HomeMy WebLinkAbout2008-P00223 - mechanical �� �- . 1
CITY OF ORONO PERMIT NO.: 2oos-oo223
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 09/16/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 3534 IVY PL
PIN : 20-117-23-42-0019
LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 22,789.00
NOTE: 2-HEATING SYSTEMS
2-COOLING SYSTEMS
1-KITCHEN EXHAUST&6 BATH EXHAUSTS
APPLICANT �CHANICAL 284.86
HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH(VALUATION) 1139
8197 HORIZON DR TOTAL 296.25
SHAKOPEE,MN 55379
(612)508-9226
OWNER '
CAPRA,TED&NANCY
3534IVY PL
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 d s o date of issuance,or if construction is
suspended for a perio f s at any time after work has commenced.
The applicant is res e assuring all required inspections aze
requested in conf e ' 'dirrg Code.This permit may be
revoked at any cause. � `�� � /
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App " t P rmitee ' nature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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' F(1R-��'Y II�SF OFiLY
' O���O City of Orono ` '
P.O.Box 66 DaYe Receaued: < Permit#
2750 Kelley Parkway ��� � �
� , �.: � Crystal Bay,MN 55323 Approved By:. . Atnount$'
��$y� (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
G�NER�.I:,INFOgMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will �
be reviewed and a pernut will be issued within two working days.
2. Permit cards will be sent by returu 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 Desiens—Complete calculations, details and specificarions aze required for each
heating,ventilation,humidification-dehumidification,and air conditioning installarion including
heat loss/heat gain calculation, design temperatures,equipment ratings and idenrification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new conshuction 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.
' 'j - TYPE OF PEIt�1%IiT = ,
(Clieck A11�T�iat� 1 - �'.`
�`Residential ❑ Commercial(Approval Required)
�New ❑Additional ❑Repairs ❑Replace
Jo� Si�e;��vvner inforrriatiori:
Site Address: ,35.3 �� Svy P(a �
Owner: i� Ctx��cc Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contracto`r Inforrnation:
Contractor: /-�D��zor> >y�.�(r Qorg,��Contact Person: i� S r�
Address: �(R7 H���z"or� �f State Bond#: � R L = S6 /� 7�
City: S�,�c_ Zip:,�5"�7q, Expiration Date: g I��l I 0 R
Phone: �/�—sc� -9 a� Alternate Phone:
❑ Insurance—Current:
1
� • � * �
HEATING SYSTEMS
Quantity: � �
Make: t ��.�q�r0 �(� ,�alf e
Mode1: �l�7TG �{8►oo FCz 7��-3660�
Fuel: /V� �
Flue Size: .3 "S_.�e,�eeX "� 1 -
Input BTUs: /�,°� 60j U�O
ou�ut BTus: 93,o0o Ss,c�o
CFM: ��� �O�
COOLING SYSTEMS
Quanrity: �� �
Make: f(�q��a ,r9
Model: �J$A a N� FS 5►g�O 8,�-(
Tons: � a
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
� No. �_ Kitchen Exhaust � duct recirculating S��cfin
�. No. �_ Bath Exhaust(must have duct outside) 8U cfm
❑ No. Other Fans: Locarions cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
�GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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❑ Yes,this secrion applies
The replacement of a Residenrial fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical or gas service.
2. Has a total cost of$500.00 or less;excludin¢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 Pernut $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
If above does not apply; follqw guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00)
o�o�7g'� `�— x.0125$
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
� x.0005 $
(contract price) (minimum$ .50)
3. POSTAGE&.HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTR.ACT PRICE or JOB COST means the actual or esrimated 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 installarions 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 pernut 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 contxact.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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 s ents made on this application are complete, true and
correct.
;' _
Applicant's Signature: Date: `I��6��
3
� � � C� AT TIME V
CITY OF ORONO CALLED IN � �� �
INSPECTION NOTICE SCHEDULED /
PERMIT NO.�(��� COMPLETED
ADDRESS � V
OWNER CONTR.
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TELEPHONE NO. �
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� DESCRIPTION_ ���,fi
� ❑ FOOTING —T— ❑ MECHANICAL RI
❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W �/
� ►y�CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
� � �EFORECOVERING PERMANENT
O CORRECTUNSAFECONDITIONWiTHIN HOUfiS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALLTOARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. _ � _ '
White Copyllnspector's File Canary Copy/Site Notice