HomeMy WebLinkAbout2015-00738 - natural gas furnace ,
CITY OF ORONO * 2 0 1 5 - 0 0 7 3 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/09/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 200 BAYSIDE TR
PIN : 06-117-23-22-0027
LEGAL DESC : BAYVIEW FARMS 2ND ADDN
: LOT 2 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,150.00
NOTE: (1)BRYANT FURNACE-NATURAL GAS-3"FLUE-80,000 INPUT AND 73,600 OUTPUT
(1)BRYANT A/C UNIT 3.5 TON
(1)KITCHEN EXHAUST-300 CFM
(4)BATH EXHAUST
APPLICANT MECHANICAL 16438
STATE SURCHARGE MECH(VALUATION) 6.58
SABRE HEATING&AIR COND INC. MAIL-IN FEE 2.00
15535 MEDINA ROAD TOTAL 172.96
PLYMOUTH,MN 55447- Payment(s)
(763)473-2267 CREDIT CARD 9764 172.96
OWNER
Gonyea Homes
6102 OLSON MEMORIAL HWY
GOLDEN VALLEY,MN 55427-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 goveming[his 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
��c� J _ � 6 , 5' ,�s
Applicant Permitee ignature Issu y Signature Date
46/09/2015 TUE 8: 52 Fax 763 a73 8565 Sabre Heating & Air Cond �J002/007
OR CIY Ue�ON�Y
_�"$ Gity of Orono �
O�p�p P.O.D4x 66 Date Rec v ; Penni[!!Oo�l S= � �
y� , , 2750 Ke11ey Parkwey
� '���1�y.•' �` Cryetal 8ay,MN 55313 Approvcd iiy- Amowil 9�:�,, �
'�'%f��}pb Phone(952)249-460U Fex(952)249•4G 16
�dNpA
CITY OF ORO1V0—MECHANTCA�, PERMIT
(All Commercisl pornzitx muat be appraved by tha Bui2ding OFf'icinl or Ix�pector andlor Fire Mnrshall)
GENERAL INF4RMATION
1. You may apply for niech�nical permits by mRil or in parson at the City o�ces. Applications will
be reviawed and a permic wilt be issued within two working dnys.
2. Parmit cards will be sent by r�turn mail after u rev�ew is completed, PERMYTS ARE NOT
V,ALID UN'I'II,YOU 12LCBIVE A PEKMIT. 'WO T D� iL THE
PERMIT CARD IS POSTED ON'TH�,�0�3��
3. il�iechanical besi�tns—Com�lete calculations,det�ils and specifiaations are required for each
heating,ventilation,humidif;cation-dehu�nidificatioi�,and air cond�tioning instaliation including
}�eat loss/heat gain caiculation,deszgn temperatures,equipntent ratings and identi�catipn as to
type, manufacturer and n1odal, llata shall ba presented on form provaded.
4, When any new construcuon or remodeling is involvad,a se}�rate building perznit ax�ust be
obts ineci,
5, All work must be dons in acco�rdance with the Unifonn Mechanical Code/State Building Code
requireme�its.
6. All work must be ins�ected(rough-in and fina!). CaJI(952)249-4606.
(?ft-$S hour nOtiCe�'equii�ed)
7. House Heat�ng Test Record musr.be submitted before£inal,
TYl'E OF PERMIT
Check Al1 That A �
�ResidenCial ❑CommerCisl(Appro�val Required)
D�New ❑Additional ❑Rspairs ❑Roplace
Job Site/Owzxet Information: v�
Site A.dd�•ess: � � dt..
�' .
�wner: � YVlailing A,ddress:
City; Zip:
Home phone: Alternate Phone:
Contractor TnformAtinn:
COt�tr�CtOr: ��,�(�1 ��.1'.�%1����1 Contact.PerSpn'
nddress: 1�5�_Yv10���a.. ,1� State Bond##: w1i'¢J._�.3Q2..
City: Zap:��'� Exp�rakion Date:
phone: � • •'1..� ? Alternate Phone: �,��•Z��:� '���!�
� Insurance—Current;
1
�6/09/Z�015 TUE 8: 52 FAx 763 a73 8565 Sdbre Heating & Air Cond �043/007
Note: A�a Geothermal Systems will now require a i Plan&Review by our I3uilding Official.
I �S THTS GEQTHERMAL2 ❑Yes ►�No
I�A,TIIVG SXST�MS
Qua��t�tY: 1
M�ke: Y k
Model: q�2.��`��6���j1�,_,_,
Puel; N�
Flue Size: ��� ,.� ._,^_
Input BTLTs; �D i OOd �._..
' oUtnut s�g: `1?zj(��Of� ... W
� CFM.
COO�TNG SYSTEMB
Quantity: '
Make: '�p�N�
Model; ���Q'�pr B��• - ---
7ons� �.�5
II.Powet
FTA.EPTaACT�S
❑ G�ts PActory�ireplace f3rand Name:
❑ 'Wood Buming Fir�place
❑ Wood Stovo Model No.:
❑ Wood Sto�e with F1ue/Masonry
V�NTTLATION
[� No, Ki.tchen�xhaust duct ✓ rocirculatiiig �p� cfm ,�.,)� C�
�" No. � Bath Ex4iaust(m�ust have duct outside) °£�n �,-SO C;�yY-�
[] �fa. Other l�ans: LocAtions cfm
�[T��STORAGE (Mual be a�pmved by FYre 1Vlar�hall if pro,�osing to obanrlo�i lnnk in place)
� Install�tipn ❑ Rsmoval
Fuel Oil: galloa�s ❑ Underground ❑Inside ❑Oukside
' Lp Cras� �,gallons
Other:
GAS LINE Qj�.�
[j Qutdaor Gri1l � Ocher/List Wh�.t&Where,
2
O6/09/2015 TUE 8: 52 FAx 763 473 8565 Sabre Heeting & Air Cond f�004/007
� 4
R.
