HomeMy WebLinkAbout2014-01453 - ventilation CITY OF ORONO * 2 0 1 4 - 0 1 4 5 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1310 SPRUCE PL
P(N : 08-117-23-32-0017
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK O10
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,890.00
NOTE: 2 BATH EXHAUSTS
1 DRYER FAN
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.95
PRONTO HEATING& AC MAIL-IN FEE 2.00
7588 WASH[NGTON AVE S
EDEN PRAIRIE, MN 55346- TOTAL 52.95
(952) 835-7777 Payment(s)
CHECK 9888 52.95
OWNER
RIFKIN, ROSS& CHRISTINE
1310 SPRUCE PL
MOLIND, MN 55364-
AGREEMENT AND SWORN STATEMENT
I�hc work lor�vhich this permit is issued shall be performcd according to
the approved plans and specifications,applicablc City approvals,and the
State Building Code. This permit is tbr only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of lati�s and ordinances goveming[his 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 tor assuring all required inspections are
requested in conformance�vith the State[3uildine Code.'l�his permit may be
revoked at any time for due cause. �
1� 1 i /�l 7
\CtI � � � �. l �--� . � : ! 1 / �� Z 2� �l
tlpplicant Permitee Signature �ate Issued By Si nature Date
` �` RECEIVED
,
1 FOR CITY U5E ONLY
�O A'O City of Orono DEG 1 � 2014
�y P.O.Box 66 Date Received: Peimit#
2750 Kelley Parkway
� 4 crys��say,MN ssQ�3('y OF ORONO Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
� �/y�. �
�qk�SHo��`' ' CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pertnits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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 Desi�—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 pmvided.
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 A 1
�Residential ❑Commercial(Approval Required)
❑New �Additional ❑Repairs ❑Replace
Job Site/Owner Information:
Site Address: �� �' � ;!�t� �_ � 1.--�c� �
Owner: ,��1���� Mailing Address: / S�,—u.,t � ��-l.�
City: ��i J�t c Zip: S��_.���.��
Home Phone: Alternate Phone:
Contractor Information:
Contractar: ��' �ZZ fL1 ���jlj Contact Person: _ � �� L'������� �'
_�t'-�
Address: � �'u` �r � ���J State Bond#:
City: '��Zr l /"i� Zip:�l� Expiration Date:
Phone: (�� "�S) ' ?? 7 ? Alternate Phone:
❑ Insurance—Current:
1
. `�
1 MECHANICAL SYSTEMS BEING INSTALLED
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:
Model:
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 cfm
,�] No. �--- Bath Exhaust(must have duct outside) �cfm
� No. � Other Fans: Locations ��'�; d l� cfm
FUEL STORAGE (Must be approved by Fire Marshall iJproposing 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
l
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
5kip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In 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$50.00)
� �'���:C�Z' x .0125$ � ��.�:'�J
� (contract price) (minimum$50.00)
2. STATE SURCHARGE �i; �� C
�C��,�.,� 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.
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.
�
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Applicant's Signature Date: L- � '
3
S� � ✓' DATE TIMF�
CITY OF ORONO CALLED IN G�� �..���
INSPECTION N TICE'/ CHEDULED �/�7-/S /D.'�
PERMIT NO. `�'��� �COMPLETED
ADDRESS � �
OWNER TE EPHONE NO.%�����T7�3
CONTRACTOR �
� DESCRIPTION ���e�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GfiADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �1ECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
��., COMMENTS:
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� RKSATISFACTORY:PROCEED �] PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. �pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail inspection 24 hours in advance. (g52) 249-4600
Own Contractor on site: l
Inspector.
ite Copy/lnspector's File Cenary CopylSite Notice
�� <-� " DATE T" IME P f
j CITY OF ORONO CALLED IN
INSPECTION NQ I�. _�/��� SCHEDULED �
PERMIT NO. j �`r��� COMPLETED
ADDRESS l��f� �������
OWNER TELEPHO NO.���3�7��
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CONTRACTOR
� DESCRIPTION
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF M& AL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING L ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO�U: YES_NO
y COMMENTS:
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W RK SATISFACTOR�F.PROCEED ❑PROJECT COMPLETE
� RRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
� O CO ECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours i adva 2 249-46��
OwnedCorrtractor on site:
Inspector:
White CopyAnspecto�'s Ffle Cenary CopylSite Notks