HomeMy WebLinkAbout2017-00065 - mechanical �
. , CITY OF ORONO * 2 0 1 7 - 0 0 0 6 5 *
2750 KELLEY PARKWAY DATE ISSUED: OU23/2017
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
VALUATION : $ 8,206.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
CHANGED ORIGINAL SYSTEM FOR NEW SIZING.
(1)BRYANT NATURAL GAS HEATING SYSTEM AND(1)BRYANT A/C(4 TONS)
APPLICANT MECHANICAL 102.58
STATE SURCHARGE MECH(VALUATION) 4.10
HORIZON CONTRACTORS,INC. TOTAL 106.68
8197 HORIZON DR Payment(s)
SHAKOPEE,MN 55379 CHECK 8310 106.68
(612)50&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
pertnits. All provisions of laws and ordinances governing 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 the date of issuance,or if construction is
suspended for a period of I80 days at any time after work has commenced.
The applicant is responsibl o as ring all required inspections are
requested in conformanc State Building Code.This permit may be
revoked at any time fo ,�a e. �
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Applicant e ee Si ture Date Issued By ature Date
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� r FOR CITY USE ONLY
, �O A TO City of Orono
<V P.O.Box 66 Date Received; Pcnnit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fa�c(952)249-4616
y�q �.G�� CITY OF ORONO-MECHANICAL PERMIT
'�ES H�� (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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 retum 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 fmal.
TYPE OF PERMIT
Check All That A 1
'�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
f
❑ New �,Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: I�O S I(�m1 Q I �r�Q_ D ('
Owner: ���c�� Mailing Address: �id 5�,.;�(�„-� ��-.
City: ���,•�� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �-{ct'�L�� (.��c{�is7x�Contact Person: �"1 S �
Address: �q Z 1-�i�i Z���� State Bond#: r g C��31 t�q,
City: �-`��1�,�--a'�— Zip:,�7� Expiration Date: g�I SI�R
Phone: �/d��s�S-`ld��. Alternate Phone: 6�a'Sog-qdy���,
❑ Insurance-Current:
1
1
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? �Yes ❑No (l ���
HEATING SYSTEMS �, L�.� ��'`����,1 -`�t Z�r�
Quantiry: �
Make: P
Model: �j��r,�(�66c`�v
Fuel: �o�,
Flue Size: 3 i�
Input BTUs: �j 4O0
Output BTLTs: �g r�(7
CFM: J.7��S 3
COOLING SYSTEMS
Quantity: I
Make: ('
Model: t�z. O��X�C
Tons: 'y
H.Power
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ 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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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�d��� x.0125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
�CJ�, (7�} 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 estnnated 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 City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with th inances of the City and the regulations of the State of
. , �
Minnesota,and certifies that all s '�nts made on this application are complete,true and correct.
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Applicant's Signature: Date: 0�.7
3
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DATE TIME
CITY OF ORbNO CAL D IN ��,
INSPECTION NOTICE HEDULED �../',.�-�i.�/'�__�C�.
PERMR NO. � COMPIEfED � ( 6
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ADDRESS ''
OWNER TELEPHONE N . � f � ����i�
CONTRACTOR f.�2 �z c�n �c�-
'' DESCRIPTION I � c--y' ��
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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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ IC INSTALL
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���WORK SATISFACTORY:PROCEED O y` � O PROJECT COMPLETE
❑CARRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor site:
Inspector: �
YVhiM CopYAnspecM�'s File Gnsry CopY1SIM Notice
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DATE TIME
CfTY OF ORONO cnLLED IN �_=T� � �
INSPECTION NOTICE SCHEDULED
PERMR NO.�l f� �"�� COMPLETED
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ADDRESS
OWNER TELEPHONE NO. �� ' `��"�1
CONTRACTOR ���
� DESCRIPTION !
4� ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ EPTIC INSTALL
? OWNENCONTRACTOR TO MEET Y�OU: YES_NO
� COMMENTS:
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE COND1710N WRHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector: r��'�' G�
White Copyllnspectors Fil� Canary CopyISIN Notfes