HomeMy WebLinkAbout2017-01565 - mechanical � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 5 6 S *
DATE ISSUED: 1 U27/2017
ORONO,MN 55356-
(952 249-4600 FAX: 952)249-4616
ADDRESS : 570 SANDHILL DR
PIN : 33-118-23-24-0016
LEGAL DESC : ORONO PRESERVE
: LOT 9 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 2,119.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
HHT GAS FACTORY FIREPLACE
MODEL 6000C
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.06
FIRESIDE HEARTH&HOME TOTAL 51.06
2700 FAIRVIEW AVE Payment(s)
ROSEVILLE,MN 55113
(651)633-2561 CREDIT CARD 4616 51.06
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 Iaws and ordinances goveming this type of work
shall be compied with whether or not specified herein.l'his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if consduction 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 pertnit may be
revoked at any time for due cause.
` f / � / `
Applicant Permitee ' ature Date Issued By 'gnature Date
11-27-' 17 12:45 FROM- T-194 P0041/4005 F-586
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F 12 C T'Y T�S�QiVi,�'
CiCy of Orono I b
��j.� P.O.Box 66 bate l�ecei�d � Pe��t 1� ,��
�.� 2750 K.ellcy Psrkwsy •�
CryStal 13ay,MN 55323 AppYovtd T3y: Amount$;
PhOnC(952)249-4600 Fax(952)2Q9-A616
y`�lq,�� p�,�.�'� CIT'Y O�0120N0—MECHANICAL PE�IT
S� (All Commarciul parmits must be approved by the Building Ofl�icial or Inspector and/or 1 ice Marshall)
.�ENERA�INFORMATION.._. ._....._. ......._ ..... .... ....... .. _..._.._...... ............. ._...---..., _.........
1, 'SCou tnay�pply for mechanical permits by mail or in pewson at the CiCy offces. Applicatians will
be reviewed and a permit�r+ill be i3sued within two working days.
2_ Permit cards will be sent by return maii after a revicw is completed. P�RMTTS ARE N'OT
VALID iJNTIL'YpY1 T��CL'TVE A P�1ZIVITT. WORK MUST NOT����1V CJ1Yx'1T�TH�
PERMIT CARD Y5�OS'�'�T�UN T�T�.�OB SYTE.
3. Meehanical Desi�ns—Cpmplete calculations,details arcd speeifications are required for each
heating,ventilation,h�imidification-dehpmidifrCation,and air eonditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and;dentif�cation as to
rype,manuf�eturer and model. Data shall be presented on:form pro�vided.
4. When any r1zW Construction or remOdtling is invaI�ed,a sepat'ate building permit must be
obtained_
5. All work must be done an accordance with the Clniform Mechanical Code/State�uilding Code
rtquircmcnts.
6. All work must be inspected(rougl�-In and final). Cali(952}249•4600_
(24-45 hour notice required)
7. �Touse T-Teating Test Record must be submitted before final.
T'i'"pE O�pE�2MYT
(Check All That Apply
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Job Sit�/O'ovner Information:
S��'�a� '�:. s J��� ,�a vtcl �� � � �r i v�.
.nv�i��� a ��.V ► �. ��P�tL� �� '�'?'M�� '�
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Hom ; ., q e� � �Z'� �(���.(p Z� Alternate Phone:
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Contractor Tnformation:
Cdntractor: FIRESIDE HEARTH & HOM� Contact nerspn: .� p��f'�r✓'
Address: Z700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
City: Roseville, MN Z1p 55113 E�tpirati�n bate:
Phonc: 651-633-2561 Alternate Phone�#651-638-3312
❑ Ynsurance—Current:
1
11-27-' 17 12:45 FROM- T-194 P0002/0045 F-F�86
M�CNAN�CA�,SY'S'FBMS BEINCY INSTALLED
Note:All GeothermaI Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS ,
QuantiCy:
Make:
Model�
�'uel:
�lue Size:
Tnput�TCls:
Output BTUs:
CFM:
COOT�ING SYST�IIS
Quantity:
Make:
Modcl:
Tons:
H.power
...................._.._,,,,__.
