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Home My WebLink About2017-01525 - mechanical ; . CITY OF ORONO * Z 0 1 7 — 0 1 5 Z 5 * 2750 KELLEY PARKWAY DATE ISSUED: 11/16/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3223 SHADYWOOD CIR PIN : 20-117-23-11-0044 LEGAL DESC : SHADYWOOD VILLAS : LOT 3 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 12,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)CARRIER HEATING SYSTEM (])CARRIER A/C (1)KITCHEN EXHAUST GASLINE TO RANGE AND DRYER APPLICANT MECHANICAL 150.00 TREATED AIR COMPANY STATE SURCHARGE MECH(VALUATION) 6.00 9954 166TH COURT TOTAL 156.00 BECKER, MN 55308- Payment(s) (763)262-0707 CREDIT CARD 3100 156.00 Minnesota State License#:mech-MB003789 OWNER Casco Ventures LLC 16192 STATE HWY NO 7 MINNETONKA,MN 55345- 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 nufl 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 a[any time for ue ause. 1 r i,ln�, cU'11-✓ � ( I I�"'1 � �l / �40 / � � �� Applicant Permitee Signature Date ssued By gnature Date /1�" � / t . '� CITY USE ONLY r ' Ci of Orono • �� P:.Box 66 Date Receivod: _�� Fermit# �`�" �� 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:� Phone(952)249-4600 Fax(952)249-4616 y�lq ti�� CITY OF ORONO—MECHANICAL xFSHo� PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION i. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS A1tE NOT VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desi�ns—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 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. T'YI'E OF PERMiT Check All That A 1 �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] �ew ❑Additional ❑Repairs �� ❑Replace Job Siie/Owner Information: Site Address: � ��" � ,n,r Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Infom3ationt � Contractor: �I'�.,�-e� �.�✓ . � Contact Person: �_�� oi�� Address: ��5�I �(l��'C..�}' State Bond#: �f� (JU 3�� City: C.�I�tr Zip:�� Expiration Date: �b �ZO�� Phone: �L�- ��-a 'd7� Alternate Phone: ❑ Insurance—Current: 1 . 7 \ � M�CHAI�II��,�YSTEiWIS�B��G�i��',A�:i,��,: Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS �anrity� � Make: •�✓ Model: ��S �� Fuel: �� Flue Size: �V� Input BTUs: �d �� Output BTUs: � CFM: � �� COOLING SYSTEMS Quantity: t Make: � G✓'�'� �C/ Model: L' � "� � Tons: � H.Power FIItEPLACES � Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. �_ Kitchen Exhaust �/ duct recirculating,�cfin ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� 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: ��-w.��P/ 2 � • •y [ ► s � -d��a'1 ��e�iYt�J�� " 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 1Z � x.0125$ cont�act price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ � 5�ji !/ V ■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,pmfit,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. ,. . , _ _ ., ,. :' � �- �� <. _ "' ,f. � � �� , _�; .; T'he 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 statement mad on this application are complete,true and correct. Applicant's Si ature: � � D t • � � � a e. G � 3 C,� � � DATE TIME CITY OF ORONO CALLED IN �� l(o/7 INSPECTION /r�SCHEDULED �—�7 �� PERMIT NO. 'J OMPLETED ADDRESS � �•r • OWNER E�.EP ONE NO,/��p�'D7D� CONTRACTO � r � � DESCRIPTION _�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE �MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL 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 ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNEWCONTRACTOR TO MEET YiOU:_YES_NO v�i COMMENTS: o� , � /es ��vfl - �� Cb� � � 4��.d S�'re�t� � e.�. ). „� „ �_ � �C� /dV! G �O ' ' �L�`I itS� "di� - �s�. std�� ' 07� •.-. W °C - �rc��s� I/c� — G'Y� Q - �" ^� //jc^ - B �- , ` ,,� W � � r er �'�P• ' a•%�� -�� Sli. — �J'14si1'-iE.ti � I�w'C d � a /�,�,C r rp�'oL.�� ,..��- � ❑v1�oF�" FACTOHIF PROCEED � � �PRWECT COMPL E RRECT WORK 8 PROCEED ��"c��^ ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION O �� TEMPORARY V BEFORE CONERING Cd)�1.��QQ PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cae brthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector: i^^� � White Copyllnspector's File Cenary CopylSke Notfee