HomeMy WebLinkAbout2015-00889 - mechanical '� R CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 5 — 0 0 8 8 9 *
DATE ISSUED: 07/16/2015
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 : FIREPLACE-GAS
VALUATION : $ 3,485.00
NOTE: 1 GAS FIREPLACE(HEAT-N-GLO)#600C
APPLICANT MECHATTICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.74
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE TOTAL 53.74
ROSEVILLE,MN 55113
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.74
OWNER
&HALIMEH 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 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant ermitee Signature Date Issue By ignature Date
07-16-'15 15:17 FROM- T-062 P0001/0004 F-266
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�OA:O City of 4rono � " ' . . -
1 V P.O.Box 66 DAt�C��riaA: �,�.,_,Pc�rmit#��,
2750 Kolloy Farkway :;`,:�.. :. , . .
Crystal Hay,MTI 55323 �ApproVed ay;, ' Amount$:` '
phone(952)249-4600 �ax(952)249-46 t 6 '
��rq �F.G�� CTTY OF ORONO�MECHANYCA�.PE�ZMTT �
kES tl O (q�l Commetciml permits must 6e apprpVtd by iha�ultding O�Ciql or Ins�x:Ctor anG/or Fire Mtirsh011)
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1. You may apply for mechanical permiCs b�+mail or in person at the City offices. Applications v�+ill :
be reviewed and a permit'will be issued within two working days_
2. Perrr►it cards will be sent by retum mai]after a review is completed. pERMYTS Al2E NOT
VALI�11NTIL'Y��(J R�CEIVE A PL�1tMCT. �VVot�M�'Sr No'r�a�CYr��rrv'rr�,r��
pEI2MCT CAC�IS POSTED ON TY���O�SY�'�.
3. Mechanical Desiens—Complete calculations,details and spccific�tions are required for tach .
heatin�,ventilation,humidification-dehumidification,and a;r conditioning installation ineluding
heat loss/heat gain calculation,des�gn temperatures,equipment ratings and identifir,�tion as to `
Cypc,mxnufacturor and modcl. Data shall be presented on form provided. �
4. When any new construction or rtmodeling is invalved,a separafe building permit must be '
obtained.
5. All work must be dor►e in accordance with th�„�Jniform Mechanical Code/State Building Code '
rcquircmcnts. '
6. All work musC be insptcCtd(rough-in and final). Call(9�2)249-4600. `
(�448 hour notice required) ;
7. House Heating Test Record must be submitted before frnat. !!
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TYFE.pF PERMZT:.:: � �
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[�Rasidcntifil ❑Commercial(Approval Requir�.�)
�:Nevv (�Ac�ditional �:Etzpa;rs ❑R�pldce .
' " :Job Site%Ovvner.Information; � � �
'site';'Addi�:�ss; 1910 SH4RELINE [�RIVE �
�Oiyvner;'.- SMUCKLER GROUP XVlailirig�Addr�,ssc:: 7509 WASHINGTON AV�S ,
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`�j�j,; EDINA,MN Zjp;. 55439 '
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Hpm�;;�ltq�e,:. �952-828-1908 Alternate Phone: __ �
�;on.'i�actox Tn;Forrr}&�ion: . I
Contractor: FIRESIDE HEARTH&HOME Contact Person; l�eah �
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Address: 2700 Fair�iew Ave N State Bond#:gC662656, M6662572, PC662571 �
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C��,; Roseville, MN ��p;55113 �,,pir�tian DAte; �
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Phone: 651-633-2561 Alternate Phone:�eah#651-638-3312
❑ Insurance—Current:
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07-16—'15 15:17 FROM— T-462 P0402/0044 F-266
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Note: A11 GcoChermal Systcros will now require a Site Plan&Review by our Building Official.
IS TC�XS G�OTH�YtMA�.? �Yes ❑I�o �
�C�ATING 8'St'ST�MS '
Quantiry: — -- -- .
Make:
Model; �
Fuel:
Flue Si2e;
Cnpui BT'Us:
Output BTUs: �
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CFM: i
COOLiiYG SYSTEMS �
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Quantity� ;
Make:
Modcl:
Tons: '
H,Power
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❑ �:�t�a,��S�v,��uvi�#j;'�lij,�Y�'��,Q�'Y;'
YENTILATION
;
❑ No. Kitchen Exhausf duct recirculating cfm
❑ No. Bath�xhaust(must have duct outside) cfm
❑ No. Othcr Fans: I.ocations p('m ,
FUEL STORAG�E (Must be npproved by Flrc M�rslrnll ifproposing to nbqndan tank in place.)
