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HomeMy WebLinkAbout2016-00789 - ventilation CITY OF ORONO * Z 0 1 6 - 0 0 7 S 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/O8/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1360 RAILROAD AVE PIN : 10-117-23-31-0007 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 2,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. ADDITIONAL BATH EXHAUST APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 COUNTRYSIDE HEATING COOLING 1960 COLJNTY ROAD 90 TOTAL 51.25 SUITE 200 Payment(s) MAPLE PLAIN,MN 55359 CASH 5125 (763)479-1600 Minnesota State License#:mech-MB680636 OWNER TWELVES, STEVE&SALLY 1360 RAILROAD AVE WAYZATA, MN 55391- AGREEMENT AIVD 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections ue requested in conformance with t State �lding Code.This permit may be 7 . revoked atfany time fo� ; I(`� ;;� ` ,/ � �J C� �' �S l� r�C ��' (� ) ���-�. � � �C� -7� �S' �/ �, pplicant Pe e Signature Date Issued By Signature Date � FOR CITY USE ONLY O City of Orono -7 � � � P.O.Box 66 Date Received: ( ��ermit# � ��<<c""t C� ��{� 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: ���� Amount$:_ �! Z 5�-- Phone(952)249-4600 Fax(952)249-4616 '�� � y � � � ' . l9Kf5H���G CITY OF ORONO—MECHANICAL PERMIT _ (All Commercial permits 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 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 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 �.Besidential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New �Additional ❑ Repairs ❑ Replace NV V� 0�161(�. Job Site/Owner Information: Site Address: �„f1�,�r�� � Owner:' v\l�,�rl�U�X� �S�Q�/ Mailing Address: City: (1 V U 1� �l1 Zip: � � � Home Phone: Alternate Phone: Contractor Information: Contractor: S I�iD` Contact Person: Address: t"ll�U l�� '`�#�-l� State Bond #: City: Zip�� Expiration Date: Phone: ���"��,�� 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: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin � No. = Bath Exhaust(must have duct outside) �cfin No. Other Fans: Locations �� FUEL STORAGE (Must be upproved by Fire Marshall if proposing fo abandon tank in place.) ❑ Installation ❑ Removal Fue) 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%of contract,price with a(Minimum Fee of$50.a0) �� � � x .0125 $ / �(contract price) (minimum$50.00) 2. STATE SURCHARGE � � x.0005 $ I • �_ (contract price) 3. POSTAGE&HANDL[NG (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 far 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 ar 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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 statements made on this application are complete,true and correct. Applicant's Signa re: Date: � � 3 DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTI E SCHEDULED PERMIT NO. ' COMPLETED �%� ADDRESS � i 1^ a OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ W OD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTMCTOR TO MEET'YWJ:_YES_NO h COMMENTS: a� � � � � �d� '(,rl/4.� 6 rI 519�� �- _ �.0 c � za��=���,u� 0 Q ,�,,� �rlc,�, �o, � W � W � � J W ❑WORK SATISFACTORY`.PROCEED OJECT COMPLEfE � O CORRECT WORK 3 PROCEHD ❑ISS CERTIFICATE OF OCCUPANCY W 0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDIl110N WRHIN HOURS. p pHpTO TAKEN INSPECTOR YVILL RETIJRN ❑3TOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Can for the next inspection 24 hours in advance. (952) 249-4600 OwnedContra site: Inspector: White CopyAn#pector's Flle Cenary CopylSite Notice