HomeMy WebLinkAbout2016-01043 - mechanical ' � CITY OF ORONO * 2 0 1 6 — 0 1 0 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: OS/30/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 654 SANDSTONE CIR
PIN : 33-118-23-I1-0053
LEGAL DESC : STONEBAY
: LOT 004 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 3,090.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)GAS FIREPLACES
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 1.55
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 53.55
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 53.55
OWNER
Essay Holdings
2110 LYNDALE AVE S
MINNEAPOLIS,MN 55405-
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 does
not grant permission for additional or related work which requires separate
permits. Ail provisions of laws and ordinances governing this rype 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.
.
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Applican ermitee Signa e Date Issue Signature Date
. 08-26-'16 12:17 FROM- T-030 P0001/4004 F-037
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H ���� City of Orono
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2750�Celley Parkway � �
Crystsl Bay,MN 55323 A�proved By:. • Amoant$:
Phone(952)2d9-4600 Fa�e(952)249.4616 '
�`�t.� �.�~� CYT'Y'O�'OYZOI�Q—N1�C�IAN�CAL PERMIT
KES HO�` (AII Commereial permics musc be approved by she Building p�cial or Inspoctor anci/or Firv Marshall)
'GENERAL:INFO�LMATION' . . . • '
1. 'You may apply for mechanical parmits by mail or in person at the Ciry officas. Applications will
be nviewed and a pqmit will bc issucd within two working days.
2. Permit cards will be stnt by return mail aticr a review is completed. 1���5'X'S A1ZE NOT
VALID UNTIY.'YOU REC�TVE A PERMIT. WORK MUST NOT BECYN UNTYY,'xH�
P��t1�T CAR�.1 YS POST�D ON THE JOB S1TE.
3. Mechanical Desiens—Complzte calculations,details and sp�eifieations are required for cach
heating,ventilation,humidification-dehumidifieation,and air eonditioning installation inctuding
heat lossThtat gain calculatian,design temperatures,equipm,ent ratings and identifieation as to
rypc,manufacturcr and model. Data shall be presented on fornn provided.
4. When any new construcfion or remodeling is involved,a sep2rate building permit must be
obtained.
5. AlC worlc must be done in accordance with tho Uniform Mechanical Cod�/State Building Code
requirements.
6. All work must be inspected(rough-in and f'rnal). Call(952)249-4600.
(24-08 hour notice required)
7_ HAusc Hcating Test Record must be submittzd betore ftnal.
. 'Y"Y'1�E O�P�S�T , . .
Check.All That.4 1
�Residcntial ❑Commercial(Ap�roval k2equired)
�Ne�v ❑Additiona] ❑Rcpairs ❑Replace
'�7ob Site/Ownzr Xnforrnation: "
Site.A.ddress: � /� 1�
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OWner: �,,�'� 1b�"ar �ng Address: ����._G�-� L h
c�r�: f�a.�( /�l1�1 z;p: �5 .32_�
Home�a�one: Pn 12f ��O�""��YAltematc Phone:
Contractor Tnformatibn: .
Contractor: FIRESIDE HEARTH &HOME Contact person: ��i.
Add��ess: 2700 Fairview Ave N State Bond#:BC662656, MB662572, PC662571
C��,; Roseville, MN zip 55113 �xp,�•�tion Dat�:
Phone: 651-633-2561 Alternate phone: �� I'�� J C�'���d�o
❑ insurance—Carrent:
1
- 08-26-'16 12:17 FROM- T-034 P0002/0004 F-037
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Note:All Geothennal Systems will now require a Site Plan 8�Revie�,v by our Buiiding 0�'icial.
YS TY�YS G�OTX�ERMAL? ❑Yes ❑No
H�ATXNG S'YST�MS
Quarttity: �
Make:
Model: �D___v��
Fuel: CL
Fluc Size:
Inp�u BTCJs: _
Dutput BTUs: ����
CFM:
COOLYNG S'SCS'Y'�MS
Quantity: �
Make:
Model:
Tons:
H.Porvcr
TIREPLACES
� � Gas Factory Firoplace Brand Name: ]7�
❑ Wood Burnuig�'ireplace N h t`�� �
❑ 'GV'ood Stove Model No.: �J��
❑ �Vood Stove with Flue/Masonry
VENTILATYON
Q No. Kitchen Exhaust duct recirculating efm
❑ No. $ath E.�chsust(must havo duct autside) cfm
❑ No. Other Fans: LocAtions cfm
FUEL STORA�E (Must bs approvet!by,�re Marsl�a/l ijproposin�to abandoe tank i�t place.)
❑ 1nsKttlAtion ❑ Removal
Fuel Oil: gAllons ❑ Undergroi�nd �Inside [)Outside
LP G�as: gallons
Other:
GAS C,INE ONLY
❑ �utdoor Orill ❑ Other/List Wliat 8t`Vhere:
2
� 08-26—'16 12:17 FROM— T-030 P0003/0004 F-037
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❑ 'Yes,this section applies
The replacement of a Residentiat fixture or ap�liance that meets ait three of the follor�ving requirements:
1. D e n require modification to electrical or gas serviez.
2. Has a total cost of$SOU.40 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installul or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Pcrnut $ 15.00
State Surcharge $ 5.00
Mail-Yn Fee(�f Applicablc) $ 2.00
Total pern�it Fee $
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Tf above does nat apply;foilow guidelines below:
t. CONTRACT pRiCE '�is 1.25%of contrAct pricc with a(Minimum Fec of$50.00)
��(� �� n o'O
( � x.0125$ ��(./.
(conlcact price) (min�mam S50.00)
2. STA'I'ES�'1tCHA1tG� ���V. �� `-""
x.0005 $�_ _______
(con�acc pria:)
3. POSTAGE&HANDLING(Only on Mail-In Applicatipns) $
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4. TOT'AY�p�RMYT�EL(Add Lines 1-3 Abo'vc) $
■ � CONTRACT PRICE or 70B COST means the aenial or estimated dottar amount charged for the
parmitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for tha work done. If any materi$l,equipment,labor or inst�INations are furnished by
the o'�vner,tenant or any other party,the reasonable market value of such items must be added to the
estimttted cost or contr�cC prict far pormit fce purposes. In the event that there is a dispute on the
amounC of tht job eo3t,the City may requcst the submission of a signed copy of the actua!contract.
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The undersigned her•eby applies to the City for issuance of a�echanical T'ermil,agrees to do all
�,vor�C in strict accordance �,vich the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements rnade on this application are complete, true arid
correct.
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Applicant s Signature: Date: U �� f�O
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DATE TIMF�
CITY OF ORONO CALLED IN
INSPECTION NOT E SCHEDU�ED
PERMIT NO. ' �� MPLETED �O�"!G
ADDRESS S
OWNER TELEPHONE NO.
CONTRACTOR � F• � /`.Z
j DESCRIPTION ��l'��'�� �'�'''t� � 7��'''te
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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
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2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. ��l r"'"' ��
White Copyllnspector's Ffle Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED o�v�<Y-/7 l�
PERMIT NO. �� MPLETED /
ADDRESS
OWNER • TELE NE N�
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CONTRACTOR
� DESCRIPTION � � �--�
Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET 11�U:_YES_NO
� COMMENTS: /�G'�'1G� ,1 �T� , �•l� C'c�n�t,d_ /��
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOMERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILI RETUHN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnapector's File Canary CopylSite Notice
��- �DATE TIME
CITY OF ORONO CALLED IN -J-2 � 7 ��
INSPECTION TICE HEDULED �- 3 -/ � I��
PERMIT NO. � -�� c P��� --C:�
ADDRESS ��-
OWNER " TEL P ONE NO. � .33��'�"�
CONTRACTOR
� DESCRIPTION C� '"`�-
l~N ❑ FOOTING ❑ DEMO-FIN ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO
«� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT NfORK 6 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor o�sife:,
Inspector. �� L-
White CopyAnspector's Flle Canary CopylSfte Notke