R��Y:AC��
� C��s�F�ctory F�[`GP�aca� �grin�N�x►e� � y �',- -�
Q❑ WQ�S,��i����repla��e 11�� N� �;Q�(ss' ,---
�VV'o , taye,` �_del .�
❑ 'Wo�oti Stove w�t�.�?Iuie/M�sotir�
V�NTILr#'Z'ION
❑ No_ Kitchen Exhaust duct rccirculating cfm
❑ No. �ath�xhaust(must have duct ouCside) cfm
❑ I�To. � Other fians: Locations cfm
�C���.ST4TtA�E (1►lust be npprove�115y�`iwe Marshnld if proposing[o abait�lort tar:k ir,place.)
❑ Install�tion ❑ RemOval
fiuel 0i1: gallons (] Underground ❑Tnside ❑Outside
T,P Oas: gallons
Other:
CAS�.YNE ON�'Y
❑ Outdoor ari91 ❑ Other/T.ist 1Nhat c4c'Wherc:
2
11-27—'17 12:45 FR4M— T-194 P0003/0005 F-586
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'BA ED.tS���-;2 2`�TAT
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❑ Yes,this scction applies
Thc replacement of a Residential fixture or appliance that meots all tiirco of thc folio�ving requirema�ts:
1. boes not r�quire modification to clectrical or gas service.
2. Has a total cost of$500.00 or tess;excludins thz eost of'tha ftxture or appliance:and
3. Is improved,installed or replaced by the homaowner or 1ic.�nsed contractor.
Skip ncxt section,if this applies; Cost of Permit $ 15.00
Statc Surchargc $ 5.00
Mail-In�'ee(If Applicable) $ Z.00
Totsl Permft Ree $
.. ,. .... . .
;.;... ...:;.;•��E�1�Y�;�EE:CAY;CUI�,�4TYON S -`:rOBS OVER$500.00:;':;,.'.;;.;
Yf above does not apply;follow guidelines below:
1. CONTRA(."r PRIC� �`is 1.25%of contract price with a(Minimum Y�ee of$50.00)
�� �� �� !, $a, *�, � . :
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2. STATE SURCHARGE n { � Q Q�,p
L�� � xE.��� � .
cn "'i" e
3. POSTAGE 8t HAND�,ING(Only on Mail-Tn Applications) � � ��:x�
4. TOTAL PERNIIT FEE Add Lines 1-3 Above , �' {b�
� ) ������'��af
■ � CONTRACT pkTC� or J'O� COST means the actual or estimated dollar amount charged for the
pamitted work including materials,labor,profit,and other fixed costs. Tt is the amount to be charged
to the custorner for the work done. If any matzrial,equipment,labor or installations are furnishad by
the ownor�tenant or any other parry,the reasonable market vsallue of such items must be added to the
estimated cosE or contract price for parmit fee purposzs. 1'n thz avent tliat 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_
.. • , ... . . ....
, ,;M�HAI�IIGAL�'PERMXT.A;P��;YGATIONAGREEMENT;. ::;:;::: ,:`..:;:' . .:�.
The undersigned hereb�applies to the Ciry fbr issuance of a Mechanical permit,agreos to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies thflt all statements made on this applieation are complete, true and
corc•ect.
Applicant's Sigr►ature: _ _ . ,�# '�' G,l���� ,L.
3
/ i I � � � �
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED l�-S-f 7 �
PERMR NO. -d COMPL e
ADDRESS s�d c=x�s'l.�[I�J I ��
OWNER TELEPHONE NO. ���'103�'33J�
CONTRACTOR '�� ��C �'
� DESCRIPTION / � ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ tNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�ll:_YES_NO
y COMMENTS:
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W O VMORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
� (�ORRECT WORK&PFiOCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR YVILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OwnenContractor on site:
Inspector: 4�- i�^- f`�
White CopyAnapecto�'s Flle Canary CopylSMe Notice