HomeMy WebLinkAbout2012-01276 - mechanical � ' � CITY OF ORONO �
* 2 0 1 2 - P1 1 Z 7 6 *
2750 KELLEY PARKWAY DATE ISSUGll: l2/31/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
IZI�;PIZIN"CED ON 12/31/2012
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 15,085.00
NOTE: (1)HEATING SYS"CEM-BRYANT-NATURAL GAS-3° FLUE- 100.000 INPUT(3TU'S,92,000 OU"IPUT[3TU'S, 1600 CTYI
(1)COOLING SYSTGM-BRYANT-4 TON
(1)KITCHEN EXHAUST
(4)BATH EXHAUSTS
APPLICANT
MECHANICAL 188.56
SABRE HEATING & AIR COND INC. STATE SURCHARGE MECH (VALUATION) 7.54
15535 MEDINA ROAD
PLYMOUTH, MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 198.10
PAID WITH CC# 1207
OWNER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
AGREEMENT AND SWORN STATEMENT
The�cork for���hich this pennit is issued shall be perfonned according to
the approved plans and specitications,applicable City approvals,and the
State I3uilding Code. This permit is for only the work described and docs
no;orant permission for additional or related work���hich requires separate
permits. All provisions of laws and ordinances governina this type of�vork
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 afler work has commenced.
The applicant is responsible for assurine all required inspections are
requested in conformance with the State I3uilding Code.This pennit may be
revoked at any time for due cause.
� G� / � v� �l /�-- ���V u-�i� � l �� l� �
Applicant Permitec Si alure Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
12/31/2012 MON 10: 35 FAX 763 473 $565 Sabre Plumbing & Heating �J005/007
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{i �i�� (_�ystsd Iiay,MN 55323 APprovu113y: Amaimt S:�_�(/
���,��-' ��I Phonc(952)24h-4600 l�ux(952)249-4GIG
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CITY OF ORONO-MECHANICAL 1'ERMTT
(AD Commercir�l pennits m�est lx>approvud by tite 13uildi.n�Official or Inspector.u�d/or Fire Marshall)
� GENER.AL 1NFORMATION �
1. You�nay apply for mechxnical permits by mail o�•in person at the City offices. Applications will
be reviewed and a pennit will be issued witliin two working days.
2. Pennit cards will be sent by return mai)after a review is completed. PERMI7'S ARE NOT
VALTD UNTIL YOU RECLIVE A PERMIT, WORK MUST NOT BEGIN I.INTIL THI�
PE�tMI'I'CA�ill IS POSTE�ON THE JOB S1TE.
3, Mechanieal Desi�ns -Comp[ete calculations,details and specifications are rec�uired for each.
heating,ventilation,humidificztion-dehumidi�cation,and air caiditioning instaUation including
heat loss/heat bain calculation,desibn cemperatures,equipment ratings and identi6cation as to
type,manufacturer and model. Data shail be presented on forrn prqvided.
4. When any ciew constrdction or retnodelin�is involved,a separate building permit must be
obtained. . -
��. ,. _ .
-
" `"' ' S. All wbrk 'must be done in ac.cordaiice witfi the iJnifor�7i Mechanical Coc�elState Buiiding Codc '
reyuirements.
li. AlI work mr�st Ue inspecYr.�(rough-in and final). Call(952)249-Q600.
(24-48 hour notice required) _ _. _-
7. H.�use I-leazing Test Record must be subiYiitted Uefore finat.
TYPF, OF 1'ERMIT W�� -�
(Check Alt That Apply)
[�Residential ,0 Commercial(Approval T2ec�uired)
�New ❑ Additional ❑Repairs ❑ Replacc
Job Site/Owner Inforn�ation:
�r,,. __.... �
Site Address: i ��I; �. E 'i:�1 � t ,�:c-�. �
Uwr�er. Marlin�Address: �,,,_„�,,, _
CiYy: _.�.....� �____._ .._....�....._.__. "[:ip: _____._.._...�_. �
I�.oi7�e Y�aue: Alternate 1'ho��e:
� Con.tractar ri�for�nation: �_ �
;
Contractor� �:i:a , ',, i ��`:;�u 4 != i>'�, Co�.�tact Persor.i: ._.,.__.�.� �� '�� ---_._.._.
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Address;" j� _,:. ,:, ;''���.1�:f;�,�.�� ��-�i State Bond#: (�`���..; > ;�j �..>_-_
City: }-�'�i '--������.�i•�� Zip ° �;:;5��"� Expiration Date, {;���` �,'`�,!`--�
� ;.�:. )�_:.;:':) j* � 4'l' Alterriate Phoiie:
I'hone: 1��; .> � ,� ��
; � . �.�
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��� Insurance-Cttrrent: _____ `='�i �i _-_
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12/31/2012 MON 10: 35 FAX 763 473 8565 Sab e Plumbing & Heating �006/007
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Note: A]1 <Yeothermal Systems will n ��� require a Site Plan & Review Uyo uur I3uiidin�Ofi�icial.
IS TI�IS GEOTHERNTAL? ❑ Ye ��No
HEATING SYSTEMS
QuantitY _ ` .�_...----- -- ----- ---
IMake: �...,, ; ^ .= �
-�,l�t%s:-l:i�—..-. ._�.. � � --- ---_--__— —•------•�----------
1
%':i..�r ' Y ! ;i�;,
Model _�_�%'I�U !t•:�(,'(; -- – _.—_..__. _ .__--
1 �
I�uel: I\i �'
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�lueSize: ..--• �} --�__ -- -_._. _--_ -------------
�nput BT s: � ;
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Output B` Us: __�_.._�'_�<` '�' .---.�._.__._.__.___. �___ �..� ._.
, -. ;,.- _ – .
. .. ;
cr�: ! �� E;C
co�r,�rr ��s�r�m«
Quantity: 1
� �� �,. ;,
Make: --1._=L'' `h -�-- -- ----- �----._._...—__ ._.._-�--- _.
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.:. : ,.
Model: ---.1. '�r;�l-�`v • ' ' ' — -.—..___--- -- -----
'Tons: � -�-'-1� ---... _._.__ __..._._.
H. Power � ' _ _.
�_.._.__�_..— �.._._.....______._
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FLREYLACES ; �
❑ Gas Factory Fireplace Brand Name: ____,_ __,
❑ Wood Burning Pireplace�
❑ '4Vaod Stove Model;�to.:
-------.__---.._......._._ _...__..,.
❑ Wood Stove witl�Flu�/ asomy
'1'�i�l"L'FI���'Yf)I�`
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{� No. ���,_ T�iiche�i I:�C.hausi duct ___recirculating __ cf'm
0 No. '-_�_,__'Liath�xh�ust.(must have duct outside) cfm
❑ No. �._��..._._.__ Other Fans: Lc>�ations__..___..._..._...._..........____....... ..._.__---...-- ._�._....----._cfn,
Fi!EL S'I'ORA(�E (Mee It be rippmved by� tre A�arsha/!ifproposing tn ah�r�ido►r lank rn I�lac�)
4] It�stalla�ion ❑ � Removal
�
� Fuel Oi : _`gal�ons ❑ Underground ❑Inside ❑Outside
LP Gas. .__gallons
Othor:
I_.�
GAS LINE ONLY I
❑ Outdoo Grill ❑ Otl�er/List What&Where: __ _
2
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12/31/ 012 MON 10: 3� FAX 763 473 8565 Sabre Plumbing 6 Heating �f007/007
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� ❑ I'es,tl�is sectio,i applics
71�e replaccment of a R�i�ential fixtuE•e or,�p(iance that meets all three of the following requirements:
'i
1. Does not�require modification tQ electrical or�;as service.
i2. Has a to 1 cost of$500.00 0�-less;excludi7lQ the cost of the fixture or appliance: and
3. Ts improved, installed or rep�aced by the hoineowiier or lic:ensed contractor.
` Skip next section, iC this applies; Cost of Permit $ 15.00
� Siate Surcharge � 5.00
j Mail-In Feo(If Applicable) 5+ 2.00
� Total Pcrmil:I�ee $
i:
�- il r��'
' �% ^'.- lf abav��;oes'ii'oY aaj�fy; !'ollow gu'idelines 1��elow:` - _ - n; •^ ,.,
S�. C:(J�1V'TI2AC:7t'PRIC�, "` is ].2S%of.contract price with a.(IVlinimum Fec of$50.00)
x .07.25 � '
' ___ � :i`� `. (' 'C. _.___._.. � _ �' .—_
� (conlmcl pricc) (tnic�imum$SO.W)�
2. S�1 AT�SLJRCHAR�E r, �
�� , i �_..
