HomeMy WebLinkAbout2017-01367 - mechanical � CITY OF ORONO * 2 0 1 7 - 0 1 3 6 7 *
2750 KELLEY PARKWAY DATE ISSUED: 10/20/2017
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 540 SANDHILL DR
PIN : 33-118-23-24-0019
LEGAL DESC : ORONO PRESERVE
: LOT 12 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,755.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
FURNACE-HHT
APPLICANT MECHANICAL 71.94
STATE SURCHARGE MECH(VALUATION) 2.88
FIRESIDE HEARTH&HOME TOTAL 74.82
2700 FAIRVIEW AVE Payment(s)
ROSEVILLE,MN 55113 CREDIT CARD 4616 74.82
(651)633-2561
Minnesota State License#:mech-20512060
OWNER
OPS Orono LLC
15250 WAYZATA BLVD#101
WAYZATA,MN 55391-
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
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ /
Applicant Permitee Signature Date Issued By Signature Date
' 1Q-20-'17 14:04 FROM- T-996 P0001/4044 F-374
` �ts���. s � � ao�i
3�� '"�� FpR CiTY USE ONY.Y
��}Q City of Orono
<y P.O.Box 66 Y}ate Tteceived: Permit# .
2750�:eltey Perl:way
Crystal Bay,MN 55323 Approved By: Amount S:
Z�hone(952)249-0600 Eax(952)?A9-4616
a �
ya .
tq� sHo��.G CITY OF QRONU�MECHAN�CA�P�RiV1YT
(qll CommCrCial pcamits must bc 8pprovCd by ihe Bnilding Otficial or Inspecror and/or fire Marshall)
GENERAL INFORMATION
1. You may apply for meehanieal permits by mail or in person at the City offces. Applications will
be reviawed and a permit will be issued within two working days.
2. Permit cards wilI be sent by return mail after a review is completed. PEItMITS ARE NOT
'VAY,TT�'(JT1TII.YOU RECEIVE A FERMIT. WORK MUST IYOT BEGIN UNTIL'T��
pETt1VI�'X'CARD IS POSTED ON THE JOB SiTE.
3. �vfechanical Desi�ns—Complcte calculations,deCaits and spteifieations are required for eaeh
heating,vcntilation,humidification-dehumidification,an�air conditioning inSFallatlon including
. hcat loss/heat gain eaieulation,dzsign temperatures,equipment ratings and identification ss to
typc,manufacturer and model. bata shall be presented on form providad.
4. When an�new construction or remodeling is involvad,a separat�building permit must bc
obtained.
5. All wonk lmust be done in accardance with the Uniform Mechanical Codc/Statc Building Code
requirements.
6. A,11 work must bc inspected(rough-in and final). Call(952)249-4600.
(24-4$hour notice required)
7. House Heating Test Rtcord must be submitted before final.
TYPE OF PERMIT
(Check All That A 1
� ��.�t� C] '� �.
�� ��� ❑ x � ��
rob Site/4wner Ynformation:
�ya Sar�j 1` .� f iV�..
�a�i� 1�.��f����/ � '� ` 'w°g:,
, .. '
� �
Horn i . ' " �� �A�7i����" ��Z� Alternate 1'hone:
Contractor Infbrmation:
Contractor: FIRESIDE HEARTH&HOME Contact Person: v�����
Address: 2700 Fairview Ave N State Bond#:8��2656, MB662572, PC662571
�;�,; Roseville, MN Zip;55113 Expiration Iaate:
' Phone: 651-633-2561 AlCernaCe Phone. ��1 ���4'�"' �3�Z
❑ Insuranee—Current:
1
' 10-20—'17 10:04 FROM— T-996 P0002/4004 F-374
. NiEGHANTCAL.SYSTEMS$EING INSTAL���7��. �:' . `. .
N'ote:A11 Geothermal Systems will now rcquire a Site lan&Review by our Building Offici&1.
IS THiS CCEOTHERMAY,? ❑Yes ❑No
HEATING S'YS'T�1VIS
Quantity:
Make:
Model:
�'uel:
Flue Size:
Input BTUs:
O�rtput BTUs:
CFM:
COOY,YNC SYST�MS
Quantity:
Make:
Modtl:
Tons:
Y�.power
IR�FLAC� .J_ /f�f�
l�' � ,.... ,_. .. .., f'7�/ �
Gas��a'c,,tvrY;�.�P��e� �i�tidName� ;:::'�.;';°:;,;.;.;.,..:
❑ s.atid,�A��i�re,„p ace .., .., . �
� oUp�--;�,
❑ :;aq�:St�x�)� _ (NiQa_QiN°J ,,,.,�
[� _.qdd St`ove:riritl�Flde%Mason,�',�
'V�NTI�,ATXON
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. � Bath�xhaust(must have duct outside) cfm
❑ hTo. Oth�r�'ans: X�ocations cfm
FC)��,S"1'4RAG� (Must be approved by FFre Mars/,all rfproposit,g to obnndon 1ar�k�'re�nlac�)
❑ Instailation ❑ Removal
Fuel Oii: gallons ❑ Undcrground ❑Inside ❑Ouuide
X.P Ctias: gallons
Other;
c�,s r�rr,�a�v�Y
❑ Outdoor Grill [] Other/Trist What&Wherc:
2
• ' 10-24—'17 10:04 FROM— T-996 P4003/0004 F-374
� 'PERMIT FEE CALCULt1T10N(S);:
�BASED.OFR.�='2Q02.ST.A,'�'��STATCI�.. �
❑ Yes,this section applies
The replaeement of a Rzsidantial�xture or appliance that mcots all threc afthe following reyuircr�tents:
