HomeMy WebLinkAbout2017-00290 - mechanical , ;� CITY OF ORONO * 2 0 1 7 - 0 0 2 9 0 *
2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
' ORONO,MN 55356-
(952) 249-4600 FAX: 952)249-4616
ADDRESS : 1725 FAGERNESS POINT RD
PIN : 17-117-23-22-0036
LEGAL DESC : MAPLEGATE INLET
: LOT 005 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
ACTIVITY .
VALUATION : $ 4,310.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
2 GAS FACTORY FIREPLACE-HHT SL-7&NDI-30
APPLICANT MECHANICAL 53.88
STATE SURCHARGE MECH(VALUATION) 2.15
FIRESIDE HEARTH&HOME MAIL-IN FEE 2.00
2700 FAIRVIEW AVE
ROSEVILLE,MN 55113 TOTAL 58.03
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 58.03
OWNER
Denali Custom Homes
18352 MINNETONKA BLVD
DEEPHAVEN,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permi[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 sepazate
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 180 days at 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.
cs.�� c..—� � (���L�j � �� � �
Applicant Permitee Signature Date Issued By Signature Date
43-27-'17 14:24 FROM- T-965 P0001/0004 F-173
� , � � � �l! /�� v�� l
3��
FOR C1TY USE ONLY
��yQ CfCy of Orono
�V P.o.Box 66 Date Yteceivea: Pecm;t�'
2750 Relley Parkw'ay
Crystal&ry,MPt 553z3 Approved By: Amount S�
Phone(952)249-4600 Fax(952)249-4616
��`��q �,�.��� CITY OF URONO—MECHANICA�,�'E�YT
R S F{O (All Co�CrCial pCrmitg muSt bo apprO�Cd by the Bpilding 0�`�ial or Inspector a=td/or k'i�Mershell)
GENERAL IIVFORMATION
1. You may apply for rnaehanieal permiu by mail or in person at the Ciry ofticzs. Applications will
be reviewed and a perinit wilf be issued within two working days.
Z. pzrmit cards will be sent by return mail a8er a reviv�v is completed. PERMITS ARE NOT
'VALIA UNTiL YOU RECENE A PFRMIT_ WORK MUST AiOT BEGIN UNTIL TETE
��Xt1YXX'�'CARD IS POSTED ON THE JO$SITE.
3. Mechanical Dasigns—Complcte calculations,dttsils&nd specifieations&rt requirtd for eaeh
heating,vcntilation,humidifiCation-dehumidifiCation,and&ir conditioni�g in3tallation 1t1ClUding
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
a. 1VVhen any new construction or remodeling is involved,a separata building permit must be
obtained.
5. All work must be done in accordance with the Uniforrn Mechanica!Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final}. Call(952)249•4600.
(24-48 hour notfce requfred)
7_ House Heating Tcst Record must be snbmitted before final.
TYPE OF PERMIT
(Check All That Apply) .
�Residential �Comrnercial(Approval Rec�uired)
�New ❑Additionai ❑Repairs ❑Replace
�ob Site/Owner Information:
Site Address: / / �� / "`�'�(�i�'e�,S pd'1 Y1.'� �
Ovcmer: 1,/CNia/t � (_��7�Yv� 1-"l��""loia lingAddress:
Cit�: !1) ��1i /�r r�Yl`2�� �r Zipr��Pl�5�� /
�TomePhone: �J�� �7���� Alternatephone:
Contractor Information:
Contractor: FIRESIDE HEARTH & HOME Contact Person: °���`�"�
Address: 2700 Fairview Ave N SCate Bond#:BC6626Sfi, MB662572, PC662571
City: Roseville, MN Zip;55113 Expir�ation bate:
�hone: A[ternate phone:� �� ���p�����
❑ Insurance—Current:
1
03-27-'17 14:24 FROM- T-965 P0002/0004 F-173
N.. �/� �5".r /��'Qy,Q h'J�� R++�+�lN'�!,:\r 5.�� �� �.F�� "'. .(.:`
r.11AF-i� A�iC? A7,l�IJ,� .� IJ �..2�� �.�� �.\'1�:�.
Note:Al!Geothermal Systems will novc�require a Site plan&Re�view by our BuiIding Q�cial.
YS THIS GEOTHERMAL? C]Yes ❑No
Y�EATING SYSTEMS
Quentity: - ----
Make:
Model�
Fuol:
Flue Size:
Ynput B'Y'�J's:
putput BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
�YI�pLACES
I ,f-)� Gas Factory Fireplace Brand Name: �
L� ❑ Wood Buming Firtplact (�
❑ Wood Stove Model No.: J�✓ °Y N�'�Ja
❑ Wood Stove vvith�'lue/Masonry
VENTYr,A'Y'YON'
❑ No. Kitchen Exhaust � duct reeireufating efm
❑ No. Bath Exhausr(must haWe duet outside} cfin
❑ No. OCher�'ans: Y.ocations cfm
FUEY.STORAGE (Mi�st be qp,prnve�l by Fire Mnrsl'rnll if proposrr�g to aband'on irrnk in pCace.)
