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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 � ` < < . 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 �. � � i 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 2 r ` s . , 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 —�—c,• J� I I � 3 � -�' � ✓ 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: 4 � c5f./ �1+� /G!�y//'LS � �� �f�LTLLC�i �� � � � a-reo�c 41�� ` ��p��a� �'4S4��s rs rr ° ��r �c�� �,T,� � � � � rE�E G Cf'�`i�/ �/GKZ //1 I�NC� $l �. � 'f�r(,� .G�Cf/• 5/�s-'Ff'i -iQ� 7� /t1C>� � �' � F�•cs - � ' r4 c �tao-Qv�,�� -G�C Z � � - �'l�sh,s�i���� �s /..Te..s - �01�- 4-i �sC � �� 9b ec����¢a a pro�. S r�►c a�E� �/���l.� - ,%r 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. � '� M � 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/" , � S�`'�►h�, L . ' 'n . o L.���,/�f �� �l���/'t/ .�•�/a n c.a�1 � Q�l �u.�fl�..J �ti�'r r ti Gi J���l/S / h � �GZ O G W °� Ta � �. .. o Q �_r�/,/ /'e v/'�i 9cr I»tr�;PS'f � c �v � � G5 s.n`� oY' W � j d 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