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HomeMy WebLinkAbout2013-00221 - mechanical . ' CITY OF ORONO * z 0 1 3 - 0 0 z z 1 * 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2789 PHEASANT RD PIN : 21-117-23-32-0005 LEGAL DESC : REG. LAND SURVEY NO. 0310 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 89,165.00 NOTE: (2)BRYANT HEATING SYSTEMS,(1)BRYANT GEOTHERMAL SYSTEM,(1)KITCHEN EXHAUST,(7)BATH EXHAUST, GASLINE TO OUTDDOR GRILL,GENERATOR,RANGE,2-DRYERS,AND 5-FIREPLACES APPLICANT MECHANICAL 1,114.56 HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH(VALUATION) 44.58 8197 HORIZON DR SHAKOPEE,MN 55379 TOTAL 1,159.14 (612)508-9226 OWNER TEYNOR,GAIL&JOSEPH 13225 CARDINAL CREEK RD EDEN PRAIRIE,MN 55346- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,a}�plicable City 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pertnit will expire and become null � if construction authorized is not commenced within 180 the date of issuance,or if construction is suspended for a perio�Y O�tlay�.at any time after work has commenced. The applicant is resp�ifi f assuring all required inspections aze requested in conf � ith the State Building Code.This permit may be revoked at an ' e r e cause. / / � ��� Applic�tit Permitee Signature Date Issu By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED ABOVE. FOR CI Y USE ONLY " - ' City of Orono t//—�.,� 3 ��/ �l �-O�O P.O.Box 66 Date Receivael.5 Permit#_�4/.3'D 2750 Kelley Parkway D ,r� / Crystal Bay,MN 55323 Approved By: p� -v'/Amount$:1� ,/ Phone(952)249-4600 Fax(952)249-4616 �� � �, ; �'_ _- F��KESHo��� C I T Y O F O R O N O —M E C H A N I C A L P E R M I T (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) � 13 GENERAL INFORMATION i. 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 Desi�ns—Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air condirioning 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 final. TYPE OF PERMIT (Check All That A ly) �esidential ❑ Commercial(Approval Required) �ew ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: �� � � ��Sc^.,,,�, F�- Owner: �T�,nv.r f����:�,LLL Mailing Address: '7�'J� ���r�ck • City: �-�;5 �.�� Zip: �'S`�/�G Home Phone: �5�`�E%�-S�`�U Alternate Phone: Contractar Information: Contractor: /-��2e� �a�-K��7,�ontact Person: � � ��L��_ Address: �`I 1 I-bt�ic r� �r' State Bond #: City: Sh�f Zip:� Expiration Date: Phone: f/�"�-'�"9��� Alternate Phone: �/,�'S��- cl��i'� ❑ Insurance—Current: 1 \ MECHANICAL SYSTEMS BEING 1NSTALLED ' �� Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? �Yes ❑ No HEATING SYSTEMS Quantity: ( �1� � �� Make: 1�f yp�;,�,-�- !' t Model: ��� 1 (�(�I� R��I/k(D/I�CU �Dyf,�S�y�C� '���� Fuel: WC� Gc. ��� Flue Size: � �� '�yc��_ S��` ' � /1/ �} Input BTUs: �SV��� � (� N/�t Output BTUs: ��j(�� U� (�1lr� CFM: L�G�,� ti,[�� o�� COOLING SYSTEMS Quantity: �eJ ��v{.. Make: Model: 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 recirculating L��U cfm � No. �_ Bath E�chaust(must have duct outside) U cfm ❑ No. Other Fans: Locations cfm 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: �y�N�.�,��: ��!����Yf��'!"� -5��O�SP/'�.ce 2 i PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$SOO.OQ If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �°I l(�5 ' X .oi2s $ (contract price) (minimum$50.00) 2. STATE SURCHARGE 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 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 materiai, 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. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with th ordinances of the City and the regulations of the State of Minnesota, and certifies that al � ements made on this application are complete, true and correct. � �Applicant's Signature: Date: 3 � � � DATE TIME � CITY OF ORONO CALLED IN � ' ��- � � % INSPECTION NOTICE SCHEDULED � � ' �� PERMIT NO. �-��� r ��"��`�`�'� COMPLETED ADDRESS � .� g� �--�{ �C C� a«.�1� �c�� OWNER TELEPHONE NO. � �����'� =����' CONTRACTOR `�"��L-' r �i ��v'� , � ( � DESCRIPTION ��� ��-�` � �,�--r-� ��� J-1i� Ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_�NO � COMMENTS: � W � o �r H S -�� Tc� 53� L �� c� 0 1 ooS� "�N ���� � � �tC�— � �-1 � � �/�,�A-�-e �r As Q ^ z �i� K. --�C�.QiV ���s°����}- w � W , � S�- � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY W O �ORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector._�,. / � White Copyllnspector's File Canary CopylSite Notice � � � � �`�' DATE TIME ✓ CITY OF ORONO CALLED IN �O"�I Z�13 INSPECTION NOTICE �-�L� SCHEDULED 1!�rl 3-� � PERMIT NO. �� �—OO�L� COMPLETED ADDRESS a�$� ��'� �� �� OWNER LEPHONE �� a '��� —a�7� CONTRACTOR � �L � ��� �" � �; DESCRIPTION `�u.�� �1 h �c� — L . ��� W ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: �o r �—oc�G�a— �I� -�w'�� M�l�j � W � � J � � �� � � � � r� � �-- c,:� �� � ��� 0 � W � Q � 2 W � W � j GW �ARKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector_ f � I r� White Copyllnspector's File Canary CopylSite Notice �f��/ ��Ga.c-- _ E / TIME V CITY OF ORONO CALLED IN � INSPECTION T '�/ SCHEDULED " PERMIT N '��1 PLEfED ADDRESS a OWNER E EPH E NO�����8 CONTRACTOR L � DESCRIPTION � � � O FOOTING ❑ PL ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � 2 W � W � j a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. �9 49-46�0 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice