HomeMy WebLinkAbout2016-01332 - ventilation CITY OF ORONO *2 0 1 6 - 0 1 3 3 2 *
. 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016
� ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 1669 NORTH FARM RD
PIN : 27-118-23-44-0008
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 3,100.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
ADDITIONAL:VENTILATION,3 BATH EXHAUSTS AND MODIFY 8 SUPPLIES AND 1 RETURN
APPLICANT MECHANICAL 50.00
SAYLER HEATING&AC STATE SURCHARGE MECH(VALUATION) 1.55
6800 WEST LAKE ST. TOTAL 51.55
ST.LOUIS PARK,MN 55426- Payment(s)
(612)702-6622 CREDIT CARD 3833 51.55
OWNER
BEENDERS&PETER MONTGOMERIE,ANTOINETTE
1669 NORTH FARM RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he work for which this permit is issued shall be perfortned acwrding 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
pertnits. 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 1 SO 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.
� I�J'l�i'l (� C`�/
Ap�{ic Pe �tee Signature Date Issued y Signature ' Date
FOR CITY USE ONLY
�O A TO City of Orono ,�/ � (� � �3 3�—
* �y P.O.Box 66 Date Received: � 1��permit# �O/`t'
2750 Kelley Parkway . ��
Crystal Bay,MN 55323 Approved By: Amouat$: �/
� Phone(952)249-4600 Fax(952)249-4616 ���
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�.�' CITY OF ORONO—MECHANICAL PERMIT
���FS H�� (p��Commercial permits must be approved by the E3uilding Official or lnspecror 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. PERM[TS ARE NOT
VALID UNTiL YOU RECEiVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heating,ventilation,humidi6cation-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 bc inspccted(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]
❑ New �.Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 166�i NO�t-c--�-1 Ffl�1-w� Qn
Owner: (�LzL�p Ii��� Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �Ry Lti,(L 1��r.✓���N(, � Contact Pcrson: J �w�
���
Address: C�� W��� C�k�� S i State Bond#: �M f30o`{c���
City: 5T )..t)��5 ��+1�ip: 53'iL�Expiration Date:
Phone: 6\�- Y�16-��5t 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:
COOLINC 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
❑ Na Kitchen Exhaust duct recirculating cfm
�- No. .3 Bath Exhaust(must have duct outside) \�v cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Mars{eall if proposing to abandon tank in plaee.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
tMO�J�� �B) SV��1\_\\c.s 1��� ��� Y��Tvh�J
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
3�ot�r X .o�2s $ So, ou
(contract price) (minimum$50.00)
2. STATE SURCHARGE 1,S.j
3�uo— X .000s $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * 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 matcrial,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
Thc undersigned hereby applies to the City for issuance of a Mechanical Pcrmit, agrecs to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota,and certifies that all statements made on this application are complete,true and correct.
Applicant's Signature: � Date: /O—t ci-( C,.
3
�;i i ��� �
DATE TIME
CITY OF ORONO CALLED IN ,-,�
INSPECTION NO CE 1SCHEDULED -�,1;�.-�10 `
PERMR NO. - v COMPLETED
ADDRESS � ��%�dLq� . �_�c.f�l�Y7�
OWNER TELEP ��a �, q�7a �
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C�NTAACT�A ,-�
�`' DESCRIPTION �j /�y"`-��1
❑ FOOTING ❑ DEMO-FINAL r�� ���I� S PTf�,�INAL
Q ❑ POURED WALL ❑ PLUMBING RI U ❑ EXCAV/GRAD�NG/FILLING
vj ❑ 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
v ❑ DEMO-SITE ❑ PTIC INSTALL
? OWNERICONTRACTOR TO MEET YiOU: YES_NO
v�i COMMENTS:
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� WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
W CORRECT VMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
❑CORRECTUNSAFECONDITION WRHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advanoe. (952) 249-4600
OwnerlContractor on site:
Inspector: `� G'�� G"
White CopyAnapectors Flle canary copy�sn.Ha�cs
CITY OF ORONO CALLED IN D E
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INSPECTION N• . j ULED — // `)
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PERMIT NO. AEU / ? 'M ETED
ADDRESS
OWNER TEL HONE NO. 7!/ 7 b7
CONTRACTORc �a /--U 1
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E. DESCRIPTION
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W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
▪ ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
EllFOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL
O
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING /MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
..1 ❑ DEMO-SITE 0 SEPTIC INSTALL
• OWNERICONTRACTOR TO MEET YOU:_YES_NO
cv) COMMENTS:
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ROJECT COMPLETE
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❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
o CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR LI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. / A-_,
White Copyllnspector's File Canary Copy/Site Notice