HomeMy WebLinkAbout2017 - 00614 - duct work * CITY OF ORONO 11111111* 2017 - 0061 *
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2750 KELLEY PARKWAY DATE ISSUED: 06/07/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 4515 WOLVERTON PL
PIN : 31-118-23-31-0008
LEGAL DESC : FOXFYRE ESTATES
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 2,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
VENTILATION: 1 BATH EXHAUST
GAS LINE FOR GAS FIREPLACE
DUCT WORK FOR BASEMENT REMODEL,VENT BATH FAN
APPLICANT MECHANICAL 50.00
MATRIX HVAC STATE SURCHARGE MECH(VALUATION) 1.00
14226 NORDEN DR TOTAL 51.00
ROGERS,MN 55374-
Payment(s)
(763)535-6335 CHECK 3072 51.00
Minnesota State License#:mech-MB0036761
OWNER
KIRKPATRICK,GREGORY&KATHY
4515 WOLVERTON PL
MAPLE PLAIN,MN 55359
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 fi
revoked at any ti e or due cause.
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Applicant Permitee Signature Date Issued By Signature Date
FOR CITY USE ONLY
' City of Orono7 C C��' f
WBox 66 Date Received: , , „ermit# . C 172750 Kelley ParkwayCrystal Bay,MN 55323 Approved By: / )Amount$: L
Phone(952)249-4600 Fax(952)249-4616
ka s o � CITY OF ORONO-MECHANICAL PERMIT
li (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 fmal.
TYPE OF PERMIT
(Check All That Apply)
Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional M--e pairs ❑Replace
Job Site/Owner Information:
Site Address: // /rs No(U[ ' v7
Owner: `)ii \J G('if r- . "C-C Lle Mailing Address: S7C Z6d/r67 i„ /19/
City: li.U- Zip: 5S„ .)-3
Home Phone: Alternate Phone:
Contractor Information:
Contractor: 1A;b4C (Y- 1r V(9C Contact Person: c_= Lel
Address: /60-c2 , f f�j,11{” State Bond#: l%i/(b
0036
City: i) ,•S Zip: 1)3/4 Expiration Date: 7/417//
Phone: _
C' 2i`xa Alternate Phone:
❑ Insurance-Current:
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
k No. Kitchen Exhaust duct recirculating cfin
No. f Bath Exhaust(must have duct outside) cfrn
❑ 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 Cl Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where: 40 rre-e-44--kieisic V 0\j 19(Alt
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
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 APP :: ,
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with the ord.• ces of the City and the regulations of the State of
Minnesota,and certifies that all state• = is made on this application are complete,true and correct.
Applicant's Signature: 4 / ` r Date: Z.,/7/
3
A3i ,./
DA E TIME
CITY OF ORONO CALLED IN /a
INSPECTION OTICE SCHEDULED Jo - / 7 �'3 )
PERMIT NO. 01 -CYO CO PL
ADDRESS � o7ED
5-7
OWNER � • TELEPHONE NO.O/� -7��- 95y
CONTRACTOR (24Ale
"( /'
i DESCRIPTION (../4d.1
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l~y ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
• ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
O 0 FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 'S MECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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CC
W
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�Q7VORKSATISFACTORY'.PROCEED LI PROJECT COMPLETE
Ct ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnapector's Flle Canary Copy/Site Notice