HomeMy WebLinkAbout2013-00794 - ventilation MUHRIUMMEM
CITY OF ORONO * 2 0 1 3 — 0 0 7 9 4
2750 KELLEY PARKWAY DATE ISSUED: 08/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 320 WAKEFIELD RD
PIN 36-118-23-31-0014
LEGAL DESC WAKEFIELD FARMS 2ND ADDN
LOT 005 BLOCK 001
PERMIT TYPE MECHANICAL(<$500)
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE VENTILATION
NOTE: VENTING KITCHEN EXHAUST.
APPLICANT MECHANICAL(<$500) 15.00
NORTH SUBURBAN PLUMBING, INC. STATE SURCHARGE MECH(<$500) 5.00
28221 144TH STREET TOTAL 20.00
ZIMMERMAN,MN 55398
Minnesota State License#: PM60369
OWNER
CIBUZAR,MARK
320 WAKEFIELD RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
r ested in confbrmwith t State Building Code.This permit may be
rev t any time for due c
903/ 1
pplicant Permitee Signature Date Issue0y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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R rTY'USE ONLY
► �O . ` City of Orono
O P.O.Box 66 Date Iteceiv 1 Pein►it# I — _ 7'?
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: fit a- C ZD
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO-MECHANICAL PERMIT
�kESHO� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
II
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 VReplace
Job Site/Owner'Information:
Site Address:
Owner: &I Z_! Mailing Address:
City: Zip:
7
Home Phone: Alternate Phone:
Contractor Information:
Contractor: /�/oh� Sia-�b�� P Contact Person: �-
r
Address: ��'��� /`� � State Bond#: l-A T;�-)00!19 �
City: % '^^e Zip: S's_3nxpiration Date: b
Phone: �old� ' 3��'—� Alternate Phone:
❑ Insurance-Current: -.0 S
1
' t
ICAL SYST
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 3W cfrn
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire 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
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.
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 $
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contractprice Nth a(Minimum Fee of$50.00)
J
Io- , 0-(,J x .0125 $
(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.
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, an certifies that all statements made on this application are complete, true and
correct.
Applicant's Signatu Date:
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. COMPLETED "3l ISS
ADDRESS
OWNER TELEPHONE NO.�
CONTRACTOR I&P-th - r
DESCRIPTION 4, t c xQ A00
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ 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
J, INAAL ❑ WATER HOOK-UP �OLLOW-UP
uT [J AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
H COMMENTS:
W
acc Q6 ta CO Z 9-3 12St
50.
Gv 41�6
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0 WORK SATISFACTORY:PROCEED ECT COMPLETE
W ❑CORRECT WORK&PROCEED v❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 24 hours in advance. (952) 249-4600
OwneHContractor on site:
Inspector.
White Copylinspectoes File Canary Copy/Slte Notice