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Home My WebLink About2013-00802 - ventilation � � � CITY OF ORONO * 2 0 1 3 - 0 0 8 0 z * `. � 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3515 SIXTH AVE N PIN : 29-118-23-43-0002 LEGAL DESC : LINPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 2,594.00 NOTE: 1 BATH EXHAUST REWORK/RUN NEW SUPPLIES AND RETURNS TO NEW SPACES:2 BEDROOMS, 1 CLOSET, 1 BATH,DINETTE APPLICANT MECHANICAL 50.00 HORIZON CONTRACTORS, INC. STATE SURCHARGE MECH(VALUATION) 1.30 8197 HORIZON DR TOTAL 51.30 SHAKOPEE, MN 55379 (612)508-9226 OWNER PETERSON,DALE&DIANE 3515 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 dces not grant permission for additional or related work which requires sepazate 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 1 da of the date of issuance,or if construction is suspended for a p '80 days at any time after work has commenced. The applicant i able for assuring all required inspections are requested in c o ce wiYh the State Building Code.This permit may be revoked at ti "e cause. � S�� i i Ap lic itee Signature Date Issue B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED ABO . � ,� � � FOR CITY USE ONLY �O�O City of Orono P.O.Box 66 Date Rcceived: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By:- Amounf$: Phone(952)249-4600 Fax(952)249-4616 � >, y�. � t�kESH��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORIVIATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cazds will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specifications aze required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE QF PERIVIIT (Check All That A 1 �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑Replace Job Site/Owner Inforrnation: Site Address: .3SlS 6 T� /�x- �( Owner: ��2t�n . Mailing Address: �� - City: �,(�O Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: /-{Ol�zei� '(�-,ro.-�-s�c,+� Contact Person: '1�l(Q Address: ��'� i ` � State Bond#: City: 5�, Zip:s�3'�`� Expiration Date: Phone: ��-�$-`��C� Alternate Phone: �/�-5�$�`�aq� ❑ Insurance—Current: 1 � , � � 7a';b T� `�' k# �� *��, 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 BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: (��vtaC�y� !1�.�J 5 N�/��4��c .1 Yt �.O (��c� S�`�5 Modei: � '- �` -{�-e�5 , L (..�x.(k�� c � ea,�J �0.3t1•� �lwe� 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) �_cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fi�e Marsha[I 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 a . � � - . ,_ ��;� , r:.,:sa�..� -. �. ,�:.,� ,,.. t . .:T:.�. ��- �. _�_ � ,t_�QFs ,� _ . �,. �. �. ❑ 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;excludins 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 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ .�� ,�,� � �- :�� .n- '" `� If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �.59 �{ � X.o1zs$ (contract price) (minimum$50.00) 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 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. v� .._ � . , . , ._, _ , � , � , . �_ . 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 sta nts made on this application are complete, true and correct. Applicant's Signature: Date: �S ' 3