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HomeMy WebLinkAbout2017-00038 (mechanical) . ' . CITY OF ORONO * z 0 1 7 - 0 0 0 3 8 * 2750 KELLEY PARKWAY DATE ISSUED: OU17/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3800 CASCO AVE PIN : 20-117-23-24-0019 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 24,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)NATURAL GAS FURNACE(CARRIER) (1)NATURAL GAS BOILER(NTI) (1)CARRIER A/C (1)KITCHEN EXHAUST-6"DUCT,300 CFM (4)BATH EXHAUST GASLINE FOR RANGG,F[REPLACE,AND DRYER APPLICANT MECHANICAL 300.00 STATE SURCHARGE MECH(VALUATION) 12.00 TREATED AIR COMPANY TOTAL 312.00 9954 166TH COURT BECKER, MN 55308- Payment(s) CREDIT CARD 3100 312.00 (763)262-0707 Minnesota State License#: HVAC-MB003789 OWNER Atlas Homes Inc. 7082 EAST FISH LAKE RD MAPLE GROVE, MN 5531 1- AGREEMENT AND SWORN STATEMENT I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grani permission for additional or related work which requires separate permits. 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 l80 days at any time atter 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 ue cause. 9 � i7 r ; � �v � �� 7 � �7 � � -�.� i � -�-, - �--� Applicant Permitee ignature Date Issued By gnature Date FOR CITY USE ONLY O City, of Orono ?� Permit# os(J � � �O P.O.Box 66 Date Received:I'17� ___�Z ,� 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$:�f�, Phone(952)249-4600 Fax(952)249-4616 � a y � F � IqkESH���� CITY OF ORONO—MECHANICAL PERMIT (All Commercia]pennits must be approved by the Building Ofticial 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 Desi�ns—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 aecordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) -�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑PVB] �'New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �(�jOZ� �C�S C �4� �� Owner: �U��` h+z:`fln-2�'� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: � /� Contractor: f�C���� ��� �.+��N+��r� Contact Person: �� ��- �°�•'''�`L^ � Address: �G1 S�/ ���'� �"S�= State Bond#: City: �-�� �4� Zip:� Expiration Date: Phone: ��3 -���-- ��°� Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: , rJ�✓� � �, �.e./ Make: GU/rr�/ �� ��- Model: ��5���0�C� I I'� � 1 0 Fuel: ��T �� � Flue Size: s �� p�� 5 '' Pv� Input BTUs: U Ui L J`� �� vi(f� out�uc BTus: —1 �U u�� j p� �t�� CFM: �I �CSU /�/ � COOLING SYSTEMS Quantity: � Make: �,'v.��t;•� ModeL "� ���J L �— Tons: �' � H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � No. _� Kitchen Exhaust �, �, duct recirculating U ii cfm [�'� No. � Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill [�� Other/List What&Where: ���-� . ��� ����/ 2 ,/ + ' PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) � `'� L�J'J � X .0125 $ ( ontract price) (minimum$50.00) 2. STATE SURCHARGE �hI� U'��� x.0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer far the work done. If any material,equipinent,labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such ite�ns 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 Ciry may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City far issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and tl�e regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. , !�-�.-� I �U� v�-, — /`7— `7 Appl�cant�s S�g��ature: � � � Date: � � 3 � 1�� ��-� _— V D TE � TIME ITY OF ORONO �N � INSPECTION HEDULED - - 7 // /J?� PERMIT NO. PLETED ADDRESS OWNER TEJ¢EP (�N �VO. � �2 �7�� CONTRACTOR � / ��� � �� �� � � � DESCRIPTION ���- tV ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL l' '� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING vj ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTMCTOR TO MEET YO : Y NO . 1 � COMMENTS:�.�. �. ct - pro��� I���,�►e� �Qod�� � D 1� ve.t� � res������ f�sKc o - SG�e/1 !.�'� ,�S�.,rrs =a,� - r�i.rsc�cr�v�,�t-t� �. y�rv�.t� � ��'�il�!6l �G���5 o r� ��sc��.ac.lc �- o � � Od � 4 a?% . r fi e�' _' Q .� rou i b e ,0��'� .� G6�c9 d� S�_ � ,y�.�. + ��_ d,�ly W � W � � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedContractor on site: Inspector: � / �--- �� White Copyllnspector's Ffle Canary CopyfSfte Notice �'�3- �a s-� 3 33 �G�s � 76.� - �S� - 40 �� ' � (' l I � �' �--� � DATE TIME � r CITY OF ORONO �ALLED IN INSPECTION NO ICE •C���SCHEDULED ���/� 1 l .�i(% PERMIT NO. � ��� COMPLETED ADDRESS `7�C�(! %C L �`�_C �'�(° �Z-7� OWNER TELEPHO�NE NO. '��'=��� �7� CONTRACTOR � 6 �� ��� /�j/r' � DESCRIPTION � t�- C'e� �,�� , /� ��5�' t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVA� 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ❑ DEMO-SITE ❑ S TIC INSTALL ..t 2 OWNERICOf�lTRACTOR TO MEEi YOU: YES_NO y COMMENTS: �� � �. 3 �J�/`��, � � � , � 0 � �. �.� v � �✓� t D .G ��/b � �-G� {� , w � Q 2 � ,S" `�' .{/ J/��/L � ���� � W j � • � G'ti o �,s`�l Gi h/'`'� 7 �- f W ❑WORK SATISFACTORY:PROCEED ❑PRW ECT COMPLEfE � �CORRECT VYORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑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 OwnerlContractor o �e: Inspector: � VYhits CopyAnspector's Flle Cenary CopyfSite Notice