HomeMy WebLinkAbout2014 - 00408 - mechanical CITY OF ORONO * z0 14 - 00408 *
2750 KELLEY PARKWAY DATE ISSUED: 05/07/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 364 WESTLAKE ST
PIN : 05-117-23-23-0043
LEGAL DESC : HILLSIDE PARK
: LOT 000 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 31,140.00
NOTE: 2 BRYANT NAT GAS FURNACE
I REZNOR NAT GAS FURNACE
2 BRYANT AC
7 BATH EXHAUST
APPLICANT MECHANICAL 389.25
STATE SURCHARGE MECH(VALUATION) 15.57
SABRE HEATING&AIR COND INC. MAIL IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH, MN 55447 TOTAL 406.82
(763)473-2267 Payment(s)
CREDIT CARD 0331 406.82
OWNER
Identisys, Inc.
SHIELDS TRUSTEES,JANELLE K&MICHAEL R
7630 COMMERCE WAY
EDEN PRAIRIE,MN 55344-
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 for due cause.
40
Applicant Permitee Signature Date Issued By gnature i I Date
05/06/2014 TUE 12: 30 FAX 763 473 8565 Sabre Plumbing & Heating 2005/007
FOR CITY USE ONLY
�/� � City of Orono (� (�
O`�'O� N.O.13ox 66 Date Received: Permit it D T^O� g.
(/`�Ally,�: 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
— — _
CITY OF ORONO--MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector 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 permit 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
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs Complete calculations,details and specifications are required for each
heating,ventilation,humidification-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
(Check All That Apply)
("Residential ❑Commercial(Approval Required)
['New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: 14 W tLALk., 3kiLa
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: okYQf p51Pd Oko Contact Person: ylA,9
Address: 1'Jrj Otruk �d State Bond#: m ) 2)2)a
City: NY roll4'1 Zip 41f Expiration Date: 0). • 2-.014
Phone: 1G11)' 416. 21V7 Alternate Phone: )-1-i10Y
El Insurance—Current: I
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05/06/2014 TUE 12: 30 FAX 763 473 8565 Sabre Plumbing & Heating 2006/007
A F.:77:777;777,
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [9/No
HEATING SYSTEMS
Quantity:
Make: $ L 113114__ AglAti
Model: OVA O gOgJJ NO MIO4}S l G G IAD 406) GJ
Fuel: t`I.07' r' 14 6 _ ---
1
Flue Size:
Input BTUs: _IUD O fl l OD,�U{) 15,006
-1
-- -- .__
Output BTUs: I i i IDO0 _ G17�OW
CFM: I(DOO RpOO
COOLING SYSTEMS
Quantity: _
Make:
Model: 1150 02,4 tli)i4 wv4'
Tons: 2 4
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
(r No. "1 Bath Exhaust(must have duct outside) i-lso cfm
tr Go
❑ No. _ Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire 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
05/06/2014 TUE 12: 30 FAX 763 473 8565 Sabre Plumbing & Heating 2007/007
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❑ Yes,this section applies
The replacement of a Residen ial fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a t tat Cost 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(If Applicable) $ 2.00
C y/TotalPermit Feenri $
i�-..l ,{L �1.M`l i F.�1 4 `61ti..+bcf�-.�iMMi:..n v. R ts hr.Jww.ITi......e�.iY7,
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3\ 140.00 x.0125$
(contract price) (minimum$50.00)
2, STATE SURCHARGE
.3114 b mo _x.0005 $__..__. (5.5-1
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ i4 0 G-KZ.
■ * 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: c.- --.044i(4,tiy Date: 5-(p.20
3
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ue7 TET. TIME
CITY OF O ONO CALLED IN
INSPECTION=CE VOy HEDULED c'> / P
PERMIT NO. MPLETED
ADDRESS 3(..04 WL,a ik.la
OWNER TELEPHONE Nap.,.... -_x_.3-`y/a9
CONTRACTOR L CJ)L
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DESCRIPTION \_ �_ f 1
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IQ 0 FOOTING ; NG FINAL ❑ EXCAV/GRADING/FILLING
❑
Q u POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
" ❑ FRAMING 44AECHANICAL FINAL 0 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 �iADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
F=. INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v DEMO-SITE ❑ SEPTIC MAINT 0 FOLLOW-UP
IQ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
• COMMENTS: 5 /•Ke(ND AO —.443-1 cgs: is k° des
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Q ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
IQIQ CORRECT WORK K PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
CZI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 9l m-4-
White Copy/Inspector's File Canary CopylSite Notice
a "./. 2J)41--
..._ ATE ./ TIME V
CITY OF ORONO .-enc L 7 o�-1 7
INSPECTION TIC SCHEDULED 7-0(3-!y 3: Dt
PERMIT NO. O/ COMPLETED
ADDRESS %3ul,(-61-1,euee 56
OWNER ��TE�LEP ONE NO. /' a�' '70
�VZ-Lt- �' K---
CONTRACTOR //�� '
�; DESCRIPTION 4 a/ /6' la'ittZa
tai~ PLUN air
FINAL�/,/ I / EXCAV/GRADING/FILLING
❑ FOOTING ❑ ❑
Q 0 POURED WALL J 'MECHANICAL RI 0 / ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FIN 0 TREE REMOVAL
Z0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
Lu ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
S OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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2 K SATISFACTORY:PROCEED ❑PROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
IQ
O0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: Y447
Inspector. 9/b... 0474
White Copy/Inspector's File Canary CopylSlte Notice