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HomeMy WebLinkAbout2013-00497 - mechanical � CITYOFORONO * 2013 - 00497 * 1 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 � ADDRESS � : 1910 SHORELINE DR PIN ; 10-117-23-42-0017 LEGAL DESC : REG.LAND SURVEY NO.0096 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 35,458.00 NOTE: 3 CARRIER NAT GAS FURNACES 3 CARRIER ACS 1 MAKEUP AIR FAN 3 GAS LINES-FURNACES,FP,WATER HEATER,COOKTOP,DRYER APPLICANT MECHANICAL 443.23 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 17.73 2200 HIGHWAY 13 MAIL-IN FEE 2.00 BURNSVILLE,MN 55337 (952)767-1000 TOTAL 462.96 OWNER &H MOUSAVINASAB,MAJID FEHRESTI 1910 SHORELINE DR 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 sepazate 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 confortnance with the State Building Code.This permit may be revoked at any time for due cause.� �h.t'�t.�.,( �' i i i i Applicant Permitee Signature Date Issued By Si ture _H�at'e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � � � FOR CITY USE ONLY �O A TO City of Orono �y 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 � � y�. � (�KESH��`�G CiTY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION L 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 BEG1N UNTIL THE PERMIT CARD 1S POSTED 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 perrnit 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 ) Resi tial ❑Commercial(Approval Required) � C ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: 1� I � �������U'� ��l(�� Owner:��,��(��1( (�'fj� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor�✓«� Q �� � I Contact Person: ! I 1�r I Z`� ���� Address:�a� �i State Bond#: �� �,�� � City: ��I� S � Zip.��xpiration Date: Phone: ��� � � I 0�� Alternate Phone: Insurance—Current: 1 r ' l MECHAlvICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now.require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL'� ❑ Yes No ��) � HEAT[NG SYSTEMS V,'-�� � ���M�_� �-a �� � �j ��— Quantity: ���1�� �� U�,1�1��'�'.� � �-N 1`l��' ���;� Make: ����/ Model: J 1 `J ��� �'I � � GI c�o� S�� � �0 U�� I �� Fuel: �...)(J�,1 N(JJ� � �G�C�Q�1'lh Flue Size: Input BTUs: � l� � `��5 � �c ' � � Output BTUs: � `�� CFM: COOLING SYSTEMS Quantity: � I ' Make: ' r � . ls..��r���i" ��-�''� ��.Y Model: V � (� �lr r'��.t 1�1 I�Lj � Tons: , , � H.Power � � �i'e.1�' � � �-e�1� � � ��j� FIREPLACES Jas 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 /V1(J�CQ v�Q C7�,1,/' ��cfm FUEL STORAGE (.M1lust be approved hy Fire Marshal!if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons , Other: �jC�L�.S �� nt'���'U ��� ✓lA_C�5 cJ 3 s ii ✓��s � Firc pla��s GAS LINE ONLY G��.�, ii �f. �1.��'v�Cc.t_t �e�x,.�c�- h�a�r ❑ Outdoor Grill � Other/List What&Where: �U.`� lj✓1� 7 C��k� 2 �u-� �l V�e '�, 17�v' (�c�--� 1i v�-� � I..�u�1-c✓ � • PERMIT FEE CALCLTLATION(S) BASED OFF - 2002 STATE STATUE ❑ 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. I�as a total cost of$500.00 or less;excludine 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 $ I5.00 State Surcharge $ 5.00 1�1ai1-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. COl`'TRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x .0125� `C � rJ+ �� (c ntract price) (minimum$50.00) 2. STATE SURCHARGE � ` - ' � � �� J x .0005 � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��� '� • * CONTRACT PRICE ar 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pern�it, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Mim�esota, and certifies that all statements made on this applicatio» are complete, true and correct. ���� � � 3 � � �U Applicant s Signature. ��'������ ���� `'"� Date: � 3 �— v �� TE TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED 3 3:�_ PERMIT NO. � 7 COMP ETEGL ADDRESS ��`D � �Q -���� V`e-� OWNER TELEPHONE NO. � - �g�� . CONTRACTOR R�'` >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHO EIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 INSTA�L ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � u (� o �� S � a � �' o J �' S � Q � �� �r f� W � W � � GW C�C�flK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. 1 3� White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN ��—�-Y �-- INSPECTION NOTI E SCHEDULED � .S� PERMIT NO �� ' � �COMPLETED ADDRESS �9�D lS`����� ��"�S' I3 OWNER TELEPHONE N0.��72'7107 `CS�ID� CONTRACTOR Z i`.4�_ � DESCRIPTION `n �j��� �_ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETIANDS y ❑ FRAMING � MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a � J O � � O � W � Q � 2 W � W � � d ��RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W��CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDiT10NWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLIREfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. I I �� White Copyllnspector's File Canary CopylSite Notice J� DATE TIME � CITY OF ORONOC'� CALLED IN —I INSPECTION O IC �'/�� SCHEDULED • � PERMIT NO. � `� COMPLET �/.3 �'/� ADDRESS � ` �J OWNER � TELEPHONE NO�l=�����7 CONTRACTOR � DESCRIPTION � C � � � ❑ FOOTING ❑ PLU BING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ HANICAL RI ❑ IAKESHORENVEfLANDS Q ❑ FRAMING ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT v � DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP ? ❑ DEMO-FINAL O SEPTIC INSTALL p HARD COVER REMOVAL � ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/FtEMOVAL 2 �NNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � j 0 �. o� 0 W � Q � 2 � W � J O W ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR YVILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: White Copyllnspecto�'s File Canary CopylSite Notke <�� DATE T� ��TY OF ORONO CALLED IN INSPECTION NOTICE ,�`��.,SCHEDULED ��� PERMIT NO.��?�!��—faL1Y� �COMPLETED ������. ADDRESS ��' /f� �TL`��'_l/l�J,� �i� OWNER TELEPHONE NO.G-Z�.7�27'���� CONTRACTOR `�-�Z �; DESCRIPTION ��� � � �l r tl� ❑ FOOTING ❑ DEMO-FI AL � ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI � ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA�� ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO ME�U:�YES_NO � COMMENTS: � W a � J O �. � O • � W � Q � 2 W � W � J d W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-460� OwnedConVactor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice