HomeMy WebLinkAbout2014-01342 - mechanical , '' CITY OF ORONO * 2 0 1 4 - 0 1 3 4 2 *
2750 KELLEY PARKWAY DATE ISSUED: 11/17/2014
ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 709 SANDSTONE CIR
PIN : 33-118-23-11-0044
LEGAL DESC : STONEBAY
: LOT 041 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
VALUATION : $ 7,500.00
NOTE: (1)RHEEMFURNACE
(1)RHEEM A/C UNIT
(3)BATH EXHAUST
(1)LAUNDRY ROOM FAN
APPLICANT MECHANICAL 93J5
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)
CHECK 19076 99.50
OWNER
Stonebay Builders LLC
14870 BROCKTON LN
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 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.
��-a-�-ec.� l / _ / l � l��
A Permitee Si nature D �
PP S Iss d By Signature Date
. �, �
FO CI U5 ONLY
�Ot _ City of Orono
1�/ P.O.Box 66 Dat�Itecei�� ertnit# � �
� 2750 Kelley Pazkway �
Crystal Bay,MN 55323 Appmved By: Ampunt$:
Phone(952)249-4600 Faac(952)249-4616
�`��` �.��� CITY OF ORONO—MECHANICAL PERMIT
���5�d� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
�iEI�RAL INFC7RMAT'ION
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 Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculatien,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 fmal.
TYPE OF PERMIT
Check All That A 1
�Residential ❑ Commercial(Approval Required)
/�
�New ❑Additional ❑Repairs ❑Replace
Job Site/C�wner Informatian:
Site Address: _�� �CQ,�'�-� C � -(�
Owner: /�',� %UIT_�,�t(�-�('� Mailing Address: � o � L..t�Ul-�
► -
�— ,
City: C i�� Zip: �,��
Home Phone: Alternate Phone:
Con�ractor Infarmatian:
C� ,
Contractor: � Contact Person: ' �1.�.�
� 1'�
Address: ���Q ti� State Bond#: b�
City: (_ Zipr��'� (:xpiration Date: �''C1 ' ��10
Phone: �lV J-�"l p-��� Alternate Phone:
❑ Insurance—Current: •
1
. �.
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
i�
HEATING SYSTEMS
Quantity: l
Make:
Model: �c�� '�I I��7
Fuel: �
Flue Size:
Input BTUs: �Q U�
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: I
Make: C�
Model: � � ,
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VE1�ITILATION
No. Kitchen E�chaust duct recirculating cfin
No. � Bath E�aust(must hav duct o tside) cfin
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 elech-ical or gas service.
2. Has a total cost of$500.00 or less;exclud'me the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner ar licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Tota!Permit Fee $
If above does not apply;follow guidelines below:
l. CONTRACT PRICE * is 1.25%,of contract price with a(Minimum Fee of$50.00)
���� (� ��
x.0125$ I
(contract price) (minimum$50.00)
2. STATE SURCHARGE � ��j
��� x.0005 $ � '
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � l�
■ * 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 far 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: Ut,1� �� Date: l,''O'I`f
3
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CITY OF ORONO CALLED IN l 02
INSPECTION OTICE y�L SCHEDULED — --�����'�—
PERMIT NO. '�'� ! COMPLETED �_
ADDRESS ���
OWNER TELEPHONE N0.7 ���7
CONTRACTOR
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�; DESCRIPTION
�
� ❑ FOOTING .�MBING FINAL ❑ EXCAV/G DING/FILLING
Q ❑ POURED WALL MECHANICAL RI p LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� p FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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� COMMENTS: � � ����
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
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. 49-46��
OwnerlContractor on site:
,-
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� � ��/� � �� DATE TIME �'��
�
CITY OF ORONCI��'� - CALLED IN '
INSPECTION,�VO CE SCHEDULED - �
PERMIT NO � COMPLEfED
ADDRESS ��_� �f'�C'� �r�
OWNER TELEPHON NO.� ��-3���"c�7�
CONTRACTOR � �-�-� �r� ���
� DESCRIPTION �� C�-I------�`��r,�
W ❑ FOOTING ❑ DEMO-FINAI ❑ 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 /�MEe1iANICAL 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 PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMEN'TS�/` t
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W ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal ion 2 hours in advance. (g52) 249-460�
Owner ontractor on site:
Inspector. �
White Copyflnspector's File Canary CopylSite Notice