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.
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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
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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�
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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�
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W ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED ❑TSSUE CERTIFICATE OF OCCUPANCY
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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