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HomeMy WebLinkAbout2015-00810 - mechanical . -• CITY OF ORONO * z 0 1 5 — 0 0 S 1 0 * r 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2015 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 : $ 2,200.00 NOTE: (1)BATH EXHAUST-80 CFM (1)GASLINE TO FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.00 GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 2200 HIGHWAY 13 BURNSVILLE,MN 55337 TOTAL 53.00 (952)767-1000 Payment(s) CHECK 148062 53.00 OWNER &HALIMEH MOUSAVINASAB,MAJID FEHRESTI 1910 SHORELINE DR WAYZATA,MN 55391- AGREEME1vT AND SWORIV 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 oniy the work described and dces not 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 pettnit 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 ail required inspections aze requested in confortnance with the State Building Code.This permit may be revoked at any time for due cause. �i`vl�a.c�C. D c 7��%t��tj � ,r�3�� Applicant Permitee Signature Date Is ed Signature Date o�Ui3 -3J'L� �-� RECEIVED ' � FOR CITY USE ONLY �j�� ��A>� C;ty of Q�'�n��, ���I'� ✓ �y P.O.Box�) Date Received: Permit# 2750 Kelley Parkway Cryst��B�a��y,���N� Approved By: Amount$: Phone�� 44�6 ax(952)249-4616 a a y � F � �qkFs�o��.�' CITY OF ORONO— MECHANICAL PERMIT _ (All Commercial permrts must be approved by the Building Official or Inspector and/or Fire Marshall) GENER.AL INFORMATION 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 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 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) ❑New � Additional ❑Repairs ❑Replace Job Site/Owner Information: ;� �� . �f, �, �, ����� �^. �i �� k �, � � Site Address: � , ! �'��� �� ,� � � ,J � -' �� � Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: � °� � � - i Contractor: ��,� ' ' ��� �� � ' -� ���� ` Contact Person: � � I � � �, Address: �,,� Il �Uv � ,����`'� State Bond#: � ,t�����.'.)/`k��`,`� � �, --�— . ,, City: ��`; �v� � � � �� Zip:� � � Expiration Date: � �'�" ( ��,-� , `�' , Phone: � `U ���,� i Alternate Phone: ❑ Insurance—Current: 1 .___ � MECHANICAL SYSTEMS BEING INSTALLED Note: All Ueothermal Systems will now require a Site Plan& Review by our Building Of�cial. IS THIS GEOTHERMAL? ❑ Yes �No , HEATING SYSTEMS Quantity: Make: ModeL � � �� � Fuel: Flue Size: � Input BTUs: Output BTUs: � CFM: COOLING SYSTEMS Quantiry: _ Make: Model: � Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue 1 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 ijproposing to abnndon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where:- (,✓,s� (�� ����I�, � 2 a . r, , ,. �- „_ • • � _�,. rERMIT FEE CALCULATION(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. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and 3. Is improved, installed ar 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 $ PERMIT FEE CALCULATION(S —JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) �� , �� � U: ���v X .oizs $ (contract price) � (minimum�50.00) 2. STATE SURCHARGE �`-' ,����=� X .000s $ l, /D (contract price) � � 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�.� , I � ■ * CONTRACT PWCE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, protit, and other�xed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor ar 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 purpo5es. 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 ordinances of the City and the regulations of the State of Minnesota, and certi�es that all statements made on this application are complete, true and correct. (�, - ,, r,'� ,,. �, � _ � �, � — � � Applicant s Signature:�;, Date: �� � � � 3 � /� � -- DATE TIME\ ' CITY OF ORONO ✓ CALLED IN � � �S INSPECTION NOTICE SCHEDULED / /G: l�`'z� PERMIT NO.�� S����� C[OMPLEfED �- . ADDRESS I �',1/G c��'LG� 'L,� L Lt-�,� (�-�- OWNER ' ELEPHONE NO. � 7 �—� ��'Z CONTRACTOR � f��--� � DESCRIPTION �� � � ly ❑ FOOTING ❑ D M -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF�LUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � • a � !'l!� �c� S�•rk �J 7`�s� 'f. �.•re � � - 0 � �o l�s�ts�,� �'Q.kr.e� �l�� f...r�, '' '' F �Q.����� � � �/�v�t l/Cec 4sr rs2�iG.��e.✓ a� OS'LO�[./��✓` ��E4G t� � W �_ � � �7�/ Se<< �-C. �) ��Ud✓ � Q � 2 � C o+r ✓c�� -,c G 4 <l,�o✓ /'cc -z-s��:. W � 1 J d W ❑WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �ION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: ��`�� Inspector: �-- � ite Copyllnspector's Flle Canary CopylSfte Notiee �_��� `���_ �- � DATE � � TI� CITY OF ORONO CALLED IN o2. �6 INSPECTION NOTICE SCHEDULED i /�- PERMIT NO.�� S�� � COMPLEfED � ADDRESS 1 9�U �G1�"�°-��(.�_ �"�Y`l l�- OWNER TELEPHONE NO�sa���7 � � �7 CONTRACTOR '�� �--�--� ��- � DESCRIPTION �" "-�'"'`- ` I � �f(�`�`� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: a� a ' $�cDa��s . /'c L��..� rc S - Llt(C � J O '� — I1G /�O•v�Y 1�— ,6.�t� �c•-� ,�� � oL � _ W �n •5 '�/ r►t �C � Q Z res� • O� - . � ✓ � l3�c��'. �'c naG � $.a�t c�r�1 W � j d W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ,�ARRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �❑CORRECT WORK,CALL FOR REINSPECTION TEMPORAFiY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL REfURN ❑STOP OROEH POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: ��wl � Inspector: �//�^� White Copyllnapectw's Flle Canary CopylSite Notiee