HomeMy WebLinkAbout2018-00506 - mechanical • CITY OF ORONO I [1 11' 1 I 1 ll' 1111111111111111
* 20 1 8 - 00506 *
2750 KELLEY PARKWAY DATE ISSUED: 04/24/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1525 LONG LAKE BLVD
PIN : 35-118-23-22-0002
LEGAL DESC : ALBEES LONG LAKE ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 1,880.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)REZNOR UDAP60-60,000 BTU
APPLICANT MECHANICAL 50.00
SABRE PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 0.94
15535 MEDINA ROAD MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 52.94
(763)473-2267 Payment(s)
Minnesota State License#: mech-MB3392,plbg-PC645349 CREDIT CARD 4946 52.94
OWNER
TAMOSUINAS,LINDA
430 PHEASANT RIDGE ROAD
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
revoked at any time for due cause.
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Applicant Permitee Signature Date Issuey Signature Date
04/23/2018 MON 14: 53 FAX 763 473 8565 Sabre Heating s Air Cond 0007/009
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V0 P.U.Box 66 17 ite Cfl 1 � s)(V/
Reo0lved; P n t Yt
2750 Kelley Parkway
Cryslul Buy,MN 55323 A.pproVeQ
Phone(952)249-4600 Fax(952)249-4616
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-? �' CI-T--Y--OF ORONO--MECH--ANICAL-PERMIT-.. ...- ....
-A-Es HOv� (All Commercial permits must be approved by the Building Official or inspector and/or Fire Marshall)
GENE L NPDXMATION
1- You may apply for mechanical pemnits by mail or in person at the City offices. Applications will
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. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE"JOB SITE, •
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-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 form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must he done in accordance with the Uniform Mechanical Codc/State Building Code
requirements.
6. Ail 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:❑AVB ❑PVB]
❑New [►'Additional ❑Repairs 0 Replace
Site Address: I -57.5 Le tl LAJAE. &Ld
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Corin"aete '.Ititbri atiOtt. :
Contractor: OI W 1jth01 a I � Contact Person: 041
Address: )56-35 M,(Lfj 1A, State Bond#: Nit M4 Z
City: Zip:551.14`1 Expiration Date: q,I5 2 11(
Phone: "li)6 413 2.2&i Alternate Phone: 11,i5 1.53 1-1-7
Jnsurance—Current:
1
04/23/2018 MON 14: 53 FAX 763 473 8565 Sabre Heating & Air Cond U008/009
yr V 4r iP 1 d' tl awry � c'k r °b �' r)`N r )r ��
,r,rI �,�x.i.d; , v,r!„ar.,.6�.� arn',rhl�,,r,M�:��Mt., r,� ,.,r�w b.n�.,.� .a ....�.r�M,µ d r 4 2k.�, )
Note: All Geothermal Systems will now require a Site mu&p.c_view by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
.. HEATING SYSTEMS._.. . ..
Quantity:
Makc: �,']1
Model:
Fuel: t
Flue Size:
Input BTUs: Ut I COQ
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make.
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTXliATlON
❑ No. _ Kitchen Exhaust duct recirculating cfm
No. Bath Exhaust(must have duct outside) cfm
❑ No, Orher Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place,)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where.
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04/23/2018 MON 14: 53 FAx 763 473 8565 Sabre Heating 6, Air Cond U009/009
i �k"tri r.� 1, I ' $ rilf'rflr [� 1��tirIZ1'o wN,ui iii'rjTEyll�u t�I �f E t�Vt�t. y�f t�Y Pry l4 5�sly Mt�i{Fiy} n iP�li'k 7 n I r.�yC�
,6? r�rLM1 ,; �:ktiih h'� 'R'Lt; 7� }dkl�l�:f, �R:A(lid�,.i.��t i�wa�.u7f� in m G.Yr ,..t w rrik4l .,,, , � !,,,ap4d,„Ar,ki.'
-1, -CONTRACT PRICE "`is 1.25%of contraot•price with-a(Minimum-Pee of-$50.00) -- -.--
I C6 k1,60C x.0125$ SD 0o
(contruCi price) (inintmuin$50.00)
2. STATE SURCHARGE /�''II
I 44 0 i0,0t x.0005 $ "`f`1
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S 5/
■ * 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 material,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 permit 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 contract_
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The undersigned hereby 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: c ' '1 1,i,y LA4,,,,,,„.,a4. Date: 4-f ..j
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