HomeMy WebLinkAbout2013-00031 - mechanical � . �
CITY OF ORONO * z 0 1 3 - 0 0 0 3 1 *
2750 KELLEY PARKWAY DATE ISSUE�: O1/14/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1860 FOX ST
PIN : 03-117-23-42-0016
LEGAL DESC : WALDRON WOODS
: LOT 2 BLOCK 1
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 6,426.00
NOTI;: IN-PLOOR HGA"I�[NG SYS�I�F,M-ELI;C"IRIC
APPLICANT MECHANICAL 80.33
SABRE HEATING &AIR COND INC. STATE SURCHARGE MECH (VALUATION) ;.21
15535 MEDINA ROAD
PLYMOUTH, MN 55447 MAIL-[N FEE 2.00
(763)473-2267 TOTAL 85.54
PAID WITH CC# 1207
OWNER
OLSON, MICHAEL&JENNIFER
3924 UPTON AVE S
MINNEAPOLIS, MN 55410-
AGREEMENT AND SWORN STATEMENT
The���ork for���hich this permit is issued shall bc perlurmed according to
the approved plans and spccitications,applicable City approvals,and the
State Buildin2 Code. This permit is for only thc work described and docs
not grant permission for additional or related work which requires separate
perniits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speciticd herein.This permit will
expire and become null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspcnded for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspcctions are
requested in conformance with the State I3uilding Code.This permit may bc
revoked at any tirne for duc c use.
/ / /7`/� / i /�//3
npp icant Permitee Signature Date Iss d 13y Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
O1/14/2013 MON 10� 52 FAX 763 473 8565 Sa Ire Plumbinq 6 Heating �002/004
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� YOR CI7'Y[JSE O:�LY
Q'—�� C:1�'Of�1'Ot10 �
�O¢p�O� P.O.13ax GG llalc Recci��c<i:� / _ Pcnnit# `���"�
�� �,�, 1 27�0 l:cllcy Parkway C''
+ C�ysu,l C3��,MN 5�323 Appn�vu9 13y: fvuoiu�l$:��J
� �����r�+}�� Plinnc(952)249-4600 l�ax( 52)249-4C1(i ���
CITY OF ORQNO–MECHANTCAL PIsRMiT
( 11 Commerciu]pennits musl lx:a��provc�ci by the I3uilding Ofliciak or Ins�x:ctor Euid/or�ir�Marshall)
� GENE NFORMATION-R���T.W �--
1. �'ou may apply for inechanica] ermits by mail or in person at fhe Gity offices. Appiicatio��s will
be reviewed and a permit wili be�,zssued withi,i cwo working days.
2. Permit cards will be sent by return mail after a review is completed. PI:KM:ITS ARE NOT
VALID UNTIL YOU RECBIV A PP:RMIT. WORK MUST NOT BEGIN tJNTIL TH:F
1'ERM1T CAI2D TS p S7.'Ell THE OB STTE.
I, 3. Mechai�ical Desians—Complete caiculations,details and specifications are required for each
he�ting,ventilation,humidii"icat' n-dehumidification,and air conditioning installation includin6
l�eat loss/heai gain calculation, si�n temperatures,equipment ratings and idenYilication as co
t,y�e,manufacturer and model. ata shall l�e preseneed c�n form provided.
. I 4. W��en any new construction a•r �nodeling is involved,a sepnrate building permtt must be
obtained.
"" ' } � 5. A11 w�rl:i4fusC li�done in accot nce with the-tJniform Mechai�ical Code/Stiate Fiuilding Code � �
Ireqnirements.
, 6. All work mtist:b�inspectec�(rou h-in a.nd fisial). Ca(l(s)52)249-4G00.
(�4-48 hour notice required) _ _ _
__— - -- - •
, 7. }�ouse He,ati��g'1'est Reca�d �nus be submitted before�nat.
�� � .
i 'Yl'F OI�PER.MIT
� � _ lieck All T11at A ly�_ �
Q T2esidential []Cornmercial AppravalRequired)
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[t']�New ❑Additional ❑Repairs ❑Keplaoe
Job Site/Owner Tnforination:
Site Address: ,�� :�:; � -G�._: . �� . ;� :_,
Owt�er�: IV�ai,linb Address: _
�, � �����;��� � � � �
City: _._.__. � '7_,ip: __ ._.....—_._ _
}-�ome I'h�inc: ' Al'fernate Phone:
��;,
.T._.,._____
�C:oyitractor.Iaa,,farrrtatio[i:^---.^. �
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Concract �r: ,' i.��}r:. i'1�,,�� �-`'�T Contact Person: ,{+�_!.t4--�.–�-------.
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Address._ �`::��:; �t � ���;�r.f�-�i%� �:�.� State Bond#: �`��l�� .�-:��j ��:�
City: � ,jt- ``�- ��� Zip:���a.����'1 Expiration Date� �1 I�' L.E:I y
,
Phone: �1(l..��� %_�_:%.'.:� j�'1 a'�' Alternate Phone:
� Insurance–CuiTent: �� � I
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O1/14/�013 MON 10: 52 FAX 763 473 8565 Sabre Plumbing & Heating �003/004
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Note: .All G thcrn 5ystems will no�i�require a Site Plan&: It�vicv: by our r3uildino Oi'ficial.
