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HomeMy WebLinkAbout2011-00402 - duct work CITY OF ORONO PERMIT NO.: 20��-00402 - 2750 KELLEY PARKWAY :r ' ORONO,MN 55356- DATE ISSUED: OS/3U2011 � 952 249-4600 FAX: 952 249-4616 A DIRE : 3120 SUSSEX RD P � : 04-117-23-32-0009 L �AL ESC : FOX BEND ' : LOT 003 BLOCK 001 PE �VII YPE : MECHANICAL(>$500) P PE Y TYPE : RESIDENTIAL � C NIST CTION TYPE : DUCT WORK ' V tJA ON : $ 3,500.00 NO �: 2 ATH EXHAUST 2 F PL E GASLINES � ! i APPLICANT MECHANICAL 50.00 TH MPS PLUMBING STATE SURCHARGE MECH(VALUATION) 1.75 150 1 M ETONKA IND RD M ET KA,MN 55345 MAIL-IN FEE 2.00 (952 933- 17 MISC FEE 0.00 TOTAL 53.75 OWNER AN �tS ,BRETT& STEPHANIE �120 S�,JS X RD LON LA ,MN 55356- AlG EMENT AND SWORN STATEMENT The rlk for hich this permit is issued shall be performed according to the ap roved ans and specifications,applicable City approvals,and the State ujldin ode. This permit is for only the work described and does not gr t pe sion for additional or related work which requires sepazate permi . All visions of laws and ordinances goveming this type of work shall aomp d with whether or not specified herein.This permit will expire and be me null and void if construction authorized is not comm nCed i in 180 days of the date of issuance,or if construction is suspe eti for period of 180 days at any time after work has commenced. The a I' ant responsible for assuring all required inspections are reques e �n c formance with the State Building Code.This permit may be revok t an ime for due cause. ...' / / / / .�lppli ailt P itee Signature Date Issued Signature Date � ` SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. FOR CITY USE ONI.Y , , ' p� City of Orono �O`�`�`'' P.O.Box 66 Date tteceived; ' Pent�it k � ��, ���j 2750 Kelley Pazkway ' � a y*. Crystal Bay,MN 55323 Appmved By; Amount$; �., � o,% Phone(952)249-4600 Fax(952)249-4616 �'ar��;, CITY OF ORONO-MECHA1vICAL PERMIT (All Commercial pecmits must be approved by ihe Building Official or Inspector anNa Fire MaraLall) � GENERAL iNFQRMATION 1. You may apply for mechanical pernuts 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 retum mail after a review is completed. PERNIITS ARE NOT VALID iJNTTL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERNIIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificafion,and air conditioning installation inciuding , heat loss/heat gain calculation,design temperatlu-es,equipment ratings and identification as to type,manufacturer and model. Data sha11 be presented on form provided. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code . �I requirements. � 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 6our notice required) 7. House Heating Test Record must be submitted before final. ' TYPE OF PERMIT ' (Check All That A t ) �Residential ❑Commercial(Approval Required) . � ❑New �Additional ❑Repairs ❑Replace Job Site/Owner Infdrmation: Site Address: 3i2� ��SS�� Q� Owner: �cl-GG�"SO/) Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor:�e��-UY1 L ontact Person: � �l I Address: �S�[� 1��I�.�l.i� °�-d�(. State Bond#: / � City: UG Zip:�xpiration Da#e: Phone: �Jro�-�33-77/7 Alternate Phone: � ❑ Insurance-Current: 1 � I � , ' A��I�iT�AL:��'T�MS BEIl�if.�'r�'�`I`�I��:.� . . � Note: All Geothermal Systems will now require a Site Plan&Review by our Building 01�'icial. IS THIS GEOTHERMAL? ❑Yes ❑No '� HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: �I CFM: � COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin 0� No. T Bath Exhaust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm � FUEL STORAGE (Must be approNed by Fire MarshaU if proposing to abandon tank in place.) ❑ Installation ❑ Removal i i, , Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside �i LP Gas: gallons Other: GAS LINE ONLY � D _ �����Q, _I__ a �c�'�.f�tt� �� ��o ❑ Outdoor Cmll [� Other/List What&Where: � �v�.. • 1L ���� 2 �I . ' FEi�hr�'T FEE+C�L�ULA'TIQ���) I$A�EU t��'F-2t��:�'Tt�TE�"T'�iT`£�'E ' ❑ 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;excludinQ 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 Pennit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ P�R1��'�'��E�i�G�I�A'�'��N S -���35't����Q4�Q� If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 3So0 0� X.o,2s$ 5 0, !�D (contractprice) (minimum$511.011) 2. STATE SURCHARGE 3 L.710 Q( / �S `��� x.0005 $ (contrad price) 3. POSTAGE&HANDLING(Only on Maii-In Applications} $ 2.00 4. TOTAL PERNllT FEE(Add Lines 1-3 Above) $ �3 �� ■ * 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 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 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. MEC�[Al'�TICA�:,1���+IIT A�tPI:ICA'TI€��t'ACirR����'T 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 regularions of the State of , Minnesota, and certif"ies that all statements made on this applicarion are complete, true and correct. A licant's Si ature i���/!� Date: ���7��� PP � �lS��tfti�l 3 DATE TIME �/ CITY OF ORONO CALLED IN _ ' � r INSPECTION N TIC CHEDULED _�Z — PERMIT NO. — �MPLETED ADDRESS 3�� � /� OWNER TELEPHONE NO.��� �� ��Z-` CONTRACTOR ��N ����- � DESCRIPTION C�� LLLI.Q ��� �{�� �l �,�� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTtC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO y COMMENTS: � W a � � � 1, i _i' o ��� _ � l � ^ � 0 � W � Q � z W � W � � � �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site• Inspector. .Whiie Copyllnspector's File Canary CopylSite Notice ��, G�' � �f�� / ATE TIME ' / CITY OF ORONO CALLED IN � V INSPECTION NOTICE SCHEDULED ( d � ��C> PERMIT NO.�)���{�`COMPLETED ADDRESS �I �� d�S�� OWNER TELEPHONE NO.��� �3-� 771� CONTRACTOR � � >; DESCRIPTION �1 ��'� � � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ �NATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE T C FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � d �ROJECT COMPLETE W ❑WORK SATISFACTORY:PROCEED � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �_� INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. r � �''1'� White Copylinspector's File Canary CopylSite Notice �� C� DATE TIME " CITY OF ORONO CALLED IN I �� INSPECTIO TI E SCHEDULED J o </ � PERMIT NO�y V �COMPLETED ADDRESS OWNER TELEPHONE ' � �7 CONTRACTOR � >: DESCRIPTION �'e" � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/ RADI G/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHO ETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ 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: � w � � � O � � O � W � Q � Z W � W � j GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ��', INSPECTION REQUIRED.CALITOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �_ � �� White Copylinspector's File Canary CopylSite Notice