HomeMy WebLinkAbout2017-01588 - mechanical * CITY OF ORONO 10111111 1111101111
2750 KELLEY PARKWAY * 2 0 17 - 01S884
DATE ISSUED: 12/04/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1020 TONKAWA RD
PIN 08-117-23-13-0014
LEGAL DESC REG.LAND SURVEY NO.0617
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE HEATING SYSTEMS
ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED
VALUATION $ 74,816.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
APPLICANT MECHANICAL 935.20
STATE SURCHARGE MECH(VALUATION) 37.41
HORIZON CONTRACTORS,INC. MAIL-IN FEE 0.00
8197 HORIZON DR
SHAKOPEE,MN 55379 TOTAL 972.61
(612)508-9226 Payment(s)
Minnesota State License#:BUIL-MB00319 CHECK 8836 972.61
OWNER
BURKE,FORREST
380 LEAF ST
LONG LAKE,MN 55356-
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 governing 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. iJ 4
The applicant is responsi fqr a*uring all required inspections are
requested in conform ,. 4t' 4iie State Building Code.This permit may be _.
revoked at anytime fpr'dqe Ause.
Applicant Permitee Iignature Date Issu By ignature Date
FOR CITY USE ONLY
City of Orono
i V P.O.Box 66 Date Received: Permit#E
0 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$.
Phone(952)249-4600 Fax(952)2494616
SNo4tiCITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Citv offices A,-N, ations will
be reviewed and a permit will be issued within two �� n�� n��„
2. Permit cards will be sent b return mail after a revie X (� �( ,iOT
VALID UNTIL YOU RECEIVE A PERMIT. WO
e�rTHE
OrPERMIT CARD IS POSTED ON THE JOB SITS
3 Mechanical Desiens Complete calculations,detail r each
beating,ventilation,humidification-dehumidificatio �n�f n (��u `� including
heat loss/heat gain calculation, design temperatures, J V a" 1 m as to
type,manufacturer and model. Data shall be presen yl
4. When any new construction or remodeling is involv be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and fmal). Call(952)249-4600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
Check All That Apply)
.Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
r New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: lmo
Owner: !2 3 v f u Mailing Address: `SQ M.
City: U(&'k u Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor:;Z�r�,,,�;��,�,� -,�� Contact Person:
Address: State Bond #:
City: S` _ Zip:X5371 Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
MBCHANIC11L SY$TL�M&Bk NCj WT'':1A.'
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �,No
HEATING SYSTEMS
Quantity: l I
Make: 'l (�-Ta.C-CoB`J 1%r�c.rc�
Model: �-� ! c qg(o1L`{)-OgJ
Fuel: '
Flue Size:
Input BTUs: FSL),fJo
Output BTUs: .7$COU T& U
CFM: Anuy 1�OU
COOLING SYSTEMS
Quantity: I /
Make: C «
Model: ����G
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
E. No. Kitchen Exhaust ✓ duct recirculating jU cfm
No. 9 Bath Exhaust(must have duct outside) 5�Q cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
Outdoor Grill Other/List What&Where: 3-�f�Re , .-0,A$ /�" rep(a�L
2 0 - GAJ 0-( 2 r
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%ofcontract price with a(Minimum Fee of$50.00)
?/9 1 G x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE / C
�( �J 1 C7 "— 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 or 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.
MEOHANICAL.I'ERM T;APPLI CATIA
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 certifies that all statepients;rlade on this application are complete,true and correct.
Applicant's Signature: Date:
3
�/"z
D DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE pp SCHEDULED
PERMIT NO..20/2_()lsn n COMPLETED
ADDRESS
OWNER TELEPHONE NO.�� "5���'�
CONTRACTOR
DESCRIPTION
U ❑ FOOTING [I DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE 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
Z OWNERICON'MCTOR TO MEET YOU:_YES_NO
h COMMENTS:
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� �KSATISFACTORY'PROCEED ❑PROJECT COMPLETE
ECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call fortex inspection2 in advance. (952) 249-4600
OwnerrIontra he:
Inspector.
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