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HomeMy WebLinkAbout2015-00996 (mechanical) � , CITY OF ORONO * 2 0 1 5 - 0 0 9 9 6 * 2750 KELLEY PARKWAY DATE ISSUED: OS/04/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2490 CARMAN ST PIN : 20-117-23-12-0065 LEGAL DESC : LEHMAN LAGOON : LOT 2 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 26,812.00 NOTE: (1)BRYANT NATURAL GAS FURANCE (1)BRYANT A/C (1)KITCHEN EXHAUST (5)BATH EXHAUST GASLINE TO DRYER,FIREPLACE AND RANGE APPLICANT MECHANICAL 335.15 STATE SURCHARGE MECH(VALUATION) 13.41 HORIZON CONTRACTORS, INC. TOTAL 348.56 8197 HORIZON DR Payment(s) SHAKOPEE, MN 55379 CHECK 7417 348.56 (612)508-9226 Minnesota State License#: BUIL-003109 OWNER Lakeshore Holdings LLC 153 E LAKE ST WAYZATA, MN 55391- AGREEMENT 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 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 no[ commenced within 180 da of the date of issuance,or if construction is suspended for a period o 80 s at any time after work has commenced. The applicant is respo sylS f assurµ�g ail required inspections are requested in confo anc w'I}the State Building Code.This permit may be revoked at any ti ���oy�dudcause. .� . ,'. - � .��j � � � `C��.�� g l t' 11 � Applicant Permit Si ature Date Issued Signature Date �• , , FOR CITY USE ONL �`f' ' City of Orono � �-O�O P.O.Box 66 Date Received: � jU �-� Permit# ��'�S—�� 7 S 2750 Kelley Parkway ���� �� Crystal Bay,MN 55323 Approved By: �� Amount$: Phone(952)249-4600 Fax(952)249-4616 � � y � F � `�kESH���� 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, detaiis 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 Ap ly) �esidential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: ���qC� c�C�W.�.►-��-, Owner: In'�e.f c.�-1`'` Mailing Address: ���i M�-- City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �IG��i Z��:1 �ri►�l�-��Tr`� Contact Person: Address: �Sl�t1��2.�;�.�, � State Bond #: � � G� ���� City: S� ���-z Zip: �53���Expiration Date: ���S���-r Phone: ���'S��- ��� Alternate Phone: ���'Sv��1����� ❑ Insurance—Current: 1 .� 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: ,L�7� Q OCU Model: �jC�,�� Fuel: Flue Size: `� �� Input BTUs: ,����'jC7 Output BTUs: �7,W(� CFM: ���� COOLING SYSTEMS Quantity: � Make: C Model: ���/�N�4�y� Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENT�LATION No. Kitchen Exhaust /� duct recirculating ���� cfm � No. �� Bath Exhaust(must have duct outside) s�'S C�cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Musl be approved by Fire Ma�shall if proposing to abandon tank in place.) ❑ lnstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY [� Outdoor Grill ❑ Other/List What&Where: �-�,�y t�t, �'����C- �;�'�� 2 PERMIT 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 or 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 1.25%of contract price with a(Minimum Fee of$50.00) �, �'la� �-� X .oi2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE �� � �c� ' �� x.0005 $ contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE Add Lines 1-3 Above $ �v �� � � ) ■ * 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 wark 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 ord�in,�nces of the City and the regulations of the State of Minnesota, and certifies that all st�,t`er�yle s made on this application are complete, true and correct. ' ' G Applicant's Signature: !� Date: 3 _ � - � � �� , � ^ DA TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDUlEO l.S ���- PERMIT NO. � '-��o OMPLETED ADDRESS � � � OWNER TELEPHONE NO���'S��-/ 2 2� CONTRACTOR 1 ' �: DESCRIPTION � � � tL ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL� � 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 � COMMENTS: GQs 1 ,•�c.s � y��s ��llr� ' nZ4S� (� a �Jo�ca0� r4 Ks� , /n�•w� , a- l��P ��ye✓, �1��•�s� � /�' '—'�—T—�— J �C.►fi�'r ` � ►' �GS'L � Itl�G�'K S O � � � � � 4iD D�r t� , /�G�iGc/� � � W I ` � � r-�n4 < /tpop f/G.c� '� c�t�i�a_ Q � 2 , W �� P��v�h� �e�w�.�� c•��,� — � � GW �lARKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERfNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f inspection 24 hours in advance. (g52) 249-46�0 Ow ontrac sit • �� �K � Inspector. �--- White Copyllnspector's File Canary CopylSfte Notice � � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /� SCHEDULED w _f'� PERMIT NO. �—n�r'✓' ��y—l�COMPLEfED ADDRESS �� C/r� C c��i'Y�-�'1 �� . OWNER TELEPHONE NO. �O�«�2� CONTRACTOR ��� h d�� V � J � DESCRIPTION � ,���—,��/�� tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �.p�CHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE S IC INSTALL 2 OWNEAICONTfiACTOR TO MEET YOU, YES_NO y COMMENTS: � a �s /•r� /��'o - o � �f Q� �S �/��t.e , �.���� �s I,�.� �s � ��r� � ° �� �D.S� �rta�S� �o�-Q- Cb�I��• ce JL - Q � ,it',�ch..� /�oc�- U� - �1�v-�- a -�(� , 2 C'o.H�j cst,c,� 4�� — dK � �' l,Ja r 1G 4���.-s Ca�+-tlJ�t�� '�- � rK ��i -Y i�+.!�/L'� J W ❑WORK SATISFACTORY:PROCEED �PR�ECT COMPLETE � ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECQA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 urs in advance. (952) 249-4600 OwnerlContractor on site: Inspector: �1�^-- �— White Copyllnspector's Ffle Gnary CopylSlte Notiee