HomeMy WebLinkAbout2015-00698 - ventilation iiiiiiiiiiiiiiiiiiiiiillillililim
CITY OF ORONO * 2 0 1 S — 0 0 6 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/03/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4695 NORTH SHORE DR
PIN : 07-117-23-32-0059
LEGAL DESC : TRISTANA COVE
LOT 002 BLOCK 001
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE VENTILATION
VALUATION $ 1,750.00
NOTE: KITCHEN EXHAUST DUCT&INSTALL CLASS B CHIMNEY THROUGH ROOF,RE-VENT BOILER&WH
OUR BUILDING OFFICIAL WOULD LIKE THE FRAMING/CLEARANCES INSPECTION ADDED TO THIS PERMIT ALONG WITH A FIN AL
INSPECTION.
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.88
LEGEND SERVICES,INC
201 N MEDINA ST MAIL-IN FEE 2.00
P O BOX 382 TOTAL 52.88
LORETTO, MN 55357- Payment(s)
(763)479-5002 CREDIT CARD 1282 52.88
OWNER
PORTER,CAMERON&MOLLY
4695 NORTH SHORE DR
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 separat
permits. All provisions of laws and ordinances governing this type of wo
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 after work has commence
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may a
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
Jun 02 15 11:59a Legend Services Inc 763-479-6003 p.2
M
FOR CITY USE ONLY
City of Orono Z0i5� Q 5
+V P.O.Box 66 Date Received: � Permit. C.
O 2750 Kelley Parkway
>, Crystal Bay,MN 55323 Approved B mount$ •
Phone(952)249-4600 Fax(952)249-4616
F
tq ae CITY OF ORONO—MECHANICAL PERMIT
k fS:}j i (All Commercial permits must be approved by the Building Official ar fnspeetor 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 Designs—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 forth 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 Alt That Apply)
[tom iesidential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: qo S 0a*_0 5 4rR_ D2
Owner: PaRTuL Mailing Address:
City: Zip:
Horne Phone: Alternate Phone:
Contractor Information:
Contractor: �� d �rrvr�r,�� Contact Person:
Address: f 0 �dXa State Bond #:
City: L6!'t`liD Zip:051 Expiration Date:
Phone: '76 3-1d 74-Sdo,�• Alternate Phone:
❑ Insurance—Current: AIT 14ke-<4
1
Jun 021512:00p Legend Services Inc 763-479-6003 p.4
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systerns will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes [ANo
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BMs:
Output BTUs:
CFM:
COOLIl�G 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 — 2 M$ C-4456e G�I�wtt �9A
— Kt. + W I 3e�0
No. �_ Kitchen Exhaust duc recirculating At LttScfrn
❑ No. Bath Exhaust(must have duc outside) cfm
❑ No. Other Fans: Locations cfm
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: 12 .
2
Jun 021511:59a Legend Services Inc 763-479-6003 p.3
PERMIT FEE CALCULATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or attoliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a tal cost of$500.00 or less;excluding the cost of the fixture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies: Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail4n Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
17-19 x.01255 2�9
(contract price) (minimum$50.00)
2. STATE SURCHARGE _,5O rt,17
—�%`j X.0005 $ ,L l7
(ewtrwt price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL.PERMIT FELE(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 fined 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 all statements made on this application are complete, true and
correct.
Applicant's Signature: t�J/ 4,Kc Date:
3
DATE TIME
CITY OF ORONO IN
INSPECTION NOTIC - r e SCHEDULED
PERMIT NO. ;Wf �d IP� - COMPLETED /,,
ADDRESS `7 S N �' l L
OWNER TELEPHOENO. -7�
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q [I POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIUQ FINAL ❑ TREE REMOVAL
Z (HANK AI Ri._ � ❑ SITE INSPECTION
FR ❑ MECHANICAL FINAL ❑ PROGRESS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q [I FINAL El WATER HOOK-UP ❑ FOLLOW-UP
Z ❑ AS BUILT-SURVEY ❑SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ EPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:{�\i YES_NO
COMMENTS:
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W RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
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cc ❑C RRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
F-1STOPORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspecti 4 hours in advance 95 249-4600
Owner/Contractor on site:
Inspector.
White Copylinspector's File C nary Copy/Site Notice