HomeMy WebLinkAbout2010-00633 - mechanical . •�
CITY OF ORONO PERMIT NO.: 2010-00633
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 07/28/2010
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 : RESIDENTIAL ,�,,(���
CONSTRUCTION TYPE : R#��3R�»-�PbF� l��`'�'�� S��""�"�
VALUATION : $ 3,200.00
NOTE: (1) WIRSBO IN-FLOOR HEAT SYSTEM
APPLICANT MECHANICAL 50.00
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 5.00
3062 RANCHVIEW LN N TOTAL 55.00
PLYMOUTH,MN 55447
(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 Ciry approvals,and the
State Building Code. This permit is for oniy the work described and dces
not grant permission for additional or related work which requires separate
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 co rmance with the State Building Code.This permit may be
revoked at me f d cause.
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cant Permite ature Date Iss y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
07/28/2010 WSD 6: 52 FAX 763 473 8565 Sabre Plumbing & Heating �J001/003
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2750 Kolley Parkway �� ,,?+�r:.��: , °
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� , Cryslal Bay,MN 55323 '"� � `�'
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Phone(952)249-4G00 rax(9S2)249-4616 s,�;='a;;'�`•;;.>h�i?:" �'� ' �
CITY OF ORONO—MECHANICAL P�RMIT
(All Commercial pccmits musi bc approved by Ihe Duilding O(Ticial or Inspector end/or�ire Marsliall)
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I. You mRy apply for mcchanical permils by mail or,in person at the 4ity oftices. Applications will
be revlewed and a perniit will be issued within lwo workitig days.
2. Pcrmit cards will be sent by retum mail aRor a cevie�v is completed. PCRMITS ARE NOT
VALID UNTII.YOU RECEIVC;A AP,RMJT. WORK MUST NOT B�GIN UNT1r.T[�
�'ERM1T CARD 1S AOSTED ON'y'I�E JOB� T�.
3. Mechanica!Desien —Completc calcutations,details and specifications are requircd for eacli
heating,ve�ttilation,liumidification-dehumidification,and aIr eonditioning installation including
hcat loss/heal gain calculation,design temperatures,equipmenc ratings and identifteation as to
rype,manufacturer and modeL Data shall be presented on fonn provided.
4. W1�en any new construction or remodeling is involved,a separate buildi�ig pem�it must be
obtained.
5. Ap work must be done in accordanco with the Unifonn Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rouglt-in and final). Call(952)249-4600.
(24-48 hour aotice required)
7. House Iieating 1'est Record must be submiitcd before�nal.
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�,,,Residential ❑Commerciel(Approval Required) �
❑New ❑qdditional ❑Repairs ❑Replaco
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Site Address: �f�� ��'��,1�(.j�/��j� �
Owner: ' Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
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Contractor: �lM�'�'t� � � � Contact Person:
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Address: �J�Go� � '�{�IFI/1 )1'�WLV�� State�Bond�#: � �U���7��a .
City: � l�Yl�l/�,�it Zip:�u�Ex�iratton Date: ��/� f/�
Phone: � � "�F7����' ; Alternate Phone:
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[`�-�'"� Insuranee—Current: �
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07/26/2010 �PSD 8: 52 FAX 763 473 8565 Sabre Plumbinq 6 Heatinq �002/003
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Note: All Geatherntal Systems will,now rcquire a Site PI'an&Review by our Duilding Official.
1S THiS GEOTI��RMAL? ❑Yes ��10 ' ;
H�ATINC SYSTLMS :
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Quantity: � �
Make: V �� 'S/� ;� i�-t�SS�J'Yl
n�roa�i: '
Pue[:
['lue Size:
Input B'I'Us;
Output BTUr. ,
CFM: ,
COOt.lNC SYSTEM5
Quantiry: '
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Malce:
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Model: '
Tons:
H.Power '
FYREPLACES
Gas Factory Fireplace Brand Name:
Wood Iiurning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION ' �
No. Kitchen Exhaust duet reeireulating efm
No, Dath.Exhaust(must.have duct outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE (Afusl Ge npproved by Firc Mnrshnl!iJproposPrig lo abairdon Iank in pinc�)
� htstallstion � Removal
Fuel Oil: gailons ❑ Underground ❑Inslde ❑Outside
LP�as: �allons
Other.
GAS LIN�ONLY
� Outdoor Grill � Other/List What&Wherc:
2
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07/28/ZO10 DPED 8: 52 FAX 763 �73 8565. Sabre Plumb�ng i Heatinq �003/003
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� Yes.this section applies ' �� , � , '
The replacement of a Residential fixture or,�geti nt�,��that mcets all threc ofthe following requirements:
1. Does not require modifcatian to electrical or gas servlee.
2. Has a total cost of$500,00 or less;e c ud' the cost of thc fixture or appliance:and
3. Is improved,instAlled or roplaeed by the homeowner or licensed contracior.
Skip next section,if this applies; Cost of Permit. S_ l5.00
State Surcharge $ 5.00
Maii,In Fee(IfApplicable) $ 2.00
Total Permit Fee $
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If above does not apply;follow guidelines belqw: , �;
1. CONTRACT PRICE *is I'';�i5°.(o of cont�act prf�C with a(Miniinum Fec of 550.00)
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' � , ����:� x A125
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., . _' (conlract price) (minimum S50.00)
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2. STATE SURCHARGE **Add tlte State Bldg Code Div.Surchatge(Minimum Nec of55.00)
{� w„"T ~
v X.00OS $ �
(conlract pn�) (mini�ut��f S.uu� }�
3. POSTAGL&HANDLING(Only on Mail-In Applications) $ �..._
4. TOTAT,PERMIT FEE(Add Lines 1-3 Above) $�•�..5�
■ * CONTRACT PRICE or JOB COST means the'actual or estimated dollar amount charged for the
permitted work including materiais,labqr,proft,and other fixed costs. It is the a�nount to bs charged
to the custonier for the work donc, lf any matariat, equipment,,labor or installations are fumished by
the owner,tenant or any other party,the rcasonable market vafue of su�h items must be added to tl�e
estimated cost or contract price for permit fce purpos�s. Iq {he event;thal there is a dispute on the
amount of the job cost, the City msy req►Iest the submission.of a signed copy of ihe actual contract.
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■ **The STATE SURCHARGE is A005�times 11�c Contract 1'riee.or a 4niiiimuin of$5.00,
,
The undersigned hereby, applies to the City for issuance of a Mechanica] Permit, agrees to do all
work in strict accordance witl� tl�e ordi»ances of the City and ihe regulations of the State of
Minnesota, and certifies that all statemen#s �nade on this application are co�nplete, true and
correct.
Applicant's Signature: Date:���u���`"�
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DATE TIME
CITY OF ORONO
INSPECTION NOTICE SCHEDULED �
PERMIT NO.OZ�������3� COMPLETED
ADDRESS a/ �-
OWNER TEL HONE NO 3'� �a�7
CONTRACTOR �
� DESCRIPTION -
� ❑ FOOTING ❑ PLUMBING FINAL ❑ E /GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL 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 ❑ SEPTIC MAINT. ❑ FOILOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
��., COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C�IERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR 1MLL RETItRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnedContractor on site:
Inspector. �1� l` � /�
White Copyllnspector's File Canary CopylSite Notfce
C � C� DATE TIME ✓
CITY OF ORONO CALLED IN � ��
INSPECTION NOT�,��_OD� HEDULED /� � D
PERMIT NO. r� OMPLETED
ADDRESS d��� �y��� ���/
OWNER T�LEPHO E NO�/� � `�73raO��7
CONTRACTO � �
>; DESCRIPTION �
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ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL 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 ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR =�CITATION ISSUED
❑ INSPECTIONREQUtRED.CALLTOARRANGEACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-46��
OwnedContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
� g D,,AT TIME J
CITY OF ORONO CALLED iN as�� �
INSPECTION NOTIC� SCHEDULED � �
PERMIT NO. a� 33 COMPLETED
ADDRESS � 7a SGt��t �'r'� • ��`��
OWNER TELEPHONE NO. ��� �9� �j3S
CONTRACTOR ���fG� y�P(�
j DESCRIPTION ��'�'�C'-�/tf r L1f �iu' r ne
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� �Q(QRKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice