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HomeMy WebLinkAbout2015-00341 - ventilation `^ CITY OF ORONO * 2 0 1 5 - 0 0 3 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/24/2015 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 99 SIXTH AVE N PIN : 25-118-23-44-0012 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION NOTE: l BATH GXHAUST&MOVE 1 SUPPLY DUCT APPLICANT MECHAMCAL(<$500) 15.00 STATE SURCHARGE MECH(<$500) 5.00 J&A MECHANICAL LLC TOTAL 20.00 8448 KELL AVE S Payment(s) BLOOMINGTON,MN 55437- CHECK 1416 20.00 (952)486-3413 Minnesota State License#:mech-MB652228 OWNER BRISCOE, MR.&MRS. 99 SIXTH AVE N WAYZATA,MN 55391- AGREEMENT AIYD SWORN STATEMEIVT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Q N� �--Z'�-1 S� �.L(�, �--C l'�''l�l L C G 1 -j � � y � � � �r ermitee Signature Date Issued By Signature Date f ' FOR CTTY USE ONLY City of Orono � Ly�rj �(S.� C ' �O�O P.O.Box 66 Date Received: � Permit# � 2750 Kelley Pazkway b'(j Crystal Bay,MN 55323 Approved By: � Amount$'� Phone(952)249-4600 Fax(952)249-4616 � � Z � `� ��' CITY OF ORONO—MECHANICAL PERMIT j�kESHo� (All Commercial permiu must be approved by the Building O�cial or Inspector and/or Fire Mazshall) GENER.AL 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 Desiens—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. 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. Al] 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 A 1 �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional �Repairs ❑ Replace Job Site / Owner Information: Site Address: �9 ����#`-.� �� � 6 , Owner: �3�!5��� Mailing Address: �� �`�'�^`� �� � � City: ���� � Zip: Home Phone: GS J� ��"-y 7c' � Alternate Phone: Contractor Information: Contractor: i�•t-A ,Me C I,x:K,c�.( L�� Contact Person: ,T�� Address: �y�/� I�II r4v� S State Bond#: M t3 F'S2 Z2 � City: � �0c'�"`��''� Zip'�`13� Expiration Date: J ` � �� � Phone: �S�- �"���" �`��3 Alternate Phone: S�-c:-�+!.� i W S. ❑ Insurance— Current: T�vU 3 Z 2`f 3�'�-`! 1 ..� NIEC��TICAL SY�STEIVIS BEINGINSTALLED. � Note: All Geothermal Systems will now reyuire a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTLJs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIItEPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn � No. _� Bath Exhaust(must have duct outside) �cfm No. Other Fans: Locations �� �4 �ovc vK� S✓Ppl y P vct- FUEL STORAGE (Must be approved by Fi�e 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 1 ` �'��t�+ITI'��F+��., r���� :� � ' ��w, � � 8�����+'�" ����T�"T��S�"�'�JE ❑ 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 Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ , i'E�iMIT F'EE�C�I,CLJI:.A � `-�7C�. �.���v$�UO:OU`;; :' .. If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ��s�'�' x.0125$ (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (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 material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items rnust 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. ; ° �"� _MECHA����'E ...' _ s:`. � ��..:�'�+�T� � .., � � < i,, , � 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: 3~2�—�� 3 �(/- �D� � DATE TIME � � CITY OF ORONO CALLED IN INSPECTION NOTICE �,�34� SCHEDULED � PERMIT NO. 2�� S� COMPLETED ADDRESS ��C � � ��� �"�-� OWNER TELEPHONE NO. gSa ""y��O'��/� CONTRACTOR -�T'� �G� � . " - � ���— � DESCRIPTION �� � � �`�-h � 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC I TALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTHACTOR TO MEET YOU:_YES�NO v�i COMMENTS: � W a 2 � O � � O � W � Q � 2 W � W � � J d W RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pf{OTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in adva . 52� 49-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copyf te Notice