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.
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Applicant Permitee Signature Date Issued By ature Date
Feb 13 18 07:23a Mike 763-262-9332 p.1
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Q Cify of Ornna �
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� �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 �
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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
.
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� 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 �� _
.� ... .
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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 ��
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� 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
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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