HomeMy WebLinkAbout2013-00570 - mechanical 9
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CITY OF ORONO * Z 0 1 3 — 0 0 5 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 06/26/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1535 MINNIE AVE
PIN : 08-117-23-33-0065
LEGAL DESC : HICKORY HILL
: LOT 005 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,450.00
NOTE: (1)CARRIER FURNACE-NATURAL GAS-3"FLUE-60,000 INPUT BTU'S-55,200 OUTPUT BTU'S- 1600 CFMS
(1)CARRIER A/C-2-1/2 TON
(4)BATH EXHAUST-(2)50 CFM,(1)80 CFM AND(1) 110 CFM
APPLICANT MECHANICAL 93.13
SABRE HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 3.73
15535 MEDINA ROAD
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(763)473-2267 TOTAL 98.86
PAID WITH CC# 1207
OWNER
Landscource 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 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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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,¢p� City of Orono ��,�� �`jT �
0, � P.O.Box GG bafe ltecci ;9�� Pennit# ��
2750 Kellc.ry Perkway (� p
��v Crystnl I3ay,MN 55323 Approvcd Ay: Antowrt$: di L�
Plwne(952)249-4600 I�ax{9S2)249-46tG
CITY OF ORONQ—MECHANICAL PERMIT
(AIL Commorcinl pisrniits must bE:a}�roved by tha 13ailding OY�'kisl or Inspector and/or Fire Mnrshall)
GENERAL INFORMATION
1. You may appiy for mechanicai penr►its by mai!or in person at the City ot�ices. Applications wi12
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. PERMI'TS ARE NOT
VALID UNT1L YOU RECEIVE A PERMIT. WOIZK_MUS'�NOT BEGTN UNTIL THE
PERMIT CARD TS P� TED ON THE JOB SITE
3. Mechanical Design�—Complete ca2culations,details and specificatioas are required for each
heating,ventiiation,humidification-dehumidification,and air conditioning installation inc2udin�
heat toss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and modeI. Data shall be presente�i on form provided,
4. When any new constrvction or r�nnodeIing is involved,a separate building permit must be
obtained
5, All work must be donc in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must ba inspected(rough-in and finaJ), Ca11(952)249-4600.
(24-48 hour notice required)
7. Housa Heating Tsst Record must be submitted before finai.
TYPE QF PERMIT
Check All That A 1
�Residentia! ❑Commerciai(Approval Required)
L!New ❑Additional ❑Repairs ❑Replace
Job Site/Uwrier Information:
�`� �� �'1�'1 ti 1`1t�1 i.�. �� 1-'l u..�..-
Site Address: _ �`��
Owner; Mailing Address:
City: Zip:
Home Phone: Alteraate Phone:
Condractor Information:
Contractor: �� �� i_>> c� � Contact Person: �G'L6�{�v�
Address: �`�'�G� �u,.., � State Bond#: 1�V1��,?,n.��_
C�tY: l 6 ��f ZiP:"_,,_}����j Expiration Date: ��� �����'I`� _._.
Phone: �(�rl��r-���j� :L.7.�L�'"7 Alternate Phone: �{0��� LGa���(?��(
❑ Insurance—Curtent:
1
.
� �
Note:All Geothermal Systerns will now requi.re a ite Plan&Review by our Bui(ding Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: l
Make: \
Modei: ���`_�L`?,���?C�`.7l''`�
Fuel; �j (� •
Flue Size: �j't
InputBTUs; ���},[i(}�
Output BTUs: `�����,��";
CFM: �(p L,�';
COOLING SYSTEMS
Quantity: (
>
Make: ''j -�
Model: � ' �}k-'�('Z
Tons: 2' '�?
H.Power
FIItEPLACES
❑ Gas Factory Fireplace Brand Nama:
❑ Wood Burning Firepiace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATI4N
❑ . No. Kitchen E�chaust duct recircuEat�ng cfm
['� No. � Bath Exhaust(must have duct outside) � �-r;��U=t'h
❑ No. Other Fans: Locations ��� �. ��,��
I+UEL STORA E i-i 10 C,FY1�
� (Must be approved by F'tre Marsl�all if proposing to abandon tank Jn plac�j
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: galtons
r Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/I,ist What&Where:
2
. •
� .
❑ Yes,this section applies
The replacement of a.R�e j��ential fixb�re or�p 'An�that meets aif three of the fotlowing requirements:
1. Does not reqvire modification to electrical or gas service.
2. Has a 1 cost of$500.00 or less; cl i the cost of the fixture or apptiance:and
3. Ts improved,installed or replaced by the homeowner or iicensed contraetor.
Skip next section,if this applies; Cost of Pernut $ 15.00
Stats Surchatge $ S,pp
Ma.il-In Fea(If Applicabie) $ 2.00
TotaE Permit Fee $
If above does not apply;foilow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a{Minimum Fee of$5d.00)
�
l'��.a�•U�% x.or2s$ �� •1>>
C���ce) (mmfmu�sso.00�
2. STATE Stn?�'HARC=F
��I`� ; •OC.`? x A005 $ �'���
(conaact prioe}
3. POSTAGE&HANDLING(Only on Mait-In Applications) $ ,-�00--"
4. TOTAL PERMT£F'EE(Add Lines 1-3 Above) $ ��;.5,�(�,_�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,and oth�fixed costs. It is the amount to be charged
to the customer for the work done. If any material,eyuipment, labor or installations are fumished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost ar contract price for pemut 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 eontrac�
The unc�eZsigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do alt
work in strict accordance with the ordinances of the City and the reguIations of the State of
Minnesota, and certif'�es that atl statements made on this application are complete, true and
correct.
..�- � /_/._�
Applicant's Signature: ��(�,�`�,��L y �,�,(,L��_►wc..L'L Date: �!`(�' ZO/�-'� --
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CITY OF ORONO CALLED IN �
INSPECTION OTI E-�v SCHEDULED �
PERMIT NO � COMPLET�D
ADDRESS ��� 1�L1�,
OWNER L PHONE NO. 3 �3" �
CONTRACTOR
>; DESCRIPTION r�/��� G�C.
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED /�ifROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WIIL RETURN
�STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
OwnerlContractor on �e:
Inspector. ��, T[ J
White Copyllnspector's File Canary CopylSite Notice