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Home My WebLink About2015-00917 - mechanical , CITY OF ORONO * Z pJ 1 5 — 0 0 9 1 7 * ` 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 683 SANDSTONE CIR PIN : 33-118-23-11-0043 LEGAL DESC : STONEBAY : LOT 040 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 7,500.00 NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM,4 BATH EXHAUSTS,GAS LINES FOR:RANGE,DRYER&FIREPLACE 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 19495 99.50 OWNER Stonebay Builders LLC 14870 BROCKTON LANE DAYTON, MN 55327- AGREEMENT AND SWORN STATEMENT The work for which[his 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 construc[ion 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. � r �� c�; �.c{ ��- �� ?�� c� �� i�- Applicant Permitee Signature Date Issued By Si ature Date , _ � � �( . BaR CITY USE ONLY City of Orono I ` ` 1 a• . � A ,G�'..__ �O�O P.O.Box 66 Dute P.ecerved.�,��7��Permit tt r;� i. �9/Y�I 2750 Kelley Parkwa} � „ Crystal Bay,MN 55323 Approved By: __�"[� " Amaunt$'�� Phone(952)249-4600 i�ax(9S2)24J-4616 � �� y � F � �,�K��Ho��,`' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Ofticial or Inspector and/or Fire Marshall) " GENER,AL INFORMA.TIQN 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. PERNIITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD [S 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 caiculation,design temperatures,equipment ratings and identificutiun as to type,manufacturei and moc':�1. 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 Buiiding Code requirements. 6. Ali work must be inspected(rough-in and final). Call(95?_)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. � TYPE OF PERMIT � � (Check�Il That A 1 ) ��' �Residential ❑Commercial(Approval Required) � � �New ❑Additional ❑Repairs ❑Replace Job Site/Owner I��orznation: Site Address: ��J �/u.l IL-1.�� l.� r��-� Owner: , �� { l � Mailing Address: �� -D � � = r c�ry: < �/`��-C'i1 z�p: �'�'�c�1 Home Phone; Alternate Phone: `Contractor Information: \� � �i y �,,�� Contractor: Y�� .�� 9-- �1{'I�f1C�� Contact Person: � �-� IG�° �' J Address: 1 t I U� �h�\�-�►��:� E= State Bond#: �b��Do'�� City� � ,� �i� Zi��,��1 Expiration Date: � .. + Phone: ��-�'� � L� I Alternate Phone: Insurance—Current: \ � � Q� � 1 r �� Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: I Make: ` '� Model: �i� Fuel: �'� F}ue Size: Inpat BTfJs: O �� Output BTCTs: CFM: COOLING SYSTEMS Quantity: � Make: Model: , � � Tons: H.Power FIRE—PLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION No. Kitchen Exhaust duct recirculating �� No. � Bath Exhaust(must have duct outside) �� No. Other Fans: Locations �� 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 UNLY ❑ Outdoor Grill � Other/List What&Where: , `� I� � 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 Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Tota!Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$SO.00Z, �l ll J� x.0125$ ��J� (contract price) (minimum$50.00) 2. STATE SURCHARGE �� x.0005 $ � (contract price) 3. POSTAGE&I�ANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ' ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 submissior► 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. ApplicanYs Signature: L/ Date: � � �" I J 3 ��'� WESTA•4 AP ID:PB '4�Ra� CER7IFICATE OF LIABILITY INSURANCE DATE(MM�D�YYW) 03/23l2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C�NFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND �R ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S}, AUTH�RIZED REPRESENTRTIVE OR PRODUCER,AND THE CER77FICATE HOLDER. IMPORTANT: If the cortiflcate holder Is an ADDITIONAL INSURE�, the policy(fes) must be endorsod. If SUBROGATION IS WAIVED, sub)ect to the terms and conditlons oP the policy, certaln policles may require an endorsement. A statement on this certMicate does not confer rights to tha certlficate holder in Ifeu of such endorsement s . �eoou�ER u,,,�"�T Pam Beddoe Insurance Advisors, Inc. �0� . 763-398d048 e�rc r�o� 763-398d060 16020 27th Avenue N. Plymouth, MN 66447 aoo�ss: .beddoe IdY1VLCdfl Jason C Richmond INSURER AFFORDINGCOYERA6E NAICN ,Nsur�aR: WestBend 15350 i��o WestAlr,Inc. ,uSur�RB: 11184 River Rd. Hanover,MN 55341 �R" INSIMER D: �lSURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBEFt: THIS IS T�CERTIFY THAT THE POLICIES OF INSURANCE LJSTED BEL�W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PQLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, fERM 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 P�LJCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIDNS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN PAAY HAVE BEEPI REDUCED 8Y PAID CLAIMS. � TYPE OF M15URANCE POLICY rM1MBER POLICY ffF POLICY EMP LYatlTS ��N EACHOCCURRENCE S 1,000,000 A X COMMERCIALOENERALLIABILIN BCO'I8�O10 04�1J2016 04/07/2076 DAMAOETORENTED S 200,000 c�ni►as-oaAOE ❑X occuR MEDEXP n one erson = 10,0� PERSONAL&ADVINJURY i 'I,OOO,OOO OENERALAOOREOATE i Z,OOO,OOO OEN'LAOOREOATELIAERAPPLIE3PER: � PRODUCTS-COMPlOPAGO $ Z�OOO,OOO X PRO- y AUT�IOBILELIABAI7Y COM81NE031NOLELIMR 1,000,000 A X ANY AUTO BC0184�10 04�01J2016 04/01/2016 BODILY INJURY(Per person) S ALLOWNED SCHEDULED BODILYINJURY(Peraccitlent) S AUTOS AUTOS X HIREDAUTOS X NON-OWNED PROPERTYDAMAOE b AUTOS $ X ��A�� X OCCUR EACHOCCURRENCE $ 'I,OOO,OOO A Exc�ss�we CLAIMS-MADE CU07848012 04/01/2016 04l0112016 AOOREORlE s X 0 ��T� X wcsr�ru- on+ �ro�orERs•u�un A ANYPROPRIETORIPARTNERIEXECUTIVE Y� p J� WC01848011 04f0112016 04I0112016 E.L EACHACCIDENT S 6��,000 OFFICERIMEMBER D(CLUDE07 pAandataryioNH) E.L.DISEASE-EAEMPLOYE S 60�,�� Ifyes,tlescribe untle� 600 000 �ies - q oluntary Prop Dam BC07848010 04/01/1076 04l01l2016 Ea Occur 2,600 Deductible G s n A p g 2,600 DESCRIPTION OF OP6iATWNS 1 L�ATIONS!VB�CLES (Attach ACOfm 701,AddUand Remarks 5d�,r mare space is raqWre� CERTIFICATE HOLDER CANCELLATION oRONo-- SHOULD ANY OF TFIE ABOVE DESCRI�POLICIES BE CANCELLED BEFOIiE C Ot 0�0110 TFE EXPIRATION DATE TFIEREOF, NOTICE WILL BE DELIVER� IN nY ACCORDANCE NfITH THE POLICY PR�VISIONS. 2750 Kelley Parkwagt Orono,MN 55356 �,�,�,��TrvE �,�/ !�. r. . �1988�010 ACORD CORPORATION.All riphts reasrved. ;, ACORD 26(2010N6) Ths ACORD nam e and loyo an ropisterod m arks ofACORD +��. � � �, V � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO..��Zb_Lt��-("�C='�I��COMPLETED ADDRESS ( ��.� SC��'lc��'�Y1.� �� OWNER TELEP ONE NO. ��7� CONTRACTOR .� �--e�7� �.�Y � DESCRIPTION 111 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLU ING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ CHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ TIC INSTALL � OWNERICONTRACTOR TO MEET YOU: YES_NO c�., COMMENTS: �� W a � J O C'I� ' � � O - � � _ � Q � 2 W � W � j d � W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ RRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adva . 2) 249-46�� OwnerlContractor on site: � � � Inspector. ` White Copylinspector's File Canary CopylSite Notiee C� V DATE TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTIC SCHEDULED _,� PERMIT N -��7 conn LETED ADDRESS � � c��=l/l.G�S llf/t�- OWNER - TELEPHONE NO��'�9�-�7� CONTRACTOR �� DESCRIPTION 'C' '�' ��v � eL-�- lN ❑ FOOTING ❑ DEMO-FINAL ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERfCONTRACTOH TO MEET YOU:_YES_NO y COMMENTS: � W C o ,/7lj� rc.��Q! �. f � o - � W �G_`� � 6.� r�� 25��c��o•-.. Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContra or on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee � _ �___--- �. DATE TIME CITY OF ORONO CALLED IN ' INSPECTION NOTICE CHEDULED $'��_ .� ) PERMIT NO. -�� COMPLETED ADDRESS 2- OWNER � TELE ONE NO. CONTRACTOR � � DESCRIPTION � � �-� �i�C�_ U� pY� � ly ❑ 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 OUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INS 2 OWNERICONTRACTOR TO MEET YOU:_YES O v�, COMMENTS: � � W C � � O �. � O � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in� . ) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice /� L S �/2 v DATE Ir� TIME�1�1� CITY OF ORONO CALLED IN �.,__ INSPECTION NOTICE CHEDULED � � PERMIT NO. —d�g �OMPL ED � , , ADDRESS OWNER TELEPHONE NO.��D��7/ , CONTRACTOR � f � DESCRIPTION � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �MEZHANICAL 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 v ❑ DEMO-SITE �. PTIC INSTALL � OWNER/CONTRACTOR TO MEET YOU: YES_NO c�.� COMMENTS: t� ��1S K � � �ioyr.o e.4�L�4ar boGt�� W''�'�+�.,. � _ - J ; - l ,E -Far io.4� �. �o.r .e� �..� r��.w � � �.-� t �.� r�.;,,, �� et-d . c �-- �i� pC ' — 0 /� W _�f�iG✓t�+i it��S�e 4,tr�% � z �,�p,,��tLa G � � � W � ; La� rtcf �' l3� � G6�/� � a W ❑WORKSATISFACTORY:PROCEED � PROJECT COMPLEfE �CT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS_ ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. M.- White CopyAnspector's Flle Canary CopylSite Notice �� DA TIME� CITY OF ORONO cnLLED IN � —'� INSPECTION N�TI� /r/j/J//f SCHEDULED ' � PERMIT NO. � `� �� COMPLEfED , ADDRESS OWNER TELEPHONE NO. ��7 CONTRACTOR � DESCRIPTION `',��!-l�iJ /`%K-L��LGL�'/< 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 ��HANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: o� � �� li•i. r��►a - �s ifol�cK S j O . _ _ o� 1�-��fi�P/ � �4KS �� 'S 'F'�••t E ° ✓ �� d��y. •�K�G .�- s�g.� c.��. � /�� , Q Q I�1 T!c�rd� �K e iy y l c�r Ca.w�(- <oiZ`�.c s� '_ 2 S s a( � l�riG e�t e{r.-.C��ai,. �� ac ✓ � � j ___(/�� 2�5 �c�t�.Y. � $�.it. CQv� W ❑YVORK SATISFACTOR�F PROCEED ❑PROJECT COMPLEfE � �CORRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINCa PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next" 24 h��in advance. (g52) 249-46�� OwnerlContraator on site: �'j" Inspector: �-- White CopyllnspectoPs File Canary CopylSite Notke