HomeMy WebLinkAbout2016-00369 - ventilation CITY OF ORONO * Z 0 1 6 - 0 0 3 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 04/13/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 155 GOLDEN VIEW DR
PIN : 33-118-23-43-0014
LEGAL DESC : PETERMAN 2ND ADDN
: LOT 005 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 2,000.00
NOTE: VENT 300 CFM KITCHEN HOOD,MODIFY(2)SUPPLIES AND(1)RETURN
APPLICANT MECHAMCAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.00
SAYLER HEATING&AC MAIL-IN FEE 2.00
6800 WEST LAKE ST.
ST.LOUIS PARK,MN 55426- TOTAL 53.00
(612)702-6622 Payment(s)
CREDIT CARD 3833 53.00
OWNER
SMITH,DOUGLAS
155 GOLDEN VIEW DR
LONG LAKE,MN 55356
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 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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 ate Issued By Si ature Date
10/23/2010 01:56 9529222434 SAYLER HVAC PAGE 02/04
FOR CITY USE ONLY
City of Orano
�..0.�� P.O.Sox 66 l�aoe Received: �? �4'Pertnit# z��(D� �i�L-�
2750 KelEey Parkway z CC
Cry5[al IIay,MN 55323 Approved By: � AmOuqt$:�.J
Phone(952)249�600 Fax(952)24911616
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�'� �,�` c��rx aF oRONo-MEc�c����x�r�
�k�s��4 (All Commerciul permitS muSt be npproved Uy[he Building Offtciaf or Inspc�ror and/or Firc Marshal!)
GENER,�.z� r�v�oxM��zorr
1. You may apply for mechanical permits by mail or in person at the City o�ices. Applicat�ons will
be rev;ewed and a pern�it will be issaed within two working days.
2. Pcsmit cards will he sent by r�turn mail after a rcview is completed. PERMiTS AR�NOT
VALID UNTIL YOU RECEIVE A,��RMIT. Wt7RK l►�U NOT B N UNTi T E
PERMIT IS POS ON TH J SITE.
3. M�chani ac I Desi,�►s—Complete calculations,details ar►d speciflcat�ons are rcquited for each
heating,ventilation,humidification-dehumidification,and aiX conditioning instaltation irtcluding
heat loss/heat gain calculation,design tccnparatures,aquipment ratings and identi�cation as to
type,roa�tufacturer and tnodcl. Data shall be presented on form provided.
4. Whcn any new construttion oc remodel�ng�s involvcd,a separatc building pemtit must be
obtained_
5. All work must be done in accordance with the Uniform Mechanical Code/Statc Bu�ld�ng Codc
rcquirements.
6. All work must be inspected(rough-in and fjnal). Ca11(952)2L19-4600.
(24-48 hour eot[ce required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERN�ZT
Ch+e�k All�at A 1
�Residential ❑Commercial(A�proval Required) [Bacicflow Device: []AVB ❑Pv�]
❑New ❑Additional ❑Repairs ❑I�eplace
Job Site/Qwner Xnformatio�i: "
Site Address: f SS Croe_.p� �3�E.,.� �1�.
Qwner: ���"�u �-�• _ Mailing Address:
C�ty: Zip:
Home Phone: A�ternate Phone:
Con#ractor Informatibr�:
Cot�t�ractor: S�`I�� ��T"A���"�ontact�erson: ���
Address: �� G`�5T �k� �� StateBor�d#: v+Af�ooya-a-t� _
City: S`r ��5��'<Za�:�� E�cpiration Date:
Phone: ��Z"F��b`���'I A.�ternate Phone:
❑ lnsurattce—Curret�t:
1
10/23/2010 01:56 9529222434 SAYLER HVAC PAGE 03/04
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Note: All Geothermal Systems will now require a Site Pla�n& eview by our Building Of�cial.
IS THIS GEOTH�RNIAL? ❑Yes �No
H�A'�iIYG SYSTEMS
Quantity:
Make_
Modei: -- —
Fuel: —
Flue Size: --
Input BTUs:
Output BTUs: --
CFM:
COOLING SYS'�'EMS
Quantity: —
Make: .�
Mode3: _ � �
Tons: �
�.1Pawer —�— ► (t�Tu a�,
��.w�T 300 �T-� —K�Y�,N�N W Q O� � ✓vl O 0�F� SJ��t u Vx.5 �C �
�'iR��PLACES
❑ Gas Factory Fireplace Brand Narne:
❑ Wood eu�ing Fir�pl�ce
❑ Waod Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATIO
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Otk�er�'ans: Locations ��
�l3EL STORAGE (hTust be approved by,�7ire Marsha(l Ijpmposing to abandon tank!n place•)
❑ It�st�llation ❑ Removal
Fuel Oii: �gallons ❑ Undergroimd ❑I�side ❑Outside
LP Gas: ,�gallons
Oth�r:
'LINE ONLX
� putdoo�r Grill ❑ Othcr/List What 8t Where:
2
10/23/2010 01:56 9529222434 SAYLER HVAC PAGE 04/04
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1. CO itACT PRI *is 1.25%of contract priae with a(Minimum Fee of�50.00)
�.WO•00 x.0125$ ��0�
� (contract price) (ml4imum 550.00)
2. S"I'ATE SCJRCHARS'r�
ZQOP x_0005 $ 1
(cpntrnct price)
3. FOSTAGE&HANDI,ING(Only on Ntail-�n Applicatior�s) $ 2.00
4. 7'O'TAL PER'NiT�'EE(Add Li�aes 1-3,Above) $ `$3'�
■ � CONTRA.CT PFZICE or J09 C�ST means tt►e actual or estitnated dollar aanount charged for the
permitted work includi:ng tnaterials,laboi',profit,and othe�'�ixed costs. �t is the arnount to be charged
to the customer#�or the work done. If any material,equipment,labor or installaiions are fumisk�ed by the
owner, tenant or any other pa�ty, the reasonable market value of such items must be added to the
estimated cost or contract price for pemtit fee purposes. In tk�e evenf Chat tbere is a dispute on thc amount
of the job cost, the City may request the submission o£ a signed copy of thc actual contract.
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The undersigned k�e�eby applies to the City for issuance o�a Mechanical Permit,ag�ees to do all
work in strict accordance with t�e ordinances of the City and the regulations of the State of
Minnesota,and certifies that ail statements n�ade on this application are complete,tzue and correct_
Applicant's Signature: p��e� y��3���
3
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'� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ,��,��(l.' �LY.��COMPLETED ,�
ADDRESS I �>.�?� L�%' I�� I�-9�I �C���
OWNER TELEPHONE NO. �� Z ��� 7�
CONTRACTOR � � � I L`�� � �
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� DESCRIPTION
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W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �Q€CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC jNSTALL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� C RK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOFi �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.�� ,�,
White Copylinspector's File Canary CopylSite Notice
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. �6 � ���1 COMPLETED ��
ADDRESS �`JS 6a�r.�; �atc.� �/' `
OWNER TELEPHONE NO.
CONTRACTOR .�'r�rf� ✓ �f�.��
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ 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
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
c�., COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �RAeFEe'f COMPLEfE
W O CORRECT WORK 8 PROCEED Q ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. � � � �
White Copyflnspector's File Canary CopylSite Notice