HomeMy WebLinkAbout2017-00318 (Mechanical) � CITY OF ORONO * z 0 1 7 - 0 0 3 1 8 *
'� " 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4765 AUGUSTA ST
PIN : 06-117-23-33-0009
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 7 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATIOIY : $ 36,495.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL[NSPECTION.
(I)BRYANT NATURAL GAS
(1)IBS NATURAL GAS
(1)RESNER NATURAL GAS
(1)BRYANT A/C UNIT 4 TONS
(1)KITCHEN EXHAUST-900 CFM
(8)BATH EXHASUT 70 CFM
APPLICANT MECHANICAL 456.19
STATE SURCHARGE MECH(VALUATION) 18.25
SABRE HEATING&AIR COND INC. MAIL-[N FEE 2.00
15535 MEDINA ROAD
PLYMOUTH, MN 55447- TOTAL 476.44
(763)473-2267 Payment(s)
Minnesota State License#: mech-MB3392,p1bg-PC645349 CREDIT CARD 7681 476.44
OWNER
Swanson Homes
1360 HAMEL RD
MEDINA, MN 55340-
AGREEMENT AND SWORN 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 goveming 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 I AO 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
revokcd at any time for due cause.
� � ��1�� `� � `� � i 7
Applicant Per itee Signature Date [ssue Signature Date
OQ/Oa/2017 TVE 7: 00 FAx 763 a73 8565 Sabre xedtinq & Air Cond �002/04a
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� "FQRCI,'Y!US.F�,ONI�Y' ' ,
��A'O Clty of Oronu i� � • � , : • ; .,
�y R0.box 66 Dala R�xeiv�lJ; PeGmit k_T� ,
275U Kellny Perkwny '� '
CryYtal Say,MN 55323 Approvod F1Y. ' MioU�!i�:„�'
Phuna(952)245r�4600 Fir(9S2)24y-ab l6 � �
�
�`�t,� �,�'� C1TY OF URONO-�MECHANYCAL PERMIT
`Y�BH�� (All Commerciwl pccmite muet be npprovotl by d�a Buildir�Ufticlel or]nepcator anJ/or Flre Mnrehsll)
QL�IERA�:�1FORl�it#TX0�1 ' � � � � � ' '
1, You may apply for mechanical permits by mail vr in peraon at the City offices. Applications will
be reviewed and a permit will be issued within two working dRys.
2. pern�it cards will be�ent by retura�mail aftar a review is completed. PERMITS ARE NOT
VALID UN'I'IL YOU ItBCBNE A P�RMIT. WU MUST NO"Y'BEGIl�LTINTIL T�
PERMIT CARD i P STED ON T E JOB ITE.
3. Mechanical besian�—Comp(c�c c;raletdations,details and�peeification�arC reyuired fvr each
henting,ventilation,humidif,cation-dehumldification,and eir eonditioning installation including
heAt loss/heat gitin eelculation,design temperatw�es,equipmcnt ratings and idcnlifivatiun fls to
rype,rnanufachirer and model. Data shall be presented on forrn provided.
4�. When any new constructivn or remodeling is invulved,a separate building permit must be
ohtained.
5. Afl work must be done in accordance with the Uniform Mechanical Code/5tate Building Code
tequi�w,ment�.
6. All wo��k must ba in�pectecl(rough-in and tinal). Call(952)249-4600.
(Z4-481�our not�ce required)
' 7, Houee Heating Tast Record muet be suhmitted before final,
, . � ;, ' ••�r��o�';�F�?iT ', � � � �� � • ''. ;? � ',
� � � � � � ����� � � �; ,� ��cheok��Al�'�'1��t� ��'' � � , � :, � � ,��
� [�Re�idantial ❑Gammereial(Appraval Requirod) (t�ackflow Dcviee:Q AVB Q PVB)
� ['�New ❑Additionsl ❑�tepairs ❑�tepluce
'7ol�;�i't�;/IDwnex Tn�f�xmgtipn: �; ��� ,� �
Site Addreas:
Ownier; �Ow�7rn• l Yl�.;�. IV��iling Address; _ -
City: ,, _ Zip;
Hoxne Phonc: A1Cernate�hone:
Con�ra'otur,�iifp�ir�ation: ' ' ' ' . � � � ��
Cantractor: � UP. .,,�„(��� Contact Person: ��A���
Address; ll�� 1 State Bond#: f 1'1���J q�
City: Zip;�7 Expiration Date: ��I�J•?-0I � _
�hone: I�p�J•�'��J�'�{�'� AlternateP�,one: ��� ����;'�7�(� _
[� Insurance-Cuxrent:
1
0�/Oa/2017 TUE 7: 00 FAx 763 a73 8565 Sdbre He�ting 6 Air Cond �003/OOa
. �
Note: All Geothermal Systama will ilow require d S�to Pl�i&Review by our Buildi��g Official.
