HomeMy WebLinkAbout2017-01484 - mechanical ` � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 - 0 1 4 8 4 *
DATE ISSUED: 11/13/2017
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 : FIREPLACE-GAS
VALUATION : $ 1,735.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
INSTALL HHT GAS FIREPLACE
APPLICANT MECHANICAL 50.00
FIRESIDE HEARTH&HOME STATE SURCHARGE MECH(VALUATION) 0.87
2700 FAIRVIEW AVE MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 52.87
(651)633-2561 Payment(s)
Minnesota State License#:mech-20512060 CREDIT CARD 4616 52.87
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 perfornted according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
perrt►its. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.l'his 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 aze
requested in conformance with the State Building Code.This pecmit may be
revoked at any time for due cause. �
.
< � // /!3 / �7
Applicant Permi ignature Date Issued B ignature Date
11-10-'17 12:41 FRQM- T-124 P0004/0007 F-514
� i
z c vs�o�rr.� /
� �� City of prono '/� /������
j� Y.O.Rox 6b nmce k�ecei I • ��mit� D� „/ (/
�./ 275o IColley Yark�vay ��1 �(
Cryscal Bay.hfN 55323 APP��BY� Amount$: v�• V
Phone(952)249-4fi00 CaX(9S2)249-4616
��j�K sHo�``G� CYT'Y OF ORONO�MECHANYCAY.PE�2IVIYT
(All Commacini permits must bC approved by UI�Buildulg OfPiC�l or�►specror and/or Pire Mnrshalq
1. 1'ou may appiy for meclianicai permits by mFtil or in person at the City officos. Applications will
be revietved and a pcmiit will be issued within trvo��vorking days.
2. T'ermit cards�vill be scnt by retu,n maii after a review is completed. PERNIITS ARE NOT
'VAI.Ib UNTIL,'YOU RECEIVE A PERM[T. '�'�'OR�1�1YJST NOT B�GIN UNTIL THE
p��t1VIYT CAltb YS POSTED ON THE rpYi SX'X'�.
3. Mechan�cal Desir.ms—Complete ealeulations,details and specifications arz rec�uic-�d for eaeh
heating,ventilation,humidifieation-dehumidification,and air conditioning inst�ilation i��eluding
heat loss/heat gain calculauon,design temperatures,equipment ratings and identitication as to
type,manufach�rer and model. Data sllsll be presenCed on form provideci.
4. When any new canstruction or rentodelil�is involved,a separaee building penmit rnust be
obtained.
5. All work must bo done in accordance with the Y7nifortl Meehanieal CodeJState Buiiding Code
requirements.
G. All work must be inspected(rough-in and final). Call(95�)249-4600.
(2a-48 hour notice required)
7. House Haating Test Ttecord must be submitted bcfore final.
TYPE OF PE�T
(Check All That A ly)
�tesidential ❑Commercial(Approval Required)
/�.r
�tew ❑Addidonal ❑Repairs ❑Rep►ace
Job Site/Ovvner Informaxion:
Site Address: 5 1�1 C,{�/�-G
O�vner:���iS �vd�,C/1 Maxling Address: ��WC� �/�IV
Ciry: zip: _�����
T�ome Phone: �2�`�3��d� Alternate 1°hane:
Cont��actor Information: � . �
ContK�actor: FIRESIDE WEAF2TH & HQM� Contact Person: Leah
Addi•ess: 2700 Fairview Ave N State Bond#:8�662656, M6662572, PC662571
City: Roseville, MN �1p�55113 Expiration Date:
�hone: 651-633-2561 Alter�nate�hone:�eah#651-638-3392
HEARTH 8 NOME FECHNOLOGI&$
dbe FIRE8IDE HEARTH&NOM� ❑ Insurance—Current:
t�c� eC8828Se �
2700 fAIRVlEYV AVENUE Id
ROSEVI�LH,MN 8817�
o61,a93.2601 dPTION t
Roaevllle�,dullder ope�nntoorp.00m
11-10-'17 12:41 FROM- T-124 P0005/0007 F-514
'6p�.3'�i��i��.'�dt°���°fi 'a�Gl',k�^`��S,k:4.� ������': 'i � �N�V `1 � �� ��s� �S �':�Y,y� skcf
d h���r{;II��i�i�.�k.fi57.f��T�0.1 �Y.A.L�I
Note:AlI Qeothermal S�stems will no�v require a Site plan&R.evierv by our T3uilding Qfficial.
XS'��XS GEOTHERMAL? ❑'Yes ❑No
���ATYNG SYSTEhiS
Make:
Model:
Fuel:
rlue Size:
Input BTUs:
Output BTUs:
CFM:
COO�.ING SYST�I�IS
Quantity:
Make:
Modek '
' Tons:
H.Power
rY�L�p�,ACES .�1�G4� ��f�Gt!'iP�
� G�as ractory Fircplace Srand Namo: T��
❑ '�Vood�urning Fireplace
❑ Wood Sto�ve Model No.: r'�('�r'/��
❑ �Vood Stove�vith F1ue/Masonry
V ENTILATION
❑ No. Kitchcn Exhaust duct recircutatic�g cfin
❑ No. � �ath Exhaust(must have duct outside) cfm
❑ No. OtherFans: Locations cfm
FUEL STURAGE (l�li�st be ap�r�oved by�Y,�e�Iu,shall ifproposirrg�o ab�t�rdurr tnr�k in place}
❑ Installation ❑ RettloVal
Fuel Oil: gallons ❑ Ylndergrounci ❑Inside ❑Outside
�,P Qas: gallons
Other:
GAS LINE ONL'Y
[� Outdoor Grill ❑ Other/List'V'Jhat&Whe�•e:
2
11-10—'17 12:41 FR4M— T-124 P0006/0007 F-514
i j l'�^ .',�1!�' � � KkA� . ' f... ,. 8'..r!f' ..r�•. ,4 ,i,�,
:�+'�i�• ,��'�� �i�;"Q�� •�j .- � ' 3 �i, E
:�r �'��� �� ,��.J�2� �` "+� rl PE� �i
tr � �..�. ,..
❑ Yes,this section applies
1. Does not require�nodification to electrical or gas service.
2. Has!t totAl Cost of$500.00 pr less;exclud'111�ihe Cost of the fiXturo or appliance�and
3. Is improved,installed or replaced by tite homeo�vner or lieensed eonhactor_
Skip next section,if this applies; Cost of Pennit $ 15.0�
State Surcharge $ 5.00
Mait-In Fee(Tf Applicable) $ 2.U0
Totni Permit Fee $
��x�; '���' �. �" t �& �`y+�.�,�' F t.�� r�, Q '��.�T.��k.9��. �
If above doos not apply;follo�v guidel'u�es belocv:
1. CONT'RACT PRICE Y is 1?5%of contract price�vith a(141inimum�'ee of$�0.00)
j x.0�25$ s�a�
consracc price) (lnfnimubi 550.00)
Z. STATE SURCHARGE � ��� �y�
x.0005 $ �i�'�
(contract price)
3. POSTAGE�HANDI,INCr(Only on M�il-Yn ApplicAtions) $ 2.00_
�7 7
4. TOTAL PER1V117'F�E(Add Linrs 1-3 Above) $ �[��
■ * CONTYtACT P1tYCE or JOB COST meaos ti�e actual or estimated dollar amount charged for the
perrnitted��rork including xnateriais,tabor,pro�t,and other fixed costs. It is the amount to be charged
to the customer fot't11e work dotie. If any material,equipment, labor or in3t&Ilations are furnished by
thc owner,tea�ant or any other parCy,the reasonable market value of such items must be added to the
estimated cost or contrdct prieZ for permiC fee purposes. In the event dlat there is a dispute on the
amount of t}�c job cost, the City may request the submission of a signed copy of the actu�l contract.
��' ��� � ^�+. ` °r:
i4 ..r��;
The undersigned hereb� applies to the City for issuance o�'a Mechanical Permit, agrees to do a11
�vork in striet accordance with the ordinaaces of the City and the rzgulatians of the Stale of
Nlinnesota, f►nd cer[ifies that all statements made on this application are camplete, trtte and
correct.
Applicant's Signatu. Date; �Q
3
� DATE TIME
�
CITY OF ORONO cnLLED IN �
INSPECTION N l C� SCHEDULED �� ^
PERMIT NO. � �D` 1 C PLETED
ADDRESS �r
OMINER , TELEPHONE NO. �a"��-35��-
CONTRACTOR ��� �� M'
� DESCRIPTION �/ �
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALI. ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBINC,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 ❑ FOILOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP • ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMfNERICONTRACTOR TO MEET Y�W:_YES_NO
� COMMENTS: _
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� �K SATISFACTORY:PROCEED O PROJECT COMPLEfE
W RRECT WORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY
0 O t�OFtRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CdVEFUNt3 PERMANENT
❑CORRECT UNSAFE OONDITION VYITHIN HOURS. p p�{pT0 TAKEN
INSPECTOR W{LL RETURN
❑STOP OROER POSTED.CALL tNSPECTOR ❑CITATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRAN(iEACCESS.
CaN for the next inspection 24 hours M advarroe. (952) 249-4600
OwnerlCoMr,actor on site:
�nspector �
1MIdt�CcPYn���'+� Can�ry CoP1�fSIN Notice