HomeMy WebLinkAbout2016-00116 - mechanical � �
CITY OF ORONO * 2 0 1 s - 0 0 1 1 6 *
2750 KELLEY PARKWAY DATE ISSUED: 02/04/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1025 SPRING HILL RD
PIN : 26-118-23-43-0005
LEGAL DESC : LJNPLATTED 26 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 14,255.00
NOTE: (3)FIREPLACES
I�EAT-N-GLO IN FAMILY ROOM
HHT/TRUE-50-GREAT ROOM
HHT/SLR-C-MASTER BEDROOM
APPLICANT MECHANICAL 178.19
STATE SURCHARGE MECH(VALUATION) 7.13
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 187.32
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4608 187.32
OWNER
BOWLSBY,JOHN&CYNDY
1025 SPRING HILL ROAD
WAYZATA,MN 55391-
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 dces
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this rype of work
shall be compied with whether or not specified herein.This permit will
expire and become nu11 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. -
.
c rn�,c,�.ed� -?��� d � � � 1,�
Applicant Permitee Signature Date Iss ed y Signature Date
02-04-'16 14:25 FROM- T-631 P0041/0004 F-012
r � ,
� ��'.�1� �`� , � i �� �-�� , � � J �� �� -��a � e
, • , RO. CCT US$9N[,Y., ;
City of UrOno � � '
��1ro z°o�o�� �a�����veAd�.�� permiEN.o�D/(v- � ��,� s
oy Aarkway ,. . " � :^'. . Q�`�
C atal Ba ,MN 55323 �A 'roved � ArooNnt S: � 'V •�� �
'Y Y PD. �!� .�. .; . : ,. �.
Phonc(452)249-4600 Fax(9>2)249-4616 � ' " '
.{ .. .. .... .. ... . •..,..: ... .
y� �
r�kbStio��'4 CYTX QF ORONO-MECHANYCAY.,P�RMIT
(AI{Commorcial pemiits mug��dpproveG by the Building O�Cial or Inspector and/or Fim MargF�pl!)
G�NERAX:TNRQRMATION . .;.. . . .
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be rcvicwcd and a permit will bz issued within two working days.
2. pzrmit cards will be scnt by return mail afttr a review is completed. PERMITS ATtE NOT
'VA�,CC�IJNTIL YOU RECBIVE A AETtIv(1T. VVORK MUST NOT BEGIN YJN'Y'�C,TH�
P�CtMCT CARp KS POSTED ON THE JOB SiTE, ;
3. Mechanical Desiens--Comp{etz calculations,details and specificatians are required for�ach '
heating ventjlation,humidification-dehumidification,and air conQitioning installation including
hcat loss/heat gain calculation,design temperatures,equipmznt ratings and identification as to i
type,manufacturer and model. l�ata shal}be prtstnted on form provided. ;
4. When any new construction or remodeling is involved,a sepuatc building permit must be ?
obtained. �
5. wll work must be done in accordance with thc Uniform Mechanical Cod�/State Building Codc �
requircmcnts.
6. All work must bo inspected(rough-in and flnal), Csll(952}249-4600.
(24-a8 hour notice required)
7. House Heating Test Ttccord must be submitted bcfore final.
. , .;. ,.
. .. _ ..,
';: �. : . . ... ,...
•:; . . .,
; , .., . . MIT
:,.. . ,. .,.
,. , . ... . :. ..... ..
.: . ... . ,
' � (Check.All:,T�itit A .� i�� ` ;.. �
❑Rcsidcntial , ❑.Commercial{Approval ltequired) �
�;d�aw. [�.AdditiQrial ❑Repsirs �Replace. �
;
Job Sitc./Or�vncr inform�,tiqn; ;;., ;
Site�Addfess: � ��� ., - 1�11(t ��� ► �� ��c�-l.h� �
�
� .,. i
}� .
Owner: '1�-l�� ( I(ZQI�S �11%IaiUng:Address; �`„��� �� � � ' i
�City..-�,��Pu�h� �J�l,l,(�P�i�� Zip: G7C��j�� '
—� � f
Ho�Pf►bfic;` � "���������Aiternace Phane; I
- -- I
C�ntr�ct�r Infirmati�n.�: ' °., � i
Contractor: FIRESIDE HEARTH & HOM� Contact Person: Leah
Address: 2700 Fairview Ave N State Bond#:BC662656, M8662572, PC662571
City: Roseville, MN Zi�;55113 Expiration Date:
Phone: 651-633-2561 Alternate phane:�-eah#651-�38-3312
❑ Insurancc-Currcnt:
1
02-04-'16 10:25 FROM- T-631 P4002/0004 F-012
- - �:.�,-�,.,,�-:����.�_:,,. - _��,}y .�,('(�� y-� �y}/�,��v;��/�y :xr: -- - -:� �
�.t�.:Si�:,,��.�r,-=':��'�:_�:��u?�.;;n:-' •:' df,•?:6�!i.'r�;}.iY' `J.i J:dl%V�►x'1'S�'1�l� =n:,�';-r _ -_ -,i�-•f,,
. _ .. . _ :. _.•
�. . . :, .. . ' t: .:i . _ • ti.,."=_ _,
,.:.. , .
• . . . :_.. .. . . � '
�_ -�o .. _ � ...•. . .- . .; .. . ..... �•..?4H's:.."�;sr:; :.;
s ..._ �
.. .........�_.._.: . .. , � �'��..1�r:e.rd�!+✓!•-0:d ,
Y
Note: AIl Geothermal Systems will now require a Si Ptan&Review by our�uilding 0£ficial. F
i
IS THIS G�OT�EYt'MA�,? ❑Yes ❑No
IYEATIIVG SYSTEMS
Quantity:
Make: �
Modol; �
�
�uel: �
Flue Sizc�
Tnput BTUs: ;
Output BTUs:
CrM:
COOLING SYSrEMS
Quantiry: �
Makz: ;
. �
Modet:
t'ons:
H.Powtr
;FIREPI:A�ES:
� Gas Pactory�ir�ilace �� Brartd Name: �'l� " � - �,v.t,r�
❑ �Jood Burning Fireplace I�(� V 1�+�V��"'N_ , f
❑ 'W'ood Stove Model No.: �ODU.�����'��) . . ., r ���� �.n,„� .
❑ Wood Stove with Flue/Masonry `�'1�'�-� ��(�.� ` �_,�;� V�" ;
'VENTTLATIQN t�,j�� �1 yJ �C — �S�'er W�+�(�Cn;
1��T� / U�.
❑ No. Kitchen Exhaust duct rzcirculating cfm �
❑ No. Bath Exhaust(must havo duct outsidc) cfm
❑ No. � Other Fans: Locations _ cfm
�
f
FU�Y.STORAG� (Muxt he approved by�kre MarshalC ijproposing ro a6nndon�nnk 1n place.) )
Q lnstallation ❑ Removal
Fucl Oil� gallons ❑ Underground ❑Inside ❑Outside
LP Gt�: gallons
Other:
GAS T.INE ON�.Y
❑ Outdoor arill ❑ Other/List What&Where:
�
�
�
i
02-04-'16 10:25 FROM- T-631 P4003/4004 F-012
�
e.�� :� ,y�•�...s;,s ��,r!A:�,.;:-_:_a: ' _-- '.':'l•M....•_•_.>_.�nei7 c'L;" e�•a✓ ; :
/ '�"4i �� w'�J�± �x " €
�.� ;'�:,�� :_ ---`�: ,:�'`�' ��:r"r�J:•- ` c_. ,� �-:.�:.:_-�-��.;y� �
--- T � Cd•J� p1 �P�?'...__:t
^t b;-+�":-L' �f;-�_�.�? .j' ��� .N..� u:,r.ycc,. ,,r,r..:...�i,�.�q: .,�A;:cs�e;f_�`'-- .k'�. •�x,i :1���5 L'� 4
�.�,h�,.+4.._ r'���, .�' >1�bS.S,�"-�,�(� �, �^`y� �� ..+� _ �,�"�'�;.�,( `��`�S,'..,_ta.� L;:y�..
.r_n• h�v k"^ �-�+- !),p �►�� �f!�L 3'ce��..
;h"t=i _,�'d' t' c..1r? L�"i.7Z'.�..`•._�-:=''z. • E
.:�::Gr"�Y-�".�',4�',in_ �r.Y.e�?a�i�:4'S'v�."�w=�•.'F_D.�;�7l�iY`i;+1„�tb'!a�U_U.f�'!.��7�f'►�,� .C/'7.�'1' �r=_=S�:r1i}`�lTN�vat',>,r�,�'.a�c'a":� )�' 1
. :. : : - � -
�} �[ r.__e
h_.: .�?: ��-.'�.�F'.-'�= �.r..a _rk�.�?3
[,� Yes,this section applias
Thc replac�mcnt of a Ctesid i 1 fixture or a liancc that meets all three of the foliowiog requirements:
1. I�oes not require modification to electrical or gas servicc.
2. Has a tot$ cost of$500.00 or Iess;excludin�the cost of the fixture or appliance:and �
3. Is improved,inatalled or replaeed by tht homeowner or licensed contractor, F
�
Skip next section,iPthis applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(if Applicablt) $�Q .
TotAl Permit F'ee $ �
:,�,-�s,. . �
:T;.=�.-==s-._s.;: 5y'4�".,.�_�j�'�����7±y�y �,��,'!r�"_�}�___ ..�i ��{-�j �_,_:Fa-r.='v";'r .. $
�+�' �i�M-"�,�'f',ic"i= �=� ��� \7'#%+:+17J-1�•,F�I 3 �l.R.V�� �.,�s�•1:__r...:�7%,:=o�i
� �'A'�tiiw�i+�'��u1" ��i�� ii .�.
i
If above does not apply;follow guidelines below: �
1, CONx'XiA.CT pRICE •is 1.25%of contr�ct price with a(lV(inimum Fee of S50.00)
� ' _ ',;'.';,� �!� :
:�... :,,.,..
� +k:012s:�::;-=';:,.. , . ��?- :==;
�:: .: ... .:•
!�CbnrrnG�A��); :..:...�.:. :�.�inimjim:�s!�,���
2. STAT�SURC�#ARG� � C�� ��j �
��;;OOOS::�$' .�
. . . ...........�
(cbntrae't'price)J
3. POSTAGE&HANDLING(Qniy on Mail-In Applications) ;$� ;'2:(30:,��-��` ;:���_�;
4. TOTAC�P�RM�'C���(Add L.ines 1-3 Above) ',$�����:''';',;;
• * CONTRACT PIttCE or JOB COST means the actual or estimated doilar amount charged for the
permiacd work including materials,labor,profit,and other fixed costs. lt is the amount to be charged
to the customer for thc work done, lf any material,equipment, labor or installations are fumished by
thc owner,tznant or any other party,the rcasonabEe market value of such items must be added to the
estimated cost or eontraet priee for permit fee purposes. In thc cvenk that there is a dispute on ihe
amount of the job cost,the CiCy may request the submission of a signed copy af the actual eontraet. !
;
� �.��_..:w. • �-�� ;
����5'-`•�.ti �'-` �a�w r� � ! �,:�art .. . ,���7,.� i
�.-' - - ��`��---�-,�:: :�-�_.=..=.W .�:��-:_�-.,,_��°•�
xti- ��-
�
i
i
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordancc with tha ordinances of ihe City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are eomplete, irue and
eorrect.
Applicant's Signature: ��/ ��b�'��` sI?at�;.�� �'
3
I
i
�
� �, �
DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION I�TIC� SCHEDULED _L' �� ___�
PERMIT NO. /C� C�� ��I�I�� COMPLETED
ADDRESS ���� � `-�� �/��/ /''1C/ �/f� �l�
OWNER TELEPHONE Nb_ �'�S�-� ����
CONTRACTOR r����s ��� �l
/ � �
-. ��" �'C'`'� i //'' �- �//� /''
� DESCRIPTION
W ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INS LL
2 OWNERlCONTRACTOR TO MEET YOU:_YES�O
%7
� COMMENTS: � `5 C�G�.-� ��c�G��C��-Q—n
�
W
a
j �`C-(���' i / � -�� ` C;�-, � �1Q r1 i`�J,t'�-
O
�.
�
0
�
W
�
Q
� �
2
W
�
W
�
�
J
d
W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑IS UE CERTIFICATE OF OCCUPANCY
W
O O CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952 -46��
OwnerlContractor on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice