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Home My WebLink About2015-00407 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 4 0 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 677 SANDSTONE CIR PIN : 33-118-23-11-0041 LEGAL DESC : STONEBAY : LOT 038 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,500.00 NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM,3 BATH EXHAUSTS, LAUNDRY FAN APPLICANT MECHANICAL 93.75 STATE SURCHARGE MECH(VALUATION) 3.75 WESTAIR HEATING MAIL-IN FEE 2.00 11184 RIVER ROAD NE HANOVER, MN 55341 TOTAL 99.50 (763)498-8071 Payment(s) Minnesota State License#: mech-MB003525 CHECK 19313 99.50 OWNER Stonebay Builders LLC 14870 BROCKTON 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 wi[h whether or not specified herein.This permit will expire and become null and void if cons[ruction 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. ` ^ ��' �-f �� I s �� ( ��- � `��.� , , Applicant Permitee Signature Date Issued By Signature Date � '.� , ,� `_ � � ,I ;�,1��? FbR CITY TJSE ONLY City of Orono � -'"! '',,,. �� P.O.Box 66 nate Received_ ��(��Permit# �� 0 2750 Kelley Parkway ; (;'�( � Crystal Bay,MN 55323 Approved Ry ` Amount$�,__� f.� � Phone(952)249-4600 Fax(952)249-4616 � /1� � y �� `� G CITY OF ORONO—MECHANICAL PERMIT � I �I 3I `�k�s�� (All Commercial permits must be approved by the Ruilding 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT1L THE PERMIT 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 wark 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 PT;�RIVfIT � � � (Check All That A lv) � � � � . �Residential ' ❑Commercial(Approval Required) �New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: _ �(G.�� °��,�� '� 1�—�.,i`"�� Owner: ��1 �� Mailing Address: '�U IQ �ro�.�;� t.-�-�-'�� City: �� ' ��_ Zip: �� Home Phone: Alternate Phone: Contractoc Infor�l�ation: � �� Contractor: �' � � Contact Person: �P ' ��-� Address: �1' �S f ��;'�(_ 't�('�1 ►u� State Bond#: J�1� �`,�� City: �rY �J ��r Zip.�y�I I Expiration Date: 0-�C� - (j�� Phone: ��, � ��P D�� Alternate Phone: ❑ Insurance-Current: 1 '�I y � 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: FueL• t� Flue Size: Input BTIJs: 11 l.'l� Output BTUs: CFM: COOLING SYSTEMS Quantity: ' Make: ModeL• � � Tons: 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 duct outsi e) cfin No. �_ Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall 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: 2 ,, . ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fiacture 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 $ 5.00 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$50.001 ��D�° X.0�25$ ��'� (conVact price) (miuimum$50.00) 2. STATE SURCHARGE �� x.0005 $ � � (conVact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT 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 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 ��'�' �) 3 ��'� WESTA-4 OP ID: EP '4`�.,.o�R�'w CERTIFICATE OF LIABILITY INSURANCE DATE�MWDD/VYYY) 03/31/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER NAMEACT Erin Parker Insurance Advisors,II1C. PNONE Fnx 15020 27th Avenue N. a No Ex�:763-398-4048 ac No:763-398-4060 Plymouth,MN 55447 ADDR�ess:e. arker iaimn.com Jason C Richmond INSURER S AFFORDING COVERAGE NAIC# iNsuRea n:West Bend 15350 INSURED WestAir, Inc. iNsu��a: 11184 R(v�r'Rd, INSURER C: 4� Hanover, MN 55341 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE A D UB POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ �,OOO,OO � A X COMMERCIAL GENERAL LIABILITY BCO�84SO1O 04/O1I2014 O4/O1/2015 pREMISES Ea occurrence 3 ZOO,OO CLAIMS-MADE a OCCUR MED EXP(Any one person) $ �D�QD PERSONAL 8 ADV INJURY $ �,OOO,OO GENERALAGGREGATE $ Z,OOO,OO GEN'L AGGREGATE IIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S Z,OOO,00 X POLICY PR� LOC $ AiITOMOBILE W181UTY COMBINED SIN LE I.IMIT ��OOO,OO Ea accident A X ANY AUTO BC01848010 04/�1/20�4 04/01/2015 BODILY INJURY(Per person) S ALL OWNED SCHEpULED BODILV INJURY(Per accide�l) $ AUTOS AUTOS X HIRED AUTOS X AUTOSWNED PER ACCIDENT�GE $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 'I�QOO,OO A ElfCE88 LIAB ��.AIMS•MADE CU01848012 04101l�014 04f0112015 AGOR�dATE � $ DED X RETENTION$ O $ WORKERS COMPENSATION X _WC STATU- OTH- AND EMPLOYERS'LIABILITY — A ANY PROPRIETOR/PARTNERlEXECUTIVE Y�N C07848011 0410112014 04/01I2015 E.L.EACH ACCIDENT 3 50�,00 OFFICER/MEMBER EXCLUDED7 � N/A (AAandatory in NH) E.L.DISEASE-EA EMPLOYEE $ SOO,OO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOO,OO q Voluntary Prop Dam BC01848010 04l07/2014 04/01/2015 Ea Occur 2,50 $250 Deductible Gen Agg 2,50 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Atlditfonal Remarks Schadule,If more apaca Is requlred) CERTIFICATE HOLDER CANCELLATION ORONO-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Orono ACCORDANCE WITH THE POLICY PROVISIONS. 2750 Kelley Parkway Orono,MN 55356 AUTHORIZED REPRESENTATIVE �.. `. `�"w"� O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD � D TE TIME ✓ �.ITY OF ORONO CALLED IN INSPECTION NOTICE ,` SCHEDULED �� PERMIT NO.o1DI.� �(��t�� 7 COMPLETED ADDRESS C, �' OWNER TELEPHO E NO. 3 - l � �I?� CONTRACTOR �� DESCRIPTION W ❑ FOOTING ❑ DEMO-F�NAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF�d��FITwAL�` ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI � ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE 0� PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � J a W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan 2) 249-4600 OwnerlContractor on site: Inspector. White Copyflnspector's File Canary CopylSite Notice DATE TI CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED � PERMIT NO. U/ - 6 O COMPLEfED _ � //�!�j ADDRESS �7 7_S�r��.f�e�t Ci�- ' - OWNER TELEPHONE NO. CONTRACTOR ��S� "-��r' � DESCRIPTION 1'YI�G�• �•� ` � . L . t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAI ❑ TREE REMOVAL Z ❑ RADON SLAB �pGECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL F�NAL ❑ PROGRESS � ❑ tNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Q ONfNERICONTRACTOR TO MEET YiOU:_YES_NO c� COMMENTS:1 �l P411 �Ct� /hS�i! � � �,D � � � � G�vi t�e,�� iQ�e ��G� � �� ! �tc�.O G�i;s��c aZ`r��a�. � ° /�� l�i/I��_�}-✓m�wrt-s T' UI� W - - � Q � � � � GUvC� W � j �K SATISFACTORY:PROCEED ❑PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pf{OTOTAKEN INSPECTOR WFLL RETIJRN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cau for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on�ite: Inspector: '"�'� White Copyllnspector's File Canary CopylSite Notke �`� �� A� TIM CITY OF ORONO (J CALLED IN INSPECTION NOTICE SCHEDULED -��Z� � PERMIT NO._,�DIS"G`�'�� COMPLETED ADDRESS �� -�� OWNER TELEPHON NO. ��-�Q� �� CONTRACTOR �� r �; DESCRIPTION / ` �� /'��CY�'`-- ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FIN ❑ PROGRESS � ❑ INSULATION ❑ W IREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � � J O �. � O � W � �Q � � � W . W � � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O��RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V FORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 ) 249-46�� OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopyfSite Notice � � � � � �l/�� DAT � TIME�,� r � CITY OF ORONO � CALLE N � i �.� INSPECTION NOTICE SCHEDULED �-S ____%?"� PERMIT NO..?f%/-�� O� 7COMPLEfED ADDRESS C� � 7 SGE/'7C�S�P C�' , OWNER TELEPHONE NO. ��y��p D�� CONTRACTOR G ��'��r �,�t/ ��a % �y��., �; DESCRIPTION ��`-�! tL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MEC I ❑ SITE INSPECTION Q ❑ FRAMING CHANICAL FIN,l L.� ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SE ER HOOK-UP ❑ HARD COVER REMOVAL ❑ DEMO-SITE v ❑ S PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO M�E�U: YES_N� � COMMENTS: �` '�' � /�� /� /� - C (1� /"�7Ti CijPil"s1 Y Cisf/¢ r'o v.�./J�rrcit�G j C2✓�. OG . � ��^ - � � r rre•��[ /rt�t4l�t�e� �l�.i YCy„SL<<r,S 4TK ✓ O� ��d''''�f W L� � ��[ - � </� � �i O �t v(,P �[CTi r �i�o�v Q � � 2 W � W � j � ❑WORKSATISFACTORY:PROCEED �ECTCOMPLEfE �ECT WORK&PROCEED ��O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDEH 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. r--� White Copyllnspector's Ffle Canary CopylSite Notice � DATE TIM� CITY OF ORONO CALLED IN INSPECTION OT E� SCHEDULED PERMIT NO. " � COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION v � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ HANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING CHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J GW ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOH ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice