HomeMy WebLinkAbout2017-00523 (Mechanical) CITY OF ORONO * 2 0 1 7 - 0 0 5 2 3 *
' 2750 KELLEY PARKWAY DATE ISSUED: OS/18/2017
• ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4730 AUGUSTA ST
PIN : 06-117-23-32-0010
LEGAL DESC : LAKEVIEW OF ORONO
: LOT 9 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 20,375.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW: 1 HEATING SYSTEM(BRYANT), 1 COOLMG SYSTEM(BRYANT),VENTILATION: 1 KITCHEN EXHAUST&6 BATH EXHAUST
APPLICAI�IT MECHANICAL 254.69
STATE SURCHARGE MECH-(VALUATION) 10.19
SABRE PLUMBING&HEATING MAIL-IN FEE 2.00
15535 MEDINA ROAD
PLYMOUTH,MN 55447- TOTAL 266.88
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,p1bg-PC645349 CREDIT CARD 7681 266.88
OW1�1ER
Source Land Development Inc.
18215�45TH AVE N
STE D
PLYMOUTH,MN 55446-
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
permits. 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 authorized is not
commenced within l80 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 are
requested in conformance with the State Building Code.This permit may be v/, _
revoked at any time for due cause. �U���
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Applicant Perrr►itee Signatur ate Issued By Signature Date
05/18/2017 TxU 13: 01 FAx 763 G73 8565 ��bre He�ting b Air Cond �005/007
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(.:I'I'Y C)l� O120N0-- NI�+�CHANI:CAT_.P�R.MIT
(All ConlmCrCial ncnnils mucL lx:a��}u'm�ed by the 13Lrilding Ufl�ici+il ur Tnslx:���d/o�'1'ac Mwshall)
cTr:N���RAL IN��o��:n�a`r1��-_.__—� ...��... —�. ..-.._ ..��.�..._.�
1. You may npp{y for mechanical�ermits by mail or in persqn at t�ie(;ity offices. A��licatioz�s wil]
be reviewed and a pe�mit will be issued w�thin cwo workiag days.
2. Permit cards will be se�it by s�turn mail after a review is compl�ted. P�tMi'�S ARE NOT
.... .. ... ..... _.._-�-�---�--�v��M'�'! '�Y'Q[;rB�. UYtKMUfi?NOTB�GINLTN 'YLT�. _......___------..
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�'TRMTT CARb YS P4ST�A ON�' '��� .
3. echanieai Uesi r�is—Compleie calculatio»s,details aud specifieations att requi�ed for each
heating,ventilation,I�umidi�cation�dehumidificatio��gnd air conditionin�u�stallati4n ineluding
heai loss/heat gain�alcu1atioiri,desi�n temperFstures,equip�nent ratin�s and idenii�cation as Lo
type,manufacturer and tttodel. Aaia.,hail be present«i oi�fom�provided.
4, When any new construction or re,�nodeling is involved,a separate building permit musK be
obtained.
� 5, A1S work must be done at�accordanee vvitl�ihe Uniforrn Mechanical CodeJState BuiSdin�Code
requiromCt►4S.
6. All work must!>e inspcct,e�(rough-in and final). Ca1!(952)249-4600.
(?�-4A hour notice required)
7. House Heating Test Record xnust he submitted before fnal, . � �
� T'X�F 4F�RMIT
Gaeck t�li`Ttiat 1
Q�Resides,tial (�Conw�►erciat(A�proval Rsquired) �
Q�New �AddiUoz�ul ❑]t�pairs {�R�eptace
7ob Site/Owner Inlot�uation:
Sile Address: �'.S 0 I�IU�AI,t_'S-1� �.c.��
Owner� M�iling Address: �
City: Zip:
HomePhone: AlternatePl�,one: .�. --
Contractor�n�oxtnatiou: �
CUnlrac;tvr: �/� Contaet Persoz�: a
Addr�ss: S53� ��llll�.�►.• -��-! Stale Bond#: � � '
Gxty; Zip���"� Lx�irati�nDate; •l�•Z�l�
S'l�ane: ��03• �'1�- 2.2L~1 Altcrnate Pl�.one= `71s3• i53•�F��F f�
' � L�surance—Currellt: �
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05/18/2017 THU 13: 41 sAx 763 d73 8565 S�bre He�ting b Air Cond �006/007
• NMe: AT] rr�:i�Q,ei,ual5ys�x�ri:,��ill no��requxre a Site I'l�n Xr-Rcv�ew Uy our 13t�ildin�Uf1�ic�a1,
zs��•��s c,�,u��•���:��.�,�: L1�r�N [�Na
Hlr'.ATiNC SYSTF.MS
Quantity: � . ... . .. .._.—___......
