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
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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
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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'�
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� DESCRIPTION ��� ��-�` � �,�--r-� ��� J-1i�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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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
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❑ 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._�,. / �
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� � � � �`�' 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�
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
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_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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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�
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�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 �
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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
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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