HomeMy WebLinkAbout2016-01208 - mechanical � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 2 0 8 *
DATE ISSUED: 09/30/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 1830 SHORELINE DR
PIN : 10-117-23-42-0002
LEGAL DESC : AUDITOR'S SUBD.NO.356
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATIOIV : $ 105,154.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GEOTHERMAL HEATING
(3)BRYANT HEATING SYSTEMS
(3)BRYANT COOLING SYSTEMS
(1)KITCHEN EXHAUST- 1,000 CFM
(8)BATH EXHAUST-80 CFM
(1)LL KITCHENETTE FAN-300 CFM
GASLINE FOR OUTDOOR GRILL,GENERATOR,4 DRYERS,AND 4 FIREPLACES
APPLICANT MECHANICAL 541.47
STATE SURCHARGE MECH(VALUATION) 0.00
HORIZON CONTRACTORS,INC. TOTAL 541.47
8197 HORIZON DR Payment(s)
SHAKOPEE,MN 55379 CHECK 8110 541.47
(612)508-9226
Minnesota State License#:BUIL-MB00319
OWNER
TUFAA&NEDIYO SADO,TASHITTA
1224 CEDAR POINTE DR N
MINNETONKA,MN 55305-
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 dces
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 days of e date of issuance,or if construction is
suspended for a period of I8 at any time after work has commenced.
The applicant is responsib o suring all required inspections are
requested in conforman i e S�te Building Code.This permit may be
revoked at any time fo s .`
"'.� � � � � lh
Applicant e . ignature Date ssued y Signature Date
' ��� FOR CITY USE ONLY
�'' � ,�O A T City of Orono �f��, ��h Q
i yO P.O.Box 66 Date Receiv` Petmit# ��U
2750 Kelley Parkway � '� �
Crystai Bay,MN 55323 Approved By ount
Phone(952)249-4600 Fax(952)249-4616
y��q ��.�'� CITY OF ORONO-MECHANI
kFSHo CAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire MarshalQ
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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 Desiens—Complete calculations,details and specifications aze required for each ��1�
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 fmal.
TYPE OF PERMIT
Check All That A 1
,�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
[�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �.3 U S�r����`�r .
Owner: �vFccc.� . Mailing Address: /�3� S�e��,;�R, �-
City: (��Dv�v Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �t`�� �,,-�-��t �h,r-s,.�.r.� Contact Person: � S-�
Address: g'1a'`l�-;Z�,,� ��- State Bond#: I'�'!/,� Oa 31 v�j
City: � Zip:SS3� Expiration Date: S�11�!��
Phone: ��(a's0�e1 Alternate Phone: �j���'.���` - �� '
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i
❑ Insurance-Current:
1
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Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? [�,yes ❑No
HEATING SYSTEMS ��-�c,�c �O�.�•
�Iq��.
Quantity: �"' I -� — � — (
Make: -I��iT���o��,� �► Q
Model: � 9g67B�lgo8o qg6TB�1�n
Fuel: a �rc.X /���iJC.
Flue Size: a'� � �' a ��
—�--
InputBTUs: �'Q��_ �(�r �p G�� �b
Output BTLJs: g�Q � �� Sg � Q
,
CFM: g ��d� g�
COOLING SYSTEMS
Quantity: _ � _ � /
Make: �(� (�n- �� o(n -�
Model: ' 6�C�SXXCO G�S d 3�S/� (�'.ZS��ySk X C,11
Tons: 3 �? �^
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
� No. _� Kitchen Exhaust x duct
� No. Bath Exhaust(must have duct outside) recirculating Q?Cj ��
� No. � pther Fans: Locations Ll- ����
_ IC i'�c�.t e-�"�P ,3ca� cfm
FUELSTORAGE �
(Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
FuelOil: gallons
LP Gas: ❑ Underground ❑Inside ❑Outside
gallons
Other:
GAS LINE ONLY
.� Outdoor Grill � Other/List What&Where:���� �-��� ���P�a.C.Q�,
2
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�Q��s��C� x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
/dS�Sy. �o X.000s $
(conUact 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.
The undersigned hereby applies to the Ci for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ces of the--Gity and the regulations of the State of
Minnesota,and certifies that all st e on this application aze complete,Uue and correct.
Applicant's Signature: Date: 9 �3
i
3
`� /� DAy�, TIME
CfTY OF ORONO cnLLED IN —`� �
INSPECTION NO�IC,cE� bl��,scHEDULED / - �..' 3-0
PERMR NO. ��J �SCOMPLETED
ADDRESS �%�'�����
OVYNER TE ONE NO. � ' �r�
CONTRACTOR
'' DESCRIPTION ��'� " / ^ � � .
4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNERICOKTRACTOR TO MEET Y�U:_YES_NO
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W � K SATISFACTORY:PROCEED ❑PROJECT COMPLETE �
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W
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V BEFOREt�VERINO PERMANENT
❑CORRECTUNSAFECONDITIONWffHIN HOURS. p p�pTOTAKEN
INSPECTOR WILI RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
CsN for the next inspectfon 24 hours in advanoe. (952) 249-4600
OwnedContractor on site-
Inspecta: ��""
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� �� DATE TIME
� �
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INSPECTION NOTICE SCHEDULED _���� �—�t�'!
PERMIT NO. �-�--������� COMPLETED
ADDRESS � ��(� �I�lOV1� � ,� f!!O ��.
OWNER TELEP ONE NO.I�'l2�`��-���6
CONTRACTOR I(�/'�1�� 6�
� DESCRIPTION ���"� � /�c�rt ��l-�l
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ S TIC INSTALL
Z O'WNEHI�AlRRACTOR TO M�;l�ES_NO
� COMMENTS: ` S'-�,`/l n����`o T� ,�a�l r�'a.�. �n���
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W O WORK SATISFACTORIf:PFiOCEED ❑PROJECT COMPLETE
��CORRECT VIfORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdUERINO PERMANENT
❑C�RRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caq for the next inspectbn 24 hours in advanoe. (952) 249-4600
OwneHCor�tractor on site:
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