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.
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Applicant Permit Si ature Date Issued Signature Date
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, , 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
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`�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 �� �
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■ * 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. '
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Applicant's Signature: !� Date:
3
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� ^ 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 � �
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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
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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
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Inspector. �---
White Copyllnspector's File Canary CopylSfte Notice
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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 �
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� 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:
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W ❑WORK SATISFACTORY:PROCEED �PR�ECT COMPLETE
� ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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� ❑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