HomeMy WebLinkAbout2016-00750 - mechanical I
� ` CITY OF ORONO
* 20 16 - 0PJ750 *
2750 KELLEY PARKWAY DATE ISSUED: 06/28/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2811 FARVIEW LA
PIN : 04-117-23-34-0003
LEGAL DESC : FARVIEW
: LOT 012 BLOCK OOl
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 6,480.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)KITCHEN EXHAUST-600 CFM-REPLACE EXISTING
(1)BATH EXHAUST-80 CFM
GASLINE TO RANGE AND 2 FIRGPALCES
APPLICANT MECHANICAL 81.00
STATE SURCHARGE MECH(VALUATION) 3.24
HORIZON CONTRACTORS, INC. TOTAL 84.24
8197 HOR[ZON DR
SHAKOPEE,MN 55379 Payment(s)
(612)508-9226 CHECK 7958 84.24
Minnesota State License#: BUIL-003109
OWNER
DANIELSON, SCOTT
2811 FARVIEW LA
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 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 day�f the date of issuance,or if construction is
suspended for a perigd o�0 days at any time after work has commenced.
The applicant is resp�s' le for assuring all required inspections are
requested in conforpiaqCe with the State Building Code.This permit may be
revoked at any tirrje fot due cause. ,
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Applicant Per 'ee Signature Date sue y Signature Date
�� - � FOR CITY USE ONLY
' �O�O City of Orono
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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t�kfSHO��G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
1. 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 NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE
3. Mechanical Desi ns—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: �g j � f�: !� v � � �,,�,
Owner: �c�✓����Sa,� Mailing Address: ��(� �t�' d�ec,�(e,�
City: �J,��,��_ Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��f'.�z��,�-�T�ontact Person: (�'1 ��vl S�tHc;
Address: �'l`l�1 4-�Y'�t� �.� State Bond #: ����v cL
City: �ci�ca��c. Zip: S�S37�j Expiration Date: �I( 5 I ( �c,
Phone: �la'S?�3 �f a� Alternate Phone: ,.��(�-��-'J�9;�,
❑ Insurance—Current:
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MECHANICAL SYSTEMS BEING 1NSTALLED
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Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
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
_(__ Bath Exhaust(must have duct outside) recirculating ��� ('p��� {�,�,r�;.�
❑ No. Other Fans: Locations � ��
cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) I
❑ lnstallation ❑ Removal i
Fuel Oil: �
LP Gas: gallons ❑ Underground ❑ Inside ❑Outside
gallons �
Other:
GAS LINE ONLY
❑ Outdoor Grill �] Other/List What& Where: - �
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PERMIT FEE CALCULATIQNS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
G,/ �U � x .0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
� �l�� 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to th ' for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ces of the City and the regulations of the State of
Minnesota, and certifies that all st ' made on this application are complete,true and correct.
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Applicant's Signature: Date: �
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✓ DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED __��(�J ��'1't
PERMiT NO. 9��Ir-CC��JC COMPLETED
ADDRESS Z--�� I I �✓�(/� ��e� C ,/�
OWNER TELEPHONE NO. �P C2 �j(���7/,�
CONTRACTOR ���-��'/ Z� e� �
� DESCRIPTION r � t-�� Cy� /�–1-f— `� �f"
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 S PTIC INSTALL
2 OWNER/CONTFiACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:
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W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING 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 forthe next inspection 24 hours in advance. (952� 2 9-46��
OwnerlContractor on site:
Inspector:
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White Copyilnspector's Ffle �� Canary CopylSite Notice
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CITY OF ORONO �CALLED IN �0 '� j��
INSPECTION N fI � CHEDULED /O / p—/��/�v
PERMIT NO. vl�� ��� LEfED •
ADDRESS ��� v �
OWNER TEL HONE O. �� �� Z�
CONTRACTOR �������
� DESCRIPTION � ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-S ❑ PTIC INSTALL
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2 OWN ONTRACTOR TO ET YOU: ES_NO . .
� COMMENTS: .c��c,S ��l�t Pi ���6��� �S �al�n;
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE
w ❑CORRECT WORK 3 PROCEED ❑ I E CERTIFlCATE 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.CAIL TO ARRANGE ACCESS.
Cail for the next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspecto�..� /h�-- ��
Whits Copyllnspector's Ffle Canary CopylSite Notice