � r��TERAL 1N��ORI�,IATION — -- - ---- —� 1. You may apply for mechanical peinits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. Z. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT Wp�MUST i�rOT B�GIN UNTIL THE PER�I�IIT CARD IS POSTED ON 'I'HE JOB SITE. 3. Mechanical Desions- Complete calcularions, details and specifications are requu•ed for each heating, ventilation, hunudification-dehumidification, and air coiiditioning instailation includin heat loss/heat gain calculation, design temperature,, equipment ratings and identification as to g type, manufacturer and model. Data shall be presented on foral provided. 4 When any new conshuction or remodeling is involved, a separate buildulg permit must be obtained. 5- All work must be done in accordance with the Uniform Mechanical Code/State Building Code requu-ements. 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 f111 That ApPIY)�' �-�� Residential ❑ Commercial(Approval Required) � ❑ New ❑ Additional - ❑ Repairs ��eplace r------_-------- -- Job Site % Owner I�iforn�ation: �� -- --I - I Site Address: �_ ' � 1�Qs" ��zeti C Owner:� � ------ ��--------.— Mailing Address: City: �,�y_ — . -- Zip: Home Phone: �A� �ti Alternate Phone: to ��- �slv S-�7l¢, ( Contraetor Information: Contractor: Contact Person: HEATING R COOLING Tyyp� t`�� Address: Mapie Grove, MN 553�r8 y �tate Bond #: Cit : 231 Y (763)4� 3677 . �� Expiration Date: Phone: Alternate Phone: _ ❑ liisurance — Current: 1 — • �� °i�IFC�I��'�IC,�L SYS"I=EN1S BELNG>INS.`I'AL,LEU -- -- --- � HFATING SYSTEVIS Quantity: r Make: I -------- ��._ Vtodel: � j',�\ fl •Xv ll Fuel: N — — Flue Size: � �' ---___ Input BTUs: J (�� Output BTUs: k — CFM: ��C�UC) COOLING SYSTEMS Quantity: Make: ylodel: ----- Tons: — -- --------- H. Power ---- k'IREPLA('r,S -- ------- �� Gas Factory Fireplace � � `Vood Biirnin� Fircplace ❑ �V�ood Stove ❑ Wood Stove With Flue Brand Name: __ Model No.: VENTILATION ❑ No. ICitchen Exhaust ❑ No. —_ duct__recirculating cfm Bath E�chaust(must fiave duct outside) — ❑ No. Other Fans: Locations _cfm FUEL STO cfm RAGE (MUST BE APPROVED By FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: �_ballons LP Gas: ❑ Underground ❑ Inside ❑ Outside ____gallons Other: GAS LINE ONLy ❑ Outdoor Gi ill ❑ Other/List What& Where: 2 `�3� � . PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residentiai 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; excludina the cost of the fix�ure or appliance: and 3. Is improved, installed or replaced by the homeowner ar licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 ; If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) G c: `� � C7C1� x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, tabor, 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanica] Permit, agrees to do all wark 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: Ja --� - o��'—� 3 DATE ��r TIME ✓ CITYOFORONO CALLEDIN 1Z�6—J .3�d� INSPECTION NOTICE SCHEDULED l Z-1'�-�3 I/�� PERMIT NO. 20�3-�t 253 COMPLETED ADDRESS �2 u� (�2-E^�Gt�} C.✓tR�t< D�t. � OWNER �.'�TN '� �� LTELEPHONE NO. ?L 3"yZ fs'3677 CONTRACTOR W�NSc-0w - a DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SU1B ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 TO MEET YOU: OCYES_NO � '-!�'`'s.e�ti J�rl w� b i 7.-s 9'7 -3'7c'io v, COMMENTS: .s�Q-e +� onD'� � W � 2 � O �. � O � W �� Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advan 249-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice