HomeMy WebLinkAbout2017-00654 - ventilation CITY OF ORONO * 2 0 1 7 - PJ PJ 6 5 4 *
t 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2017
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3490 BIRCH LA
PIN : 08-117-23-43-0002
LEGAL DESC : BALDUR PARK
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENT[LATION
VALUATION : $ 3,460.00
NOTE: ALL TESTING REPORTS SHALL BE ON SI"CE AT FINAL INSPECTION.
ADD[TIONAL:VENT[LATION- 1 BATH EXHAUST,VENT DRYER,RE-VENT FURNACE,ALSO DISCONNECT&RECONNECT EXISTING
A/C,
GAS LINE:NEW MAIN GAS L[NE FROM NEW METER LOCATION TO EXISTING GAS LINE IN CRAWL SPACE,SEVERAL SUPPLIES&
RETURNS
APPLICANT MECHAMCAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.73
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD
HOPKINS,MN 55343 TOTAL 53.73
(952)933-1868 Payment(s)
Minnesota State License#:mech-MB003510 CREDIT CARD 0097 53.73
OWNER
MISCHKE,TODD
3490 BIRCH LA
WAYZATA, MN 55391-
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 a[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 Date Issued By Signat re
Jun, 13. 2017 2. 30P1� PRACTiCAL SYSTEMS No, 3314 P. 2/4
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POTt CyTY USE O,�IT.Y
��1 _ Cily of Orono / � > j���
1�!/-� P.O.Box 66 Datc Receivedll% S ��Pemiii# ���/ � �1�'-�y
V 2750 Kcllcy Parl.�+ay �,y„�
CYystal Bay,htN 55323 Approved gy: �C/-: An�ounl S: �7 -� �S
Phonc(45z)za9-�+6ao pac t9s2�za9-a6�a
�F �
t 4 G crT�r or o�orra-�cr�.r�rcA�. p����r
qk S H 0 � (All Commercial pcmii�s musi bc approvcd by lho Build�ng qlTicisl or inspcctior and/or Pin Ma�st�all)
Cr�.I�RAT,iN�'ORMATYON
1. �1''ou may sppl�Por mcchanical pctmits by mail or in person at lhe City offices. AppliCadons will
be reviewcd and s permit will bc issucd within two working d�ys,
2. Pcrnvt cards will bc s�nt by return n�ai1 after a review is con�pleted. P�TtMCTS Aii�NOT
VALID UNTIL YOU REC�r'VE A PERMIT. VVORYC ATCYST NOT B�CrTN UNTIL THE
PE12t�41T CARU CS�OST�b ON TT�J'O�SYTE. �
3. Mechanical Desi¢ns�Complete e�lleulatiotts,delails and speeifications arc rcquircd For cach
heating,venkilalion,htunidification-deltumidifica[ion,Hnd aircondilioning installation including
heat�oss/hea(gAin Cb1CUlAt10�1,desigi�teutiperatures,equipmtnC ratings and idcn(ification as to
type,�»anufacturer a��d model. bata sl�all be presenetd on Form providcd.
4, When any new eonstruetion or remodeling is in�vol�vcd,a scparalc building pcm�it must be
oblained.
5. All work�nust be doiie in aeeordanee t�ith lhe Unifonn Mcchanical Codc/Slalc Building Code
rcquiremen�s,
6. All work must be inspected(rougl�-in and Cinal). Call(952)249-4600.
(24�8 l�our nofire requir�d)
7. T-�ouse T-Teatiug Test EZeCord ntusl bc submillcd bcforc final.
TYPE O���.�2MYT
Checl�All'�'hat A 1
ResidenCial ❑Commcrcial(Approval Required) [Backflow Device:❑AV� ❑P�]
❑Ncrw �Additioval ❑�LepAirs ❑I(eplaee
Job Site/Ot�vner rnformation:
Site Address: `��I � `�/ � '�'-� ` ��' � �
O�v�ae;r: �o�� M'���� Mailiiig Address: Sr"�m �
c�cy: C�f o n a Zip:
�5� 9 I
Home Phone: �� - 7 S 5 `��Q� Altes-nate phone:
Contractor Information:
Kl��e �oc� � P�A PP��r'�c�l SySte�S
Contractpr: ContactPerson: ��f',5
Address: �3�Z� Sr19�j'' �'k��. StaCe�ond#: /�'l �5���J�J j p
CiCy: � ��'� Zip:S�3y3 �xpiration Date: �/��` ��
Phont: `�5�"�33 �� ��� Alte►•nate Phone:
❑ Iusurance-Current: y�S
�.
