HomeMy WebLinkAbout2015-00942 - mechanical CITY OF ORONO * Z 0 1 5 - 0 0 9 4 2 *
* 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015
, ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2460 COBBLESTONE CT
PIN : 33-118-23-11-0081
LEGAL DESC : STONEBAY SIXTH ADD[T[ON
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES- MULTIPLE
VALUATION : $ 1,000.00
NOTE: GAS LINES: 1 RANGE, 1 DRYER,2 FIREPLACES
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUAT[ON) 0.50
SCHULTIES PLUMB[NG MAIL-IN FEE 2.00
1521 94TH LANE NE
BLAINE, MN 55449 TOTAL 52.50
(651)786-4007 Payment(s)
Minnesota State License#: plbg-058799PM,mech-MB005379 CHECK 33349 52.50
OWNER
Wooddale Builders
6117 BLUE CIRCLE
SUITE 101
MINNETONKA, MN 55343-
AGREEMENT AND SWORIV 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.
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Applicant Permitee �ign�tur �Date Issued By Sign�ature '- Date
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____ Fv[�(i"Cl'i.SE ONLY'
' `� Cit�of Orono _ C � Zi
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� i'������, P O.$o�66 L)ate Received���S. Permit# � � ��-
7� �� �?i0 Kelleti�Parkway (J r CJ
�i i �� C:ystal Bay,MN 5�323 Approved By'��Il,��___ Amount$:="J�__
;� � Phone(452)249-4600 I��x(952)2-1')--lh i6 --
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��,� • F � CI`TY OF ORONO—�ECI�3[ANICAL PFI2MIT
.� k�S N C?t�'"-�".
^�,���" (Ali Comm�rcial permitn must be eppro��ad by the[3uiidin�Ufficiai or Ins,ectur atul/or I�ire Marshall)
�GENERAL INFORMATION ~ � �
___�__---------------- -----
l. Y,�u may apply for mechanical��ennits by mail or in person at the Ciry offices. Applications will
l�e re��iewed arsd a permit will be issaed within two workin�days.
3. �'rrmit cards wil! be sent k�y return mail after a review is cornpletzd. PERMiTS ARC NOT
VALID UN'TIL YOU REt'�',IVE A PF,RM("1'. WORK MI�ST NO"f BEGIN UN'I'IL 7'HE
PERMIT G�RD IS P(jST'�D ON THE JOB SITE.
3. P�techanical Desi�ns--C'ompletz calculations,details and specification�are requirad far eacn
heating,ventilation,l�umidificat�on-dehumidification,and air conditioning installation inchading
heat loss/heat gain calculati��n;de�si�n temperatures,equipment ratin�s and ider_tification as to
type,manuf�cturer and rnodeL Data shail b�pres�nted on rorm provided.
4. When any new constructi�n c�r remodeling is involved,a se�arate building pern�it mus±Lie
obtained.
5. All work musi be c�ane ir�accordance�vith thc Linifc�rm R�lechanical CoJe/State E3uiiding Code
requircments.
5. Ali work rriust be inspect�d(rotigh-in an� final). ('all(952)249-46Q0.
(24-48 hour notice required}
7. House Neating Test Record must be submitte6 before final.
� --' TYPE OF PERMI�' --
(Check All 'I'hat Apply)
.�'Residential ❑Commercia((Approval Required)
� New ❑ Additional ❑ Repair� ❑ Repiace
�Job Site/Owner Ir�formatic�n: � �� �
Site Address: r��/a.� C�-L�rL.e--G%C�C� (�,ff�-�,�
Owner: �..4���ailing Address: � ��'����'� ,��L�',�"
C'itti: i2i��-e�s�� Zi�: � ���J
�
F�ome Phone: �oi��`�J��' Alternate Phone:
�ontraetor infarm�tion: _�
Contractor: �ti2��' c�� � Contact Person: __�
Address: ,/-ri�'� � State Bond #: _���
City: �� lip���'' Expiration Date: �o�� L5�_
Phone: '�]L -�-,����lo—'�d U�] Alternate Phone: ���`"������
❑ [nsurance—Current: � _
1
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�---� M�;�HAN�CAL S�'ST�MS B�ING IN�TAL.I_ED_ �---�
Nate: .41! (ieotherinai S}�stem� will now require a Site !'lan & Review by our Buildi��g Of�ticial.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEA'CING SYSTEMS
Quantity: ------ ----- --- —
Make:
Ivlodel:
Fuel:
Flue Size:
Input BTUs: __ �_ __ __ _ �_
Output BTUs �__� _ ___ _ _
CFM:
COOLING SYSTEi�'[S
Quantity:
Make:
Model:
"i'ons:
N. Power _ _
FIREPLACES
❑ Gas Factury Fireplace Brand Name:
❑ Wood Bi.rning Fireplace
❑ Wood Stove Model No.:
❑ 1Yood Stove with F'lue/Masonry
VENTIL_ATION
❑ Na _____ Kitchen Exhausi_ duct _recirculating cfm
❑ No. _ _ Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL ST'OIiAGE (Must be upproved b��Fi�e Marshall if proposing to ahrznclon tank in place.)
❑ Installation ❑ Removal
Puel Oil: __gallons ❑ Underground ❑ Inside ❑Outside
►P Gas _gallons
Other:
GAS LINE ONLY
� Outdoor Grill (� Other/List What& Where:�"/�.-�_ ___
2 ��cz C,/
� �E�'��
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� �� ?�'RM1-1 FEF �.�13 Cl'1-�I I(3'�t�) ---------- i
�AS���U O�F 20U2 S i ��'� 1 �i��I IJ�; !
❑ Yes,this sectio�:applies
'[�he replacement of a Residential fixture or appliance that meets all three ofthe following requirements:
I. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;exciudine the eost of the fixture or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Ship next section,if this applies; Cost of Permit $ 15.00
State Sur-charge $ 1.00
Mail-In Fee(If Applicable) $. 2.00
Total Permit Fee $
� �E�°���.��,���'��a�(s>-=�ass ov�x�soo:.�t� �i; �� �
If above does not apply;foilow guidelines below:
1. CO':YTRACT PRICE * is 1.2�%�cf contract price with a(Minimum Fee of 550.00)
� � x.0125 $ � � �U
conunct pnce) � (minimum SSOAO)
2. STATE SURCHARGE �
� DC�c.�.�v x .0005 $_.---" s �
— -t--------
�c<mtract pnce)
3. POSTAGE& HANDLING(Only on Mail-In Applicationsj $ 2.00 _
� �V
a. TOTAL PERMIT P'EE(Add Lines 1-3 Above) $__ J��� �
■ * CON'TRACT PRICE or JOB COST means the acttial or estimated dollar amount charged for the
permitted work including matPrials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipmert, labor or installation-s are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be a�ded 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 conkract.
;� ��MECHANIC�i, PERMIT�''P�.iC:�T1C)N t����M�;I�1T ---_�
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 thal all statements made on this application are complete, true and
correct.
,
Applicant's Signature: _ _____ I)ate: _�� �� _
3
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DATE TIME ,�
CITY OF ORONO CALLED IN ,
INSPECTION NOTICE SCHEDULED �
PERMIT NO. ��� � �y�� COMPLETED J' �T�
ADDRESS a�f6d �o�,d��f�ort< « .
OWNER TELEPHONE NO.
CONTRACTOR �SG�►�.L�<<��/s .
� DESCRIPTION �'FS �'''1�s f�'�'fL
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICOI�TRACTOR TO MEET YiOU:_YES_NO
v�i COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ' PROJECT COMPLETE
� ❑CORRECT WORK 6 PROCEED ❑I CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TE6APORARY
V BEFORE C04/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
�� � �
Inspector. --� �^----
White CopyAnspector's Flle Gnary CopylSite Notks