HomeMy WebLinkAbout2016-00277 (mechanical) ' CITY OF ORONO * z 0 1 6 — 0 0 z � � *
2750 KELLEY PARKWAY DATE ISSUED: 03/23/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3185 CASCO CIR
PIN : 20-117-23-43-0057
LEGAL DESC : SPRING PARK
: LOT MB BLOCK MB
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 37,614.00
NOTE: 2 HEATING SYSTEMS(BRYANT),2 COOLING SYSTEMS(BYRANT)
VENTILATION: 1 KITCHEN EXHAUST,9 BATH EXHAUSTS
GAS LINES: 1 FIEtEPLACE,DRYER,RANGE&FIREPIT
APPLICANT MECHANICAL 470.18
STATE SURCHARGE MECH(VALUATION) 18.81
HORIZON CONTRACTORS,INC. TOTAL 488.99
8197 HORIZON DR
SHAKOPEE,MN 55379 Payment(s)
CHECK 7788 488.99
(612)508-9226
Minnesota State License#: BUIL-003109
OWNER
YAFFE, HARRY&BELLE
2300 ARCHERS LA
MINNETONKA, MN 55305-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
[he 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 rype 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 atter work has commenced.
The applicant is re for assuring all required inspections are
requested in co a with the State Building Code.This permit may be
revoked at an f 'd(ie cause.
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A i i e Signature Date Issued By Signature Date
. / FOR CITY USE ONLY �/��
�O� rO City of Orono �1� ) ("�(/� r � l r
• •y P.O. [3ox 66 Date Received: N'$tmit# __��'�L/t V/
� 2750 Kelley Parkway ��7� ��
` Crystal Bay,MN 55323 Approved I3y: mount$: � � �
Phone(952)249-4600 Fax(952)249-4616
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!qk�st{����' CITY OF ORONO—MECHANICAL PERMIT
� (All Commercial pem�its must be approved by the Building Official or[nspector 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 RECEIVE A PERMIT. WORK MUST IYOT 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 ly)
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: , ��S C.,� �/, �
Owner: ��e� Mailing Address:
City: Zip: ��
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �r�zvr.CeYr-�'l��S;�`� Contact Person: rl����c►'�.
Address: ���1'� ��(�z� �� State Bond#:
City: Zip:�'�( Expiration Date:
Phone: CJ���� - q�:�� Alternate Phone: �,�`.��5' ��c.b
❑ 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 ri �� �
Model: �T g�Q�D� � �'� +� ���8 ���C�� �0�7 f�c��
Fuel: v"��
�� �, � �
Flue Size:
Input BTUs: �Q/�U CJ���
Output BTUs: � � ���Q�
CFM: IL�l �� g
COOLING SYSTEMS
Quantity: � ,
Make: __��.
Moae�: /�71��U�v3C-� �o�7�/Ui�C?��
Tons: � /
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
��` No. � Kitchen Exhaust � duct recirculating c��U cfin
� No. �f Bath Exhaust(must have duct outside) �U cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in p/ace.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What& Where: ������G�.�Q,,���,��p���(�q•
2 �i fe Pi-`'
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
���/y �— X .oi�s �
(contract price) (minimum$50.00)
2. STATE SURCHARGE 3?6�,� � 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 far 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 per►nit 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 � issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the � of the City and the regulations of the State of
Minnesota, and certifies that all stat ade on this application are complete,true and correct.
/
Applicant's Signature: Date: �j�.3/��v
3
DATE TIME `�
CITY OF ORONO CALLED IN
INSPECTION NO,ZICE `n�J 7 SCHEDULED " - �
PERMIT NO. c��`�(1 �lV`� COMPLEfE
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ADDRESS �� ��� a� Cj O C��- :
OWNER T TELEPHONE NO. ��`'� �O "� %
CONTRACTOR D % rv
� DESCRIPTiON /G/ l.� �� '�' /�%�,�
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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
2 OYVNERICONTRACTOR TO MEET YOU:_YES_NO `
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� ❑CORRECT WORK,CALL FOR REINSP IQN Ov( TEMPORARY
� BEFORECOWERING S/� PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site,�
Inspector. C� /h�-� ��''
White Copyllnspector's Ffle Canary CopylSite Notice
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_[�A�, / TIME
CITY OF ORONO CALLED IN L�
INSPECTION NOTICE SCHEDULED �S �3-1(o .'_��J
PERMIT NO.`��� a'� COMPLETED `
ADDRESS ��v�
OWNER TEL HONE NO. �d�� �
CONTRACTOR
� DESCRIPTION �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor an site:
Inspector.
White Copyllnspector's File Canary CopylSfte Notice
���
DATE TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTI E CHEDULED
PERMIT NO. —���OMPLETED
ADDRESS 3(b'S C�-�ca �-t/
OWNER �_TELEPHONE NO. ���' �' �
CONTRACTOR r���
� DESCRIPTION C�Cto l �,� V-�-� �
ly ❑ 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 ❑ 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 OWNERfCONTHACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
EFORE COVERING PERMANENT
�CO ECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. 9-Q6��
OwnerlContractor on site:
Inspector. � `�'�
White Copyllnspector's File Canary CopylSite Notice
DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. —��7 COMPLETED � �3-l��
ADDRESS 3��5� i� �c_b 4�'1�G
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION 2`s•�P�C 9�S ���� 4'� �e��
4� ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector.���
White Copyilnspector's File Canary CopyfSite Notice
� � ! � ✓
DATE TIME
CITY OF ORONO LLED IN =_���� ��yt�
INSPECTION NOTICE SCHEDULED
PERMfT NO. ����� COMPLETED
ADDRESS � �`,. �Z "
OWNER TELEPH '�o. � '��'����� �
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CONTRACTOR _
'' DESCRIPTION ��� �� l� ���- �
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINC,
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEP IC INSTALL
2 01NNERICOlITRACTOR TO MEET YiOU: � ES_NO
� COMMEN'T'S:
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� ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE COVERINf3 PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN IiOURS• ❑pHpTO TAKEN
INSPECTOR WILL RETURN
�GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 tor the next inspection 24 hours in advanoe. (952) 249-4600
OwneriCattra ,�it .
Inspector:
White CopyMspectors F Canary CopyISIM Notie