HomeMy WebLinkAbout2017-00021 - ventilation � �-� CITY OF ORONO * 2 0 1 7 - 0 0 0 2 1 *
2750 KELLEY PARKWAY DATE ISSUED: OU1U2017
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDR S� : 3115 SUSSEX RD
PIN : 04-117-23-32-0015
LEGA I�ES : FOX BEND
: LOT 004 BLOCK 002
PERMI TY : MECHANICAL
PROPE TY YPE : RESIDENTIAL
CONS UC ON TYPE : VENTILATION
VALU IO : $ 450.00
NOTE: LL T TING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)BAT EXH ST<300 CFM
RELOC �T SUPPLIES
APPLICANT MECHANICAL 50.00
PRACTI t�L STEMS STATE SURCHARGE MECH(VALUATION) 0.23
4342B S D AK RD MAIL-IN FEE 2.00
HOPK S, 5343 TOTAL 52.23
(952)93 1868 Payment(s)
CREDIT CARD 5815 52.23
' OWNER
MARY �K ,DANIEL DELMORE&
3115 SU S�X
LONG L I�E, 55356-
A R1EE ENT AND SWORN STATEMENT
The work r whic is permit is issued shall be performed according to
the approv d plans d specifications,applicable Ciry approvals,and the
State Build n�C This permit is for only the work described and dces
not grant rntissi for additional or related work which requires separate
permits. A I provi ' ns of laws and ordinances goveming this type of work
shall be co p�ed ' whether or not specified herein.This permit will
expire and Come II and void if construction authorized is not
commenc �ithin 80 days of the date of issuance,or if construction is
suspended or�a pe ' of 180 days at any time after work has commenced.
The applic t's re nsible for assuring all required inspections are
requested i cbnfo ance with the State Building Code.This permit may be
revoked at }+tim or due cause.
�1� / / /� / ��
Applicant rmi Signature Date Issued Signature Date
Jan 10. 2017 3:O7PM PRACTICAL SYSTEMS No. 2753 P, 2
� .
F �CC USI�O�ILY
C9ty of Orono /
�o�ro p.O.Box66 ��; . p��� ao�7- 2�
2750 K.elley Parkway
Crys�al Bay,MN 55323 App�+o�Ed BY- ArooUnt S: �-
Phona(95�)249-46a0 AaY(952)2�19-�1616
' ��t,, E�`� CYT'Y'Ol+OYtONO—MECHAN'YCAY.p�RMIT
k g H�4 (All Commetcisl ptrmi�s must he approved by�he Building Otlici�l or Inspecoor andlor Fim Marstwll)
CrENERAL 1N�ORMATYON -
l. You ma�apply for mechanical permits by mail or in person at the City ot�iccs. Applications will
ba rcvicvucd and a permit will be issued within hwo vvorking days.
2. Pcrmit cards will be sent by retum mail aRer a rcvicw is compteted. rE1ZMITS ARE NOT
VALm UNTIL YOU REC�'V'B A pBRMIT. WORK MUST N'OT$�G�1V�JN1'[L THE
P�RI�'�x CARD LS POSTED ON'THE r0�SXT�
3. Mechanical Dcsigns—Camplctt calculalions,det�ils and spccifications are required fpr each
l�ea�ing,ven�ila�ion,humidiFcation-de6uutidificadon,and air conditioning installation including
heat lossTheat gain calculaCion,dtsign temperatures,equipmcnt ratings and identificAtion as tn
ty�e,manufacturer aud modcl. bata sl�all be presenled on form providcd.
4. When any new canstruction or remodeliog is involved,a separatc building permit muat be
obtained.
S. All work must be donc i��accordanec tVith the Uniform Mechanical CoddState Building Code
requiremcats.
6. All work must be inspected(rougli-in snd final). Ce�ll(952)249-4600.
(24-4$hour not�ce requlred)
7. House Heating Test Recard e�ust bc submitted before Final. �
TYPE OF PERMIT
Chec1tA11�That A 1
Rcsidtntial ❑Coimnercial(Appmval RcquireA) [Bsekllow Device:�]AVB []PVB)
❑Ncw ❑Additio��al ❑Repairs ❑Replace
Job Sit�/Ovimer I�fornaation:
SiteAddress: ` � , �JUSSB� p,c+
Orvner: �� �M p�� Mailing Address: SG^I e
c�ry: , ��onr� z�p: S5,3S (a
T�ome Phone: Alternate Phone:
Contractor Information;
Contractor: raG'�'G�� �` S�"�^S Contact Person: f r 1 V 0��`
p �
Address: �I 3�IZ� 5���,�a K R C� State Bond#: , � ►J��J�J��
�-�oo k��S Zip;55}'�� E�cpiration bate: 1 � 1 7� � �
CiCy: r
p6one: ����� ���� Alternate Phone:
❑ Insurance--Curreut: �
]
Ja� 10. 2011 3: 08PM PRACTICAL SYSTEMS No. 2753 P. 3 �
1 .
