HomeMy WebLinkAbout2017-00370 - mechanical ` � CITYOFORONO * 2017 - 00370 *
2750 KELLEY PARKWAY DATE ISSUED: 04/17/2017
ORONO,MN 55356-
(952 249-4600 FAX: 952)249-4616
ADDRESS : 769 BRIDGEWATERDR
PIN : 33-118-23-12-0088
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 900.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GASLINE FOR OUTDOOR GRILL,RANGE,DRYER AND FIREPLACE
APPLICANT MECHANICAL 50.00
SCHULTIES PLUMBING STATE SURCHARGE MECH(VALUATION) 0.50
1521 94TH LANE NE MAIL-IN FEE 2.00
BLAINE,MN 55449 TOTAL 52.50
(651)786-4007 Payment(s)
Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33890 52.50
OWNER
Stonebrook Development LLC
6117 BLUE CR DR
MINNETONKA,MN 55343-
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 dces
not grant permission for additional or related work which requires separate
permiu. 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 suthorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days a[any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Cj l l
Applicant Permitee Signature ' Date Issued By ignature Dat
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Clh'Of OCO�O � —7 �
�O�O P.O.Box 66 Data[te�ei���%���� Pezmit#��� J" �
2750 Kelley Parkway ]
Crystal Bay,MN 55323 Approve�!By: AtTlptmt$: ��1•
Phone(952)249-4600 Fax(952)249-4616
��t.� �.�'� CITY OF ORONO-MECHANICAL PERMIT
kESH�� (All Commercial permiu must be approved by the Building Official or Inspector and/or Fire Marshall)
GENE�tAL INFtJR.MAT70N
L You may apply for mechanical permits by mail or in person at the City of�ces. 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 Desims—Complete calculations,details and specifications aze 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 F�*ERMIT
' �hec� '�I That ' I
�Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
�New ❑Additional ❑Repairs ❑Replace
�ab:��f��r Tn��rrmatic�n: ' � `
Site Address: ��
Owner: Mailing Address: (!/��7 �diG�•C������il✓�
, //
City: � Zip: ��7'
-
Home Phone: �.2`���7� Alternate Phone:
�+an�r�ctc�i�Tn�'ar�na�o�n:
Contractor: Contact Person: �
Address: /�`�! /� State Bond#: ��7
City: � Zip��'�-s! Expiration Date:
Phone: �b����� � Alternate Phone: ����G- �}�t��
� Insurance-Current:
1
�. �
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �io
HEATING SYSTEMS
Quantiry:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
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
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfrn
❑ No. Bath E�chaust(must have duct outside) ��
❑ No. Other Fans: Locations ��
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
� Outdoor Grill ❑ Other/List What&Where: � ,
J
2
• . �
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 ��� M t►�
G�� x.0005 $ , c�C/
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $�iJ�� �
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged
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 reasonabte 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.
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 state ts made on this application are complete,true and correct.
Applicant's Signature: Date: � �o� p��
3
DATE TIME /
CITY OF ORONO CALLED IN
INSPECTION NOTICE, zao,r1 SCHEDULED //—3 —/7 / : 0-0
PERMIT NO. A / W OMPCbEI�ED
ADDRESS " 5Gi a GI/L`
OWNER ,TELEPHONE NO.
CONTRACTOR
DESCRIPTION 7: C_ TCS 741-
W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
A ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
- 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
❑ DEMO-SITE 0 SEPTIC INSTALL
- OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:CC
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RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
- ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins ion 24 hours in advance. (952) 249-4600
OwnerlContractor on s
Inspector. ✓�
White Copy/Inspector's File Canary Copy/Site Notice
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. dc17 -00370 COMPLETED I/-6�,2
ADDRESS 76 9 ce, P.J4 ` ''.' Or
OWNER TELEPHONE NO.
CONTRACTOR Sit cr/4r_s / • -
i DESCRIPTION 645 //'t g
❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
- 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
41116
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
- ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
h COMMENTS:
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IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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❑CORRECT WORK&PROCEED L I ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
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. (952) 249-4600
OwnerlContractor on site:
Inspector. r i"-' 9/-
White Copyllnspector's File Canary Copy!Site Notice