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HomeMy WebLinkAbout2018-00153 - mechanical .- '` CITY OF ORONO � � 2750 KELLEY PARKWAY * 2 0 1 8 - 0 0 1 5 3 * DATE ISSUED: 02/14/2018 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 : MECHANICAL-MULTIPLE VALUATION : $ 16,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)CARRIER NATURAL GAS HEATING SYSTEM (1)CARRIER 3 TON A/C (1)KITCHEN EXHAUST (3)BATH EXHAUST APPLICANT MECHANICAL 200.00 TREATED AIR COMPANY STATE SURCHARGE MECH(VALUATION) 8.00 9954 166TH COURT TOTAL 208.00 BECKER,MN 55308- Payment(s) (763)262-0707 CREDIT CARD 3100 208.00 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. 'Chis 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. 1'he 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. � a ,� , �� Applicant Permitee Signature Date Issued By ature Date Feb 13 18 07:23a Mike 763-262-9332 p.1 . ' "'`'' � Q Cify of Ornna � �oR �r us�orr�Y � �O P.O.Box 66 ��� ') Date Receiti � � Petmit# d��^ � 2750 Kelley Parl•way �" Crystal Bay,b1N 55323 ' Approved Hy; Amouni S(—�=iFi� Phonc f952)249-4600 Far(95?)2d9�616 � a Z�q/��S H�1t�G` CITY OF ORONO—MECHANICAL PERMIT {All Commcrc�al pumits must be approved by the Building Oflicial orinspector and/or Fire Marshall) GENERAL INF4RMATION 1. You may apply for mechanical permits 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 wi11 be sent by retum mail after a review is completed. PERMITS ARE NO? VALID UNT[L YOU RECEIVE A PERMIT'. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED OIY THE JOB SITE. 3. Mechanical Desiens—Complete caleulations,details and specifications are required for each i�eating,ventilatian,humidification-dehurnidification,and air conditioning installation including heat Ioss/Fieat�ain calcufation,design temperatures,equipment ratings and �dentification as to type,martufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit rnust be obtained. 5. All��ork must be done in accordance with the Uniform Mechanical CodeJState Builcling Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (2448 hour ootice required) 7. House Heating Test Record must bz submitted before final. TYPE OF PERMIT Check Ail That A I �Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑ PVB] ❑New ❑Additional ❑ Repairs ❑Replace Jab Site I Owner T�formation: Site Address: , � � � wvJ�� L,� / Owner:��S C.i,� Mailing�,ddress: City: Zip: Home Phone: Alternate Phone: Contractor Infonmation: Contractor: �r�v"l�c,� ,�.� • � Contact Person: � _ �lc.t (�o•-�� Address: � �`J 1GG'f-` G� Sr. State Bond#: '� 37� C�tY� j'-�_�__ +� Zip: ��� Expiration Date: �/f0 �/� Phone: ��� ,�2.-_0�0'7 Alternate Phone: �nsurance—Current: ��. S 1 Feb 13 18 07:23a Mike 763-262-9332 p.2 . . �,� , � MECHAIVICAL SYSTEMS BEING INSTALLED Note:All Geodiermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMALT ❑Yes ❑No HEATING SYSTEMS Quantiry: � Make: (.tri/�<,� Model: GJ,s � r Fuel: ��� Flue Siu: [�� lo��— Input BTUs: � Output BTUs: 7 �U JC1 CFM: l Z,r9�0 COOLING SYSTEMS �,�,t�ty: / Make: Gwl��/ Model: �y��V Tons: �_ H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Bumin�Fireplace ❑ Wood Stave Model No.: ❑ Wood Stove with Flue/Masonry VENTILATiON [� No. � Kitchen E�chaust duct recirculating cfrn [� No. �_ Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FlJ EL STORAGE (Must be appmved by Fire Mwshall rf proposing[o abandon tank irt place) ❑ ]nstallation ❑ Removal Fuel Oil: gallons ❑ Undergrourtd ❑]nside ❑Outside LP Gas: galtons Otlter: GAS L1NE ONLY ❑ Outdoor Gril] ❑ Other;List What&Where: 2 Tlie undeisigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordattce with the ordinances of the City and the regulations of the Staxe of blinnesota,and certifies that all statements m e on this application are complete,true and correct. Applicant's Signature: �L �`�^' Date: �/'3 �� _ .� ... . . ` PERMIT FEE CALCULATIONS 1. CONFRACT PRICE * is 1.25°io of contract price with a(Minimum�'ee ot$50.00) �Gy�� X.o�25$ (comract price) (minimum 550.00) 2. STATESURCHARGE x.0005 $ (cor�traci price) 3. POSTAGE& HANDLfNG (Qnly on Mail-In Apptications) $ �` 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) � O�8 �� • * CONTR.ACT PRICE or JOS COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profiL and other fixed costs. tt is the amount to be charged to tf�e customer for the work done. If any material,equipment,labor or instaliations are furnished bv the oHner, 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. ]n 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. NiECHAMCAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do aIl work in strict accordance with the ordinances of the City and the reg�ladons of the State of Minnesota,and certifies that a]I statements m e on this application are complete, true and correct. A licant's Si natwe: 1 L � � PP g Date: �/ 3 �� � / � �� ��il v�, (,�?C3 L� �.� /�' ✓� � � 6'd Z££6-Z9Z-£9L 8�I!W d8Z�E0 86 £6 Ge� � TIME � DATE CITY OF ORONO CALLED IN INSPECTION O ICE SCHEDULED � � PERMIT NO. ' COMPLET D ADDRESS 3�-�7 CI OWNER ` � T EPHONE N0.��3� o�'O�O� CONTRACTOR �a`�'''r � � DESCRIPTION ��'�/s--- � W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE �MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERICONTRACTOR TO MEET YOU:_YE3_NO � COMMENTS: S� t�1���r 4 n d ('�✓� ti u c�- woY' a a� �btifi�, ��hs n k Sr�''o ps 4 �► � 1�►,ti..rs �� o� � � ����''v u,'c�1 at �.s 11 h� ��'r c S °� prv��' .. Q`�'p S<.ti' � � � Q � W � W � j W ❑WORK SAT�SFACTORY:PROCEED ❑PROJECT COMPLETE � �CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOF REtNSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advaru:e. (952) 249-4600 OwnerlContractor on site� Inspector: �a�"� � Whits Copyllnapector's File Canary CopYfSite Notks