HomeMy WebLinkAbout2010-00900 - mechanical , .
CITY OF ORONO PERMIT NO.: 2010-00900
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 09/24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2172 SHADYWOOD RD
PIN : 17-117-23-42-0010
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 15,455.00
NOTE:
HEATING SYSTEM(1)CARRIER-INFINI"I'Y-NATURAL GAS- 100,000 INPUT BTU'S
COOLING SYSTEM(1)CARRIER-MODEL APA5048-4 TONS
GASLINE FOR MAIN,(3)FIREPLACES,DRYER AND RANGE
APPLICANT MECHANICAL 193.19
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH (VALUATION) 7.73
3062 RANCHVIEW LN N
PLYMOUTH, MN 55447 TOTAL 200.92
(763)473-2267 PAID WITH CC# 1207
OWNER
DORE, STEVEN
8351 WEST 109TH STREET
BLOOMINGTON, MN 55438-
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 Buildine Code. This permit is for only the work described and does
not gran[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 a[any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the Sta[e Building Code.This permit may be
revokxd-�y t5 r ue cause.
�„
/ / / �O
�c t ermitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
09/24/2010 FRI 14: 20 FAX 763 473 8565 Sabre Plumbinq & Heatinq �001/003
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I%O1 CI7'1'LfSL ONLY
p City of Urano �}' �
� � I�.O.13nx GG Dalo Receiv�d.��/� Permil IJ p�/D" ��
���q�5y.�, � 27>U Kcllcp Purk��^ay .���
�a� ��'�?�,i;�; �� C:iystal 13ay.MN SS323 I Appra��ed 13y: Amoum$: 0��. o�
d•!+�f��:�}+u I�honc(952)249•460G Fax(952)2d9-461G
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C1TY OF ORONO—MECHANICAL P�RMIT
(All Commcrcial permils must beapprovcd b1'Ihc Building Ol�iciai or lnspcc�or ancl/ar Firc Marshall)
GENERAL INFORIVIA'T1�N ; .. . ... .. ;
1. You may appiy for mecl�anical permits by mAil or in person at tl�e Ciry offices. Applications will
be reviewed and a permit will be issued witl�in two working days.
Z. Permit cards will be sent Uy retiu�n mail after a review is completed. PEIZMI'I'S ARG NOT
VALID UNT1L YOU R�C�IVE A PERMIT. WORK MUST NOT BRGIN UNTIL TI�C�
PERMIT CARD IS POSTI;D ON 7'I�IE JOB SITE.
3. Mechanical Desi��-Complete calculations,cletails and specifications t�re required for each
heatin�,ventil�tion,humidifcation-dehumid'sfcation,and air candilioning installntion including
heat loss/heat bain cllculacian,desi�n temperatures,equipment ratin�s and idenlification as to
lype,manut'accurer and model. Data shall be presented on form provided.
4. \�Jhen�ny ne���consU'uctian or remodeling is involved,a separate building permit nuisl be
obt�ined.
5. All�rork must be done in accorda�ice with the Uniform�qeclianical Cade/State Building Code
requirements.
6. All�+�ork must be inspeeted(rough-in and fnal). Call (952)249-46Q0.
(24-48 huur notice required)
7. House I-leafing Tesc Record must be submitted before final.
. , .. ... ....
TYPF`QI':P.�RN11:T :� .:'.:
(Check A11 fihat A 1
�R.esidential ❑Commercial(Approval Required)
�New ❑Additional ❑Re��airs ❑ Replace
Job Site/Ownei� Information:
s��e �aa���Ss: 2172 SHAL�YWObD RD � -
�,W„�,.. DORE, STEVEN ]��ili��g Addcess: 8351 WEST 109TH ST
c;��,: BLOOMINGTON Z;�,: 55438
1-]ame t'hone: Alternate Plione:
Conta�actor Infor�nation: '
SAOR[PWIADINGH@A7MGdNC.INC . � STEVE
Contractor: Contact Pc;►•sai:
3062 RANCHVIEW LN N , 70352730
Address: State 13ond #:
City: PLYMOUTH �ip:55447 Expii•ation Datc;
Pl�one: (763� 473-2267 '�� �Aher»ate Phone:
❑ ]nsurance—Current:
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� Yes,lhis section applies
The replacement of a Residentiai i'ixiw•e or apnliancc that meets all three of tl�e following requirements:
1, Does not require modification to electricnl or gas service.
2, l�as a total cost of$500.00 or less;exc u i die cost of the fixture or appliance:and
3. ls impraved, insfalled or replaced by the honi.eowner or licensed contractor.
Skip next section, if this appiies; Cost of Permit � 15.OQ
�StateSurchArge S.._ 5•QO
A�(ail-ln Fee(rf Applicable) � 2.00
lbtal Permit Fce $
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If above does not�pply; fallow�uidelines b�low:
!. CONTRACT 1'RIGC " is 1,25%of conu�act��rice�+�ith a(�4inimum rcc of�50.00)
15,455 . .o�2s � 193.19
(conlract price) (ntinim�nn$50.00) ..�..��..
2, S7'ATE SURCHARGC ** Add the State Bldg Code Div. Surcharge(1linimum l�ec afSi.00)
15,455.00 X.oaos �7•73
(contract pricc) � (minimwn b 5.00)
3. POSTAGE 8 I-iANDLING(Only on Mail-�n Applications)' $ 2.00
, 202.92
4. 'T07'AL PF.RMI'f F�E(Add Lines I-3 Above) , $
� * COI�TRACT PRICC or J013 GOS'T means th�;actual ar estiniatecl dollar amoturi charged for the
��e��nitted work including materials, labor,profit,an'd ather fixe�!'costs. It is the amount to be charged
to tl�e customer for the woi•k done. lf an�� material, e�uipinent, labor ar installations xre furnished by
the<�wner, ten�n� o����,y otne�• p���ry, �he reasonaUle market value of si�ch itcros musl be added to thc
estimated cost ar con�racl price f'or pern�it fee purposes. ln�the event that lhere is a dispule on Ihe
amount of the job cost, tbc Gity may request the submissioii of a sianed copy of the actual contract.
■ *'�'1'lie S1'A'TL`SURCI-TARGL is.00QS times the ConU•act 1'rice or a minimum of a5A0.
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The undersigned l�ereby applies to thc City for issu�nce of a Mechanical Permit, a�;rees to do all
wark in ssrict accordance with the ordinances o!' the City and the re�ulations of' the State of
Minnesota, and certifes that all statemcnts made an ihi� application are complete, truc and
corr�cf. ;�......_'._..........,_ ;
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Applieant's Signature�-' �;�ate; G �- .___mm_
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09/24/2010 FRI 14: 20 FAX 763 473 8565 Sabre Plumbinq 6 Heatinq �002/003
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Note: All Geothermal Systems will now require a Site �'{an&Review by our Building Official.
IS THIS GI;OTHLRMAL? ❑ Yes �No
HCATING SYSTEMS
Q�an�i�Y: 1 , _ _ . —___ —
��ak�: CARRIER _. _ ___.� ----..—
.._.
��o��i: 1 N Fl N ITY � ----_--._ .._ __..__—. .—.._....__ _._.
�,ue1, NAT. GAS
1=1ue size: ._ ..... �.___ _�.__ ._.... _.�.
Input ATUs: � � - -_
Output I3TUs: __�__�__ . — _._--- _._-----.__..
cr-ht: __.._ �.._ .._____ ___._ --- -
coo�rNc svsrLMs
Quantity: � � _ -- -- _.._...... _ _...._._._
���k�: CARRIER � .._ _.... ----__ __..__
uoa��: APA5048 ._..._.__._...�.._ .�__�._ _.. ___--.--
�ro�,S: 4 _. __ ... __ �..-----....--
H.Power __._____ �..... -..-.— _..---
FIREPLACL'S
Gas Factory Pireplace 13r�nd Name: __.____
Vdood 13urning rireplAee
Wood Stove M.ode1 No.: ,,,. _,.._......_._._....
�1�ood Stove Wifh l�lue
V CNTII,A"1'IUN
No. Kitchen L"-xhaust duct „_cecirculatii�g cfm
I�Eo. ��� [3ath I;xhaust(mus�have duct outside)+�. --.-.--.._........_cfm
No. __^ Other[=ans: l.ocations.�._.----........ . �.._....__._..._.cfin
rI1EL S'i'QRAGL (A9usl be npprove�l�iP Fire Mar.slinl!iJprvposixg rn r�bairdon Innk in pince.)
� Installation � Removal
ruel Oil: w,_ ballons ❑ Undergr�und ❑ Inside ❑Oufside
L.I'Gas: ,�Sallons
Uther: _ .�___,_.. ...,_
GAS LINE ONLY
MAIN,(3)FIRCPLACE,DRYER,RANGE
� Outdoor Grill a Other/tfist Wl�at&Where: _,,,,_..—__.�.._...-_---......_..........
2
�(� � T !� TIME V
CITY OF ORONO CALLED IN
�' ��/ �
INSPECTION I�OIJ,CF�_ ���+_ $CHEDULED � �
PERMIT NO. ��J � ���COMPLETED
ADDRESS � � � �" G� �-
OWNER TELEPHO NO.7 - - a��
CONTRACTOR �
>: DESCRIPTION ��� �/C� — /L �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WiTHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUiRED.CALLTOARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. ,� ��
White Copyllnspector's File Canary CopylSite Notice
�� � DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION OTs SCHEDULED �� /�
PERMIT NO. �l�'��� COMPLETED
ADDRESS �l7� 'S`Z� ��d �
OWNER TELEPHONE NO.��Z ZZl �OS�`f
CONTRACTOR �Q ���� �d���
� DESCRIPTION ��`-' .
� ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�, COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WlLL REfURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on s'te:
Inspector. (. /''7 �!� .�
White Copyllnspector's File Canary CopylSite Notice