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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. � `�� � / � � /6 � c� �� ��� � �, � � App " t P rmitee ' nature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �f ', — ' 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 !' �' , , ❑ 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. � � _�g _ TELEPHONE NO. � ., � 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: � W a J O � � � —L�r r T�S—� ��,.� I� —�� Q / c� � S�. � z W � W � � d 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