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Home My WebLink About2013-00224 - mechanical RKBIRINOMM CITY OF ORONO * 2013 - 00224 * 2750 KELLEY PARKWAY DATE ISSUED: 04/08/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4655 TONKAVIEW LA PIN : 07-117-23-32-0064 LEGAL DESC REG. LAND SURVEY NO. 1036 LOT MB BLOCK MB PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION : $ 2,450.00 NOTE: VENT(1)BATH EXHAUST % APPLICANT MECHANICAL 50.00 SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 1.23 15535 MEDINA ROAD PLYMOUTH,MN 55447 TOTAL 51.23 (763)473-2267 PAID WITH CC# 1207 OWNER LICURSI,ANGELO&RACHEL 4655 TONKAVIEW LA MOUND,MN 55364- 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 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 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 fo due cause. Applic t t-ermt ee Signature Date ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 04/08/2013 MON 7, 53 FAX 763 473 8565 Sabre Plumbing & Heating 0005/007 Cl Y USE ONLY /0 1 City Of Orono Q _ =�_' �1 P.O.Box 06 Date Receive U, permit#.,a �� 2750 Kelley Pu'k%vay L. "t' Crystal Bay,MN 55323 Approved By: Amount S:A, Phone(952)249-4600 Fax(952)249-4616 \ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approvod by the Building Official or Inspcclor and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pen-nit 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 PERMTf CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs- Complete calculations,details and specifications are required for each heating,ventilation,liumiditzcation-dehumidification,and air conditioning installation including heat loss/heat gain calculation,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 final. TYPE OF PERMIT (Clieck All That Apply) Residential ❑Commercial(Approval Required) ❑New ffAdditional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: ( [J.- l _ Owner:_ + e%; L Mailing Address: i 1 ' City: lip: Home Plione: Alternate Phone: Contractor Information: Contractor: - ,`r f i; j. Contact:Person: t' i the Address: I Z' ,'ii t..:�.i.� �� State Bond City: t +'i;'1?"iaJ, I Zip: `:'f f;;%t Expiration Date: Phone: . J %.)._(,.: "] Alternate P13one: Insurance—Current: 04/08/2013 MON 7: 53 FAX 763 473 8565 Sabre Plumbing & Heating 2006/007 Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: — ❑ Wood Burning Fireplace ----- ---___� ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust_ _ duct _recirculating _cfm ❑-'' No. ( Bath Exhaust(must have duct outside) cfm ❑ No. .---_-- Other Fans: Locations._----. _--_-. - _ cfm FUEL STORAGE (Must be approved by Flue 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 04/08/2013 MON 7: 53 FAX 763 473 8565 Sabre Plumbing & Heating 0007/007 ■ ❑ 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 electrical or gas service. 2. Has a total co of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor, Skip next section,if this applies, Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee Of Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ut x.0125$----- iC. (Contmet price) (minimum 850.00) 2. STATE SURCHARGE •r. ._.2 a., _X.0005 $__._.__ ___. _.•' (contract phee) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00_ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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 for 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: Pp ' B Date: 3 AT�3 TIME V CITY OF ORONO CALLED IN - INSPECTION-N13 C SCHEDULED PERMIT NO;te-72 a COMPLETED / ADDRESS -5 OWNER LEPHONE NA23-a53-�78$ CONTRACTOR DESCRIPTION to �u _b`d7I ❑ FOOTING ❑ PLUMBIG INIAL ElEXCAWGRADING/FILLING Q El POURED WALL ElMECHA CAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO u) COMMENTS:, G X61-3 -Waj� W a J O Cr O LL W QC Q Z W z W cc j y WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: L/ 4 / Inspector. White Copy/Inspector's File Canary Copy/Site Notice