HomeMy WebLinkAbout2018-00050 - mechanical e � � CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 8 — 0 0 0 5 0 *
DATE ISSUED: OU17/2018
ORONO,MN 55356—
(952)249-4600 FAX: (952)249-4616
ADDRESS : 3257 SHADYWOOD CIR
PIN : 20-117-23-11-0047
LEGAL DESC : SHADYWOOD VILLAS
: LOT 6 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.
HHT GAS FIREPLACE
MODEL 6000C
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.87
FIRESIDE HEARTH&HOME TOTAL 50.87
2700 FAIRVIEW AVE Payment(s)
ROSEVILLE,MN 55113 CREDIT CARD 4616 50.87
(651)633-2561
Minnesota State License#:mech-20512060
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 perfortned according to
the approved plans and specifications,applicable City approvals,and tt►e
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. 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 Issued By ature Date
01-16-'18 12:29 FR4M- T-416 P0007/0010 F-838
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Zo��' °°�
�� � n T�C �JSL ON�.'Y
City of Orono / Q !��
��a P.O.Box 66 Uate R�ivt .�7 Pcrmil� �a �`�
2750 Kelley Pgrkway p�
Crystal Day,MN 55323 Approvc4 By: Amonnt g: �Q� O
Phonz(9i2)249-4600 Fa<(952)�39-4616
�`�<.�,� SHo��,�~� CITY OF O�tONO—MECHANYCA�,PEYtMYT
(.41I Commcrcial permits must be approved by the Buitding OPficial or fnspector and/or Firr Mnrshall)
CrENERAL,INFORMATION
1. 'Yoa may apply for mechanical permits by mail or in person at thc City offices. Applications wiil
be reviewed and a permit will be issued within two working days.
2. �ecmit cards will be sent by return mail after a review is eompleted. p�RMITS ARE NOT
VAL2D UNTIL'YOU REC�IVE A p��tMIT. 'VVORK 1VIT�ST N'O'Y'B�GriV 1J1VTY�.T�Y�
PERMYT CA�tD 1S p4ST�D QN'�'H�rOB SITE.
3. Mechanical Desi�ns—Completc calcalations,details and speciflcations are required for each
heating,ventilation,humidification-dehumidification,and air conditioning insfallation including
heat loss/heftt gain catculation,design temptrstures,equipment ra6ngs and identification as to
type,manufacturer and model. bata 3ha11 bt prescnted on form provided.
4. When any new construction or remodeling is involr+ed,a separate building permit must be
obtained.
5. All work must be done in accordance with the'Uniform Meehanieal Cod�/State Building Code
requirements.
6. All work must be inspected(rough-in and final), Calt(952)249-4600.
(24-48 hour notice required)
7. House Htating Tcst Rccord must be submitted before final.
TYPE OF PBRMIT
(Check All That A 1
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rob Site/Owner Informatian_
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�To�n������ �«f ���� �V�Alternate Phone:
Contractor Information:
Contractor: FIRESIDE HEARTH&HOM� Contact Person: �' �b�'��
Address: 2700 Fairview Ave N State Bond#:BC662656, M66B2572, PC662571
C;�y; Roseville, MN zip;55113 Expiration Date:
Phone: 651-633-2561 Alternate Phone:�651-638-3312
❑ Tnsurance—Current:
1
01-16-'18 12:30 FROM- T-416 P0008/4010 F-838
� .
� MECHP,NICAL SYSTEMS BEING INSTALLF�
Note:All Geothermal Systems will no�v reqiure a Site Plan&Review by our Building Official..
YS TX�XS G�QTH��2MAY.? [�'Yes ❑No
T-Y�ATYNG S'YST�MS
Quantiry:
Make:
Mociel:
Puel:
Flue Size:
Input BTLJs:
Output�fUs:
C�M:
COOX.YN�S'YSTEMS
Quantity: _
Makt:
Modcl:
Tons:
H.Power
�� PRE ACFS
:�.. T—. �`, � —...T
*as:�ac,t�'�;��1'�"lac� ia'd l�a�e� :;:T�1�:'`.�;�7... ;;•
� .,4�;�,���i4,�,, :����eice _ ///��
<:' � ..- . . � \ . ..-
❑ �d;;c�,.tAYQ. __, �?odel.:No:� r%,,�.�,
❑ iiQd:Sfgve witl►F1ue/,•Ma&o�?��
'V'�N'Y'CLATION
❑ N'o. Kitehen Exhaust duct recirculating cfm
❑ No. �ath Ea:haust(must have dnct outside) cfm
❑ No. O�her Fans: Locations cfm
�rJ'EY,SY'OItAGE (Mirst be approved 6y Fire Marsl�a/I ifproposi►rg to abar�do»tank i��place.)
❑ Tnstallation �] Removal
Fuel Qil: gallons ❑ Undcrground ❑Insidc ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Whcrc:
2
01-16-'18 12:30 FROM- T-416 P0009/0010 F-838
. � -
��R�XT.FEE CALCULATION(S). . . .
. , BAS�7 O�-.200,2 STATE STAT'UE .
❑ Yes,this section applies
The replacement of a Rtsidential fiXture or appliance that meets all three of thc following rcquircmcnts:
l. boes not reyuire modification to electrical or gas se�wicc.
2. Has a total cost of$500.00 or less;axcludinQ the cost of the fixture or appliance:and
3. Ts improved,installed or replaced by the homeown�r or licensrsd contractor.
Skip next section,if this applies; Cost of Permit S,15•00
State Surcharga $ 5.00
Mail-In Fec(If Applicablt) $ 2.00
Total Permit Fee $
PERIVIIT FEE CAI;CUL;AT'�ON(S)=JOBS pVER$500:00
Jf above does not apply;follow guidelines balow:
l. COiY'X'�tA,Cx P�tXC� *is l.25%of contra�.�-J with a{Mlnimum�ea of�50.40)
I�7 ��.,. �:���D.��,�
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2. STATE SURCFIARGE 2� �?
J ;��OQO�;, Q
3. �OSTA(��Bc HANllLING(Onty on Mail-Tn Applications) $�� ��;riae':���`
� �
4. TQTA�P�CtMIT F��(Add Lines 1-3 Above) ��sS;s��+,g��::�t`�.,`:
■ '� CONTRACT PRICE or JOB COST means thc actual or estim2ttd dollsr amount charged for tho
pqtnitttd work including mattrials,labor,profit,and other fixed costs. It is thc amount to bc chargcd
to the customer for the work done. If any material,eqttipment, labor or installations are furnished by
the ownzr,tanant or any other party,the reasonab[e markzt valuz of such items must be�dded to the
estimated cost or contract price for permit fee purposes. In the evznt that there is a dispute on the
amount of the job cost,the Ciry may requast the submission of a signed copy of the actual contract.
MECHAIVICAL PERMIT APPLICATION AGREEMENT.: . , .,.: :.`: :
The undersigned hereby appiies 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 cerlifies that atl statements made on this application are complete, irue and
correct.
Applicant's Signatiu�e: r� �:,� 1�'I 11/�` O
3
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(`� DAT TIME
CITY OF ORONO cnLLED IN f -��
INSPECTION I�/ sc DULED - � �
PERMIT NO � u -�-S�c M LEfED
ADDRESS �o"�
OWNER � LEPH NO l g �
CONTRACTOR
� DESCRIPTION �Y�
4~j ❑ FOOTING ❑ DEMO- INAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�3 ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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W�TISFACTOFlY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH�TO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑GTATION ISSUED
O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlCoMractor on site:
�nspector -
CopyAnapsctars Flla Canary CopyiSMe Notia