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CITY OF ORONO * 1
2 0 1 7 — 8 0 6 5
2750 KELLEY PARKWAY DATE ISSUED: 06/15/2017
ORONO, MN 55356-
952)249-4600 FAX: (952) 249-4616
ADDRESS : 2585 OLD BEACH RD
PIN : 21-117-23-22-0020
LEGAL DESC : THE MARSH AT LAFAYETTE
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 3,022.00
NOTE: REPLACE: 1 COOLING SYSTEM(BRYANT)
APPLICANT MECHANICAL 50.00
SABRE PLUMBING&HEATING
STATE SURCHARGE MECH(VALUATION) 1.51 15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 53.51
(763)473-2267 Payment(s)
Minnesota State License#:mech-MB3392,plbg-PC645349 CREDIT CARD 7651 53.51
OWNER
JOHN FREIVALDS&LINDA KELLEY
2585 OLD BEACH RD
WAYZATA,MN 55391-
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 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 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 n
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
06/13/2017 TUE 13: 07 Fax 763 473 8565 Sabre Heating 6 Air Cond E002/004
_ FOR CITY USE;0NLY• •• I• :,
City of Orono
P.O.Box 66 ;• i{�9 F�;R4alvej 5 �(, { 7 f PPf1 1 7
27501Celley Parkway
Crystul Buy MN 55323 A(iprQ4G1',Til!1'1'„ piriduht'3,. �
Phone(952)249.4600 Fm(952)249-4616
. . F,G CITY OFORONO—MECI3ANICAL 1 ERM1<•1' „
K S HH°a (All Commercial permits must be approved by the Building Official or inspector andlor Firc Marshall)
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewer]and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BEGIN--UNTIL 11JE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Meclt ni Designs m Complete calculations,details and specifications are required for each
heating,ventilation,hum(dificatiort-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on torn provided.
4, When any new construction or remodeling is involved,a separate building permit must be
obtained,
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600,
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
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Residential ❑Commercial(Approval Required) [Backflow Device:❑AVH ❑PV9]
❑New Q Additional []Repairs [(Replace
��bl,Sit�'.IL„Q;w�;e�;,:Irilfd,° '��tiian;,"•�,;;': ,,; ,i,,
Site Address:
Owner: J -�' ` e 1� (°� S Mailing Address: 546
City Y V`^Q Zip: al 1
Home Phone: _` - I - ,� �0 Alternate Phone:
i ��Il'tT$�3'Ft11`!��� �'•, •1a,�1�(1,'i",;;7;� n• �III',I.;��I�''ia'I'�'�(�;i�;'I'll,
Contractor: Jerre �u^'`J�4• ;hq Contact Person:
Address: S 'S Mo' -?d- J State Bond#: V,
City: i4VV Zip'��441 Expiration Date: 1� Z01g
Phone: O�~ S3 8$ Alternate Phone: 2-1,6-7
0 Insurance—Current:
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06/13/2017 TUE 13: 07 FAX 763 473 8565 Sabre Heating & Air Cond 2003/004
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Ycs ['No
HEATING SYSTEMS
Quantity:
Make:
Model!
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Modal: �tSRNw+o3b
Tons:
H.Power
F'ISEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Modcl No.:
❑ Wood Stovc with Fluc/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Tans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proyasing to abandon wok in placa:)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outaide
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other I List What&Where:
2
i
06/13/2017 TUB 13! 07 FAX 763 473 8565 Sabre Heating & Air Cond 0004/004
1. CONTRACT PRICE *is 1.250/a of contract price with a(Minimum Fee of$50.00)
x.0125 S
(can►raet price) (n►inimum$50.00)
Z. STATE SURCHARGE
�.)y4 X.0005 S �'S
(cou►!wd juice)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
4. TOTAL PERMIT FEE(Add Lines 1.3 Above) $ �� • 'J
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. if any materiel,equipment,labor or installations are furnished by the
owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permii foe 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 contract.
The undersigned licroby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota,and certifies that all statements made on this application are complete,true and correct,
Applicant's Signature: (:J tL#4 LaAA4AKAJtW Date: to 11
3
CDTE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI_. E SCHEDULED i„CELL_
PERMIT NO. (J p COMP
LETED
ADDRESS /�
OWNER TELEPHONE NO.(1-?1a-_-5,? �1
CONTRACTOR
DESCRIPTION
Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING PiVAECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v
[I DEMO-SITE El SEPTIC INSTALL
Z OWNEWCONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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LU ❑WORK SATISFACTORY PROCEED ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED-CALL TO ARRANGE ACCESS.
Call for the next Inspection 24 hours in advance. (952) 249-4600
Ownerr,ontractor on site:
Inspector. `
WMte Copynnspector's File Canary CopyWe Notice