HomeMy WebLinkAbout2016-00081 - mechanical „ CITY OF ORONO * z 0 1 6 - 0 0 0 8 1 *
2750 KELLEY PARKWAY DATE ISSUED: OU25/2016
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
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,320.00
NOTE: NEW GAS FIREPLACE(HHT)
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.66
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 52.66
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 52.66
OWNER
Stonebay Builders LLC
14870 BROCTON LANE
DAYTON,MN 55327-
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. All provisions of laws and ordinances governing 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. ��.�
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Applicant Permitee Signature � Date Issued By Sign�fure Date
-25-' 16 12:14 FROM- T-598 P4001/0406 F-974
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FOR C1TY C1SE ONLY. �
��� City of Urono � � I��j-���Permit p ��.��� -�" �� �
P.O.Sox 66 DA�6 RCCOIVQC� �
2750 Kekley Park�vay
Crystdl Bay,MN 553?3 ApproVee By: �ARiOUnf$ �,,�� '
Phonc(9S2)2a9-4d00 Pax(952)2q9•A61 G
���q ���� CITX �F ORO1�0—1VIEC�TANYCAL PERMIT
k�s H� (All Commprcial pennits must be approvod by the�3uilding O�cia1 or Inspcctor and/or Pire Marshall)
GEN�TtA�, iN�ORMA1"TON m� �: I
1. You may apply f'or mechaniCal permits by mail or in persoiz at the City offices. AppliCations will
be reviewc-d and a permit wil!be issued within hvo working days.
2. Permit cards will be sent by return mail after a review is cornpleted, I'�RMITS A�LB N4T
VALTD UNTIL YO't1 C��'CEYVE A�E�2M1T. WOitK MCJST N4T BFGIN CINTIL TIiE "
��I2MY'T'CA�TS pOS'1'FD OIV'CHE,�Og STT�.
3. Mechanical Desi�ns—Complete calculations,details and specifications 3re required for each '
heating,ventilation,humidification-dehumidifcation,and air Conditioning instalifltion ineluding
heat loss/heat gain calculativn,design temperatures,equipment ratings and idtnti�cation as to
type,manuf'acturer and�trodeL Data shall be presented on form provided,
4. Wt�en any new construction or remodeling is involved,a separate building pzrmit must be �
abtained. �
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5. All work must be done in accordance with the UniPorm Mechanical Code/StAtc-Building Code l
requirements. �
6. All work must be inspected{rough-in and final). Call(95?)Z49-4600.
(24-48 hour noticc required)
7. Housc Heating Test Record must be submitted before fir►al.
T'V"PE 0�pBRMTT, ; , ,
��M�� (C.heck All That Apply) �^ i
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❑'Residantial ❑Gommerci�l(App.rova��equired) '�
�New ❑Additional �Repairs ❑RoNlace
Job Site/Owner rnformation;
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Site Address: ,�Q_�SrAn��5� ��,�/� �_ '
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OWrcer: �� Ur �GMai}in�Address: 1�7 �� �/�'C�G��� �� '
GiCy: Zip: ��,�i� �
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Home Phone: �!Z—���,�c�� Alter•nate 1'hone: ,
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Contractor Ynformation; �
Contr�ctor: FIRESIp� HEARTH &M�ME (;ontact T'erson: l.eah
Address: 2700 Fairview Ave N State�ond#.��662656, M6662572, PG662571
Ciry: Roseville, MN Z;�.55113 ��p;ration Date:
phane: 651-633-2561 Alternate Phone:�-eah#651-638-3312
[] Insurance—Current: �,�
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�-25-'16 12:14 FROM- T-598 P0002/0006 F-974
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' Note:All Geothermal Systems will now require a Site plan�Re'view by our Duilding Of�icial. ;
YS THYS CEpTY��12MAL? �Yes �No �
HEA'C'ING SYSTEMS
Quantiry;
Make:
Mpdcl:
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Fuel: �
Flue Size�
Input BTUs:
Output BTCJs: !
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CFM:
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COO�.YNG S'YST�ivCS j
Quantiry:
Make: ;
Model:
'I'ans:
H,Power !
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FIREPLACES '
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•� Gas Faotory Fireplace ��and Name;. 7 . ;
0 'Wood�uming Fir�plac.e : `�r r `
❑ "Wpod StoVe Model No;: N�V�ID� '� '
❑ �Wood Stove.�Vvith FIpe�7 Masor�ry I
:
VENTiLATEON �
❑ No. Kitehen Exhaust duct recirculating cfm �
❑ No. Bath Exhaust(must have duct outside) cfm �
❑ No. Other Fans; Locations Cfm
�'��C.STORAG� (Marst 6e approved by Fi're Marshail Ijproposing to nbanrlon[ank in place.J �
❑ Installaiion [� 1Lemoval �
Fuel Oil: gallons [J Underground �Ynside �]Outside
LP Gas: __gallons
Other:
CAS LCNE pNLY
❑ Outdoor Crrill ❑ Othcr/List What&Where:
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01-25-'16 12:15 FROM- T-598 P4003/0006 F-974
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❑ Yes,this section applics
The replacemen4 of a Rg��dgntial fixture or appliance that meets all three of Ehe follor�ving rzyuiraments:
