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2015-00022 - mechanical
CITY OF ORONO * 2015 - 00022 * 2750 KELLEY PARKWAY DATE ISSUED: 01/09/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2535 OLD BEACH RD PIN : 21-117-23-22-0019 LEGAL DESC : THE MARSH AT LAFAYETTE LOT 006 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 500.00 NOTE: (1)MODINE-MODEL#HD-60-60,000 INPUT BTU'S APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 52.25 Payments) (952)933-1868 CREDIT CARD 5815 52.25 OWNER CODUTE,TOM&ALICIA 2535 OLD BEACH 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 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 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 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.P i L('� a "'e-) Io ,C t 9 �s Applicant Permitee Signature Date Issu By Signature Date 9529331869 00:41:02 01-09-2015 214 Y l 7FR C USE ONLY City of Orano � � �� 'V P.O.Box 66 Date Rcceiv Permit N 0 2750 Kelley PA-way Crystal Bay,MN 55323 Approved By: Amount S: Phone(952)249-4600 Fax(952)249-4616 A AI kEsrto Irk' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 sent 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. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat losstheat 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT F_ Check All That Apply) ®Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: --� Site Address: a 5 3 rJ o!c) Owner: Mailing Address: (95 Y-) C'�I City: z aZip: Home Phone: Alternate Phone: Contractor Information: ( � Contractor: E a�� J✓,r�L dV S Contact Person: t`C� < (_ �Ls C 4'1" r�� Address: '134i� Cl) 41 State Bond#: NYZ`;C�G) .� S 1 City: �vo�G0 S Zip: Expiration Date: 0) 17 0 0 i/c Phone: Alternate Phone: Insurance—Current: 1 9529331869 00:41:19 01-09-2015 3/4 V1ECH:ANTCAL::SYSTEMS<BEING�INSTALLED. . .' , Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ©*-No HEATING SYSTEMS Quantity: Make: 01 Oj�i 11e-- Model: D-40 II � Fuel: i 5rtrt - vn5 I G of Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust{must have duct outside} cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank hiplace.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 9529331869 00:41:30 01-09-2015 414 PERMIT FEEtALCULATTON(S} BASBD OFF: 20 zsTATE.STAM ❑ 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. Hasa total cost of$500.00 or less;excludins 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERNIlT`FEE CALCULATT(7N S JOBS.:O'VER$500:0 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) S1 06- x.0125$ �'U.Uo (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) S 5,� . .;k < ■ * CONTRACT 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 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. MECHANTGAL.:PERNIIT APPLICATTON,AGREEMENT 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_.1 11 '_t,_C_L�91 Date: 3 V/ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.2Q*7,Z COMPLETED l(O ADDRESS -63 S^ 064P dow., --c 4L OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FINAL ❑WATER HOOK-UP A32OLLOW-UP W ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: L C ! .. a�tTnc-f f+e�✓ i�ls /J:.r�T�� �i11e 0 LU Ct Cd�'rq�6ar � /1.d�•t•e� S�.2 e.�2C �'o Wf: ❑WORK �OJECTCOMPLETE Ila W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 tours In advance. (952) 249-4600 OwnedContractor on site: Inspector. 5;,� 'r^' 41 White C*"AnspecMals File Canary Cop rAW Notice IDATE TIME CITY OF ORONO C�N ,, INSPECTION NOTICE SCHEDULED � PERMIT NO.,2,(_-) COMPLETED — � COMPLETED ADDRESS � 5_ 4 OWNER TELEPHONE NO.� CONTRACTOR �S DESCRIPTION W ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL 1 ❑ LAKESHORE/WETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: G'Dp.Ow cc O �- h ,z e-AV r 0aelIoca D — ! Q 1~ "SES tLLJ " \ if z Cove ✓ W cc j d W ❑WORK SATISFACTORY:PROCEED El PROJECT COMPLETE QC ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PHOTO TAKEN INSPECTOR WILL RETURN (J CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca t inspection 24 hours in advance. (952) 249-4600 Owner/C tractor on site: Inspector. �- White CopylInspector's File Canary Copy/Site Notice