HomeMy WebLinkAbout2013-00979 - ventilation NERESsuffm
CITY OF ORONO * 2013 - 00979 *
2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS 2535 OLD BEACH RD
PIN 21-117-23-22-0019
LEGAL DESC THE MARSH AT LAFAYETTE
LOT 006 BLOCK 001
PERMIT TYPE MECHANICAL(<$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE VENTILATION
NOTE: VENT(1)BATH EXHAUST
APPLICANT MECHANICAL(<$500) 15.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(<$500) 5.00
4342 B SHADY OAK RD
HOPKINS,MN 55343 MAIL-IN FEE 2.00
(952)933-1868 TOTAL 22.00
PAID WITH CC# 0961
OWNER
CODUTE,TOM&ALICIA
2535 OLD BEACH RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
do 13 9/020�I3
Applicant Permitee Signature Date Issueof By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep. 20. 2013 10:36AM NoJ184 P. 2
IF94 CITY USE ONLY . ��q
�A.y City of Orono
+'V P.o.Box 66 Dare Recef Pamir i
2750 Kelley Parkway
Crystal Bay,MN 55323 Approval By. Amount$:
Phone(952)2494600 Fax(952)2494616
`eft' ��G, CITY OF ORONO--MECHANICAL PERMIT
SH 0 (All Commercial parmils must be approved by 1ho Building Otlioial or Inspector and/or Pira Marshall)
GENERAL Y1V'FORMATION
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 RECEM A PERMIT. WORK MUST NOT BEGIN UNTIL THE
IPEIrW CARD IS POMD 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 Ion/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 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
All That Apply)
Residential ❑Commercial(Approval Required)
❑New �[Additional ❑Repairs Cl Replace
Job Site?Owner Information:
Site Address: 25 5- Old arAd,
Owner: t G' Mailing Address:
City: 2 Zip:
Homophone: q 52 - If 71'75,1 Alternate Phone:
Contractor information:
Kline Corp Contact Person:
DBA: Practical Systems
43428 Shady Oak Road State Bond#:
Hopkins, MN 55343
952-933-1868 _ Expiration Date:
Phone: Alternate phone:
Insurance—Current:
1
Sep. 20. 2013 10:36AM No. 7184 P. 3
'MECHANICAL 9Y,.MMS"BEING14'A>�L•BD
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 BTU&-.
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
(� Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
Q Wood Stove Model No.:
0 Wood Stove with Flue/Masonry
VENTILATION
No. Kitchen Exhaust duct recirculating cfm
NO. _ I Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Piro Marshall ifproposing to abandon tank ti:place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
Sep. 20. 2013 10:36AM No. 7184 P. 4
B. E,�; ;P;LGUj(ATIQN(
:BASED OFR--20,02-S`PATF3:STATUE
Q
Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total 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 $_._,1.00
Mail-In Fee(If Applicable) $ Z0Q
Total permit Pee $ U.00
%PBR}1I�ITFEI3.CAL [JIiATIC►N JOBS=0V1�R$10-0.6",
If above does not apply;follow guidelines below:
1. CONTRACT PRICE »is 1-25%of contract price with a(Minimum Fee of$50.00)
(Ju
x.0125$
(c nuect price) (minimum 950.00)
2. STATE SURCHARGE
x.0005 $
(Conirad price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 190
a. TOTAL PERMIT FEE(Add Lines 1-3 Above) S
■ CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,Iabor,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 or any other parry,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.
WHAMaL PERI1 AISPLICATIDN'AGrRLE1VlENT
Tho 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: �117'2 3(7
3
DA � TIME
CITY OF ORONO CALLED IN L-fJ
INSPECTION NOTCE SCHEDULED
PERMIT NO.o�6 'fd4�7COMPLETED
ADDRESS OZ53S [J//O/ A 4Z4:A
OWNER TELEPHONE N07ff
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES NO
COMMENTS:
cc
W
Q_
cc
J
O
cc
O
W
Cr
Q
Z
W
W
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WKSATISFACTORY:PROCEED
ElPROJECT COMPLETE
cc
W ElCORRECT WORK&PROCEED E1ISSUE CERTIFICATE OF OCCUPANCY
OO ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN
E:1STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on 'te: V.
Inspector. 1o^ .In
White CopylInspector's File Canary Copy/Site Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. o2Ul3 - 6n979 COMPLETED /b'J/` 1Y
ADDRESS RS &57_ O<J E3ea-A
IW-
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
O [I FRAMING jX.MECHANICAL FINAL E) TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
ZZ ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. 11
OLLOW-UP
❑ DEMO FINAL ❑ SEPTIC INSTALL O ARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
CC
W
OIL
CC
XC
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J sc r.n•C tt ••t,
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06 �16
�cc L/ Q
n �J
cc
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W
CC
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W [IWORK SATISFACTORY:PROCEED OJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r, PHOTO TAKEN
INSPECTOR WILL RETURN
l�CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. w
White Copy/Inspector's File Canary CopylSite Notice