I5 THIS GEO'�"HCRMAL? �Yes �No
HEATING SYST�MS
Quantity: � � � --
Make: �Q�,�_ � �� _
ModeL• q�ZS�.����
Fuel: _�.,.r�� •G , N'�°'
Flue 5izo: 3��
Input BTUs: I�.�0�tOQf) ��
Output$TUs:
CFM;
CUULIIYG SXSTEMS
� Queritity:
Maka:
Model:
�1�fAo�
Tons: �
H,Power
�'IREPLAC�
0 Gas Factory Fircpluce Brand Name:
❑ Wood�urnmg Fireplece
❑ Wood Stove Model Nu.:
❑ W aod Stove with Flue!Masonry
VENTCi.AT�41�
No. Kitchen Bxhaust ✓ duet recirculeting cfin
� No. � 8uth Exheuet(muet have duct outside) cfm
❑ No. Othcr Fanx: Y.ocatione Cfm
FUEL STOI3A��(Must be appro�ed by,F�re Marvhall if prupusing ro rrbandon rank tn place.)
� ❑ Installatior� ❑ ltemoval
i Fucl Oil: gallons ❑ Undcrground ❑inside ❑Qutaide
� LP(ia�: gallpns
� dthor:
' GAS LINE ONLY
❑ Outdoa•Grill ❑ Other/List VV�at 8c Where:
2
oa/4a/zo17 TVE 7: 00 FAx 763 a73 8565 Sdbre xeating b �.r Cond �OOa/OOa
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.
a �
1. CONT1tACT��� "`is 1.25%of conUact price with A(Mini�num Fee oC 550,00)
� . Q X.�125$�n• ��1
(v�onirect pric;e) (minimum 550.00)
2. STATE SURCHARGE c
�ID,�QS-OD . x.0005 � �0•Z�
(Contnat prfce)
3. POSTAGE&HANDLING(Only on M„il-In Applications) S
4. TOTA'L�ERMIT REE(Add Linee i-�Abova) S ��e, �
� ■ * CONTRACf PRICB or J�B COST maens the actual or estimat�d dollar amount charged foi• the
' pennitted work inch�ding matarials,labor,profit,and other fixed costs. It i�the�unount to be eharged
to the cuatomer for the work dune. If any material,equipment,lAbor or inst�liatiuns ore furnished by tha
ownvr, tCnant or any othtu party, thC ��easonabie u�arkct value of such itc:ms muet be added to the
estimated coat or contract prica for permit fee purposea, In the event that theze is a dispute on�ha amount
of the job cost, the City may requeat the submiseion of a yigned eopy of thc ac�ua! eontract.
i '
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees tv do sll
work in atriot accordance with the ordinanccs of the �it� a�id the regulationa of the 5tate of
Micuteso�a,attd certifies th�t all stat�nncats mAde oi�this application are complote,true and correct,
Applicant's Signahire: �1��1 nLL✓ �a.lU.(�'tiU�iU�i� Date: '`F"3•���1
3
�",
q TIME ✓
CITY OF ORONO CALLED IN � � ��
INSPECTION N T�E _ SCHEDULED -� �lL.-
PERMR NO. U CO PLETED
�
ADDRESS 7
OWNEp ONE NO. � 7 �z�l
CONTRACTOR
� DESCRIPTION "- �
t�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �#AECHANICAL 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OMINFRICONTRACTOR TO MEET Y�OU:_YES_NO
� COMMENTS: � �L ' �jl�V� /�D� �Dr 'L� Cp 4 /�% —
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� ���K SATISFACTORY`.PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE CaNERiNG PERMANENT
❑(ARRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑GTATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Caq forthe next inspection 24 hours in advance. (952) 249-4600
Owr�IContrsctor on site:
Inspector. �-i w✓ �
White CapyAn�ctor's Flle C�nary CopyISIN Nodee
�� �, , �
DAT / TIME
CITY OF ORONO CALLED IN ' �
INSPECTION O�ICE �` � SCHEDULED ,��5 l7
PERMIT NO. COMP ED
ADDRESS 7 -S '
OWNER TEL ONE NO.?d�Zl�- 7�2
CONTRACTOR
� DESCRIPTION �� � ry
t~y ❑ 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 ❑ ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 O'WNEAICOfdiRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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o � �a� �a/l oc - m d� -�mr/` ✓'�' �P, �d�'��
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W ❑WORKSATISFACTORY:PFIOCEED ❑PROJECT COMPLETE
� CORRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
W
❑CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-4600
OwnerfContracto site:
Inspector:
Whits Copyllnspecto�'s File C�nary CopylSits Notfee