HomeMy WebLinkAbout2016-00939 - mechanical � ~ CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 9 3 9 *
DATE ISSUED: 08/09/2016
ORONO,MN 55356-
(952 249-4600 FAX: (952)249-4616
ADDRESS : 656 SANDSTONE CIR
PIN : 33-118-23-11-0054
LEGAL DESC : STONEBAY
: LOT 005 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM FURNACE
(1)RHEEM A/C
(4)BATH EXHAUST
GASLINE TO DRYER,RANGE AND FIREPLACE
APPLICANT MECHANICAL 93.75
WESTAIR HEATING STATE SURCHARGE MECH(VALUATION) 3.75
11184 RIVER ROAD NE MAIL-IN FEE 2.00
HANOVER,MN 55341 TOTAL 99.50
(763)49&8071 Payment(s)
Minnesota State License#:mech-MB003525 CHECK 20165 99.50
OWNER
Essay Holdings
2110 LYNDALE AVE S
MINNEAPOLIS,MN 55405-2
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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. 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. `
� / /
Applicant Pe itee ignature Date Issued By ' ature Date
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U TY USE,ONLY
�Q A T City of Orono ' (7' �
<y P.O.IIox 66 Date Rece ed/ Permit# �� ' -�
� 2750 Kelley Parkway
Crystal Bay,MN 55323 kpproved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
y`��qKF o��,�� CITY OF ORONO—MECHANICAL PERMIT
S H (All Commercial permiu must be approved by the Building Ofticinl or Inspector nnd/or Fire Marshall)
GENERAL INFORIv1ATION
1. You may apply for mechanical pennits by mail or in person at the City offices. Applications wil)
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail aRer a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL TH�
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
p(J Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
J�
�New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Informati�n:
Site Address: �� �a-p
Owner: �,��I�Q�Vtailing Address: ���� "�1��(�C�T1�t � �'
City: � � Zip: � � �
Home Phone: V11� -.;IVJ�-�� AJ � Alternate Phone:
Contractor Information: .
Contractor: '� � �� Contact Person: ��C
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Address: `�� �J! l��f'��� � State Bond#: ��'c��j[JU ,�
City: � � Zip���� Expiration Date: ' 1"i • �
Phone: � ' � D' �� Alternate Phone:
❑ Insurance—Current:
1
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������AL ���'����L���'. �''r :;:�� �L��L�-; :...': :
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: 1��
Make: �
Model: "R V�',�
Fuel:
Flue Size:
Input B1'Us: —��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: 1
�
Make:
Model: � �� �)
�
Tons:
H.Power
�'IREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfm
No. � Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshal[if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where:
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P�1k�T"T��E.+�,���C.��'�'� :�'�..
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
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X .o12s s
(contract price) (minimum$50.00)
2. STATE SURCHARGE �1�
x.0005 $ '
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
G�
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ I
• * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material,equipment,labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount
of the job cost, the Ciry may request the submission of a signed copy of the actual contract.
1�����+FI�A�,i P��1�t�T�PPt�I��'�IQ�T�4'���11�I�T
The undersigned hereby applies to the City for issuance of a Mechanica] Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota,and certifies that all statements made on this application are complete,true and correct.
Applicant's Signature: ��,(� Date: 'I ' I
3
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DATE TIME ��, :
CITY OF ORONO CALLE IN �
IN8PECTION NOTICE SCHEDULED -�,L�
PERM�T NO..�1�/G, -��COMPLETED
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OMINER TELEPHON NO. 7�3 �g���7�
CONrRACTOR `���� /���
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Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/F�REPLACE ❑COMPLAINT
� � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�Y ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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0 ❑OORF�CT YMORK.CALL FOR REINSPECTION TEMPORAii�/
V BEFOREOOVERINO PEfiMANBdT
O OORRECT UN8AFE OONDITION WITHIN H0�1R3- p pHpTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER P08TED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS.
caM+a u�e next�pec�on 2�nouB�advano.. (952� 249-4600
on site:
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DATE TIME
CITY OF ORONO CALLED IN � ===�=c�
INSPECTION NOTICE SCHEDULED
PERMfT NO.,�.�..uC'��3C� COMPLETED
ADDRESS �D�� �r� .�Q-l�� :�����'LC,' �
OWNER TELEPHONE O.�����k�����
CONTRACTOR `� ��-f 1"
� DESCRIPTION V�n �� �( �� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �dECHANICAL 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 OWNEAICONTMCTOR TO MEET YOU: YES_NO
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W ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector:
VYhite CopyAnspector's Ffle Canary CopylSite Notice