❑ Yes,th�s section applies
The replacement of a Residontial_fixturo or annliance thut rraeats�ll thrae of the follaw�ng�requirements:
1. 17oes.ztoi require�nodi fication t�electrical or gas service,
2. Has a total casl of$500.00 or less; 1 n the cost of the fixture or eppliat�ce:and
3. Is improved,installed or replaced by the homeowner or licen9ed c�ntra,ctor.
Skip next section,ifthis applies; Cost oPPennit � 00
Stato Surcharge $ 5,Q0
Mail-In Fee(Tf Applicable) $ ��oo
, TotRl Permit l�ee $
t �
If above does not apply;£allow guidelines balow�
]. C '" is 1.25%of oontxsct price with a(Minimam Fee of$50.00)
1'� AD �.oi2s$. �Lt�•3
(conuaotpricc) (m1�Umum SSo.oO)
2. BTATL SURC'I�AR,�F.
^' x,0005 $
(aontract price)
�, POSTAGE&HANDLING(Only on Mail-In App�ications) $________ z,oa
� 4, TdTAL PERMIT�'EE(Add Lrnes 1-3 Above) � �`��- Q.(�
I ■ * CONTRACT PRIGE or JOB GOST means the actual or estimated dollar amount chargad �or tha
i parmitted work including materials, aabor,profi�and other fixed costs. It is the amount to be charged
I ta the customar for the work dono. If any material, equipment, ]nbor or installations are furnighed by
'� the owner, tenant�r any other party, tha rcasonable mF►rket vnlue of such items must be added to tha
� estimated cost. or eoz�tract price for permit feo purposas. In tlie event that tllere is a dis�ute on the
' amount of the job cost, the City may request the submission of a sig�ned wpy of the actuAl cani�act.
The undersigned hereby �pp�ies to the City for issuazXce o�'a Mechanic�.l Perntit, agCees to do all
wock in strict accordance with dza ordinances of the City and the regul�tions of the State of
Minnesota, and certifies that al� statements made on this a�plication are complete, truo and
correct. •
Applicant's Si�maturo' Date: (f• �• ���
3
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� �A� TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE HE�u�E� �
PERMIT NO.a��s�'�� 3�MPLETED
ADDRESS 'Z� � ���
OWNER EL HONENO. 3 - 3-� 7��
CONTRACTOR
� DESCRIPTION �_'�'� �-��"` "'�'�
t~i� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILIING
O ❑ FOUNDATION WATERPROOF ❑ PLU G FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
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0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in dvance. (g5 -46��
OwnerfContractor on site:
Inspector:
White CopyAnspector's File Cenary CopylSite Notice
/ ������� � /
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� � �D TE`� TIME
CITY OF ORONO CALLED IN o�
INSPECTION NOTIC i- SCHEDULED /�
PERMIT NO. a��� OMPLETED
ADDRESS aO� ��—
OWNER EPHON NO,�I - s"g�^'�
CONTRACTOR �
� DESCRIPTION ��G
ll1 ❑ FOOTING ❑ DE O-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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
ORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra r on site:
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��1S�Ct0�:
White Copyllnapector's File Canary CopyfSite Notice
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DATFdf TI
CITY OF ORONO CAL D IN !�
INSPECTION NOTICEy� SCHEDULED
PERMITNO.'��I.,.�V' O COMPLEfED
ADDRESS ZO� ���`'�'� ��
OWNER TELEPHONE O. ��3 ����
CONTRACTOR � `�-���
� DESCRIPTION < �� r ;
l� ❑ 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
��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�v❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC 1�S/T�LL
Q OWNERlCONTAACTOR TO MEET YOU:_YES�NO
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� COMMENTS:��}� DL?�� ; I D,C3 ��
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: �"�'
White Copyllnspector's Ffle Canary CopylSite Notice
� DATE TIME�/
CI OF ORONO CALLED IN
INSPECTION NOTIC,E SCHEDULED �
PERMIT NO. Z��T`J" �D�� COMPLETED
ADDRESS ��� ��-�--/ �f�2 ��-
OWNER TELEPHONE NO. 3 �-�3
CONTRACTOR �- ��`
� DESCRIPTION � b �� ����
�
ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ 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
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ S PTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU•' YES_NO
c��, COMMENTS: �
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o „ �ti ��' fict��`� ��
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� ❑WORK SATISFACTORY:PROCEED y�PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ��p ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call f ' spection 24 hours in advance. (952� 249-4600
Owner ontractor on site: f r'c
Inspector. � �"^�
White CopyAnspector's File Canary CopylSite Notiee
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED � '�'
PERMITNO. �D�.�`007� coMP�erE�
ADDRESS �� �� _
OWNER TELEPHON�O.
CONTRACTOR ��-��'
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� DESCRIPTION �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTI FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF . ❑ PL BING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ CHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� C RRECT VYORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
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. (g52) 249-4600
OwnerlConUactor on site:
Inspector. �
White Copyllnspector's File Canary CopyfSite Notice