HomeMy WebLinkAbout2017-01349 - mechanical ' '`' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 3 4 9 *
DATE ISSUED: 10/18/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 725 STONEBAY DR
PIN : 33-118-23-11-0069
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE-GAS
VALUATION : $ 1,890.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS FACTORY FIREPLACE
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.95
2700 FAIRVIEW AVE TOTAL 50.95
ROSEVILLE,MN 55113 Payment(s)
(651)633-2561 CREDIT CARD 4616 50.95
Minnesota State License#:mech-20512060
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR,SUITE 101
MINNETONKA,MN 55343-
AGREEMENT AND SWORN STATEMENT
1'he 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 separate
permits. All provisions of laws and ordinances governing this type of work .
shall be compied with whether or not specified herein.This pertnit 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.
1'he applicant is rosponsible for assuring all required inspections are
requested in conformance with the State Building Code.1'his permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issue By ' ature Date
10-17-'17 14:01 FROM- T-972 P0041/0007 F-347
'�$'��S�{S�-a°° t
�("� City of Orono � �'Y US�ON�.'� D/ /3 �
P.O.Box 66 Date Re"cei � ,,,�Permit#� /
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Cryst�l Bay,M2J 55323 Approyed By: Amoum$ ,.9
Phor�e(952)249-4600 pax(952}2a9-4616
����'4x SHa��'G� CITY OF OYt4N0--MECI�TANYCA,L PERMIT
(All Commercial pzrmits musc bc approved by the Building Of("icia!or Inspector and/or Fire Marshall)
CxENERAL IN'FORMA,TION
I. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be raviewed and a permit will bc issued within two woricing days.
2. Permit car@s wiil be sent by retum mail aRer a review is completed_ PERMI'�S AR�NOT
'V'ALID Y7NTIL YOU REC�I'V'�3 A pERMIT. WORY�M�'ST NOT BEGIN XJIVTX�,T�
PX��tl1'IY'Y'CARD IS POST�p ON T�Y�J'OB SITE.
3_ Mech icat 17esi s—Complete calculation3,deYai[s and speeifteations are required for each
hcating,ventilation,humidification-dzhumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipmeat ratings and identifcaCion as to
rype,manufacturer and model. Data shall be prescnted on form providad.
4. 'Vf/hen any new cqnstruction or remodtling is involved,a separate building perntit must bt
obtained.
5. All wor�.musC bt done in accordanee with the Uniform Meehaniea!Code/State Building Code
requirements.
6. All work mt►st be inspected(rough-in and finai). Call(9S2)249-4600.
(24•4$hour notice required)
7. House F�eating Test Record must be submitted beforc final.
T'YpE 0�'PERMIT
� (Check All That A 1 )
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J'ob Site/Qwner Information:
�_: �7 2� S'-fav�e,b�. �r►v�e.
�#e�A�l�dxes�� �/ ._.
� �00�Ya.l-�, C7ui ��--;-T'---�-.�.. -
�„4�e�` Mai�in�A;.dd�essj
��� ���
'' � a s�r ��1 " s�� Alternate�'hone:
Hom�p�ione� � d
Contractor Infortnation:
Contractor: �IRESIDE HEARTH &HOME Contact Person: G,�t�"
Address: 2700 Fairview Ave N State Bo�d#f:8C662656,MBSfi2572, PC662571
Cj�y; Roseville, MN zip 55113 $Xpiration Date:
phone: 651-633-2569 Alternate Fhone: l!� l�1�A����6�0
❑ Insurance—Current:
1
10-17-'17 14:01 FROM- T-972 P0042/0007 F-347
Y , �
NIECHANXCAL S`Y"STEMS B�Gr INSTAL�D ; .
Note:Ali Geothermaf Systems wil(now re.�uire a Site Plan&Review b�our Building O�cial.
IS'rHIS�EOTF�E�iMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity:
Make:
Model:
�'uc[:
llue Size�
Input BTUs:
Output BTC1s:
CFM:
COOLINfr'S'YSTEMS •
Quantity:
Make:
Model:
Tons:
H.Power
YItEPI;A�
� .�?�0 �?i�ep . �.,= � _.�:�,,..,,;'.,_;..
�.�. !'Y. � ran.d Nam��
❑ 1�yoQd,�urnln�Fii�eplace a -�:
o.:'�r I'::. .. . _
❑ �.,S�Q,.�.<S��!e�.—,. .. ..,:: �ix'odcl NQ� �:1:��'.:.
❑ ood.Stove witH'F1ue/Masoncy�
'V�NTILATXON
� No. Kitchen�xhaust duct reeirculating cfm
No• � ��th Exhaust(must have duct outside) ��
[] No. Othcr Fans: C.oCations ��
�'UEL STORAGE (Must be approve�l by 1�ire Marslrnll ifpropos�'ng to ab�rndore tank i�r place,J
❑ Instatlation ❑ Removal
Fuel Oil: �gallons [] Undergroupd ❑Inside Q 4utsidc
LP Gas: gallons
Othtr:
CAS LiNE O1V'X,'Y
❑ Outdoor Orill ❑ Ot6er/L3st What&Whcre:
2
10-17—'17 14:01 FROM— T-972 P0003/4007 F-347
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� 'PERMIT.: L�;�AI,CULA�TIQN' S)•;
�
� BA,SED,:OFF.=�2002.STATE STA� .: .
❑ Xes,this sec�ion applaes
The repIacement of a Residential fixture or s lianee that meets all threc of the following requirements:
1. Doe�not require madifcation to electricai or gas service.
2. Has a total eost of$500.00 or less;exeludine the cost of the fixture or appliance:and
3. 1's improved,iristalled or replaced by the homeowner or licensed eontraetor.
Skip next section,if this applics; Cost of permit $ 15.00
State Surchargt $ 5.00
Mail-In�ee(Yf Applic�blc) $ 2.00
Total permit Fee $
� �• :1?BRNiIT.FEE.CAY�,CW1aAT'�ON S)=;xQ�S.:�VER:$540.00 ::`;";�.. `.;.�..,.....
If above does not apply;follow guidc�ines below:
1. CONTRACX'p�C� "is 1_25%of contracC pricc with a(1►�inimum�'ee of 550,00)
1 a � �,�x�� , Q p,
S' 4 O �?4^A�'�C;?.+D;�R�$i:►�h�m���a:s�-r-;�-t-s+•
I� �,l�S�7�D
2. S7'AT�SURCHARC� Q�
g�0 x ����;� a �
�
3. POSTAGE&�AN'DLING(Only on Mail-Tn Applications) � ,��t��y�s.-
�
A. �'OTAL PERMN'X'�EE(Add Lines 2-3 Abovz) �:�r;s'��'.a� : ;�
."�e�,'3;'r•<'�1�'�,'��ri;k..�rk'tYu?`�:�
■ " CONfRACT PRICE or JOB COST means the actual oc estimated dollar amount eharged for the
permitted work including materials,labor,profit,and other fi�d costs. It is the amount to be charged
to thc customer for the work done. Xf any rnaterial,equipment,tabor or installations a�furnished by
the owner,tenant or any othcr party,the reasonable market vaiue of such items must be added to the
rstimatui cost or contraet priea for permit fee purposes_ In the event that there is a dispute on the
amount of thc job cost,the City may request the submission of a signed copy of the actual contraet.
' 1VZECHANICAY,PERMIT`APP�;ICATYQN AGREEMENT..:: ` ::",.�� .
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 Ci nd the regulations of the State of
Minn�sota, and certifies thaC all statements made o ' applicadon are complete, true and
correct.
Applicant's Signature: _�'��;:� �� r/ ��
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N_OTIC�f �� SCHEDULED � �'.�
PERMIT NO.�<� C MPLETED
ADDRESS �S s �
OMINER TEL PHONE NO.�����3 8�3 3��
CONTRACTOR LeSL— e�� '� �ZT-4'���'t
i DESCRIPTION r � ��
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL i
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlGRADING/FILLING '
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OMINHYCONTRACTOR EET Y�OY�_YES_NO � �.�c�
y COMMENT'� �/`D✓�C7ei��N^`� �/� drl 5�(�
4 I�e/4�/✓L� , G'lP�✓t�'CC�g — �K
o "` �G Grl�i� �i �` /Cl�- /GV!
�' _ � rt� S�D D/'o�l� �'J
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°° � 9rt� li/t G a.r �i�es�` �t�✓rA���o�
Q �--0'?Ll ' /7 �/�1 .�!'J�.C�rr3 �D/�. 1F �!C
Z � /.S�d l4� Lo�/Jc�S �i�e_ -Fra r.�.c $sd�e
� o f ���� /=• �°.
� !�r leG� � OK .$ �i�'lcs� �����/� �'��4�f
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W O WORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� OORRECT W�ORK 6 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑ ECT W'ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERINO PERMANENT
❑CORRECT UNSAFE OONDITION WRHIN H��• ❑prypTO TAKEN
INSPECTOR WILL RETURN
❑$Tpp pRpER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cab for the next inspection 24 hours in advanoe. (952 j 249-4600
Owr�erlCoMractor on site:
Inspector: �� -
yYhit�CopyAnsp�ctor"s FIN Canary CopylSib►''
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NQTJCE t�y SCHEDULED
PERMIT NO. a������1377 COMPIETED � �r��
�
ADDRESS
OWNER TE EPHONE NO.
CONTRACTOR _� ��'�s-�'c �'�
� DESCRIPTION �• �` ����
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECT�ON
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v I�FIPIAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOH TO MEET YOU:_YES_NO
h COMMENTS:
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� ❑WOFiK SATISFACTORY:PROCEED ,IECT COMPLEfE
� ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaU for the next inspection 24 hours in advance. (952) 249-4600
OwneNContractor on site:
inspector: �<�"'� �
White CopyAnapecM�'s Ffle Canary CopylSMe Notice