HomeMy WebLinkAbout2015-00916 - mechanical CITY OF ORONO * z 0 1 5 - 0 0 9 1 6 *
, , 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2015
�' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 681 SANDSTONE CIR
PIN : 33-118-23-11-0042
LEGAL DESC : STONEBAY
: LOT 039 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,500.00
NOTE: 1 HEAT[NG& 1 COOLWG&4 BATH&GAS LINES FOR:RANGE,DRYER&FIREPLACE
APPLICANT MECHANICAL 93.75
STATE SURCHARGE MECH(VALUATION) 3J5
WESTAIR HEATING MA[L-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 19495 99.50
OW1vER
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 sepazate
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. `
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Applicant Permitee Signature Date [ssued By Sig ture Date
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, FOR C[TY L'SE ONLY
(''� City of Orono --�/ c
�`��� P.O.Box 66 Date Received: � j�1 SPermit# ���'-�`" . .'���
2750 Kelley Parkway � �� .�C
Crystal Bay,MN 55323 Approved By: Amount$
Phone(952)249-4600 Fa�(952)249-4616
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�.�KF����4�' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Ot�ficial or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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 UNTIL 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 gair.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 PERMtT
(Check All That A 1 } �
�Residential ❑Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
�
Site Address: `(�� v�J��1(;���,��' � ��,�-�
Ownerv.�,�T���l,t,� I�l�� Mailing Address: �Ll�� � ��� ��
City: � '�' ���� Zip: 1'�'��vl 1
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1V� ��� �� ��t��� Contact Person: 1U���
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Address: ��� � � ���i� �� E" State Bond#: �����`,��J�`,�
City: ��� Zi��� Expiration Date:
Phone: ��(J"�-�^C"I�� i)(�� � Alternate Phone:
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(� 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: 1
Make: �
Model: ���
FueL• ��
Flue Size:
Input BTLJs: ��
Output BTCJs:
CFM:
COOLING SYSTEMS
Quantity: I
Make:
Model: ' 1 ��
Tons:
H.Power
FIREPLACES
❑ 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) cfrn
No. Other Fans: Locations cfin
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;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 Surchazge $ 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$50.00Z,
�� x.0125$ � LJ�
(contract price) (minimum$50.00)
2. STATE SURCHARGE �{�
x.0005 $ � �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
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■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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: L./ Date: � � �" I��
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� DESCRIPTION 1
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� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
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INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS.
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OwnerlContractor on site:
Inspector. �
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OwnerlContractor on site:
Inspecto �
Wh� Copyllnapector's File Canary CopylSite Notice
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DATE �_ TIME
CITY OF ORONO CALLED IN ��"�
INSPECTION N�,��j�E� / SCHEDULED ��„� _,��-'�
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP P
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP FOUNDAT REMOVAL
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2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
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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. (g5 9-46QQ
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice
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OWNER TELEPHONE NO.���� ��7�
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� DESCRIPTION '
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Z ❑ RADON SLAB ,�#E�HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING V❑ MECHANICAL FINAL ❑ RATED WALLS
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❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �-i�
White Copyllnspector's Ffle Canary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN /O/ /s
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Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS
� INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
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Owner/Contractor on site:
Inspector: /�
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OATE TIME
CITY OF ORONO CALLED IN +
INSPECTION N TICE SCHEDULED
PERMR NO. COMPLEfED
ADDRESS ����C�c.-/1 C� � 7�3he�
OWNER TELEPHONE NO. ��'� ��r�7j
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
p'NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cel r t e ne • �n 2a trours in advance. (952) 249-4600
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