HomeMy WebLinkAbout2018 - 00486 - mechanical 1 it 11111111111111!CITY OF ORONO �11111
2750 KELLEY PARKWAY * 2018 - 004 6
DATE ISSUED: 04/20/22 018
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2895 WOOD DUCK TR
PIN : 33-118-23-24-0031
LEGAL DESC : ORONO PRESERVE
: LOT 1 BLOCK 4
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,220.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BRYANT HEATING SYSTEM
(1)BRYAT COOLING SYSTEM
(1)KITCHEN EXHAUST-300 CFM
(5)BATH EXHAUST-70 CFM
APPLICANT MECHANICAL 140.25
STATE SURCHARGE MECH(VALUATION) 5.61
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD TOTAL 147.86
PLYMOUTH,MN 55447-
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7681 147.86
OWNER
OP5 Orono LLC
15250 WAYZATA BLVD#101
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 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.
Applicant Permitee Signature Date Issued B ignature Date
10(14/20/2018 FRI 8: 04 FAX 763 473 8565 Sabre Heating & Air Cond l2004/006
I;OY <'ITV UJSL OI-;.,Y I.E'i�
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City of Ol(I1ln 1I J„ O�i
EVILI.DAj .''Y�. P 11ISu,hfi 1.1t111:ltl:ct'vl I d1I.1nm11 ,?'l tillliainpP rk.a� /1 (•ry.;Ld13ay,M 1 `ill ,1phlk,v,d Ily Au1011111.k�1Phone 195�7l i'9.44UO r,l,,('I,i(;0.1 1(1 Ir,sl�o�`�. QI'B'Y ()Ni ORONO)-- MItiCI1A.NICAL PERMIT
(All(tunnx11'rll(In 11111•,nurd hl'tq gvuvrll by lllr n,,,ldln;,,O1licial or IIISpec.tor Andinr l•1u M:,1:11.111)
GENERAL iNI-'ORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Application;:will
be reviewed and a permit will he issued within two working days.
I
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 lJN'iit.'17jt1,.
PERMIT CART)IS POSTED ON TINE JOB SITE.
3. Mechanical Designs--•Complete calculations,details and specifications arc required for each
heating,ventilation,humidification-dehumidification,and ail conditioning installation including
heat loss/heat gain calculation,design temperatures,equipinent 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 roust be
obtained.
I 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
1 requirements.
6_ All work must be inspected(rough-in and final), Call(952)249-4600.
(2A-48 hour notice required)
7. House Heating Tcst Record must be submitted before final.
, TYPE OFPERMIT
• .(Check All That Apply)
[ Residential ❑Commercial(Approval Required) [Backflow Device:[]AVB ❑I'VB]
Neva 0 Additional Lf Rcpairs ❑Replace
Job Site/Ovine Information:
J
Site Address: '2_7a S Y�1�Ot�cf.. i rtxf i -
Owner: Mailing Address:
City: .., _ Zip:
•
•
I- orae Phone: Alternate Phone:
Contractor Ixifor 1.tion; ••
•
Contractor: WA—__,Plb0 a 9 Contact Person: ' OtMliAl
• Address: I5't3� MthJ1�L. State Bond#i: 11/1t Sgx,
City: Pl iiiwloi,V Zip:55.N1 Expiration Date: a•l5•.2Oii
Phone: - 1113 41 21,7 Alternate Phone: 1 3' 2a 3.41 ft
ff
Insurance Current: ._.._,.,1 ___.___.___
1
04/20/2018 FRI 8: 05 FAx 763 473 8565 Sabre Heating & Air Cond Zl005/006
,SYSTEMS 'BEING INSTALLED
Nott! (icothurn-ull :.3ysicnis 11011I.P; IN111.i11114
IILKMAL? P<NL)
IPA TIN(;SVSTFAIS
Quantity
M al(e. 61004_
--
Model: g tio_s2_ .
Fuel:
Flue Size: 5ii
Input BTUs: bri.1_000
Output Bilk ej Cap
(TM!
COOLING SYSTEMS
Quantity:
Make: inthr_t4k
Model: 6011514 Ai*
Tons: 4
ft Power
Fl REPLACE'S
El Gas 1;a4tory Fixeplabc Brand Name:
111 Wood liorniog Iimplace
fl Wood Stove Model No.:
fl Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating _300 cfm
No. Bath exhaust(must have duct outside)
U No. Other Fans: Locationscliii
FUEL STORAGE (Mus(be approved by Fire Marshall if proposing to abandon tank in place)
Installation Li Rmoval
Fuel Oil: gallons ID Underground El Inside 17 Outside
1 LP Gas: gallons
Other:
GAS LINE ONLY
LI Outdoor Grill 111 Other/List What&Where:
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04/20/2018 FRI 8: 05 FAX 763 473 8565 sabre Heating & Air Cond U006/006
PERMIT ITIT.CALc_UL,A�IONS
( ()>t''t CIRC"l C'►dIC;T, i; Iwith ;1(i'1nlitrunu FO: Of$50.0(1)
.11.2.20-oo-..__. '' (H.'S 25
.
(conlracl prim) (IuIdW1n1,tFO.O(I)
2. STA'11?SORC1-TARGE II
— l� 0.00 x .0005 S— ... �1_.._._._...
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 _
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 9i 11-11V4
• w CONTRACT PRICE or JOB COST means the actual of estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to he charged
to the customer tar 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 pricc 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.
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l ii't' % "r iYr9t 1'llN� ..�,,,4 I,Ak�nt AfW� T4�N( �I , 1 IAJ, .f1 .(J�\ t.�114 Y1�lV..• I� Y �,BIS .k1 �1',:•�14
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 Slate of
Minnesota,and certifies that all statements made on this application are complete,true and correct_
Applicant's Signature: of (I4iL4by i 4,14444.1Ar.._ Date: 1=2
3