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HomeMy WebLinkAbout2016-01144-VOIDED , , CITY OF ORONO * 2 0 1 6 - 0 1 1 4 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 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 VALUATION : $ 63,503.00 � NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. NEW:3 HEATING SYSTEMS,3 COOLINGS SYSTEMS, VENTILATION: 1 KITCHEN EXHAUST,8 BATH EXHAUSTS, 1 KITCHENETTE GAS LINES:GENERATOR,4 DRYER,4 FIREPLACE �� APPLICANT MECHANICAL 793.79 STATE SURCHARGE MECH(VALUATION) 31.75 HORIZON CONTRACTORS,INC. TOTAL 825.54 8197 HORIZON DR Payment(s) SHAKOPEE,MN 55379 CHECK 8088 825.54 (612)508-9226 Minnesota State License#:BUIL-003109 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 pertnit 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 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 80 days at any time after work has commenced. The applicant is res or assuring all required inspections are requested in con ith the State Building Code.This permit may be J , _ revoked at any r ue ca . �J �c� ���a� �' �� l �/9 / �` � � c� Applicant Pe 'ee Signature Date Issued By Signature Date t FOR CITY USE ONLY �'' � .. ,�O A T City of Orono �� „ ��� (' �J,i� � i VO P.O.Box 66 Date Received: � Pernut# �� .�� ; 2750 Kelley Pukway �' I Crystal Bay,MN 55323 Approved By: � Amount,�;__�� 7 Phone(952)249-4600 Fax(952)249-4616 y�tq ��'� CITY OF ORONO— xFSHo� MECHANICAL PERMIT (All Commercial perrt►its 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 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 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 sepazate 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. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: 0 AVB ❑PVB] [�New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: /$�C� S�.00e.� c�o tJf-- Owner: �� Mailing Address: ��p , ��Q,.��,,�;�„f-, CitY� �� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: /�{Dc'�z� �� ���,��Contact Person: �'1�kp s-�et,•ic� Address: �'IR''1 /�-x�Zo,n Q � State Bond#: /'�� 003lo� City: Zip:�3'��f Expiration Date: ��/5��� � Phone: ��-SL��- 9a�� Alternate Phone: 6�0?'.`-X`��-�aa� I � ❑ Insurance-Current: 1 f . . � .. � .: t � Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? �yes [�No HEATING SYSTEMS �q,��R ��� �_ Quantity: � Make: � &(',,,�_ __� �, �—r�1 Model: ��T G�� � � O �'�bTg�i��6 Fuel: ��� a Flue Size: '� � �� '1 �� o� Input BTi7s: (Q�l(y� (� �� _ �D Output BTUs: ,S�C:�(� �� sg,�� CFM: I[3 ��C,Q Ova COOLING SYSTEMS Quantity: � / � Make: �/U Q,� B � -.�.�. -�y. � ModeL L��I qN/�o !o /�7 AN1.kJ3 /�7/��t//�o�c/ Tons: � �? � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION '� No. � Kitchen Exhaust � duct � No. recirculating �Q� �� Bath Exhaust(must have duct outside) ��� No. / OtherFans: Locations�L, �C',�eA�.� �3�y0 �� i FUEL STORAGE (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:�� y� L�_ ,�f��� f•a.�, 2 �r , � �� 1 . . ,.. .�. . ...� .,., . , - , n �ry,a 1. CONTRACT PRICE * is i.25%of contract price with a(Minimum Fee of$50.00) G'3sv3. �a X.o�25$ r7�`.3 - �� (contract price) (minimum 550.0(1) 2. STATE SURCHARGE ��5�3 '�v x.0005 $ �� ` 7 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ , p 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � p�� ' � • * 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 City issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ord' of the City and the regulations of the State of Minnesota,and certifies that all statem �t1►is application are complete,true and correct. Applicant's Signature: Date: � i I 3 � � <�' ' ATE TIME CITY OF ORONO cnLLED IN IN�ECTION N TICE SCHEDULED `7 � PERMR NO. - �COMPLETED ADDRESS_���U �L�O YZ� l !/'VZ �l �NNER TELEPHON NO. �la -�►�-� CONTRACTOR I 2d� � DESCRIPTION ���� � ���� / ' `� ��� 41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI . ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ �TIC INSTALL Z OWN�ITRACTOR TO MEET Y�tl:�YES_NO �-r � COMMENTS: � .� �� o�`� 0 4nd �� n,�-�,,� o �?��j lG�o J���4 �, a ' 0 W � Q � W W � � � �NIORK SATISFACTORY`.PROCEED �PROJECT COMPLETE CORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT YI�RK,CALL FOR REINSPECTION TEMPORARY V BEFORECa1/ERIN(3 PERMANENT ❑CORRECTUNSAFEOONDITIONWfTHIN HOURS. p p�.�pTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (g52) 249-4600 OwnerlContraator on site: Inspector. ��-�;�. �-. wn�ee copyn��eceors Fi�. Can�ry CoP1��Notkx