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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 .���.J�� / - uv� I 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 ^�` <�z-;��,�! F..�;�y,, �'^���; S � ��'"yS�,�,�i�.�s�'��1��1�AS1--�Y� ... 4�1�,. � Cl'° ',,.,`;,�� ���;'_ f����l���` . Job Sit�/O'ovner Information: S��'�a� '�:. s J��� ,�a vtcl �� � � �r i v�. .nv�i��� a ��.V ► �. ��P�tL� �� '�'?'M�� '� }� ��f ���5'� �i'�, Hom ; ., q e� � �Z'� �(���.(p Z� Alternate Phone: ��� 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 ���Z'�?.;���CA 'C�%A,'�YQN S ,,; :�,:. .�. �. (. )' . 'BA ED.tS���-;2 2`�TAT S Q.0 S. �:STA�;:;;..:. ❑ 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, *�, � . : ��� ��� �'7 � b .11.. A.. 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 � � � � � ✓ 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: a� � � _ v�•,�'��rs G 1e4•.4•�C�s - D� o � W �� � � 4�f� � ��o � � "!�" �7 � 0 Q �7� �! /=� �• c�f4sc - �uo� .6d��.�c— � W � Garl'e�-� d L. �r Cl�uo � � � 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