HomeMy WebLinkAbout2012-00849 - mechanical « . �
CITY OF ORONO * 2 0 1 2 - 0 0 8 4 9 *
2750 KELLEY PARKWAY DATE ISSUED: 08/28/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS s 1595 MAPLE PL
PIN : 08-117-23-33-0035
LEGAL DESC : CRYSTAL BAY VIEW
: LOT 013 BLOCK 006
PERMTT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,838.00
NOTE: (1)CARRIER HEATING SYSTEM-MODEL 59SCZA060S17-NATURAL GAS-3"FLUE-6Q000 INPUT BTU'S
55,200 OUTPUT BTU'S- 1600 CFM
(1)CARRIER COOLING SYSTEM-MODEL CA13NA030-2-1/2 TONS
(3)BATH EXHAUSTS-(1) 110 CFM,(1)80 CFM AND(1)50 CFM
APPLICANT MECHANICAL 97.98
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 3.92
15535 MEDINA ROAD
PLYMOUTH,MN 55447 1�1AIL-IN FEE 2.00
(763)473-2267 TOTAL 103.90
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 pertnit is for only the work described and does
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 pertnit 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 are
requested in conformance with the State Building Code.This permit may be
revoked at�ny time for due cause. �
� , � � Sl �.� / 8'/ � /
Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
08�'6/20i2 TUS 11: 20 FAX 763 673 8565 Sabre Plumbinq 6 Heatinq �005/007
� 4
i CT [13E NLY
O,�p�,O Cily of Urono G
r.o.Iioa 66 neu xccni.�ea. i rem,ii N � O ��
2750 Kellcy Parkway
d "� L� Cryslal BaY.MN 55323 npprovrd 13y: Mwunl S: lD .
O� � '' G� Pltone(952)249-4600 �nx(952)249-4616'
CITY OF ORONO—MECHANICAL PERMIT
(All Commeroiai permits mi�st be approvod by il�e 8uilding Ofticiel or Ins7xxlor end/or Fire Mnrshall)
GENERAL INRORMATION
1. You may apply for mechanical pe�mits by mail or in person at the City offices. Applications will
ba roviswed and a permit witl be issuai within two working days.
2. Permit cards will be sont by return mail after a review is completod. PERMITS ARE NOT
VALID UNTB,YOU RECEIVE A PERNIIT. �ORK MUST NOT BECIN jlNT1L THE
PERMTf CARD IS POSTED ON'THE JOB S1TE
3. Mechanical Desians—Gomplate catculations,details and specificatioivs are required for each
heating,ventilation,humidi£ication-dahumidification,and air conditio�vn�installation including
heat loss/heat gain catculation,design temperatures,equipment ratings and identi�ication as to
typo,manufacturer and model. Data shall be presented on form providad.
4. When any new cor►struction or remodeling is involved,a separato buildin�pecmit must he
obtained,
- -� � � - 5, -All work must be done in accordance with the Unifotm Mechanical Coda/State Auilding Code
reyuiremants.
6. Ail work must be inspocted(rough-in end fina(). Call(952)249-4600.
(TA-48 hour notice required)
7. House Heacing Test Record must be submitted Uefore final.
TYPE OF PERM]"T
Check All Tl�at A 1
(�Residontial ❑Commerciat(Approvat Required)
I
(�New ❑Additional ❑Repsirs ❑Replace
Job Site/Owner Tnformation:
Site Address: �`���l� ►p��,(��Q�
Qv�'nex: Mailing Address:
GitY� Zip:
Home Plione: Alt�rnate Phone:
Contractor v�formation:
Contractor: al- � Contact Person:
��I�i�t,�/1
�
Address: ��'��C, 1��,�,,y�_,,� State Bond#: �Vl� 3 v� L
City: Zip; ►"J }']Expiration Date: �l '�cJ' 20L�
Phone. ��i�•►�-1�-`LZ.1,'1 Alternate Piioue: 11n�•2.53-�{7�,_
(�] Insurance—Current: C
l.
OBf?�/20i2 TUS 11: 20 FAX 763 a73 8565 Sabre Plumbing 6 Heatinq �006/007
., L
Note: All Geother�xial Systems wi(1 now require a i Plan&Rev'ew by our Building Official.