1. Dc�es not require madificatian to electricsl or g8s serviee.
2. Has a total cost of$500.00 ar less;�xcludin�the eost of the fixture or appliance�and
3. Is impro�ved,installed or replaeed by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mai!-In Fcc(If Applicable) $ 2.00
Total Permit Fee $�
pB�tM.YT.�EE.CAY�,CLTL-ATION S)=J0$S.OVER.$SOO.QU:..:� . : . : ..:' . :
Yf above does not apply;follow guidelincs below:
1. CONCRACT PRICE 'is l.25%of eontract price with a(Minimum Fee of$50 OU)
��,5.5 ��WM��.�;9�`�:�;.�..
(�o3�zs�-,��,,y..�.�s.,,�r�w�-.::r:,,:=;�`�
�a.,. .,� ,;.:...m���:
2. STAT�sTJ�C�CARCE � 155 $g
x�o0.o� � -
��'���
,,.�..�.
3. POSTAGE&HANDLING(Only on Mail-Yn Applications) �$ �i':'+:'�:::':�:,::'�
�(�!.,�/�. S�
4. T07AY.p�RMYT�'�E(Add Lines 1-3 Above) "`' ''"�';'.'�`'`��� •�:
y���"+�� :::i.'r;�%!�y�:i�7�.!..�tl:�
■ * CON'I'�tt1.CZ' PRCC� or JOB COST means the actual or estimated dollar amount charged for the
permitted work includin.g materials,labor,profit,and ather fixtd eosts. It is the amount to be charged
to tlle customer for the work done_ If any materia4,equipment,labor or installations are furc�ished by
the owner,tenant or any other parry,the reasonable market value of such items must he added to the
estimated cost or contract priet for petmit fee purposes. Yn the event that there is a dispute on the
amount of the job cost,the City may requast the submission of a signed copy of tho actual contract.
,1V�.SGT�AI�TICAr,PBRMYT�APPLICATION ACrREBMBI�'T. . .. .
The under3ig,ned hereby applies to the City for issuance of a Mechanical l'ermit,agrees to do all
work in sti-ict accordance with the ordinances of the City and the regulations af the State of
Minnesota, and certifies that al! statements made pn this application are complete, true and
correct.
A licant s Si nature: fe:' �O ���(�
PP '' g ���
3
, `��` ,
�- � �
CITY OF ORONO CALLED IN �D� E 7 TIME
INSPECTION NOTICE SCHEDULED /L L7��T ' r�
PERMR NO..1��2'� `�'�-`-�'�� C MPLETED
ADDRESS ��F� �" ,l�f ,�i� �
�NNER - - TELEPHONE NO. '�� �� -
CONTRACTOR ' L�'�
� DESCRIPTION �L���-�-� �- ��--'
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ
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
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMfNEAlCO1�fTRACTOR TO MEET YiW:_YES_NO
y coMMENT� -��� � cr�b d �r- m�r���cs
� �_
� ��-c, s o 'T� c��e�
�
0
�
�
0
W
�
Q
�
g
W
aC
J
� �VMORK SATISFACTORY:PHOCEED ❑PROJECT COMPLETE
W ❑CORRECT YMORK d PROCEED ❑ISSUE CERTIFlCATE OF OCCUWINC�
O ❑OORRECT WORK,CALL FOR REtNSPECTION TEMPOFiAFiY
V BEFORE CONERIN� PERWtANENT
❑CORRECT UNSAFE OONDITION WffHIN HOURS. p pHpTO TAKEN
INSPECTOR WFLL RETURN
D STOP ORDER POS7ED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN lor the next inspectfon 24 hours in advanoe. (952) 249-4600
owr�lcontrector on site:
inspector: ���^
WhH�CopyAnap�ctors FIN C�n�ry Cop�rlSit�NMIo�
DATE TIME ✓
CITY OF ORONO CALLED IN � �
INSPECTION N�TI�ED scH�u�ED
PERMR NO. a��
�
, �
ADDRESS � Fi �
pWNER , TELEPHONE NO. �-���`a �
CONTRACTOR � `
�� DESCRIPTION ' ° ► •
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O1NN�UCOI�ITRACTOR TO MEET Y�WI:_YES_NO
y COMMEN7''� -
� 7'fi� `�se�-�. c�l�a--�
o —�"�6 -/7 � �'�.� i2. �
�
0
W
0C
Q
�
W
W
�
�
W ❑VMORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLETE
� O CORRECT YYORK�PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CO�VERINO PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHpTOTAKEN
INSPECTOR NIILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �pTATION ISSUED
O INSPEC710N REWIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on site:
Inspector: �//t1-
Whits tAp�rflnspactor's FIN C�nary CopylSib Nodct