IS TI�IS G `TI3 M�L,? ❑ 1'�s ��lo
` ,f
HEATING S S'TE '
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Quantity: ----- - ------� -------
i
Make: �
-- -.._..----------..._.. � _.—... ._..___.__._._._ _.._.� —.._. �._._._...._-------•---
Model: �� ��' �
- -�, ,,!�v � ----- ----..._--- -- —
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ruei: -- E��.�i '��_�__._. --.----_.-----------•---• --_.__.___......._.__.._._._.....___. .----------,----
Flue Size:ll - ---_ __M._.__ _...____._..___.......---- --
i
lnput T3'1`�s: - �_=--.. ---- -___._......._.._...�_— _ ---.�._,._..____.---
OutputB'I'i1s: __ _._ _._ _ �..__----
.. , . ; ., , _ _ . � �� _ --
�,�M, ,. ,�,.., ,� ,, � , ,
COOLIl�`G SYSTEMS
Qu�niity:
Make: v�
ModeL �
Tons: �
I�_Power
FIREPI,ACES
❑ (ias Factory Pireplace Arand Name:
❑ Waod 13urnin�Firep3ace �v
❑ Wood Stove Modet?�Io.:
_..._._.._._._.._._..__...._._.__------------_.._
❑ Wood Stove with Plue/Masonry
'V�;l'3'Tl.i„�'F�.f3:6
❑ No. Kitclzen�;xh�ust . duci: recirculaCin�; .__.________cfin
—._..__.______ _.--
❑ No. _____� T3ath Exhaust(must have duct outside) _W,.�W cfm
❑ No. __._.._.. Other Fans: f,c�c�.tions . .._..... _. .. .. _._.... ......... _... ..__.___.cfm
I'UEL ST' RAGE (Must bc�approrer!hy Fire MarshaXl iJproposiix�,r tn aGandorc iunk in plot�e.)
Installation ❑ Removal
Fuel Oil: �__ gallons ❑ Under�round ❑Inside ❑ Outside
LP C',as: gallons
Other:
('�AS LINE ONLY
I [] Outdoor Grill (� Otl�er/Lis4 What&Wliere: __^
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O1/14/1013 MON 10: 52 FAX 763 4'73 8565 Sa e Plumbing 6 Heating rg.]004/004
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❑ �es, this sc;ctioi�appl�es
'I'he replapcment of a Residenfial�xture or ap�liance that meets all three of the Eollowiiig reqnirements:
1_ Does not require modificati�n to electrical or gas service.
Has a total cost of$500.00' r less; xcludin the cost of tlle fixture or appliance: and
3 Ts itnproved, installed or re laced b ilie hoeneowner or licensed wntractor.
Skip next section, if this ap lzes; Cosf of T'ermit � 15.0�
State Surchar�e � 5,00
Mail-ln ree(Tf Applicahle) � 2.U0
'Total�'ei�mit Fee S
�
__ _ . -_ -'� t. _ _ � __ ��iOD :.'�",,
�'� =' i�' " '"���f a5�ve�does'r2i�£a�iply; follow guidelin belo�v:
I, C:OIVTiY,�C'I'}'�2IC�; * is I.25°10 of contract price with a(1Vlinimum Fee of$SO,UO)
�'�.i-`_� J...�;`; �;�.:`^___._ x .Ol 25�_ ;:.T\:l.i '`; '-.% __�__
(conlr3ct>>ricc) �(mi n I m wn SSq,OQ)
i. s�rA�r�s �� �f; _
��1. ��..,: (,.�..:---.r.000s � - ; . � .
._._.�i' �� __..__—_---�_.�
- cconiract priccl
3. PO�TAGE` I�ANDLINU n!y on MaiE-In Applica,tions) $ 2.00 __
�,; .
4. T TAI�P MIT FEE(A Lines 1-3 Above) $ : �� `"�
° * CON CT P CE or JOB C� T means lhe actual or estimated dollar amount charged for the
permitted ork including materials, bor, prof�t, and other fixed costs. lt is the amount to be chargod
to thc cust mer fbr the work donc any rnaYerial, ec�uipment, labor or installat�ons are fumishe;d by
the owner, tenant or au�� otlier party t:}ie reasanab(e market vzliae of such iteins must t�e addec! to ttte
estin�ated si or contr'act ��ric:e for ennit fee purposes In the event that: there is a disPute on ehe
Iamount of le job wst, the Ciry may ��equest tl�e subiuission of a si�ned c;o�y of the actual contracr.
�
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The imdersi�ned heret�y a�plies to t]a. CiLy i'or issua.nce of a 1vlc;cl�anical Pernzit, a�r�ees to do al1
work in strict accordance wit:h the di.nances of the City and the re�ulaf.i.ons nf t:h�� Sl:ai:e of
Minnesota, and certzfies al aIl sta ments made on this application are complete, tnie and
con�ect.
1 �
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Applicant's Signature: .:,,_. .;..•,;�!�`Li:-t. _�.i� ;�i._i;��.�-1'./,.;ti;_.� Date: � . � x.j..j.(';(�J
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� � �� l/
� � DATE TIME
CITY OF ORONO �ALLED IN / -Z - �3
INSPECTION NOTICE SCHEDULED �—/—l3 __��
PERMIT NO.���.3 "�CL'��l COMPLETED
ADDRESS �
OWNER T LEPHf�N NO. ��2^2� -�l
CONTRACTOR ' `�-- `� ����
>; DESCRIPTION — �� ' �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOI�YES_NO
� `
� COMMENTS:
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� O K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
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. �95Z� Z49-4600
OwnerlContractor on site:
� '
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�� � DAT� TIME �
CITY OF ORONO CALLED IN `��
INSPECTION N�O^�T�ICE ����/ SCHEDULED �,`7 -/3 /(' �
PERMIT NO. C�-�J� 3—�Z�✓—�l COMPLETED
ADDRESS � ��Q[/ ��l%� ��'
OWNER HONE N07 -�_�� �7�
CONTRACTOR
>: DESCRIPTION ����-�-��'(���// ,��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSUTATION ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
�
W
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J
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Q
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Z
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W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice