HomeMy WebLinkAbout2017-01524 - mechanical CITY OF ORONO * 2 0 1 7 - 0 1 5 2 4
2750 KELLEY PARKWAY DATE ISSUED: 11/16/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 3265 SHADYWOOD CIR
PIN 20-117-23-11-0048
LEGAL DESC SHADYWOOD VILLAS
LOT 7 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
(1)CARRIER A/C
(1)KITCHEN EXHAUST
(3)BATH 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
Charles Cudd LLC
15050 23RD AVE N
PLYMOUTH,MN 55441-
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 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.
I IV
Ppplicant Perm itee Signature Date Issued By ature Date
/ // FO CITY USE ONLY
City of Orono , )) C�
w � P.O.Box 66 Date cJ- Ir Permit# �G/'d Jr�/
Q 2750 Kelley Parkway /
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
ERMIT SGI.
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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 will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs–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)2494600.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That Apply)
.�Pesidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
,YNew ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: AG L2f CK.,-
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ' �OG�l A-+��,H„r�„i,� Contact Person: + CIA- (::9
Address: v l`ES L� (e �'G�- State Bond#: 0 o37
city: t--14-1 Zip: ' Expiration Date:
—9 /10 /20/8
Phone: �G3'�-��- �(rl Alternate Phone:
❑ Insurance—Current:
1
,MECHAMCAL SYSTEMS BEING TA L r
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Quantity: l
Make:
Model: 56 1-
Fuel:
Fuel: A
Flue Size:
Input BTUs: lobcwu
Output BTUs: '�D' L U ul-)
CFM: [ � yy
COOLING SYSTEMS
Quantity:
Make: Cc,.rr,,4-1-
Model: `-I
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
No. 1 Kitchen Exhaust duct recirculating?001 cfm
❑
No. Bath Exhaust(must h ve duct outside) cfin
❑ No. Other Fans: Locations cfin
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 y
Outdoor Grill ❑ Other/List What&Where: 1`�c'►�Y� {�/
2
K
PERMIT '
L CONTRACT PRICE *is 1.25%ii of contract price with a(Minimum Fee of$50.00)
I ' (CA_,I x.0125$
(contract 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) $ (p t 1 y
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,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.
The 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 stateme is made on this application are complete,true and correct.
Applicant's Signature: r_ Date:JI /
3
1 T TIME
CITY OF ORONO CALLED IN
INSPECTIONIC �Ql� SCHEDULED -
PERMIT NO. MPLET D
ADDRESS
OWNEREL.E O NO. 3-�&d-6 a7
CONTRACTOR
DESCRIPTION ho cl, 604- At-,-
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION DRAIN TILE �❑ "P"""LUMBING 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
❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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Wj ❑WORK SATISFACTORY PROCEED ❑PROJECT COMPLETE
RECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OunedContractor on Bite:
Inspector.
White Copylinspectoes File Canary CopylSRe Notice