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Home My WebLink About2015-00410 - mechanical * CITY OF ORONO * 2 0 1 5 - 0 0 4 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRi,�SS : 4166 HIGHWOOD RD PIN : 07-117-23-44-0027 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT 033 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�TSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATIOI�T : $ 9,500.00 NOTE: 1 HEATING SYSTEM, l COOLING SYSTEM,ALL MAIN LEVEL DUCTWORK, 1 KITCHEN EXHAUST,4 BATH EXHAUSTS, 1 DRYER VENT, MAIN GAS LINE FOR FURNACE APPLICANT MECHANICAL 118.75 STATE SURCHARGE MECH(VALUATION) 4.75 PROFESSIONAL MECHANICAL SERVICES MpIL-IN FEE 2.00 8851 E. RESEARCH CTR RD NEW HOPE, MN 55428- TOTAL 125.50 (763)657-7421 Payment(s) Minnesota State License#:mech-MB003767 CREDIT CARD 9795 125.50 OWNER Willow Creek Development P O BOX 4551 ST PAUL,MN 55104- AGREEMENT AND SWORN STATEMENT The work for which this permit 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 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 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 aze requested in conformance with the State Building Code.This permit may be `, revoked at any time for due cause. �� , ��1 � / S � �;(.I �� l C�� i/ i Applicant Permitee Signature ate Issued By Signature Date FQR CITY USE ONLY �'1�'O��f0110 DatcRcceived � I� ' JPemttl# Ci� � '�� U ! �� YA [3ox 66 S U �� ' 2750 Kelley Pa:kway Approved B}. �_Amounf$= � Z ', Crystal Sa}�,MN 55323 _�i � � �'L �� Phone(952)249�600 Eax{952)244�t616 i + ��\`',, ,��; C1TY OF ORQNO—MEC1-IANICAL PER:�IIT ` ��f�� {All Commercial pemlits must�c appro�ed by the I3uilding Official or Inspector andior Fire]btarshal�1 GENERAL INF�R'vIAT10N 1. Yau may appiy for mechanical permiis by mail or in person at the City ot�ices. Applications will be reviewed and a�ermil wi13 be issucd w7thin two working days. 2. Permit cards��I1 he sent by return mail after a review is completed. PERMI7`S ARB'�IDT VALID UTITIL YQU EtECE1VE A PERI�IIT �'VORK�'IUST NOT BEGIN LNTIL THE PERlVIIT CARD IS POSTED Ol�THE JOB SI7�E. 3. Mochanical DesiQns—Complete calculations,details and specifications are required for each heatin�_ventilatior.,hum:dification-de:7umidification;and air conditioning installation includine heat toss,'heat gain calculation,design telnperatures,equipment ratings and identification as to t��p�,manufacturer and model. Data sllall be presented on form providcd. 4. W11er, anY new construct�on or remodeling is involved,a separate buildu�g permit must be obtained. 5. All work must be dat�e in accordance with t�te Uniform I�4cchanical CodciState Building Code requirements. 6. All work must be inspected(rough-in and final) Call(952}249-4660 (24-48 hour notice required) 7, House Heating Test Record must be submitted before final. TYPE OF PERMIT � (Check All That Ap.��ly) �Residential ❑Commercial(Approval Required) ❑ New� ❑Additional ❑ Repairs �Replace Job Site/4��ner lnformation; Site Address `�� " �� Owner: Mailing Address: City: Zip: Nome Phone. Altemate Phone. Contra�tor Infonnatioal� . � � � �y �SV��htact Person: +-J�-� Contractor. I� �� Address: C� �"E�tate Bond# �!� � � \ �1a + a.e�� City: N�� Zip��Expiration Date� `j �- Altemate Phone: 3"�� 3� � �' Phone:�(Q� ��G'F�� -r---- �] Insurance—C;urrenl: ��'�rC'�- 1 � d e�E�809� 0�-�db' � ` MECHANICAL SYSI'EMS BEING INSTALLED \ote: All Geothermal Systems will now require a Site Plan&Revietiy by our Building�fficial. IS THIS GEQTHERMAL? ❑Yes U Na HEATING SYSTEMS Quantiry: � i � Ivlake: � Model: °1.1� ?d Fuel: � e i et � Flue Size: Ingut BTUs: �� 0� d D— I outpuc s�rus: Cr��t b o I c�M: 3 r i COOLING SYSTENIS I Quantity: � R�3ake: �� Modef: � � � � Tons: l �{�` I H.Power FIREPI,ACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � VJoad Stove Model No.: [] �Vood Stove tivith Flue/Ivlasonry I VENTILATIOV ' ' m�'�1� � �Cv�� l� ��r` � �o, � Kitchen Exhaust duct recirculating �� o, Bath Exhaust(must have d t outside) �fi" � cfm Nq �� Other Fans: Locations FC�EL STORAGE ,(.