HomeMy WebLinkAbout2017-00951 - mechanical i
` ' ' CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 7 - 0 0 9 5 1 *
DATE ISSUED: 08/10/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1750 SHADYWOOD RD
PIN : 17-117-23-21-0021
LEGAL DESC : SHADY-WOOD
: LOT 016 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 39,343.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT NATUP.AL GAS FURNACE
(1)BRYANT 4 TON A/C
(1)KITCHEN EXHAUST 900 CFM
GASLINE FOR OUTDOOR GRILL,2 FIREPLACES,RANGE,DRYER,GENERATOR,GARAGE HEATER
APPLICANT MECHANICAL 491.79
STATE SURCHARGE MECH(VALUATION) 19.67
HORIZON CONTRACTORS, INC.
8197 HORIZON DR TOTAL Sll.46
SHAKOPEE,MN 55379 Payment(s)
(612)508-9226 CHECK 8636 511.46
Minnesota State License#: BUIL-MB00319
OWNER
SHAW,GRETCHEN&LYLE
7001 KENESTON DR
EDEN PRAIRIE,MN 55346-
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 [he
State Building Code. This permit is for only the work described and does
no[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 l80 days at any time after work has commenced.
The applicant is responsihle 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. •
K + - � G' _� D" � `� �
Applicant Permi e Signature ate Issued Signature Date
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FOR CITY USE ONLY
� �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By� Amount$:
Phone(952)249-4600 Fax(952)249-4616
��l.sx� 04�.`'� CITY OF ORONO—MECHANICAL PERMIT
S H (All Coinmerctal pernuts must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 wili 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 PO5TED ON THE JOB SITE.
3. Mechanical Desi ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat 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.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
�.Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
,�-New ❑Additional ❑Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: �75(J -��'\c;� 1,� 6,���s,,��� J��'
Owner: ������2�i _��K�L_ Mailing Address: � �� �c;.ti�t
City: Zip:
Home Phone: (�/.,�'`%�� � `/UGk� Alternate Phone:
Contractor Information:
Contractor: ,��r;Z.:.r�l`;rr����-,�-T`C Contact Person: ��1�� S�'�n�
Address: ��I`��l i-I�J�; zv�. �� State Bond#: �v �5�fJ �(
City: �I-.�� �, Zip: ��3� Expiration Date: f� �!S !�v 1 R
Phone: G�v�- �v����`��' Alternate Phone: ���5��"��`l(� (�h���
❑ Insurance —Current:
1
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MECHANICAL 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: �
Model: �T��{�1�'a�fj�C)O
Fuel: ✓�G���
n
il �� /
Flue Size: ,5 �CC -
Input BTUs: ��;C.�UU
Output BTUs: �O �U
CFM: �� I E�
COOLING SYSTEMS
Quantity: /
Make: C �v� �
Model: f$��61�V����
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 �GU cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill ❑ Other/List What&Where: �- ���''��.y��-F ���`��;Cx���(.
C�4:iC l� 1 V C�C'..� �T`r"`+�'1
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PERMIT FEE CALCULATIONS
1. COl\TTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
.5 ! —���-�� �� x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE j�l ��� �` `��
x .0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �6�—�--
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ��. T �
■ * CONTRACT PRICE or JOB COST means the actual or estimated doliar 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinan�es of the City and the regulations of the State of
Minnesota, and certifies that all statem�nts ttiade on this application are complete,true and correct.
�' , _
Applicant's Signature: �;_`,r'u f Date: c�5 '�U I i7
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DA TIME
CITY OF ORONO CALLED IN ��
MI$P OTICE SCHEDULED �•�
PERMIT NO. � ��oMPLETED �_
ADDRESS �� �/� ���
01NNER TE ONE NO. "��
CONTRACTOR � �
�� DESCRIPTION �
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FIN
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRA iNG/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMO AL
Z ❑ RADON SLAB � �,MECHANICAL RI ❑ SITE INSPE ION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALI�S
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT'
� ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIO�I/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? 01MNB1lCOKiRACTOR TO MEET YWl:�YES_1�
�i COMMENTS:
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W � SATISFACTORY:PFiOCEED PROJ PLETE �Jt L l L .�.
W��ppECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OFlOCCl1W1NCY
OO ❑CORRECT NfORK,CALL FOR REINSpECT10N TEMPORA�
V BEFORECONERIN(3 PERMANEN
❑CORRECT UNSAFE CONDITION WIl?HIN H�1�• O PHOTO TAKEN I
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTAT10N ISSUED
❑INSPECTION RE(]UIRED.CALL TO NHRAN(iE ACCESS.
CaM tor the next�sp�ction 2a hours�n ednance. (952) 2 9-4600
OwnerlContrector on site:
�nspector: ��
wnn.oovr�•a�+a'•�» c.o,ry co�►isn.�oae.
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i DATE TI E
CITY OF ORONO CALLED IN � ��
INSPECTION NOTI SCHEDULED
PERMR NO. � ''� �COMPL o �_
ADDRESS
OWNER _—TELEPHONE N . , — ` ��
CONTRACTOR � �
�
� DESCRIPTION �
�
ty ❑ FOOTING (] DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
vj ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNEFi/FIREPLACE ❑ COMPLAINT
J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
Q
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIpN/REMOVAL
_
J ❑ DEMO-SITE [J SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�11:_YES_NO
� COMMENTS: `/�GGL• �.''r^�t � /'Y)�Cr,orr►t'f'1/" ,
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o L.���,/�f �� �l���/'t/ .�•�/a n c.a�1
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W--�.1(VORKSATISFACTORIF PROCEED ❑PROJECT COMPLETE
� �CORRECT WORK b PROCEED ❑ISSUE CERTIFICATE O�OCCUPANCY
W
0 ❑fARRECTVYORK,CALL FOR REINSPECTION TEMPORA Y
V BEFORE CdVERING PERMANE T
❑CORRECTUNSAFECONDITIONWfTHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ,
❑STOP ORDEH POSTED.CALL INSP�CTOR �CITATION ISSUED ,
❑INSPECTION REQUIRED.CALL TO MIRRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 2 9-4600
OwnerlContractor on site:
Inspector:___� »H �
White CopyMnspectw's Flle Canary CopylSfte NoticA