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Home My WebLink About2016-01475 - ventilation � � CITY OF ORONO * Z pJ 1 6 - 0 1 4 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 1U29/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3186 NORTH SHORE DR PIN : 09-117-23-32-0010 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 250.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. BATH EXHAUST APPLICAI�IT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.13 JONES, MICHEAL&NATELE TOTAL 50.13 3186 NORTH SHORE DR WAYZATA, MN 55391- Payment(s) CHECK 5140 50.13 OWNER JONES, MICHEAL&NATELE 3186 NORTH SHORE DR 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 goveming 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. i � .� '%� ' i� �l • �--e �� l�-�l �� Cpplicant Permitee Signatu e te Issued By nature Date R * , FO CITY USE ONLY City of Orono // �O�O P.O.Box 66 Date Received` � � ermit#ab�d� y� 2750 Kelley Parkway I � Crys[al Bay,MN 55323 Approved By:� Amount$:_�! � Phone(952)249-4600 Fax(952)249-4616 � � y � � � lqkESH��G CITY OF ORONO —MECHANICAL PERMIT (Al]Commercial permits must be approved by the Building O�cial or Inspecror 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. Pertnit 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 Desi�—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 idenrification 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 fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That A 1 ) 0 Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ,Q�Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: J��C� !Vu��N ��u� .17(2� V C Owner:I"��CNRc L ,�UNCS Mailing Address: S��C� �RZ�� SI��eF I��Z City: 1�R`�2rt�A zip: S s 3`�' 1 Home Phone: (o I � -1 Ic�-O`{1 �-( Alternate Phone: Contractor Information: Contractor: �W NC- 2 Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Plione: ❑ Insurance —Current: 1 w � - � Note: All Geothermal�Syst�ems 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 BT'IJs: Output BT'LJs: 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 ❑ No. Kitchen Exhaust duct recirculating cfin � No. _� Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall 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 L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �l �� .�l r��0 X .ol2s $ �c� .�u (contract price) (minimum$50.00) 2. STATE SURCHEIRGE �7� j oj v x.0005 $ (contract piice) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ —�� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��- l� ■ * 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 ar any other party, the reasonable market value of such items must be added to the estimated cost or contract price for perinit 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 all statements made on this application are complete,true and correct. Applicant's Signature: � Date: �l �3 7 � 3 � � V � � 7J� � DAT TIME CITY OF ORONO � cnLLED IN �� '� INSPECTION I�Q�I '� / SCHEDULED �I-aO "I,� dti• �• PERMIT NO. ��l � COMPLETED ADDRESS L . � 6�`L— !^-L OWNER TELEPHONE NO.��a-7�g-D�f� CONTRACTOR � DESCRIPTION 'd` ` e� - �l� � Ly ❑ FOOTING ❑ DEMO- NA ❑ SEPTIC IN L Q ❑ POURED WALL �PLUMBIN RI ❑ EXC /GR DING/FILLING ��j ❑ FOUNDATION WATERPROOF ❑ PIUMBING FINAL ❑ TRE OVAL 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 ��SITE ❑ySEPTIC INSTALL NTRAC'fOR TO MEET YW:/�YE8_NO �`�' ��'S�, -� COMMENTS: �I � u �s �e�wK S �U� � � � G��r�c � c . � /�'t�S t,�� o ' '' ��. - 1��JU' a5 ` s��C �ta " ��a v�m� � ° n�;r� �l��5 -�� Q r�v � �s�u.ss�- W OC �'�' _ r — � _ ��G_ 62l �,_a y_,6 _ W _ �" kn.' .. � ! �5u�. 6K O��C ljQt �t� � d 61� � , W O W'ORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE � �6ARRECT WORK 3 PHOCEED ❑ISSUE CERTIFlCATE OF OCCUPANCY OO ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�MERIN(i PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑GTATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl tor the next inspectlon 24 hours in edvanoe. (952) 249-4600 Qwr�ilConfractor on site: ��spector: :��' "�' wnia covrn�we�tors�w C�nary CoVrlSite Noties