+�lust be approved by Fire Marshall if proposing to abandon tank a�plac�) � Installation ❑ Removal Fue1 UiL gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LIl�1E O1�LY ('�OI�YI �C.c� ( I� -�e�� ' (1Gt� � ��y��ri�} � Othef/List What&Where:_ 2 Z•d �b£�80 5l 06 adb' � • f PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE � Yes,this section applies The replacernent of a R�si ential fixtute Or a(1Dl.�ce that t�►eets all three of the following tequirements: l. Does not require moditicalion to eleca-ica]or gas service. 2. Has a total cost of$5�0.�0 or less;exe udin�the cost of the fixttue or appliance�an.� 3. Is improved,installe�or rep3aced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ }5.�� Statc Surcharge $—�a� Mail-In Fee{If Applicable) $ 2.�0 Totai Permit Fe� $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 lf above does not apply;follow guidelines below: 1. CONT1tACT PR10E *is 1.25%of contract prica with a(Minimum F'ee of$SO.QO) q � � (� x.0125$ , � (contrsct pnCc) (mininwm S50.00) 2. STATE SiJitCHARGE �� I�,� � — x.0005 $ (contTact price) i, POSTAGE&I.T_ANDLING(Only on Mail-In Applications) $ 2.�� d. TOTAU PERMTT FEE(Add Lines 1-3 Above} $ � a�'`�� ■ * CONTRACT PItICE or JOB COST means the actual or estimatexi dollar amount char�ed for the permitted work including materials, labor,profit,and other t�xed costs. It is the amount to be charged to the �ustomer for the work done. If any material; equipment,labor or instaliations are furnished by tlie ow�ner,tenant or any other party',t!�►e reasonable market value of such items must be added to the estimated cost or contract price for permit fee purpuses. In the event that thcre is a dispute on the amount of the job cost,the City may request the submission of a signed capy of the actual contract. MECHANICAL PERMIT APpLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit; aarees to do alti work in stcict accordance �'�f at�statementsem de�on this pplication areticomple ee t^,tet�of Minnesota, and certifies tha correct, �� 5 Applicant's Signatur 3 g�d eb£�80 5 6 Ol adb' �� DATE TIME CITY OF ORONO CALLED IN �'2`� INSPECTIONA�O�,TICE SCHEDULED �—! -� �0 : 3 PERMIT NO.�� COMP ETEI� ADDRESS � OWNER TEL PHONE NO•Y��lD� CONTRACTOR' ' >; DESCRIPTION � " �- � �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING � ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMp'-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O ). � O � W � Q •� � � 2 W � W � � � d W ORK SAT�SFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice .I?� �� a►� nME � CITY OF ORONO cnL�n IN INSPECTION NOTICE �,�+EDULED � �Yl PERM(T NO. �� ,=(`,,J"�� '�oMPLETED ADDRESS � OWNER TELEPHON NO. � 12 -- r�`'��II�J CONTRACTOR �—�� -�l . � DESCRIPTION ��r t (�l�-�' �/i"IG�-� 4~j ❑ FOOTING ❑ DEMO-FiNAL SEPTIC FINAL I l�`�-��-' � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAWGRADINGIFILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑SITE INSPECTION Q ❑ FRAMING �AECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SfTE ❑S IC INSTALL v 2 OMINBYCONiRACTOR TO YEET YOIY. YES_NO � COMMENT'��.�1 1�j �c� �'Yi��-� 't n�,�� /'�,�l�i � 4 �s l.+c.t� W�UM,o— �S /fal��c O � �ii$t�// T�oi/ ✓et•s6�/f I T�r �oe/.�et � ' ��t S�t!J'?� .� � �es� o� W aC Q � pe�� -f�-��.�o W � W � J � ❑NIORK SATISFACTOfiY:PROCEED �IECT COMPLEfE W ❑CORRECT WORIC�PROCEED ❑ISSUE CERTIFlCATE OF OCCl1PANCY 0 ❑()OFiRECT WORK.C�AL.L FOR REINSPECTION TEMPORARY C� �F��' PERMANENT ❑CORRECTIAdSAFECONDITION WffHIN HOURS. ❑PHOTOTAKEN INSPECTOR 1MLL REiI�iN O STOP ORDER POSTED_G1LL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REUUIRED.C/1LL TO ARRANGE ACCESS. caN ror u�e next inspection 24 hours in ach►anos. (952) 249-4600 Owne ctorons ��vy �� •��, WhiM CcVYAnspscto�'S Flle Gnary CopylSPoe Nofke