HomeMy WebLinkAbout1995-006921 - duct work only PERMIT
�CITY OF ORONO PERMIT TYPE:
2750 Kelley Parkway- P.O. Box 66 - - .... ...
Crystal Bay, Minnesota 55323 Permit Number: _ _ __ _ «ry'�
(612) 473-7357 Date Issued: - �;.-.�i;,��_:�,
SITE ADDRESS:
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REMARKS:
FEE SUMMARY:
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APPLICANUPERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICAT`ION FOR MECHAIVICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
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 2 working days.
2. Permit cards will be sent by retum 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 form provided. Ideatification of and specifications for water heating equipment
shall also be 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 Unifor.n Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: New �'"`� Addition Repair Replace
� Residential Commerci�l
JOB SITE: 2 � c; 2 ��.v . ,� �,-� t<<� Zip: `--�� '�r'1 I
I� w-
: ,
� � Tele honeNumber: --��� � -c:�;�:�
Owner s Name: 1�Fl r rv M�r n ne-�� fi P
Mailing Address-�5��j�" City: c�iE`�'%`v���' Zip: :a:':s�i r
Contractor'sName: �'� � r sr E �6 '� CL C: TelephoneNumber: ��-�}(t � ����i c�
MailingAddress: ����,^� , c u n�� �'D �}1� City: d.��'tc',► � Zip: �'S 3 z f
SYSTEM DESCRIPTION
`��� "� -�� �;--� �� �� 1c- i:, ,-, � �-
HEATING SYSTEMS ��
Quantity: ��
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS �
Quantiry: �
Make:
Model:
Tons:
H. Power
^ .. �*' � 'i
'� ,
WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
� Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen Exhaust ductecl recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
�Z `3��� `-'`' _ x .0125 $ ��, L.-��
(contract price)
2. State Surchar�e. ** Add the State Building Code Division /�
Surcharge to each permit. � �", ��`"�' x .0005 $ � ��`I"
(contract price)
or $.50, whichever is greater
3. Posta�e and Handlin� (Only mail-in applications) $ 1.50
4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 2,;- � �t� -
* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fized costs. It is the amount to be charged to the
customer for the work done. If any material, equipment, labor, or installation are fumished 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 pemut 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.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. ;;;;
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the Ciry and the regulations of the Minnesota
State Building Code, and certifies that al statements made on this application are complete, true
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and conect. � I �'�
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Applicant's Signature:F l�=� Date: i
Approved By: Date:
rage Nv.
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OUNTRYSIDE �����`�f. =
HEATING
A N D�OOLING 446-1299
SERVICES. INC.
10880 COUNTY ROAD #20 • DELANO, MN 55328 Date: April 18, 1995
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name Mr. Barry Bennett Name
Street 2208 Shadywood Rd. Street
City, Zip nrono, Mn_ � 55'�9� City, Zip
Telephone 471-0825 Work Telephone
Countryside hereby submits professionat recommendation as follows:
* — ('omnlete duct w�rk & fitting� o nrovide the followin$: _.
1 — RPdn !� axicting cii�lvT air h�n a an tha h v arp a tigh fi in h fl�or nnace. , '
Inctallecl Prire $�5�_no _.
2 _ RP(�A 4 axi�ip.� ST'!nining �n t a rh��$p�= � nvPr g 1 h am� thrrnigh wn�� la P
Tnctal1Pd Pri�P$1$I�Q� -U
� - Tnstall �rPturn Ai��rillp {n the h�GPment �evPl Tn.Gtalled PricP�R[� � �
4 - Install a "double" return air�rille to main level. Installed Price $113.00 `�
5 - Install 2 return air grilles to un�er level bedrooms� usin� dead sp��e of vertical i�'
soffits in living room. Installed Price �375.00 �
6 - Install 1 return air grille to unner level bed room, using interior wall space ��
Installed Price $106.00 �
�w�
7 - Redo 1 existjng suvnlv,a�r regj,ster on main level, on op�osite side of bathroom wa11 �
and tearout old ductin.rov in bacement, & redo w/ 6" round ducting. Inctalled Price $122.00
8 - Fresh air intake w/ ina,�lated �ip�ng & fitti_ng� to fLrnace. InGtalled P i e�10�.00
9 - Cit� Permit Cost $�.DO
Total Tob Goct $1,280.00
* — nPTION• Duct cleaning a vi ADD $159 00
* — All the ahnve i� �pndin,�,_nr�nPr cc �cihilf� etc. . All � h -r w�rk (te ring otit nld,
�im�g�d At�rtin��,rr 1 will hP pn a tim h ma ariala haai� (d �4b_(L�Hr � nli�� matarialg.
All material is guaranteed to be as specified, and the above work to be performed in accordance with the specifications
submitted for above work and completed in a professional manner for the sum of Dollars ($1,280.00 ��
with payments to be made as follows:
�(1% ilciwn_ l�al an�P nn rmm�l Ptinn_
All material is guaranteed lo be as specihed.All work to be compleled in a workmanlike manner �
accord'mg to standard practices.Any alteration a deviaUon from above specifications involving AuthOri2ed Signature — �/
extra cosls will be ezecuted only upon written orders,and will become an extra cMarge over and p �y p � E
above the estimate.IUI agreements continpent upon strikes,accidents or delays beyond our Note:ThiS propoSal may be withdrawT 6y tYs ifnOt aCcepTe wit�n S.
control.Owner to carryfire,tornado and o�her necessary insurance.Our workers are tully covered
by Workmen's Compensalion I�surance.
ACCEPTANCE OFPROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You
are authorized lo do ihe work as specified.Payment will be made as outlined above.
Signature
�te of Acceptance:
Signature
DATE TIME
CITY OF ORONO CALLED IN �� ' s- 95 �
INSPECTION NOTICE�4�� SCHEDULED '7-�-J�5 •� ��� �n�
PERMIT NO. J COMPLETED M
ADDRESS,. � �� � L��-�'-_-���-�-
OWNE � ��Z`� CONTR.
TELEPHONENO. ��� - � �d�
� DESCRIPTION C��� �-�`'ZK• � C�k�� 'iu-, va-�r��c ,1�,�At�.
� 01 FOOTING 1�1�MECHAN—ICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING /I3 MECHANIGAI FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34�BF�f}EPoq�
Z04 WALL BD. 12 WATER HOOK-UP �SITE INSPECTION �
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ;' PROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. r- pHOTO TAKEN
INSPECTOR WILL RETURN
'_ CITATION ISSUED
❑STOP ORDER POSTED.CA�L INSPECTOR
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Call for the next' spection 24 hours in advance.473�73�J7
OwnerlContrac or s :
Inspector. �
White Copyllnspector's File Canary CopylSite Notice