1. Does not require modification to eloctrical or gas service.
2. Has a total eost of$500.00 or Iess;excludin the cost of the�ixture or applianee:and �
3. is improved,installzd or replaccd by the homeowner or lioensed contractor. ,
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Skip nt�ct stction,if this applios; Cost af Permit $ 15.00
State Surcharge $ 5.00
Mail-In F�(If Applicable) $,�,., z.�0 ;
Tofal Permit�ee $ �
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!f above dozs not app{y;follow guidelines below: E
1. COIVTRACT PRICE * is 1.25%of eontract pric�with a(Mfnimum Fee of 550.00) �
� � •X�.0125$:,. : ��(J��..;....
�(�pn�r�pricc) (minlmum�50.�)
z. STAT�S�1YiC�AYiG� .�w� ,
X-:���5.:$. � ;
(ContrOCt prict) ;
3. POSTACy�&HANDLING(Only an Mail-in Applications) $ �� �
4. TOTAY,P�TtMTT���(Add Lines 1-3 Abovt) S .: •�17.� i
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� ■ * CONTI2ACT PRICE or JOB COST rnzans the actual or estima4cd dollar amount oharged for the F
permitted work including materials,labor,profit,and other fxed costs, it is the amount to be charged j
to the customer for the work done, If any materia3,equipmcnt, Iabor or installations are furnished by `
the owner,tenant ar any othcr part�,the reasonable market value of such items must be added to thc F
estimatcd cost or contract price for permit fee purposcs. Tn tho cvent that thcrc is a dispuCe on the
amount of the job cost,the City may request thc submission of a signed copy of the actual contract.
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The undersigned hereby applies to the City foi•issuance af a Mechanic&1 Permit,agrees to do all
wo►•k in strict accordance with the ordinances of thC Giry and the regulations of t�►e State of
Minnesota, and certifios that all statements made on this application are complete, true and
coiz�ect.
' Applicant's Signature: �-��'�'V �'v�'WG�'L�'1^ pa�c: ��-7
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{ � DATE TIME
� CITY OF ORONO CALLED IN
INSPECTION Cr _ �jg�O'l SCHEDULED �� �•�
PERMIT NO. � ����a� CO EfED .
ADDRESS ��� �J,^���si�7y(�, L� GG�
OWNER ' TEL HONE NO.�� � g�
CONTRACTOR �����
� DESCRIPTION � �
W ❑ FOOTING ❑ DEMO- INAL ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
h COMMENTS:
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� K SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT YYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC4IIERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCorrtractor on site:
�
Inspector: �. ��— �5��
WhiM CopyllnspectoPs FiM Canary CopylSlte Notice
DATE TIM
CITY OF ORONO cnLLED IN
INSPECTION O CE SCHEDULED l -
PERMIT NO.�������� COMPLETED '� ,
ADDRESS L��� S�[•c.Q1t"'•c� ��� .
OWNER TELEPHONE NO.
CONTRACTOR F��t 3.�+ �f Qo��,( ��lo,�,�
� DESCRIPTION �'�' ��''�'�G
tU ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
J AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET Y�U:_YES_NO
� COMMENTS: ,
� �f6C`� f/K�t,. Q�r 'Z �>'L` Ip t�.,Ql��� �/L
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� ❑WORK SATISFACTORY:PROCEED �COMPLETE
W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECTINORK,CALL FOR REINSPECTION TEMPORAHY
V BEFORECdVERING PERMANENT
O CORRECT UNSAFE(bNDI110N WITHIN HOURS. p pHpTO TAKEN
INSPECTOR NfFLL RERJRN ❑�TATION ISSUED
❑STOP OROER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cafl for the next inspecti�24 hours in advance. (952) 249-46��
OwneriConiractor on site: �G `"'�
�nspector: ••�
White Anapector's FlN Can�ry CopylSite Notke
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION I�,QTI�E _ � SCHEDULED � /
PERMIT NO.�d�.�.� COMPLETED �a �(� "��
ADDRESS l� ��•c� Gi% -
OWNER TELEPHONE NO.
CONTRACTOR
r. F. /� �'��,2L
�, DESCRIPTION
4~j ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? O'WNFRlCOlfTRACTOR TO MEET 11�U:_YES_NO
� COMMENTS: - �r-L�' `� �
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W� O WORK SATISFACTORI/•.PROCEED O PROJECT COMPLETE
W �CORRECT W'ORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑ OP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContractor on site• ��'✓�-
Inspector: � M-- 7�
White CopyAnapecto�'s Ffls Canary CopyfSMa Notkx