❑ lnstallation ❑ �temoval '
Fuel Oil: gallons ❑ Underground ❑Cnside [)Outside !
�,P Gas: �gallons j
Othert i
GAS LINE ONLY E
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❑ Outdoor Grill ❑ Other/List Wh�t�Where: i
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07-16-'15 15:17 FROM- T-062 P0003/0004 F-266
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❑ 'Yes,this section applies
The repl&ctment of s Residential fixiUre or appliance that meCts�Il thrce of the following r�quitements:
1, Does not require modi�cation to electrical or gas service. '
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and '
3. Is improvtd,installed or replaced by tho homcowncr or liconsed conCr&Ctor.
Skip next section,if this applies; Cost of Permit � 15.00
Stafe Surcharge $ 5.00
Mail-In Foo(]f Applicablt) $ 2.00 '
'1'otal Permit�'ee $
� ��J�, �f ; �j.Q����p�p����. .�� �� y�-�1�i ➢YY�/{Yy 3tQjj)$.��;�1/x' i. � t}�.(� ����� � 1]�1� 'J�I1/�1i, 6��y,�,�.`.z;,:�7?.;�_��c.���;,
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If above docs not apply;follow guidtlints below� '
,
1. CONTRACT PKXC� * is 1.25%of contract price with a(Minimum Fee oi 550.00)
3,4$5.00 �'�:o.1�2s;,$;::;::=;,`'-�k:;;5.0,:QQ;;�:�»�;;:�'_�;�°::;', :
if�►S.�s�prac�c�,' . ;(mlit�xf�:S :J44.`. '
2, STAT�SY)R(:HARG�
3 4$5.0o X;oaos':�;:$� 1.74
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3. POSTAGE&HANDLTNG(pnly on Mail-In Applications) `$j �2�;00;>;��;���'�''�`!���;
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4. TOTAX.P�RM�T�IEIE Add T.ines l-3 Above `�:.'` ` •�.3:74'';:�i,;�;';: �``�`� '
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■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the
permitted work including rnatzrials,labor,profit,and olher fixed costs. It is the amount to be charged
to the customer for the work done. Cf any material,equipment, labor or installations arc furnished by ;
thc owner,tenant ar any other parry,the reasonable market value of such items must be addcd to thc ;
estimated cost or contracC price for permit fcc purposes. Cn the event that therz is a dispute on the
amount of the job cost,the Cicy may requesC thc submission of a signed copy of the actual contract. �
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The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to dp all '
work in strict accordance with the ordinances of the City and the regulations of the Stata af
Minnesota, and certiftes that all statements made on this application are complete, true and ',
correct, j
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Applicant's Signature: �Aates-%` 7/16/15 �
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J�� �3-�'
DATE TI E
CITY OF ORONO CALLED IN �
INSPECTION N � _��gg SCHEDULED �-� a _S D�
PERMIT NO. COMPLE'F.ED �
ADDRESS �9/O �
OWNER T EPHONE NO. �r g�`�--
CONTRACTOR �
� DESCRIPTION � �
tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEP INAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECAVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector: �i�--�
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White Copyllnspector's File Canary CopylSite Notice
• DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTICE SCHEDULED
PERMR NO. �df�-��� COMPLETED
ADDRESS /9!O `SI(pr��.co. ,d r -
OWNER TELEPHONE NO.
CONTRACTOR �i�'�S��i �Q4��� �- J1��2 '
.
� DESCRIPTION /� ` � �'�"4G
Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �AL ❑ WATER HOOK-UP ��OLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMfNERICO1dTRACfOR TO MEET Y�OIt_YES_NO
� COMMENTS: �/wc-� /��c9c✓ �4���e� /�_ Ct �
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Q ,ps �n�� �' a6�ts"• �,o7Ga e vt 4 •a 4 • �S—
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W ❑WORK SATISFACTOHY:PFiOCEED �ECT COMPLEfE
� O CORRECT WORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERINO PERMANENT
❑(�RRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPEC710N REf]UIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OMmerlCorttrector on site:
���«: �- /� �
wn�a c�n�►n��w�Fl�. Canary CopyISIN Notkx