HomeMy WebLinkAbout2011-01425 - ventilation CITY OF ORONO PERMIT NO.: 2011-01425
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 11/09/2011
4L (952) 249-4600 FAX: (952) 249-4616
ADDRESS 315 TONKAWA RD
PIN 06-117-23-14-0021
LEGAL DESC REG.LAND SURVEY NO.0540
LOT 000 BLOCK 000
PERMIT TYPE MECHANICAL(>$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,280.00
NOTE: REVISE DUCTWORK FOR NEW MASTER CLOSET
APPLICANT MECHANICAL 50.00
SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 0.64
6219 CAMBRIDGE ST
ST.LOUIS PARK,MN 55416- MAIL-IN FEE 6.36
(952)926-4488 TOTAL 57.00
OWNER
Waycrosse,Inc.
MACMILLAN,MARTHA E
15407 MCGINTRY RD W
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
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 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 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.
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Applicant
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Applicant Permitee Signature Date
Issued By S' ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
FOR CTTY USE ONLY
City of Orono
0�0�0 P.O.Box 66 Date.Received: Permit#Tom_
" 2750 Kelley Parkway
'L Crystal Bay,MN 55323 Approved By: Arnot"
(952)249-4600
CITY OF ORONO-MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 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.
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 Apply)
Residential ®Commercial(Approval Required)
❑New Additional ❑Repairs eplace
-771
Sob Site/Owner Information:
Site Address: 3 S _1_QN1_lWA 11�
Owner: NAi:-M Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
oatractor information: n
Contractor: S -aa: I_ A� c-4L- Contact Person: <�A<;P 'O
Address: l�lg �2%d(r_S` State Bond#:
City: S t LzoC T rU4w- Zip:SP(i�p Expiration Date: �—
Phone: R�a Alternate Phone: 9!�a-
❑ Insurance-Current:
Note:All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes
HEATING SYSTEMS �fNo
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
VENTILATION __ K(EVtS6 -- Ma
�� (2L�DSrsl1
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfrn
C3 No. Other Fans: Locations 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:
w
❑ 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 Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $ 22.00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�28p92
x.0125$ So `—
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add theStateState Bldg Code Div. Surcharge(Minimum Fee of$5.00)
1 _ed x.0005 $5.00
(contract price) (minimum$5.00)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
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4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S?
■ * 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.
■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00.
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:
DATE TIME "
CITY OF ORONO 02190 CALLED IN �� 1 a
INSPECTION NOTI E 0 �O2 SCHEDULED (�&_ �U :I�
PERMIT NO. ' OMPLETED
ADDRESS 3 cJ 7OYI IL
OWNER TELEPH0NENO.
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CONTRACTOR j � Yb'1CCV1
>; DESCRIPTION
1 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPT NAL E) FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU: YES_NO
COMMENTS:
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00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White CopylInspector's File Canary Copy/Site Notice
_� AT TIME
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CITY OF ORO LED IN Z
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INSPECTION NOTICE SCHEDULED
PERMIT NOp20_49"e/ 25COMPLETED
ADDRESS '545— a,,'L
OWNER TELEPHONE NO.9✓7� y�_� 7'�
CONTRACTOR L7e
DESCRIPTION V140-
El FOOTING ❑ PLUMBING FINAL ❑ EXYH
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LLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LARE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
cam., COMMENTS:
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i/ORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL RETURN
C1 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 Hours in advance. (952) 249-4600
OwnedContractor on si
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice