HomeMy WebLinkAbout2013-00567 - mechanical . �
CITY OF ORONO * Z 0 1 3 - 0 0 5 6 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 1579 MAPLE PL
PIN : 08-117-23-33-0033
LEGAL DESC : CRYSTAL BAY VIEW
: LOT O11 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,370.00
NOTE: (1)BRYANT FURNACE-NATURAL GAS-3"FLUE-80,000 INPUT BTU'S-73,600 OUTPUT BTU'S- 1600 CFMS
(1)BRYATN A/C iJNIT-3 TONS
(4)BATH EXHAUST-(2)50-CFM,(1)80-CFM,(1) 110-CFM
APPLICANT MECHANICAL 104.63
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 4.18
15535 MEDINA ROAD
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 110.81
PAID WITH CC# 1207
OWNER
Maple Place LLC
550 25TH AVE N
ST. CLOUD,MN 56303-
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 180 days at any time aRer 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
revoked at any time for due cause.
C� ^ (f/� a'�' ,� � / pl(p/
Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. 1
• CI USE ONLY
,¢�� Ciiy qf'Orono ��3 ���
�. � P.O.Box 66 Date ltecei E'ennit#
2750 Kcllcy Parkway
3 : ti'•�� Crystal Bay.MN 55323 APpsnved F3y: Amounf$; �
�' Phone(952)249•4C00 Pox(952)249-4616 /
t
CITY OF ORONO—MECHANICAL PERMIT
(All Cornmarcial permits must bc epproved by tha Building Official or Inspeclor and/or Fima MarshaEl)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applicaxions will
be reviewed and a permit will be issued within two working days.
2, Permit cards wili be sent by return mail aftar a review is complated. PBRMIT'S ARE NOT
VALID UNTII.YOU RECBNE A PERMIT. WORK MUST�QT BECIN�7�THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. M anical Desia�,c—Complete calculations,details and specifications are reyuired for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat toss/heat gain calculatio�,design temperatares,equipment ratings and identification as to
types,manufacturer and model. Dafa shall ba presented on form providai.
4. When any new construction or ranodeting is invalved,a separate building permit must bo
obtained,
S. All work must be c3one in accordance with the Uniform Mechanical CodeJState Building Code
requirements.
b. A11 worlc must be inspected(rough-in and final). Catl(952)249-4600.
(24-48 hour notece required}
7. House Heating Test Record must be submitted before finai.
� :TYPE(�F PER�iIT .
` Check All That A 1
[°�Residential ❑Commetcial(Apptoval Required)
[�New ❑Additional ❑Rapairs ❑Replace
Job Site/Owner Information:
Site Address: _�`�"�{q I� �,.,�r��� . '�� �,(
��r� Mailing Address:
City: Zip:
Home Phone: Alternate Pltone:
Contractar Information:
�..
Contractor: ���1�`'v'���' jJ• � :•C% Contact Person: 11;�,�,it.t,��
,
Address: ��'`��= �,r�{���'��._..�f State Bond#: 1��.17� ��j'i�'�2._.
City: � 1, ; 1 Zip���? Expiration Date: ��• �i:����C� I�
Phone: �(��)•�'��� Z.� ;'� Alternate Phone: ��1-Z':���•'�''���
[� Insurance—Current: � '��
1
, r
Nate:Afl Geothermal Systems will now require a Site Plan&Review Uy our Building Official..
IS THiS GEOTHERMAL? ❑Yes [�No
HEATWG SYSTEMS
Quanfity: t
Mxke: � Lf'�-
Model: I)�:J P � 1��5(�`�1`�
Fuel: N �"�
Flue Size: ',J�}
Input BTUs: `' Q ' '�) _
Output BTiJs: �l�_
CRM: � . � �
COOLING SYSTEMS
Quantity: (
Make:
Model; 'j�
Tons: �"�
H.Power
FIREPI.��E�
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplaca
❑ Wood Stove Modei No.:
❑ Wood Stove with Fiue/Masonry
VE T TION
❑.. No. Kitchen Exhaust duct recirculating cfm �_ r���F 4'�'1
[� No. ^i Bath Exhaust(must have duct outsida} �� �
❑ No. Other Fans: Loca.tions cfm �� ��`"r�
I . tto CFvh
FUEL STORAGE {Must be appmved by Fire Matshall ff propostng fo aba�edon tank in plac�)
❑ Installation ❑ Removai
Fuel 4i1: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Oth�:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
i �'
❑ Yes,this section applies
The replacement of a Residential f xture or anufiance that meets ail three of the following requirements:
1. Do n require modificafion to eIectrical or gas service,
2. Has a to�l cost of$500.00 or less;�xcladin,g the cost of the�xture or appliance: and
3. Is improved,instailed or replacad by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5,0p
MaiI-In Fee(If Applicable) $ 2.00
Totnl Permit Fee $
If above does nvt apply;follow guidelines beiow:
1, �C � *is I.25%of contract price with a(Minimum Fee of 550.06)
_ Ch�� 1 l )���C� X.0125$ �L��`I-�/r'J
(contract price) (�nintmnra SS0.00)
2. STATE Sj�tCHARC�'
�J'�7G.C�.j X.000s � `��f�
(cont:act price) --.
3. POSTAGE&HANDLING(Onty on Mail-In Applications) $ _�99-'
4. TOTAI,PERNIIT FEE(Add Lines 1-3 Above) $ �� �j��,
� * CONTRACT PR10E or 70B COST means tha actual or estimated dollar amount charged for the
permitted work including materia.is,labor,profit,and other fixed costs. It is�e amoant to be charged
to ths customer for the work done. If any matcrial, equipment, tabor or installadons are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cosf or contraat price for permit fee purposes, In the event that there is a dispute on the
amount of die job cost, the City may request the submission of a signed copy of the aetual contract
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 City and the regula#ions of the State of
Minnesata, and certif'ies that all statements made on this application are complete, true and
correct.
�..
�..
ApplicanYs Signature: c_��l.-i°1-LL.�/� �{,v��t�.C�� , Date: ��l rP .7.-Cil�
3
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CITY OF ORONO �OG�� CALLED IN �
INSPECTION NOTICE '��f,� SCHEDULED -� — �
PERMIT NO.��� ���!�"�/ COMPLETED
ADDRESS 5?
OWNER �� EPHONE NO�����-� 7�D
CONTRACTOR
>; DESCRIPTION ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS
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 MEET YOU:_YES_NO
� COMMENTS:
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��pIORKSATiSFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-46��
OwnerlContractor on site:
Inspector. �
White Copy/lnspector's File Canary CopylSite Notice
C � c�� D E TIME �/
CITY OF ORONO CALLED IN �� �3
INSPECTION NOTICE SCHEDULED '' ���- �
PERMIT NO. -�l 1.:� 'C��f'� COMPLEfED
ADDRESS (_=��"��f I j ��i�l�" ���C�cCC=-
OWNER T EPHONE NO.��3 '���3 `f' /�C�k
CONTRACTOR ��� �%��� ����l t'1!I �'�
� DESCRIPTION ! � 6�'�-!� �/ �"1�i �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
v ❑ PLUMBING RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
v�i COMMENTS: --�
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� ❑WORKSATISFACTORY:PROCEED �OJECT COMPIEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC0IIERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContractor on site:
Inspector. �
White Copyllnspector's File Canary CopylSfte Notice