HomeMy WebLinkAbout2015-01523 - mechanical CITY OF ORONO * Z 0 1 5 - 0 1 5 2 3 *
A► 2750 KELLEY PARKWAY DATE ISSUED: 12/03/2015
` ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 660 SANDSTONE CIR
PIN : 33-118-23-11-0056
LEGAL DESC : STONEBAY
: LOT 007 BLOCK 002
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHAMCAL-MULTIPLE
VALUATION : $ 7,500.00
NOTE: NEW: 1 HEATING SYSTEM(RHEEM), 1 COOLING SYSTEM(RHEEM),3 BATH EXHAUSTS, 1 LAUNDRY FAN,
GAS LINES: RANGE,DRYER&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)498-8071 Payment(s)
Minnesota State License#: mech-MB003525 CHECK 19718 99.50
OWNER
Stonebay Builders LLC
14870 BROCTON LANE
DAYTON, MN 55327-
AGREEMENT AND SWORIY 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. 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
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revoked at any time for due cause. '1 ,
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Applicant Permitee Signature ° Date Issued By Signature �r Date
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.. FOR CITY CSE ONLY
City of Orono �;
� �Permit# �.C� .,�
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� � P.O.Box 66 Date Rec�ived: ��/� (� �"-�� �-�
2750 Kelley Parkwa�� � � � ��� �
Crystal Bay,MN 55323 Approved By ��t�� Amount$: r-���'
Phone(9S2)249-4600 Fax(952)249-4616
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��x����,�.�.�' CITY OF ORONO—MECHANICAL PERMIT
�_ (nll Commercial pennits must be approved by the I3uilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 Heatina Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
�Residential ❑Commercial(Approval Required)
.�New ❑Additional ❑ Repairs ❑ Replace
Job Site /Owner Information:
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Site Address: ��i��,��t; ���,�}���-�, ��� a� �
. ��^�-��:c,c.� ` I�`b�1���' � ��_-�� �►`l ��
Owner• .���,` ,-�(�� Mailing Address: ,��� , •
c��y: ����l-�-Fit�l z�p: �`�� 1
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Home Phone: _���;I d' ,, "'�-``��i:'-� Alternate Phone:
Contractor Information:
Contractor: �`�������, ���„� ;�,��� Contact Person: ����,�,� ����
Address: I'1 � � �' .(� �C State Bond #: ^��� ��
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City: � �� �� Zip� Expiration Date: �_ �� .
Phone: � ' �C I Alternate Phone:
❑ Insurance—Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �
Make: �
Model: �� � � I �
Fuel: ,
Flue Size:
Input BTCJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model: �R
Tons: O.
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen E�chaust duct recirculating cfm
No. � Bath Exhaust(must have uct out 'de) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall iJproposing 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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❑ Yes,this section applies
The replacement of a Residential fixture or annliance that meets all three of the following requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00��
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x.0125 $ -
(contract price) (minimum$50.00)
2. STATE SURCHARGE � �a `°�✓�
x.0005 $ �
(cnntract�rice)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 0 �
■ * 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 City may request the submission of a signed copy of the actual contract.
The undersigned hereby applies to the City for issuance of a Mechanical 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�
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DAT TIME
CITY OF ORONO CALLED IN �- ��
INSPECTION N TI SCHEDULED ��-/(� .'4�-
PERMIT NO. � a�/�3COMPLEfED
ADDRESS�/n d S�O7K- �
OWNER TELEP NO/ "' � �
CONTRACTOR
� DESCRIPTION ^
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 01NNERICONTRACTOR TO MEET YOU:_YES_NO
c�i, COMMENTS:
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W�ORIESATISFACTORIh PROCEED ❑PROJECT COMPLETE
� ❑CORRECT V1fORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspect'/����dvance. (952) 249-4600
OwnerfContractor on site:
inspector. ��
White CopYflnspecMr's File Canary CopylSite Notke
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DATE TIME
CITY OF ORONO CALLED IN � aa—�'6 �
INSPECTION N TI� �� SCHEDULED � ���
PERMiT NO. �� G'��� COMPLETED
ADDRESS ��� ��I����"j� �-GfL�.G
OWNER T�ELEPHONE N0.�6�''������7�
CONTRACTOR �
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� DESCRIPTION
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ty ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:,_YES_NO .
y COMMENTS: � �'l --- / � ��r
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerfContractor on site:
Inspector. � i �— �
White Copyllnspector's File Canary CopylSite Notice