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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. � !' , r �31�� , Applicant e ee Si ture Date Issued By ature Date � � � 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 ' . , � � 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 � . .- . ��� `�` 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. I r Applicant's Signature: Date: 0�.7 3 �� ��. DATE TIME CITY OF ORbNO CAL D IN ��, INSPECTION NOTICE HEDULED �../',.�-�i.�/'�__�C�. PERMR NO. � COMPIEfED � ( 6 1,�=�`� c�I��r � f.Z�����- ADDRESS '' OWNER TELEPHONE N . � f � ����i� CONTRACTOR f.�2 �z c�n �c�- '' DESCRIPTION I � c--y' �� W ❑ 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 _ J ❑ DEMO-SITE ❑ IC INSTALL ? OWNERICONfTRACTOR TO MEET Y'OU: YE3_NO � COMMENTS: � C��s�. — 3 .s��� �a��.� c�� 0 � ,� St�so�c - ��iG� G�b�� 4.�.��Q-- '' - Sk����� -t re���s � b� �r����D, � ° - b(G G�'n1 r4K J c !� ��.Q�P - W , � �. �C t�fi /�'l�' VGrlf//rlS -Q� .Q� ✓�'d �S � Q , . � '' yI'I�P�c - 4-D �l�� /1 N!� �,�j�? ��G�- 2 - � � I�ec� . �n.�r�r�u.�' t � 5��� �� rle� � C'�ri'!G 5 �.� �lX.t 5� L���� ��a� �_ W` �j �r�c�� — ���WORK SATISFACTORY:PROCEED O y` � O PROJECT COMPLETE ❑CARRECT WORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 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 �'� `,� DATE TIME CfTY OF ORONO cnLLED IN �_=T� � � INSPECTION NOTICE SCHEDULED PERMR NO.�l f� �"�� COMPLETED � 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: � /�"inG?�f � �'i�A�'i n ii� cs�l �iPi A6�'/lii7 .o ��eJ�' Ol�� � � 0 W QC Q � W W � , . W �WORK SATISFACTORY:PROCEED PROJECT COMPLETE W a OORRECT WORK�PROCEED ISSUE CERTIFICATE OF OCf�JPANCY � ❑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