❑ Installation ❑ Removal
Fuel Oil: gallons � ❑ Underground 0 tnside �]Outside
�,p C�as: gallons
Other:
CAS X��N�O1V�.Y
❑ 011tdoor C3ri11 ❑ Other/T,ist What&W'}yere:
2
03-27-'17 14:24 FROM- T-965 P0003/0004 F-173
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❑ �'es,this section applies
The rzplacement of a Residential fixture or appliance that meets all three of the follo'wing requirements�
1. Doos not rcquiro modifieaCion to eleetrieal or gas service.
2. Has a total cost of$500.00 or]css;zxcludin�the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed eontraeWr.
Skip next section,if this applies; Cost of Pcrmit $ 15.00
State Surcharge $ 5•00
Mail-Tn�ee(Yf Applicable) $ 2.Ofl
Total permit�'ee �
"� ;PERIVIIT`FE$.�PiLCUL:AI'10I� S. —�70$S,O�R�`$SQO:QO.;�-:'� ;��;;
If abave does not sppiy;follow guidelines belor+v:
1. CO1VTYtACT PT�C� *is 1.25%of contract price with a(Mihimwn Fee of$SO.O�g
3�0 �
x.o�25$ �•
( ntract price) (miuimum$50.00)
a. S�'AT�SURCHARGE I���� ((-�
r X.0005 $ �•
(c nheCt priCr)
3. POSTAGE&T-TANb�,TI�TQ(Only on Mail-in Applications) $ ��,
��
4. TOTAY.�'��tIV�XT���(Add Lines 1-3 Abovt) $ ���
■ '� CONTRACT PRICE or JOB COST means the aetual or esdmat�d doltar amount chargcd for thc
pennitted work including matcrials,labor,pmfit,and other fixed costs. It is the amount to be chargcd
to the customtr for the work done. Tf any mat�rial,equipment, labor or installations arc fumished by
the owner,tenant or an�other parry,the reasonable market value of such itoms must be added to the
estimated cost or contract price for perrnit fee purposes. In the evcnt that thtrc is a dispute on the
amount of the job cost,the City may request the submission of a signed eop�+of the aetual contract.
:MEC�IAIVIC:4L.�BRMIT�A,�►FLY�ATYQ�:�AG�'sEIV1�NT<�.;;;-<`;';; ; -
The undersigned hereby applies to the City for issuance of a Mechanical Pezmit,agrees to do all
work in strict accordance with the ordinances of the Ciry and th� regulations of the State of
Minnesota, and certifies that all statements made on this application are eo�nple[e, true and
correct.
, , I"�� �2.�~��
Applicant s Signature. Date: �
3
C,� <</�/�
D TE TIME
CITY OF ORONO CALLED IN ' /
INSPECTION NOTICE SCHEDULED — lO ��
PERMfT NO. �I� ��� MPLETED
ADDRESS �7 �
OWNER � TELEP ONE NO. S� J' �- 37�
CONTRACTOR
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FI AL ❑ 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 ❑ MECHANICAL 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'WNER/CONTRACTOR TO MEET Y�OU:_YES_NO
h COMMENTS:
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� KSATISFACTORY:PROCEED O PROJECT COMPLEfE
W CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEFi POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952j 249-46�0
OwnerlContractor on site:
Inspector. ��a���G''
Whits CopyAnspector's File Canary CopylSite Notke
C� DATE TIME
��CITY OF ORONO CALLED IN
INSPECTIO ;i E �Z�y.� SCHEDULED � '��—
PERMIT NO. `�J COMPLETED
ADDRESS �� �-� � ���,
OWNER TELEPHONE NO.���-� C �" (�
CONTRACTOR �� S�� -r`�'h`�m C ���
� DESCRIPTION �
�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 ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCOKTRACTOR TO MEET YCU:_YES�NO
� COMMENTS:
� �.L. F.�• ' /'ld �''e�v�c aK s�i��—
O /[�;/J• /7�� o r4�l,A rr�ii
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� -� G�c� �o r r�•-�s`✓<<��.,.—
W
aC
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W ❑WORK SATiSFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPVINCY
W
0 ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERIN(3 PERMANENT
❑CaRRECTUNSAFE(bNDITIONWITH�N HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advsr�e. (952) 249-4600
OMmBNCorttractor on site:
Inspector:
White CcPllnnspecMr's FIN Camry CopylSiN Notice
�'�- � �.�___--_ ✓
DATE TIME
CITY OF ORONO CALLED IN .S- � /
INSPECTION NOTICE SCHEDULED •S ' � l -I � �U%
PERMIT NO.��.7�'�L�� COMPLETED
ADDRESS � ��� ;��� J� �� �
OWNER TELEP�I����l.�-,Z/���7�
CONTRACT�A ` � � ���
� DESCRIPTION -P�� �/ �— ���1(/
G
l~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 ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OWNERICONTFUCTOA TO MEET YOU:_YES_NO
v�i COMMENTS: (���l �fS�i.tm �.l�fa-2�c-i. ��r��� �
a� • . ,. ,
� � .L. /:.�°. - ex�s��-� � Q�S 1, �� -
o - �r1$�r� �`t�a c�ac�s��-if N'.�5- GSo'/�� ,
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Q /yIL. �: �• ' g�S , �s�:� �,,t� �x�s�-,�
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� q�s ��� -�_,���� �-4s,.�� - � �'��-�� � s. _
� .�G� ����� � �i%t�S�iEt —�C—
d GJa✓K Cls�ls�� —
W ❑WORK SATISFACTORY:PROCEEDn - ,�; ROJECT COMPLEfE
W ❑CORRECT W'ORK 3 PROCEED rC�����'�'�� ❑I E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP OHDER POSTED.CALL INSPECTOR
❑INSPECTION REQU�RED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (952) 249-4600
QwnerlContractor on site:
Inspector: ���" �"
White Copyllnapector's Flle Canary CopylS�te Notice