HomeMy WebLinkAbout2012-00138 - mechanical CITY OF ORONO * z 0 1 z - 0 0 1 3 8 *
• 2750 KELLEY PARKWAY DATE ISSUED: 02/17/2012
' ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2900 DEER RUN TR
PIN : 04-117-23-24-0013
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 008 BLOCK 004
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 39,020.00
NOTE: 1 BRYANT NAT GAS FURNACE
1 TRIANGLE TUBE NAT GAS
1 BRYANT 2.5 AC
3 BATH EXHAUST
1 FAN
GAS LINES TO FP,DRYER,FURNACE,BOILER,GARAGE HEATER
APPLICANT MECHANICAL 487.75
HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH(VALUATION) 19.51
8197 HORIZON DR
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(612)508-9226 MISC FEE 0.00
TOTAL 509.26
OWNER
KACZKE,ROBERT&JILL
2900 DEER RUN TR
LONG LAKE,MN 55356-
AGREEMENT AND SWORI�i 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
pertnits. 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.
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Applicant Permitee Signature Date Issued By Si ture te
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
, FOR ClTY USE ONLX
- ��� P.O.Box 66ro� Date Received: Permit#
�. � 2750 Kelley Parkway
��� r Crysfal Bay,MN 55323 Approved By: Amour�E:
'"��� Phate(952)249-4600 Faac(952}249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(AII Commeccial permits must be approved by the Building Official or[nspedor and/or Fire Macshall)
GENERAL INFORMATION
L You may apply for mechanical pemuts 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 compteted. PERMITS ARE NOT
VALID UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STI'E.
3. Mechanical Desi¢ns—Compiete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidificatian,and air conditioning installation incltuling
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and modei. Data shall be presented on form provided
4. When any new construction or remodeling is involved,a separate building perntit must be
obtained.
5. AII work must be done in accordance with d�e Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 6our notice reqaired)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�]Residerrtial ❑Commercial(Approval Required)
❑New �Addirional ❑Repairs ❑Reptace
Job Site/Owner Information:
Site Address: 2900 Deer Run
Owner: Bob Kaczke Mailing Address: 2900 Deer Run
c;ty: Orono Zi�: 55356-9677
Home Phone: �6'I Z� 7'I G-9595 Alternate Phone:
Contractor Information:
Horizon Contractor, Inc Mike Stang
Contractor: Contact Person:
Address: 8197 HOriZ011 D�. s�te Bona#: RL 10561176
cl�y: Shakopee z�p:�79 Expiration Date: 08/15/12
phone: (612) 508-9226 Alternate Phone: (612} 508-9226
❑ Insura.nce-Current: ACU��
1
� h�iECHANiC.AL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes 0 No
HEATING SYSTEMS
Q�„�ri: 1 1
M�e: Bryant Triangle Tube
Model: 986TA042060V17 pS110
Fue�: Natural Natural
Flue Size:
2" 3"
�p„t s.rus: 60000 110000
o►,�ut s•rus: 57000 105000
cFM: 1000 NA
COOLING SYSTEMS
Q�t�Ty: �
�ke: Bryant
M«1e1: 126BNA030
Tons: 2'S
H.Power
FiREPLA,CES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove w'tth Flue/Masonry
VENTILATTON
❑ No. Kitchen Exhaust duct recirculating cfin
[] No. 3 Bath Exhaust(must have d�ct outside) � cfin
0 Na � OtherFans: Locations ��� ��� cfin
FUEL STORAGE (Mast be approved by Fi►+e Marskall if proposing to abando�r tank in p1acG)
❑ instaltation ❑ Removal
Fuel Oit: gallons ❑ Underground ❑[nside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grili �������������
❑ Other/List What&Where:
2
PERMTT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
T'hc replacement of a Residential fixture or�nliance that meets all three of the following requirements:
1. Dp�s not require rnodification to electrical or gas service.
2. Has a total cost of$500.00 or less; x lu in the cost of the fixture or appliance:and
3. Is improved,instailed or replaced by the horneowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 1�•00
State Surcharge $ 5.00
Mail-[n Fee([f Ap�ticable) $ 2.00
Total Permit Fee S
PERMIT FEE CALCULATION S --JOSS OVER$500.00
If above does not apply;follow guidelines below:
1. �ONTRA.CT PRICE 'is 1.25%of contract price with a(Minimnm FeE of 550.00)
39,020.00 X.o12s� 487.75
(wntract price) (miAimam 559.�6)
2. STATE SURCHARGE 39,020.00 19.51
x.0005 $
(comract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $509.26
■ * CONTRACT'PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted work including materiais,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.
MECHAIJICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to City for issuance of a Mechanical Permit,agrees to do all
work in strict accflrdance with th dinances of the City and the regulations of the State of
Minnesota, and certifies that al " ents made on this application are complete, true and
correct. ` ��
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Applicant's signature: p�e; 02/14/12
Re8�FOI'!fl
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��� ��� � -DATE TIME
CITY OF ORONO CALLED IN � 2-1 I �Z
INSPECTION NOTICE ^ (� SCHEDULED -� �� � Z� �
PERMIT NO. -�C' I�'7l ��'L,t �Cl COMPLETED
ADDRESS ��� C�C ���� �l �F'1 �Tt�
OWNER TELEPHONE NO. l[' �� ��� - C�`������
CONTRACTOR j�� ��' �e S��� -i�'�.
�; DESCRIPTION ��� L'�S�'�L' �
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAI
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ S C FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOUi YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT .
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on s' :
Inspector.
White Copyllnspector's File Canary CopylSite Notice
S� DATE TIME ✓
CITY OF ORONO CALLED IN -3 /
INSPECTION NOTICE �,,s CHEDULED � ��
PERMIT NO.p7�la� -GY�l��l cOMPLEfED
ADDRESS � ��O ,��1�eP�G �(l�Ci
OWNER T EPH NE NO.
CONTRACTOR � S
� DESCRIPTION �U -
� ❑ FOOTING ❑ PLUMBING FINAL ❑ E A RADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
y COMMENTS:
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� ❑CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
DAT TIME N
CITY OF ORONO CALLED IN /Z
INSPECTION OTICE Q� SCHEDULED
PERMIT N� a' � v COMPLETED
ADDRESS � /
OWNER T LEPHONE NO. '
CONTRACTOR �� � '�'
� DESCRIPTION —
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
p TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� �R�KSATISFACTORY:PROCEED �❑ PROJECTCOMPLEfE
W� ❑CQRRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
Inspector. �.c�^,,���1�S
White CopyllnspectoPs File Canary CopylSite Notke
/�DAyE�� TIME V
CITY OF ORONO CALLED IN � ��
INSPECTION NOTICE SCHEDULED �� �
PERMIT NO.�oia - ao i 3 8 COMPLEfED
ADDRESS o2900 �eY' ���T�✓'
OWNER TELEPHONE NO.��Z s0�' �ZZ�
CONTRACTOR �NJ Y/ZO�2
� DESCRIPTION
�►i'�c�- �"!�� —/�l �--
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP p COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
W �'�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CQVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on si�e:
Inspector. « � ~
White Copyllnspector's File Canary CopylSite Notice