IS THIS GEOTIIERMAL? ❑Yes [�No
t
HEATWG SYSTEMS
Quantity: t
Make:
Model: �S�Z�(`�D�SL`�
Puel: �^ N .�',
�►�
Flue Size: `
InputBT[Js: ��t b(7� _
Output BTUs: �5,��_
_,. ._. . ;_ .. .. .__ .CI'M: �
COOLING SY3TEMS
Quantity; ______ �
Make, ���1��-� _._.� _
Model; �r ,� �O
Tons:
��
H.Power
FIREPLACES
❑ Gas Faciory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model Na.:
❑ Wood Stove with Flue/Masoriry
VENTILATION
❑ No, Kitchen Bxhaust duct recirculating cfin �, �,b�
❑ No. � Iiath�xhaust(must have duct outside) � �
❑ No. Other Fans: Locations cfm �" g�G�
I-SO C.Fw�
FUEL STQR,�,1GE (Mus!be a�pm��ed by Fire Marsl�a!/ijproposing�o aba�ido�r lank irc plac�)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Undarground ❑Insida ❑Outside
LI'�as: gaitons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
08�2�/20i2 TUS 11: 20 FAX 763 673 8565 Sabre Plumbing 6 Heatinq �J007/007
w . r
❑ Yes,this section applies
The replacement of a Residential fixture or appiiance U�at meets ail three of the following roquiraments:
l. oes not require modi�cation to electrical or gas service.
2. Has a to J of$500.00 or less; u i the cost of fhe fixtu�e or appliance: and
3. Is improved, instaUed or replaced by the homaownar or licensed contxactor.
Skip next section,if this applies; Cost of Pertnit $ ]5.00
State Surcharge $ 5.00
Ma.il-In Fee(I£Applicable) $ 2.00
Total Permit 1�� $
�" ^� ''^� '" If above does not apply;follow gvidolines balow:
-._ . _ .
1. CON'���,�'I'RICE * is 1.25%af contract prico with a(Minimum Fee oC 550.00)
�S�� .Q� X.o�as$- _ q'1-q�
(conUaot pricc) (miuimuro$50.00)
2. S'l'ATE S�fRCHARGE
� ���� CJO x.000s $ 3�Z.
(conUao�prioo)
3. POSTAGE&HANDLING(Only on Mail-In Applicaiions) $ 2.Q0
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S__ �Q{.vi(�
• � CONTRACT PRICE or JOB COST means the actual or estimated dollac annount charged fa� the
permitted work including materials. [abor, pro�it,and other fixed costs. It is the amount ta be charged
to the customer for the work done. If a�iy material, equipmant, labor or installations are furnished by
U�e owner, tenant or any odier pariy, the reasonable market value of such items must.be added to flie
estimated cost or contract price for permit fee purposes. In the event that there is a dispure on tlie
amount of the job cost, the Gity ma.y request tfie submission oP a signed copy of the actual contract
The undersigned hereby applies to the Ciiy for issuance of a Mechanical Permit, agrees to do a11
work in strict accocdance wilh the ordinances of the City a�id the reguIations of the SCate of
Minnesota, and certif"ies that all statoments made on this application are complete, tnae and
corrc�i.
Applicant's Signature: ���� I ^ Datc: ' Z K• �Q(Z
`�-�
� 1 1
3
�`� �=�1 � O� D� TIME �
CITY OF ORONO CALLED IN � ��`
INSPECTION NOTICE �(� SCHEDULED a _ c�r_��
PERMIT NO.������CC)�1� COMPLETED
ADDRESS I �C�'c� � ��� �. 1 �
OWNER TELEPHONE NO. �� ����`�- �]f�Q
CONTRACTOR ` 1� J "0
>; DESCRIPTION �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-46QQ
OwnerlContractor on site:
Inspector. �o,�/ � �
White Copyllnspector's File Canary Copy/Site Notice
�. ��'��' AT TIME �
CITY OF ORONO� ALLED IN `a��
INSPECTION �I E�8 9 SCHEDULED /o�/7/�_,L,3�
PERMIT NO COMPLETED
ADDRESS .S -� ����
OWNER TELEPHONE NO.�����-�7��
CONTRACTOR
. ,
�: DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ fOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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GW �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copy/lnspector's File Canary CopylSite Notice