HomeMy WebLinkAbout2018-00509 - mechanical �
' CITY OF ORONO * 2 0 1 8 - 0 0 5 0 9 *
2750 KELLEY PARKWAY DATE ISSUED: 04/24✓2018
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 575 SANDHILL DR
PIN : 33-118-23-24-0013
LEGAL DESC : ORONO PRESERVE
: LOT 6 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)FURNANCE BRYANT 91SB48080517 80,000 MPUT BTU
(1)COOLING BRYANT B1413NA036 3 TONS
APPLICANT MECHANICAL 162.50
SABRE PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 6.50
15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 171.00
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 4946 171.00
OWNER
OPS Orono LLC
15250 WAYZATA BLUD#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 gant 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 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.This permit may be
revoked at any time for due cause.
,��t�,�� y ,�� , 1�
Applicant Permitee Signature Date Issu By Signature Date
pa/23/z018 KOx ia: 5z sAx 763 a79 8565 S�bre HOdting & �r Cond �OOa/009
NOI�CITY UBL OLV LY
Cily oi'Uroao �/
�Q� P.O,Box 66 1�ate Roceivaa�-7�Pormit�� '���
� 2750 Kalley Porkway I�/ /7f)
Crys�al Bny,MN 55923 APnr��d by, Amount S:�
Plione(9S2)249•4fiQ0 �ax(9sx)?q9�b16
_.. . � _ .......... ...............---....--.---•-__------_•-.._��------------------......_..._...__.._..
���K 8H0��'4� CITY OF ORONO—MECHANiCAi.PER1b1YT
_ (All Commeroiul permi�6 muet be lqlpr'oveA by the Aullding Oflfoial or Inapecmr and/ar Pire Marehall)
�GSNBRAL INFORMATION ��.W_µ...���
1. You may app�y far mechnnical permite by tnail ar in pereon at the City ot�'icea, Applioati�►ns will
be roviewed and a permit will be iseued within two working days.
2. Permit cards will be eent by returc�msil after a revtew is completed. PERMITS ARE NOT
VALTD iJNTfI.XOU RRC�iVF�A,P�RMIT, WORK MUBT NOT BEGYN UNTIL�'�
PERMIT CAAD i6 M�TED ON TRE J08 iSITE.
3. Mochanicsl De�igc�s—Camplata calaulations,dctails and epecificatione ere required for eavh
hoedng,vautitation,hurnidlficadon-dohumidi�cadon,and air conditioning inetallation including
heat loes/heat gain calculation,design temperature�,equipment ratings and identiRoatioa as to
type,menufactui�er and model. Data ehall ba presented on form pmvided.
4. When any new conshuction or ro�wdetjng is invotvod,a separate building permit must be
obtained.
S. All work muat be dono in accardanca with the Uniform Mechanical Cade/Stste Auilding Cvde
raqturemente.
6. All work mu�t be inepected(rough-i�eund�nal). Call(952)249-4600,
� (24-48 boar nvtice reqaired)
7. House Heating Teet Record muat be submitted before finsi.
TYFE OF PERMTT
Check All That A 1
�Reaidanaal ❑Cammerciai(Approvsl Required) (Backflow Dovico:Q AVB ❑PVB]
[�Naw ❑Addition�►ll ❑Repsira 0 Replace
ror s��i a,���in�o,�,atsa»:
Site Address;
Owner: Mailing Address;
City; Z�p;
Home Phone: Alternste Phono;
ContCaCtor Infpr�ti0t�.
Contr�ctor: � y �t Cantact Peraon:
J
Address: �� Stata Bond#: �� 3.�5 9 Z
City: Zip;�� Expiration Date: •f5� Z01�
Phone: `�.�.fi•��1� �ZZV7 Altemate phone: �11i��'���7�"Y
� Insurance—Current; �,.
1 �
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�a/23/24i8 HON 1a: 52 sAx 763 a73 8565 Sabre xe�tinq 6 ai.r Cond �005/009
.
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i ;n,l. ,i�'�3J�(���o.i,1,I� J�j,,,;i
Note:Al1 Gcothactnal Sygtotns will t�ow t'Qqu�re a i 1 n&Review by our Building Of�icial.
(S�'HIS GEOTHERMAL? ❑Xes [�No
H�A�TlNG 5XS'��l1�St
Quantity: 1
� Make:
Model: �� ,
Fuet: �-�•
Flue Siu: ���
• Input BTUs: �,��Q __ _ _
Output BTU�:
CF'M:
� COpLING SX9TEM8
Quentiry: 1
Make: k
Model:
Tope: �
H.Power
�
❑ Gas F�ctory Pireplace &and Name:
❑ Wood Burning Piraplaco
❑ Wooci Stovtl Model No.:
❑ Wood Stove vuith Flur,/Maeonry
VFNTILATION
� No. 1 KitchenExheust ✓ duct recirculeting ��0 cfm
No. � Beth Exhaugt(muet havc duct outeide) �cfln
❑ No. Other�+ane: Locadons cfm
FUEL STORAGE (A/rrst be approved by FY►�e MarsNal!(/'praposlxg to abaudon tank ln place�
❑ Installation [� Removal
� Fuel Oil: gallone [] U��derground []Ineide ❑Outaide
LP Ctss: gallone
Other:
CAB Y.11V�n1VLY
Q Outdoor GrllL �] Otlier/I.Ist What�Where;_
� 2
QG/23/2018 KON 1Q: 52 FAx 763 473 8565 6�bre Hedting & Ai.r Cond f�006/009
; �Ii^F,i��°p�4'f,� ���i�,�.'j�'Y �r,51x�'��'`piil����������e i' y 9 R, R: i�jN}� j M'� �� �.h!,����","'� i�l�•�
6n7Pu'v„vn,.\�lkatinf��i!.5:%n��.�,+111����4i(Ii�AlPANA�# F, � n� ��.��H,�,ti:A,y�j°r^'u•� �.'°dhL,l'�au'I{�N1'.Is.n„m�.�,�
1. CONTRACT PRICE •is 1,25%of contract prico with a(MlWmtun Fee o[S50.Op)
_ „���.01 � x.0125 S �„��•�
(contr.�t prlce) (minlmom SSO.AO)
2, S'�ATE SURCAARGE
��1. 0.��x.0005 $ �1��
(conu+ct pricc)
3. POSTAGE&FIANDLING(Only on Mail-In Applications) S
�. TOTAI.PERMIT FEE(Add Lines 1-3 Above) � ��)�.bD
■ " CQNTRAC'C PYiYCB or JOB COST means the actuel or estimated dollar emount charged for the
penmitted work including rnateriala,labor,panfit,and other fixed coats. xt ia the amount to be charged
to the eustom�w�for the work done, Tf any material,equipmant,labao�or inatallations are turnished by the
ownor, tenent or sny other pa�ty, the reasonable msrlcet value of such items must be addad w tha
aetimsted cost or contrect prloa for pennit feo purposoa. In tho ovcnt thst thore is e disputc on the�nount
of the job enet, tho Ciry may requeat the eubmiseion of e eigned copy of the actual contracl.
�
Tht un;dern"signod hereby�pplies to the City for issuence of�Mechanical Pe�mit,agrees to do sll
work in stract accordance with the ordinances of the Ciry and the regulatione of the State of
Minnesota,and c�rtifies that all statemente made on thie application eu�e camplete,true and correct.
Appllcant's Si�ature: ��,u�/ � � Date: `t•��0•�a�
3