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HomeMy WebLinkAbout2016-01034 - ventilation CITY OF ORONO * Z 0 1 6 - 0 1 0 3 4 * 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 920 FOREST ARMS LA PIN : 07-117-23-12-0017 LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 638.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. NEW:VENTED RANGE HOOD APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.31 RON'S MECHANICAL, INC. MAIL-IN FEE 2.00 2026 COLBURN DR1VE SHAKOPEE,MN 55379 TOTAL 52.31 (952)445-8585 Payment(s) Minnesota State License#:mech-MB003231 CHECK 13539 52.31 OWNER MEAKINS, ROGER&THERESA 920 FOREST ARMS LA MOUND, MN 55364- 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 l80 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. ` ` � � � \ Ll' � � ,�. � L U\�,� �h �� �U�=t ��-�'c�-�1 �����-�1� � i � l�r- Applicant Permitee Signature Date Issued By Signature Date FOR CITY USE ONLY �O A TO City of Orono `6 1(�permit# `L G 1 ' C I b" � i V P.O.Box 66 Date Received: ----�— �J 2750 Kelley Parkway A r o v e d B � Amount$: ��.� Crystal Bay,MN 55323 PP Y" Phone(952)249-4600 Fax(952)249-4616 � � CITY OF ORONO—MECHA.NICAL PERMIT ��t�k£S H D��G` (A�I Commercial permits must be approved by the Building Official 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 DesiQns—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. TYPE OF PERMIT Check All That A 1 ) �Residential ❑Commercial(Approval Required) [Backflow Device:[�AVB ❑PVB] Q rJeN, ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: '"1 L� 'Cl)��� I'`v m �e Owner: �f 1�Y'.e � N'�2a1�S Mailing Address: ��-O �YeSfi ��m �"n� City: n1�.1�d _ Zip: J"J��`i Home Phone: �D I2." �L����`-1� � Alternate Phone: Contractor Information: Contractor: �iENIS YY�e'CI(1 .Y11('A.1,1�'1C• Contact Person: 1 Y1(�A _ Address: ��o �IhU-Yn�Y�ve. State Bond#: /Vl I�i D03`L3 I Ci �l e Zip:�� Expiration Date: �'I I�I I I� �� Phone: ��2'��5"g5� Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING 1NSTALLED 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 v�� Yn,n�;,, �� �yy.J lH���, �1Nw� [1� No. Kitchen Exhaust duct recirculating � � No. Bath E�chaust(must have duct outside) cfm ❑ No. Other Fans: Locations FUEL STORAGE (Must be approved by Fire Marsl�all 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 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) G�,;� .(� x.0125 $__ � � (contract price) (minimum 50.00) 2. STATE SURCHARGE � �' �,� x.0005 $ r� — (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ v�•� I ■ * 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. 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 1 statements made on this application are complete,true and correct. Applicant's Signature: ` 1��"�Y `� Date: v I� L��— 3 C�?�, . �,/��� DATE TIME CITY OF ORONO CALLED IN .�— INSPECTION N�TI E �) � SCHEDULED _.��q PERMIT NO. �" COMPLETED ADDRESS ��� �C'/��-��\ D�� t /� OWNER G�-�� �� EL PHONE NO. �� �� -���'��g/ CONTRACTOR �"",���J ��� � DESCRIPTION � / ��Lf / ��t%L�YI f /��"7 � ty ❑ FOOTING ❑ DEMO-FINAL /y ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING R l�(,� ❑ 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 = ILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEM -SITE S PTIC INSTALL OWNE ONTRACTOR TO MEET YO�YES_NO c�.� MMENTS: '24'�ie `i� 1'��J�-QrtQK� � _ • � ✓��'tiac - OK " �u�d �o,�e .t in5u�• o - e/c���ca,G r� -c�.c ��t- D K � � ° 1�/� I�orlc cow�,�/�t� — W ' � Q 2 ,Oe��•� -�,�,�l�O W � w � J W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑TSSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. a11 for the next inspection 2a hours in advance. (952) 249-46�� Owner ontractor on site: Q r e.5'C Inspector.��� "'" � White Copyllnspector's File Canary CopylSite Notice