HomeMy WebLinkAbout2016-00841 - ventilation CITY OF ORONO * z 0 1 6 — 0 0 s�
2750 KELLEY PARKWAY DATE ISSUED: 07/19/2016
ORONO, MN 55356-
' (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1360 RAILROAD AVE
PIN : 10-117-23-31-0007
LEGAL DESC : LTNPLATTED 10 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
07/19/16-THIS WAS ADDITIONAL WORK BEING ADDED TO PROJECT,SO CONTRACTOR FILLED OUT A NEW APPLICATION
SHOWING ADDITIONAL WORK.
ADDING:DUCTWORK ALTERATIONS, 1 KITCHEN EXHAUST,GAS LINES FOR DRYER&FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.50
COUNTRYSIDE HEATING COOLING TOTAL 50.50
1960 COUNTY ROAD 90 Payment(s)
SUITE 200 CREDIT CARD 9770 50.50
MAPLE PLAIN,MN 55359
(763)479-1600
Minnesota State License#: mech-MB680636
OWNER
TWELVES, STEVE&SALLY
1360 RAILROAD AVE
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 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 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����7
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Applicant Permitee Sign tur Date Issued B Signatu e Date
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 07l19/2016 10:14 #157 P.001/004
FOR Cl'I Y L'SE ONLY'
� City of Orono � 'I �
�O� P.O.Box 66 Date Receivec�:� ��!J Permit# ��r' �f
� 2750 Kelley Park�vay �
Cr}stal Bay,MN 55323 Approved By: � Amount$:� �
i Phone(952)249-4600 Ear'(452)249-4616
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`.,,�Fsx����' CITY OF ORONO—MECHANICAL PERMIT
_`� (Afl Caaimercial permits must bc approved b}•the Buildin�Ofticial or lnspector and/or Fire Marshafl)
GENERAL INFORMATION
1. You may apply for mechanical pennits by mai!or in person at the Ciry offices. Applications will
be reviewed and a pennit will be issued within two warking days.
2. Permit cards wii be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVF.A PERMIT. WORK MUST NOT BEGIN U1�TTIlJ THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desians—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumsdification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
rype,manufacturer and modei. bata shall be presented on form provided.
4. When any new construction or remo�ieiing is involved,a separate building pennit must be
obtained.
5. All work must be done in accordance with the Unifonn 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 7'est Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑Commercial(Approval Required) [Backflow Device:�AVB ❑PVB)l�, .
❑New Additional ❑Repairs ❑Replace ��� � ��
� �[ �
Job Site/Owner Information: ��
����
Site Address: t���_____� ,���('(,��'�'�� � �
Owne�.aL�#_�v��l�J� � � >;;,�;; , �-:
� Mailing Address:
City:�V V��,��, Zip:
Home Phone: Altemate Phone:
Contractor Information:
Contract : �'1� Contact Person:
I
Address: �� �Q�� State Bond#:
City: � Zip���� Expiration Date:
Phone,��'�t !ii • ��� Alternate Phone:
❑ Insurance—Current:
1
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 07/19l2016 10:14 #157 P.002/004
' MECHANICAL SYS'i'EIvIS BEI�IG:�NSTAL.LED' �' `'
Note:All Geothermal Systems will now require a Site Plart&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantiry:
Make:
Mode1:
Fuel:
Flue Size:
input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make:
Mode1:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry naV�
VENTI�.ATION �. �11�C.��(1rOV� ��(�/��fY�.S �VJ�S,� " ��'"" (i�.1 �' ��k
___�_- '` 30� �Y��/��'
� No. Kitchen Exhaust � duct recircuiating cfin
No. Bath Exhaust(must have duct outside) ��
❑ No. Other Fans: Locations ��
FUEL STORAGE (Mus�be approved b}>Fire Marshal/if proposing to abandon tank in place)
❑ Installation ❑ Removal
Fuel Oi1: gallons ❑ Undergroand ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where:��( �� 4' Y ��
�
2
From:COUNTRYSIDE HEATING & COOLING 763 479 2518 O7l19l2016 10:14 #157 P.0031004
.
PERMIT FEE CALCULATIONS '
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum�'ee of�50.00)
�d���_ x.0125$ Sb�
(contract price) (minimum$50.00)
2. STATE SURCHARGE p0
_,I UU� � x.0005 $ ��D
(contract price)
L/�
3. POSTAG�& HANDLING(Only on Mail-In Applications) $ .00 �
�
=1. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRtCE or JOB COST means the actual or estitnated dollar amount charged foi• the
pennitted 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
af the job cost, the City may request the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATTON AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanica] 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 statements made on this application are complete,true and correct.
� �,�.� �"l l�t
Applicant's Signa e: Date:
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- DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED --��1�' �
PERMIT NO. ��,� COMPLETED
ADDRESS � � �.
OWNER TELEPHONE NO. �IG� -3 �/ ����6L�C
CONTRACTOR C f`�( �1����� f� �n�
� DESCRIPTION �� � c� '
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTICFINAL ���'?�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINU�
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLIOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEP/TIC INSTALL
2 OWNERICONTFUCTOR TO MEET YOU:'�/1'ES_NO
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� COMMENTS:
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�C�e�i��4Q@ICSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W 'CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
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. (g52 j 249-460�
OwnerlContractor on site:
Inspector.
Whit opyllnspector's Ffle Canary CopylSite Notice
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DATE TIME
CITY OF ORONO cnLLED IN
INSPECTION NOTI SCHEDULED
PERMIT NO. '� � COMPLETED
ADDRESS � JC� C� Q / � /'��GZc�I ��M
OWNER TELEPH E NO. � � OO
CONTRACTOR �
� DESCRIPTION "�` r - `F r
� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FiNAL l`Q,d�-
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑��y///PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �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
_
v ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_ ES_NO
h COMMENTS: �—
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� �WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REWIRED.CALLTOARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: ���*� � •
Whits CopyAnapector's File Canary CopylSits Nodce
DATE TIME
CITY OF ORONO cnLLED IN '�—�
INSPECTIO O E SCHEDULED �0�D—/�i��
PERMIT NO. � OMPL ED �
ADDRESS �-3
01AINER ��TELEPH O.
CONrRACTOR G`�
�'� DESCRIPTION
❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ 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
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
? OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
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� ❑WORK SATISFACTORY:PROCEED `����OJECT COMPLEfE
W ❑CORRECT W�ORK 8 PROCEED ❑IS�IS E�CERTIFICATE OF O(�l1NCY
O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVEFqNa PERIiAANENT
❑CORRECTUNSAFECONDft10NWfTHIN HOURS. p pHpTOTAKEN
INSPECTOR WILL RETURN
❑3TOP OR�ER POSTED.CALL INSPECTOR ��TATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaM for the next i�pection 24 hours in advance. (g52) 249-4600
OMn�erlcomractor on site:
�
Inspector. ��1 r"' �
Whit�CopyAmpector's Ffl� Gmry CopylSib Notla