1
Jun. 13. 2017 2; 30PM PRACTICAL SYSTEMS No. 3314 P, 3/4
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Note: AI!Creothermal SysCcros will uow require a Sile Plan 8�Revievv byr our�uilding Official.
YS x�S CEOTHERMAL? �]�t'es [�N'o
HEATING SYSTEMS
Quantity:
Make:
Model:
puel:
�lue Siu:
Tnput BTUs:
Output STUs:
Cf M=
COOLllVG S'flS'C'�ATS
Q��hry: �7-sconne�+ � ReGonn���' F yc.5d�n �{/C
Make�
Modcl:
Tons:
H.Power
I�'IREPY.:tC�S
❑ Gas�actory Fireplace Brand Hame:
❑ Wood Buraiu.g Fireplace
❑ I�Vood Stove Model No.:
❑ 1�Vood Slove�'vith�luc/Masonry
'VE1�xri.ATTON'
❑ No. Kitcl�en Fxhaus� duCt recirculaliug cfin
� [� No. �e Batb Exhaust(�»t�st have due�outside) �cFin
❑ No. Otl�er Fai�s: Localions cfm
v�i►�- p��a� � Re ve� Uc�n.0
FUEL STOAAGE (Must be upproved by l�ire Mrrrsli2!/if proposnig lo abpndoie Ip��k J»ploce.)
❑ Instatlation ❑ Ctentovai
Fuel Oil: gallons ❑ �Underground ❑Cnside ❑Ou�sidc
�.p Cras: ga0ons
Other:
CAS�,TN�ON�,Y N��
� �,a�,� �.s I;nc �ror��� Me�,e� �p�q�,o�
Outdoor Grill O[her/T�ist'l'Vhat 8t'4'Vhcre: �eW �
2 �o �,r' i;n �^5 1�n� ;n �caw1 �gSGC
�• fatn5 , �
�e���� su�39 �e5 � ��.
Jun, 13. 2017 2: 30PM PRACTICAL SYSTEMS No, 3314 P, 4/4
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1_ CONTRACT PRiCE *is 1.25%of can[ract pricc with a(l1�Iinimum rec of$SD,00)
� 3,��O.Q� X.o�2s� � O,Op
(Conlroc[priCe) (mihimum$50.00)
2. STAT�S�kC�ARGE
��1��'Q x.000s � I .? 3
(contract�uico)
3. p05'CACE&HANDLMG(Only ou Mai!-In Applicalions) $ 2.00
4. TOTAL PERl1ZIT FEE(A,dd Lines 1-3 Above) $ ����
■ � CONTRAGT PRICE or JQB COST means fAe aefual or eslimalcd dollar aniount cl�arged For 1he
permillcd work including materinls, labor,profit,and olher fixcd costs. It is lhc amount to be cGarged ,
lo llic customer for the wark da�e. �f any material,equipment,labor or inslallalions ace Furnished by llie
orvncr, lenant or any other parry, lhe reasonable n�arket value of such itcros must be added to lhe
cstimatcd cosl or conlract price for pertnit fee purposes. ln lhc cvcnl lhat Iliere is a dispute on tl�e amount
of t6e joh cosi, the City rnay request tl�c subm;ssion of a signed capy oF lhe actual eontraet.
The undersigned l�ereby applies to the Ciry for issuance oF a Mecl�anicaf Pennit, agrees to do all
work in stricC accordance �vit� tlie ordinances of the City and die regul�tions of tlte SCate of
Mim�esotit,and certifies that all seatements made on this applicalion are complete,truc and correct.
Applicaut's Siguature: (`J(//�' bate: V�` � I�
3
�� �
DATE TIME
CITY OF ORONO cnLLED IN � �._
INSPECTi ,N CE scHeouLED `
PERMR N � MPLETED
ADDRESS 3�qd �r`�' \ �"� �
OMINER TELEP ONE NO.`'�� ��3 (��"
CONTRACTOR �
� DESCRIPTION
41 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(i
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �CHANICAL 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
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OINNBIICOKTRACTOR 70 MEET YOU:_1f6S_NO
� COMMENT'�
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W ❑WOFiK SATiSFACTORY`.PROCEED ❑PROJECT COMPIETE
� OORRECT YMORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCa/W1NCY
O OORRECT YMOfqC,CALL FOR REINSPECTION TEMPOfiARY
V BEFORE CONEFpNO PERMANENT
❑OORRECTUNSAFECONDITIONWITHIN Ha1RS• ❑pHpTOTAKEN
INSPECTOR WILL RE�URN
❑STOP ORDER POSTED.CALL INSPECTOR �aTATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS.
Catl tor the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlCoMractor on site:
Inspector: ��G'y—�G ��
wn+a co�rn�s�.�eor.Fiw c.�.ry cov�rrsn.Nou�.