HomeMy WebLinkAbout2013-00975 - mechanical ' � CITY OF ORONO * 2 0 1 3 - 0 0 9 7 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/19/2013
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2325 GLENDALE COVE LA
PIN : 34-118-23-33-0065
LEGAL DESC : GLENDALE COVE
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 15,980.00
NOTE: (1)BRYANT FURNACE-NATURAL GAS-3"FLUE- 100,000INPUT BTU'S,92,000 OUTPUT BTU'S- 1600 CFM
(1)BRYANT A/C-3-1/2 TON
(1)KITCHEN EXHAUST-300 CFM
(5)BATH EXHAUST
APPLICANT MECHANICAL 199.75
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 7.99
15535 MEDINA ROAD
PLYMOUTH,MN 55447 TOTAL 207.74
(763)473-2267 PAID WITH CC# 1207
OWNER
Hickory Fine Homes
1844 WAYZATA BLVD W
LONG LAKE, MN 55356-
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 does
not gant permission for additional or related work which requires sepazate
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 of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at an ime for due cause.
� c�. 9� i�� �..3 a,� �'� i�� i3
Applicant Permitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
09/18/2013 WED 14: 28 FAX 763 473 8565 Sabre Plumbing & Heatinq �002/007
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C USE ONLY
0,���0 City of Orono `GJ /?, d�,�. 9��
P.O.Dox 66 I�ato Recciv . i' Pcrmit Il �`
' 2750 Kellcy Parl:wny
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0` Piwne(952)249-4600 Fax(952)2A9-4616
CITY OF ORONO—MECHANICAL PERMIT
(Al!Commercia!pem�its must be approved by ihe Building UfFcial or Inspector anNor Fire Marshall)
GENERAT�INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications wiIt
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by retorn mail after a review is completed. PERMITS ARE NOT
VALID UNTII.YOU RECEIVE A PERMIT. WORK MtJST NOT BEGIN UNTIL THE
PEIiMIT 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 bui(ding permit must be
obtained.
S, All work must be done in accordance with the Uniform Mechaniral CodelState Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(2A-48 hour notice required)
7. House Heating Test Rec:ord must be submitted before final.
TYPE OF PERMIT
Check A11 That A l
Q�Residential ❑Commercial(Approval Requireri)
Q�New ❑Additional ❑Repairs ❑Replace
3ob Site/Owner Information:
Site Address: Z'��� l��Q Y l d Q�Q.� ��()VQ�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ������ Contact Person: �OI,t�t.Q.tn
Address: ��h5 � llli �� State Bond#: ���jq L
City; ZiP:S� Expiration Date: �,�(`'��ZG 1�
Phone: �����}'I��7_2.1a'� Alternate Phone: �l��•Z5� ����
❑ �nsurance—Current:
1
09/18/2013 wED 14: 28 FAx 763 473 8565 Sabre Plumbing & Heatinq �J003/007
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TRIS GEOTFiERMAL? ❑Yes [�No
I3EATING SYSTEMS
Quantity: �
Make:
Model: ,�(�����
Fuel: ��� ,
Flue Size: a��s
Tnput BTUs: ��d��QG
Output BTUs: l��Q� __
CFM �P O O
COOLING SYSTEMS
Quantity: �
Make:
Model: ���j�t�
Tons:
--�l�
H.Power
RIREPLACES
� Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTTLATION
[1� No. � Kitchen Exhxust2�`F lZ duct recirculating �cfin
� No. Bath Exhaust(must have duct outside) cfm l� $CX.F 1'�
❑ No. Other Fans: Locations cfm �-v���rn
FUEL STORAGE (Must be approti�ed by Fire Marshall ijproposing to abandon tank in plac�)
❑ Installadon ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Tnside ❑putside
LP Gas: gallons
Other:
GAS LINE ONLX
❑ Outdoor Grill ❑ Other/I,ist What&Where:
2
09/18/2013 WED 14: 29 FAX 763 473 8565 Sabre Plumbing & Heating QJ004/007
. •
❑ Yes,this section applies
The replacement of a i2esidential fixture or apgliance tliat meets aIl three of the fotlowing requirements:
1. Does not require modification to electrical or gas service.
2. Has a to ]cost of$500.00 or Eess; xct in the cost of the fixture or appliance:and
3. Is improved,insta,lled or re�taced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15,00
State Surcbarge $ 5.00
Mait-In Fee(If Applicable) $ 2,00
Total Permit Fee $
If above does not apply;follow guidelines below:
L CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
���I�a.�o X.o�25$ �qq '7�
(contract price) (minimum S50,00)
2. �TATE SURCHARGE I�q bO.00 x.0005 $ � �f q __
(contrnct price)
3. POSTAGB&HANDLING(Only on Mai(-In Applications) $ 2�
4. TOTAL PERMiT FEE(Add Lines 1-3 Above) $ Z�'� ��
■ " COIV'FRACT PRICE or JpB COST means the actual or estimated dollar amount charged fot the
pern►itted work including materiats,labor,pro�t,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 fumished by
the owner,tenant or any other party,the reasonable market value af such items must be addal to the
estimated cost or contract price£or permit fee purposes. Tn 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 the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
conect.
Applicant's Signature: l� Date: 1- �g• �7,.O �1
'I
3
� AT TIME '�/
CITY OF ORONO `�c,aLLED IN ,�
INSPECTION NOTICE SCHEDULED /� � Ff'/3 �
PERMIT NO.� 3��COMPLETED
ADDRESS
OWNER EPH E NO. — ��'"
CONTRACTO
� DESCRIPTION ✓���� /� � `�/J�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS
y ❑ 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU'_YES_NO
c�.� COMMENTS:
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W� KSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. ��L _
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White Copyllnspector's File Canary CopylSfte Notice
�� �
� D T TIME
CITY OF ORONO CALLED IN I '
INSPECTION NOTICE /�js�SCHEDULED - %
PERMIT NO. aD/3��'�/•J COMPLETED � � h
ADDRESS �� _ Lil _--�/y�'�
OWNER ELE HONE N0 71���iS3-�7g g
CONTRACTOR
� DESCRIPTION ��''�-C-�-�C- �,
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHOREMIEfLANDS
y ❑ FRAMING MECHANICAL FINAL
❑ TREE REMOVAL
Z O 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
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATIOWREMOVAL
Z OWNERICOlRRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
0 ❑(�RRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-46��
OwnerlContractor e:
Inspector:
YVhite Copyllnspector's File Canary CopylSite Notke