HomeMy WebLinkAbout2017-00030 - ventilation '�' CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 7 — 0 0 0 3 0 *
+ DATE ISSiJED: OU17/2017
0�20N0, MN 55356-
(952)249-+�600 FAX: (952) 249-4616
ADDRESS : 2500 SHADYWOOD RD
PIN : 20-117-23-11-0034
LEGAL DESC : REG.LAND SURVEY NO. 1630
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 15,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
NEW:DUCTWORK AND 5 BATH EXHAUSTS
APPLICANT MECHANICAL 187.50
AIR QUALITY SERVICES IN. STATE SURCHARGE MECH(VALUATION) 7.50
7900 EXCELSIOR BLVD MAIL-IN FEE 2.00
SUITE#750 I TOTAL 197.00
HOPKINS,MN 55343- j Payment(s)
(952)401-3838 CREDIT CARD 7316 197.00
Minnesota State License#:mech-MB003119
OWNER
Ugorets 8098 LLC I
410 11TH AVE S �
HOPKINS,MN 55343- �
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
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 aze
requested in conformance with the State Building Code.This permit may b
revoked at any time for due cause. �
�/7 �-�� � � iI7 i /7
App icant Permitee Signature Date Issued By ignature Date
i.
/ fi � JI FOR CITY USE ONLY
' City of Orono � �� I
► ��� P.O.Box 66 n � Date Received: � �� Pennit# �C� 7���> >�l
O 2750 Kelley Parkway I `�� �
Crystal Bay,MN 55323�� � Approved B� ` mount$:
Phone(952)249-4600 Fax(952)249-4616
���qkFs o��.�'� CITY OF ORONO—MECHANICAL PERMIT
H (All Commerc�al pennits must be approved by the Building Otficial or Inspector and/or F�re MarshalQ
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 1S POSTED ON THE JOB SITE.
3. Mechanical Desi�—Complete calculations,details and specifications are required for each
heatin�,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 nofice 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: �5 �J� � �r,.�*-i c...�-ry-�
Owner:�C�,ft�5 Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor. ��1r �,�,,,��• St��'� Contact Person: �-,�!',n.� �1��.-��
Address: 7��4 ����S�c� D l�� State Bond #:
ss3yj
City: �'L.��^- Zip: Expiration Date:
Phone: �)v� -9�"3�j 3� Alternate Phone: � IZ -" Z�� � `�S68'
❑ Insurance—Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building O�cial.
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
❑ No. Kitchen Exhaust duct recirculating cfin
� No. � Bath Eachaust(must have 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
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
`��C>vu x .0125 $
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract piYce)
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 work including materials, labor,profit, and other fixed costs. It is the amount to be charged
to the customer for the wark 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersi�;ned 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 coinplete,true and correct.
Applicant's Signature: /' ��` Date: //Z— j�
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G�` �� DATE TI�
CITY OF ORONO � � CALLED IN �_
INSPECTION�I TIG�E ,,QO��ry SCHEDULED __'-f l� / --�
PERMfT NO. ��� COMPLETED
ADDRESS � 5 vU � �
OWNER �-�"'��� TELEPHONE NO. ��z -��L'y�68
CONTRACTOR �{'� ��-^o-���'`�/ �J"�-�-�
� DESCRIPTION �"��-����� 1—"�g�`-��^
4� ❑ FOOTING ❑ DEMO-FINAL ' ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�j ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB �MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMINENCOIdTRACTOR TO MEET YiOU:L�YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:P R O C E E U' ❑P R O J E C T C O M PL E f E
� CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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❑ RECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REDUIRED.CALL TO ARRANGE ACCESS.
Ca11 ror the next inspection 2a hours in advance. (g52) 249-4600
on site:
,- �
Inspector
White CopyAnspector's File C�nary CopylSiM Notice