� Makc� 1�^ — .. ._.,r--. -
Madei: a,�.S,��o�E�� _ _.
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F1ueSize; ---�..._----,..,_ _ --
]nput II'TIJs� �n�� ��0 _ ..___ ....—..
. Outpu(B'I'[Is: , ..^ ,--- —.__ ,—��__.._
C1'M
COqLiNG SXSTEMS �
Quaniity: � W-- - -.
Maka _ V1��,__, ..__ . , .
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M�ode1: , _...---
rony: .._...__�.,-,_.. _ -• ---�--
H.Power ,,,_ �---,.__...�.�
FIRF�,'LACE$
Q Gas l�actary�ireplace 73rand Name:
❑ Woad Buming Fireplace
[] 'V�►'ood Stove Modei No.:
j� Wood Stove with Flue/Masonry
'V�GNTII.,ATION
[� No. � YCitchen�xhaust ✓ duct��_iecirCll�&tltl� �aa cfn�
[►�}" No. �� Bath Exhaust(must I�ava duct outside) ,,,�Q.r efln
[� No. Otba'Fans; Lacations �m
�'CT�I.STORAG� (1V�ust(u a��prpved by Tire 1Hldrsltall ifpra,posi�tg ta a6uiidott la�di in plac�)
� Installation ❑ Removal •
' T+uel Oil; gall�ns ❑ Underground ❑Insida ❑Outside
��tSS' $A1�0�15 '
QtIter:
GAS X.17VC ONXr1'
❑ Outdoor Grill 0 qther/ListVVhu[&Wliare, _
z
05/18/2017 TxU 13: 01 Ft�x 763 673 8565 8abre xeating & Air Cond �007/007
❑ Yes,ihis SeCtion appiies
'1'I�e replacemenr o('a Ttc_sidrntial fixtttre or al���li.anc�'•,thak ntc�.e,1,s ail ilu•cc o;f the�'ollowing rec7uiremezits•
1. 17aes nqt rex�uire n�(u3i{�icatinn tn electrical or�as setvice.
2. Y3as a to�a�of$500.00 or less;exeludin¢the cost of the fixture or appiiance: and
3. Is improved, inst,�lled or re{�laced by thc homc.owncr or licensed contractor.
---�----•-----�------�-------.p----._. ....__,_.,..
Sk� ncxi section,if this applles; Cost of Pemut � $ � 1�,�Q ���
State Surcl�arge � 5,00
Mxil-It�Tee(�E'Applieablo) � 2.�Q
rorai Perm�t]�cc $
If above does not appI�;follow guidelines below:
1. CONTRACT MtIC� *is 125%of contract price with a(1V�inimu�n T'cc of 550.40)
, ZO 3�5•O't7------ x.oizs� 25�• lo�
(oontrnccpric,o) (�inimum 558.00)
2. STATE SURCI�ARGE
---�...�� J7�J•0� _x.0005 $ �O•��
(aonuact prioe) .
3, ):"OSTAGL dt I,LANDC.,ING(Only on h�ail-T.n Applications) $ __2 U� _
4. TOTAG 1'�I'FCL(Add Lin�s 1�3 Above) � _ _z_�/•,��
■ " CON`1RACT pRICH or J033 COST means the atitual oi estimated da118u' tutlout�t charged for t4�e
permitted work inctudi�ig t»,aterials,labor,profit,and oth��xed costs. It is the amount to Ue cl�'god
i�o tl�e customer foc the work done. If any material,equipment, labor or iinstallatians ac�fumishad by
. tho owner, tenant or a� other paity,the reasonablo market va.lue of such itcnns must be addod to cho
estimated cost ar c�ontxact price �'or peim,it fee purposes. In the event that thero is a dispute an the
. amou�o£tt�c aob cast,4e City may requcst tl�e subm.ission af a si�ned copy of the actual coniract.
'I'kie uz�,ders�gued liereby applies to tlie Czty for issuance of a Mech�nical Pemiit, agrees to do all
work in strict accordsnce with the ordinances of t�e Cily xnd i�ie regulations of the State of
Minnesot� and certi�es that all stateme�n.ts made on tlus application, are camplete, true and
cozrect.
Applicani's Signature; �/)la�� l�ate� 'rj"l.�,',;•7r.(���
3