Note; Ai!Gcothermal Systems will now require a Site Plan 8c Re�uicvv b�'our Building O�cial.
YS THIS CEOTHERMAL? ❑Yes [�No
' T�ATYN'G S'Y'S'Y'EMS
Qusntiry:
Makc:
Modcl:
Fucl;
Flue Size:
Input�TUs:
Output 9TUs:
CY'M:
COOY.IN'G S'YS'fEl►YS
Quantiry:
Make:
ModeL
Tons:
�.power
FIREPY.ACES
❑ Cras Pactory pireplace Brand Name:
Q Wood Burning Fireplace
❑ 'Wood Slove MoQel No.:
❑ 'W'ood Slove with Ftue/Masonry
V�NTILATION
Q No. TCitchen Bxhaus� duct recirculating cfin
[✓j No. � Bath Pachaust(niust have duct outside) <30o cfm
❑ No. Other Fans: Lcea�ions cfm
�C lov,�e +,�p s��F�rcS
�CJ�Y,S'X'0�2ACrE (Mqst 6e approi�ed by Pire Marahrtll ifpropos�rig lo abaudon ta��k in placG)
❑ Installalia� ❑ ltemoval
�el Oil: gallons ❑ UnGerground ❑rnside ❑Outsidc
�,P Cras: gallons
Other:
GAS LINE ONLY
❑ Outdoar Gril! ❑ Other/List What&Whcrc:
2
Ja . 10, 2011 3:08PM PRACTICAL SYSTEMS No. 2753 P. 4
# , .
I
1. CONTRACT PRYCE s is I.25%of contract price wi�h a(11�19nimum T�ca oi 550.00)
4�o.do �.0�25� 5o.aa
(tonl�au ptice) (minlmun�$50.00)
2. STA,xE SURCHA,RGE � `'{.�O - /�
a V1 x A005 $ � ��
(coatmcl price)
3. POS'CAGB&HANb�,iNCr(Only on Mai1-In Applications) S 2_00
4. TOTAY,p�RMYT�'��.(Add T.ines 1-3 Above) 3 �'��
■ • CONTRACI'PRlCE or JO� COST means the actual or estimated dollar amount cherged fpr rhe
permiltcd wark including matcrisls,lebor,profit,and other fixed eosts. Yt is lhe amount to be charged
to thc customcr Por the wark done. If any material,equipmtnt,labor or inslallalions are fumisl�ed by the
orvncr, tcnant or any othcr parry, �hc rcasonable market value af sueh items must be added to the
cstimatcd cosl or eonlrsct pricc forpermit fcc purposes. Tn the tvent that tliere is a dispule on 1he an�ount
of thc job cost, thc City may rcqucst lhc submession of a signcd copy of We aclual conttact.
The undersigned hereby applies to the City'fo�r issuance of a Mechanical permit, agrees to do a!I
work in strict accordance witli We ordinences of tlie City and the regulations of tlie StaCe of
Minnesota,and certifles that all statements made on this appliCatipn art complete,true and correct.
Applicant's Signature: '` < Date: ' + �Qy��
3
Gi� ---
V�
/' � TIME
CITY O R O CALLEDIN �
INSPEC N C ,�� / sCHEDULED l� /� � `�`�
pEpMR MIp. �� CO LETED
ADDR `
�NNE EL ON NO. a'- ����'���
CONTR �T �-�
�'� DESCR PTI —�
❑ FOOTI G ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURE WAL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUND TION TERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADO SLAB �MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMI G �❑ MECHANICAL FINAL ❑ RATED WALLS
� 0 INSU IQN ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUI T•SU EY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO SffE ❑ SEPTIC INSTALL
Z OWN NTM R TO MEET Y�OIl:_YES_NO
y COMM MrTS: r�•+�tto,e0�!
� ('c q�e sc. ! -F.o� le.�� o� r��
OY1, '{a C f C�G lC /�ii. GK�' /1��� � `C
�.
�
° — r� �J 4K - c `�,
� � -
Q y G. alp4� OC -d�r r.�✓
� , .
ti
� ✓< t G//�► I 7i Gl,r� �vs�`
W
�
�
�
� ❑WORK �ISF TORY:PROCEED ❑PROJECT COMPLETE
� WO 8 PROCEED ❑ISSl1E CERTIFlCATE OF OCCUPANCY
OD ❑COF;R Nf0 CALL FOR REINSPECTION TEMPORARY
V BEF Q:ON NG PERMANENT
❑CORR C7 UN FE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
IN CT NIILL RETURN
❑CITATION ISSUED
❑STOP R�ER TED.CALLINSPECTOR
❑INSPE N f�U1RED.CALL TO ARRANGE ACCESS.
C�N r�e next inspection 2a hours in advance. (952) 249-4600
ctor on site:
1�
ts CcPYnnapectoPs Flb C�nary CopyiSite Notke