Loading...
HomeMy WebLinkAbout2016-01245 - mechanical , CITY OF ORONO * Z 0 1 6 - 0 1 2 4 5 * ' '� 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : '758 BRIDGEWATER DR PIN : 33-118-23-11-0133 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 16 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. GASLINE FOR(2)FIREPLACES-ONE ON MIAN AND ONE ON LOWER LEVEL APPLICANT MECHAN[CAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 SCHULTIES PLUMBING MAIL-IN FEE 2.00 1521 94TH LANE NE BLAINE, MN 55449 TOTAL 52.50 (651)786-4007 Payment(s) Minnesota State License#: plbg-PC644177,mech-MB005379 CHECK 33720 52.50 OWNER Stonebrook Development LLC 17149 LINCOLN ST NE HAM LAKE, MN 55304- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requestcd in conformance with the State Building Code.This permit may be revoked at any time for d�e cause. D �I�e ' � 9 , �� ! � Applicant Permitee Signature Date Issued B ignature Date .i � �' RECEIVE F CITY USE ONLY � Ci of Orono / � �ON P.O.Box 66 Date e i e .`� Permit#� I� � 2750 Kelley Parkway SEP 3 0 201� �� Crystal Bay,MN 55323 Approved By: Amoun � Phone(952)249-4600 Fax(952 249-4616 ti ,� ��ITY C�F ORON � � � �,�' CITY OF ORONO-MECHANICAL PERMIT qKES H�� All Commercial ermits must be a roved b the Buildin Official or Ins cc,tor and/or Fire Marshall �_/ ( P PP Y g P" ) GENERAL IN�'ORMAT�O�1 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 A 1 ) �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB] �New ❑ Additional ❑Repairs ❑ Replace Job Site 1 Owner Information: Site Address: %� t'� �����-'=�'�-�' � ,� �/'�� Owne� � �l�i' Mailing Address: ��1�� � -U �� ���N��,� _—� City: �/��� �/� Zip: ���< �� ����,��- Home Phone: `���-'"��%�I j�J� Alternate Phone: Contractor Information: Contractor:.-��sc'-r'�.t� ��ar_'L� Contact Person: - � � , /i -� • l'; Address: � C ✓ r �State Bond #: /�' .(�`� � 7 City: ��-�� Zip���/7'-' Expiration Date: � � ��/ Phone: �L �' '" y��� Alternate Phone: �;S' /�_� � �-i�� � Insurance-Current: �� 1 . � � ' N��HAATICAL SYSTE�S B�IN'�II�ISTALLED 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: tnput UTUs: __— ----- 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 VEIVTILwii�ri ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin 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 � � '� .e E—c��/ Outdoor Grill � Other/List What&Wherer�C�' 2 /�,���.. � /" �f',�� �-�-��' � : � .1 ' ► �,.,:.:. tl- : '.. ` , PERMIT FEE CA��,.��A"�"�C}�'� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �`�� �� x.0125 $ ����.� (contract price) (minimum�50.00) 2. STATE SURCHARGE �/ t�� A` t�1'� x.0005 $ .'� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ��" 4. TOTAL PERMIT FEE�Add Lines 1-3 Above) $ ��t� -� ■ * 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. y���;� MECHANICAL PERMIT APPLICATIt��1��f".rREEMENT 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 Signatu • � Date: / v c�� 3 -�� �,!�_ ,/ �� � � �i��./" DATE TIME C OF ORONO CALLED IN INSPECTION NOTICE/ , � �- SCHEDULED ���� �ERMR NO.��/��,! �,� COMPLETED � ADDRESS ��� T-1�C���� �� OWNER TELEPHONE NO.�' lO� ���7'y�7 CONTRACTOR �Yi>/�c� ��� ,�E��,� � DESCRIPTION ���� �`�'�-� tV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ J ❑ DEMO-SITE ❑ S TIC INSTALL Z OMfNERICOKTRACTOR TO MEET YOU;� YES_NO c� COMMENTS: � ' � �� /�rl� �« ��s � hd ��, K� �� o _�SL� �i r�� C 1/ � o�� - /� - ., � �. a� � ��S /t r1 ef - x� Go�.Oc ✓ � 4 �J�czc - Q I/2l� � 1 O��IT"iS � r �i�t��� - �' —�r . /� • -Ir G��'y� ✓ �-- 2 � � O,� ]� Go ve v J � �MI�ATISFACTORY:PROCEED ❑PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-48�� OwnerlContractor on site: Inspector:_� r �v•�–' Whits CopyllnapectoPs Flla Gnary CopylSib Notka