HomeMy WebLinkAbout2017-01481 - mechanical � w
CITY OF ORONO * 2 0 1 7 — 0 1 4 e 1 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U13/2017
ORONO,MN 55356-
952)249-4600 FAX: 952)249-4616
ADDRESS : 565 SANDHILL DR
PIN : 33-118-23-24-0012
LEGAL DESC : ORONO PRESERVE
: LOT 5 BLOCK 1
PERMTT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,813.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL(HHT)GAS FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.91
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 52.91
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.91
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 perfortned 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 requ'ves separate
permits. All provisions of Iaws 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 are
requested in conformance with the State Building Code."I'his permit may be
revoked at any time for due cause.
,� � , �7
Applicant Permrtee Signature Date Issued B ignature Date
� �1-10-'17 12:44 FROm- T-124 P0001/0007 F-514
�f��9 7�l/- o��� o ,��o�.�
��r Ciry of Orono / ��,��J �
�yo P.O.Box 66 D����� � �crmi4 r!/ ,
z�so x,�ai�y i�nrx��ay �i
Crysfal]3ay,lvlN 55323 Approved y: Amount S: �i-//
Phonc(952)249-4600 Pax(952)249-4616
��l.�K ���� CITY OF O�tONO—1VIECkIA,NTCA�,pEY2MYT
�s HQ (All Commercial permits musl bc approvcd by Ihc Building Oflicisl or tnspectar and/ar Fire Marshelq
1. You���►ay apply for meehanical permits by mail or in person at the Ciry offices. Applications tivill
be revie��ved and a permit wifl be issued withiia two woa•king days.
2. permit cards will be sent by return mail after a review is completed. PERM['Y'S ARE NOT
VAx,TD UNTIT.,YOU�C�I'V�A PERMIT_ �VORK 1�YYJST NOT BEGIN UNTIL THE
�Ell2M�x CAXtD X3 X�OSx�D ON TY�IE.�OB SY'�.
3_ Mechanical Desi�ns—Completi calc�tlations,details��d specifications are required for each
heating,ventilatipn,humidification-dehumidification,ftnd air conditioning insisllation incltiding
heRt lOSS/hCRt gRin CRICUI&ti4n,design temperatures,G�U1�111611t IAhYIgS EITIA iC;CI1t1�CAt10p aS TO
rype,n�anufActurer and model. Data sht�ll be present�d on fonn provided.
4. When any new construction or remodeling is involved,a sep�rat�building pennit must be
obtained.
5. All work must be done in aeeorcianee tivith the Uniform Mvcl�anical Cod�lState Building Code
re�uirernents.
6. All work must be inspected(rough-in an�i finai). Call(952)249•4600.
(24-4$hour notice required)
7. Hause Heating Test Record must bc snbmilted before final.
TYPE OF PERMIT �
Check All That A 1 �
�Residential ❑Commercial(Approvtil Requirul) ,
�N�v ❑Additionat ❑Repairs ❑�eplace
Job Site/Owner Iriformation:
Site Address: U �
O�rvner: � W L ,�1� Mailing Address: �
City: Zip:
�dme�ho�: ���d-- 7l���GZ7 Alternate Phone:
� Cont.eactor Ynformation: .
Cont��actor: F�RESIDE HEARTH &H�ME ConCact Person: Leah
Address: 2700 Fairview Ave N State Bond#:BC662656, M6662572, PC662571
City: �oseville, MN ,��p;55113 �xpiration Y7ate:
Phone: 651-633-2561 Alternate Phone:Leah#651-638-3312
HfARYH&HOMETECHNO�aGIE� � Insurance—Ctiirrent:
dbe f11iE81 N BC 82866�NOME 1
890o pAIRVIRNi AV@NU�N
85$Ba�1981 CPYION 1
rtosov���v_eutiiao^OPe�hn�oorp�oom
� ,11-10—'17 12:40 FROM— T-124 P4002/0007 F-514
� '�i:'�� 4, ri- ., ;�, /�v+��7T 4 �.. / .. �.. � rr,x,.. ��. .,i';,:.
rt `tYLc �.:���'�, :, .7`:;;rk;•' :�'t 'V..k+..�5,�'t . ...��.'� ' ; .�.,�:. .,1iYv3..... ��'�..' ... �t4%5y .���l�.".��` 2�f
..w..�.�•F.t`Z'....r...t.. 44t:.. �•.
Note:All Geothermal Systems will now require a Site PIan&Revie�v by pur Building Official.
XS'�'�XXS CEOTX��RMAY,? ❑'Yes �]N'o
�Y�ATING S'YST�1�15
Make:
Model:
�'uel:
�lue Size:
Input BTUs:
Output BTUs:
CPM:
COO�TNC S'YSTE1vIS
Quantity:
Make:
Model:
Tons:
H.Power
�yR�pT.AC�S �7����0"6���7�
� Gas Factory PirepIace Brand Name: �
❑ \Vood Buming Fireplace
❑ Wooci Sto'vt Model No.�
❑ VV'ood Stove with Flue/Masonry
V ENT[LATION
❑ No. Kitchcn ExhAust duct recirculating cfm
❑ No. Bath ExhAust(must havt duct ot�tsidc) cfm
❑ No_ Othar Fans� Locations cfm
FUEI.S'TOItAG� (Mirst be appruved by FFre A�nrsl�all if proposirig to abarrdo��tnnk i�r pince.)
❑ Installacion ❑ Removal
Fuol Oil: gallons ❑ Undorground ❑Inside ❑Outside
LP G�s: galtons
Other:
GAS LCNE ONLY
❑ Outdoor Grill ❑ Other/List�Vhat&l�Vhere:
2
' 11-10-'17 12:40 FROM- T-124 P0003/4007 F-514
��� � � �:,�• �'
1 '� � t'.5:�:, , i:. f �
❑ Yes,this section applies
1. }�oes not re9uire modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exeludin the eost of the Sxture or appliai�ce:and
3. Is imprbved,inst�lleQ or replaced by the homeo�vner or licensed contractor.
Skip next section,if this t�pplies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(Tf Applicabic) $ 2.OU
xotal�ermit�'ee �
'� . ' �;+�;:� �r.:4 ...r��:`.'..? a �i � .� h
Ifabove does not apply;follo�v�niicielines below:
1. CONFRACT PRICE °is 1.25%of contract priee tvith a(Minimum�ee of$50.00)
1 � x.0125$ ���
contrect fuice) (minimunl 550.00)
2. STATE SURCHARGE � �r3� �.0005 $ ���I
(contract priCe)
3. P�S'�'AGE&HANDLTNG(Only on Mail-In Applications) $ Z.00
4. TOTAY�pERMIT FEE(Add Lints 1-3 Abovc) S
��"r
■ a CONTR.P.CT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materi�ls,labor,profit,and other fixed cosu. Tt is the amount to be charged
to the customer for the�vork done. If any material,equipment,labor or installations are furnished b�
the owner,tenant or any other�arty,the reasonable market value of such items must be added to the
estimated eost or conNact piice for pea�mit fee purposes. In the event tl�at there is a dispute on tlie
amount of the job cost, the City may request the submission of a signed eopy of the�ctuftl contrcict.
, AxdSA��SI�"i'+�i��:+ •� .i
The undersigned hereby applies to the Ciry for issuttnce of a Mechanical Permit, agrees to do all
�vork in str�iet aceordance �vith the ordinances of the City and the regulations of ihe Srite of
Minnesota, �nd certifieS that a11 statements made on this application are complete, true and
correct.
Applicanc's Signature: �,�� y y � bate: L /
3
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` DATE TIME
� ��
t. CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED l�i� �
PERMIT NO.aO l7-'aI�'�� COMPLETED
ADDRESS ��-✓ ` �
OWNER TELEPHONE NO. ����33�a
CONTRACTOR �r�5�� ��Wa1''�
� DESCRIPTION /�/ ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ' ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
� ���1 `Tr G' �f�•�a✓1G4�'- �k
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� �ORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECTVI�RK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-46��
OwneNCartraator on site:
Inspector: �-'
Whits Copyllnapector's File Canary CopylSMe Notke
�
DATE TIME �
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE SCHEDULED
PERMIT NO. - coM o
ADDRESS ��� •�C��21�llLi u � —
OWNER TELEPHONE N .L�a- ��b�v��o�
CONTRACT�R �i 1`��� o �l f�
�
� DESCRIPTION �� ���-��
t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
2
� COMMENTS: L��k I��G
� DG.(� K��c 6✓v�►�' �e 1-,
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W ❑WORKSATISFACTOR�PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT V1fORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� �(�RRECT WORK�LL FOR REINSPECTION TEMPORARY
V EFORECOVERINf3 PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. "
Call for the next inspection 24 hours in advar�e. (952) 249-4600
ONrneHContractor on site:
inspeator: t/ a"SQ YI ,�
White CopyAnspector's File Censry CopylSke Notks
i
DATE
CITY OF ORONO CALLED IN L
INSPECTION OOTI� D'��� SCHEDULED ��s��o--�� �
PERMIT NO. COMPL�e�I
ADDRESS ��i�� � f 6�/
OWNER TELEPHONE NO.
CONTRACTOR _L��
� DESCRIPTION �/— ���-
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 ONfNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: `�+�5� i!'1�4�'G'I`l2 c� C, )2CP Y`ti'r�Gt,
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W� ❑WORK SATISFACTOFlIh PROCEED �B.PROJECT COMPLEfE
� ❑CORRECT V1fORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITiON WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca�l for the next inspection 24 hours in advance. (952) 249-460�
OwneNContractor on site:
Inspector: t�..�o h ,�
YYhite Copydnspector's Flls Canary CopylSite Notke