HomeMy WebLinkAbout2017-01648 - mechanical ✓ • CITY OF ORONO 111111
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2750 KELLEY PARKWAY DATE ISSUED: 12/21/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3105 CASCO POINT RD
PIN 20-117-23-34-0006
LEGAL DESC : REG. LAND SURVEY NO. 1311
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 5,796.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)NTI,TFT60
APPLICANT MECHANICAL 72.45
STATE SURCHARGE MECH(VALUATION) 2.90
HEATING&COOLING TWO INC. MAIL-IN FEE 2.00
18550 COUNTY ROAD 81
MAPLE GROVE,MN 55369- TOTAL 77.35
(763)428-3677 Payment(s)
Minnesota State License#:mech-MB003401,plbg-PC691106 CREDIT CARD 4924 77.35
OWNER
RICHEY,KENT& SUE
3105 CASCO PT RD
WAYZATA,MN 55391-
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
Applicant Permitee Signature Date Issued By Signature Date
From Heating and Cooling Two 1.763.428.3682 Wed Dec 20 14:20:04 2017 MST Page 2 of 5
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O 2750 Kelley Parkway ...............................................
Crystal Bay,MN 55323 4:Af_aadt3i
Phone(952)249-4600 Fax(952)249.4616 c- , ,.:,- .. . ..... .-,
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4 °� CITY OF ORONO—MECINICAL PERMIT
RKSSHO (All Commercial permits must be approved by the Building Official or Inspector and/or Eire Marshall)
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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 CART)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)249-4600.
(24-48.hour notice required)
7. House Heating Test Record must be submitted before final.
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esidential 0 Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New 0 Additional 0 Repairs 0 Replace
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Site.Address: :✓U--5 Mk-./.1c C PC9,Z—A/Ze-or
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Owner: ` :&> Mailing Address: L//V � •/` vi '
City: (0 (0%, ® Zip: 6.: . W
Home Phone: /2 w/t? 7 Alternate Phone:
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Contrac o �� Contact Person:
Address: acs a7 (� J State Bond#: 4 0()--q
[/-0yy e Zip:ne /Expiration Date: C�-�/q 0f
City: ��/�'/, p p -
Phone:
76,.. - r*riCv 3 77 Alternate Phone: -7V/ .3 l-= 3J-'l�::.�d .,�
0 Insurance—Current:
1
From Heating and Cooling Two 1.763.428.3682 Wed Dec 20 14:20:04 2017 MST Page 3 of 5
Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? 0 Yesio
HEATING SYSTEMS J
Quantity:
Make: NT
Model: / .
Fuel: AM-Y.-64S
Flue Size: /,
Input BTUs: 60/'i (�{1 y
Output BTUs: -66AnT(f-h
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
O Gas Factory Fireplace Brand Name:
O Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfni
O No. Bath Exhaust(must have duct outside) cfm
O No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation 0 Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill 0 Other/List What&Where:
2
From Heating and Cooling Two 1.763.428.3682 Wed Dec 20 14:20:04 2017 MST Page 4 of 5
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1.
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
,57%, x.0125$ Z
(contract price) (minimum 556.00)
2 STATE SURCHARGE sy(J/ /�
Lt& �V x.0005 $ i9 0
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $
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 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.
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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 state •-t'ts made on this a •lication are complete,true and correct.
Applicant's Signature: AO/ /./ . .4/ " 't.C.. Date:
3
INSPECTION NOTICE
DATE TIM
CITY OF pr&no CALLED-IN
SCHEDULED
PERMIT NO.0' / 4/7(g COMPLETED
ADDRESS 34 s ELcr5 copr fp .
OWNER/CONTR.
❑SITE INSPECTION 0 MECHANICAL RI ❑ REINSPECTION
❑CONC SLABS S.MECHANICAL FINAL 0 FOLLOW-UP
❑ FOOTING 0 INSULATION 0 COMPLAINT
❑ POURED WALL 0 RATED ASSEMBLY 0 FIREPLACE
❑FOUND.DRAINAGE 0 BUILDING FINAL ❑SP, I KLE�i SYSTEM
❑FRAMING 0 SEPTIC INSTALL ❑ G
0 SHEATHING 0 SEPTIC FINAL ❑
0 PLUMBING RI 0 S&W HOOKUP 0
LL 0 PLUMBING FINAL 0 GAS LINE MANOMETER 0
o COMMENTS: "ribrai aqS k"/e•f' ,fv6"
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cc FURTHER CORRECTIONS MAY BE REQUIRED 'PERMIT FINALED
WO 0 WORK SATISFACTORY: PROCEED 0 PHOTO TAKEN
p
0 CORRECT WORK& PROCEED
0 0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
❑ CORRECT UNSAFE CONDITION IMMEDIATELY.
❑ STOP ORDER POSTED. CALL INSPECTOR
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
TO SCHEDULE YOUR INSPECTIONS
PLEASE CALL: (763) 479-1720
Metro West Inspection Services Inc.
Owner/Contr. on site:
Inspector: 70.A.7/I