' -i_..:�,._' ..i.: '�_�_x 0005 � �---,-_
---- (cont�act p�icc) -.__._....- --- .. ..
3. POS1'AGE&H.ANDLING(Only on Mail-In A.pplications) $ 2 00 ______„_
4. TOTA1�P�RMl'1'FEE(Add Lines 1-3 Above) � � �'1�' <<-'
° * CONT'RACT' PR10E or JOB COST means the actual or estimated dollar amowit charged for the
permitted work including materials, la�or, profit, and other fixed costs. lt is the amount to be chargod
i:o the cust��per for t1�e work done, It�a.ny material, eqvipment, laUor or ii�stallations are fi�rnished Uy
the owner, tenant or any otl�er pariy, She reasonnb).e market value of such items must be addec3 to the
estunated cost or condact price for Y� rmit fee purposes. In the evei�t that chere is a dispute on the
an�ouuc of t]�e_job cost, the Ciry rnay request fhe Submission oP a signed cop,y of the actuai contract.
Tl�ie undex�sibned hercby applies to tlie �'ity Por issuance of a Mech3rtical Aermit, a�ees to do ali
��vork in strict accordance with the or�iinances of the City and t}�e re�ulations of lhe State oi'
Minnesota, and cerCifies that all state ents made on this applicatxon are complete, true and
correct.
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Applicant's Signature �.i:t.Ll.,i i..���.1:i,(,f • �;�,�;L'�- Date: (.1. .';( !1.....T_
'` '�Y� I ��,' �" �`.
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� � ��� DATE/ TIME
CITY OF ORONO CALLED IN �/�`
INSPECTION NOTICE SCHEDULED o7l,5-%�' /d�30
PERMIT NO. ����' —���,7�COMPLETED
ADDRESS l��� `,70���,/7`��i�
OWNER T ,HONE N��'�-��� � �� �'
CONTRACTOR ' � ��-�- - �� `
�: DESCRIPTION /\ ��� ���—�/',/l/�i'/ i�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
inspector.
White Copyllnspector's File Canary Copy/Site Notice
f� E / TIME
CITY OF ORONO '" CALLED IN � � `' �
INSPECTION NOTICE 2 HEDULED l 37��J I`�'C'D
PERMIT NO.�//� '�J�1�PLET
ADDRESS l��Q� f
OWNER T HONE N07 ^ �^���
CONTRACTOR �
�; DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� O FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBIN ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL
Z OWN /CONTRACT EET YOU:�YES_NO
� COMMENTS:
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��IdFiK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. �952� 2Q9-46��
OwnerlContractor on site: �
Inspector. v�, , �,
White Copyllnspector's File Canary CopylSite Notice
�� c.i��� DATE �j TIME �
CITY OF ORONO CALLED IN � I�- 'J
INSPECTION NQTI�E�_�`��rS—CHEDULED �n ' �Q
PERMIT NO. 1 �eMPLETED
ADDRESS �a � O �C� ���t .
OWNER TELEPHONE Na��3�as 3 ��.��
CONTRACTOR er �YY�
>; DESCRIPTION C�'l �� �a ! � • r��"1�J
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP INAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS: , /""�l�O 11�Q-�''-s �-cSd— 0 �
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GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE
� ❑CORRECT WORK&PROCEED J�`UE CER TE OF OCCUPANCY
0 ❑Ct�RRECT WORK,CALL FOR REINSPECTtON TEMPORARY
V BEFORE COVERING PERMANENT
❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
7 CITATION ISSUED
❑STOP ORDER POSTED.CALI INSPECTOR
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46��
OwnerlContractor on site:
Inspector. � C,�' \
White Copylinspector's File Canary CopylSite Notice