HomeMy WebLinkAbout2012-00268 - ventilataion CITY OF ORONO * 2 0 1 2 — 0 0 2 6 8 *
, 2750 KELLEY PARKWAY pATE [SSUEn: 04/10/2012
, ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 420 BROWN RD S
PIN : 03-117-23-42-0010
LEGAL DESC : STRONGHOLD
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 3,000.00
NO"I�B: 3 BATH GXHAUST
RELOCATG DUCTS
APPLICANT MECHANICAL 50.00
KEY METALCRAFT, INC. STATE SURCHARGE MECH (VALUATION) 1.50
8201 PLEASANT AVE S TOTAL 51.50
BLOOMINGTON, MN 53420-
(952)888-6333
OWNER
GREELY, JOHN
14506 MCGINTY RD W
MINNETONKA, MN 55345-
AGREEMENT AND SWORN STATEMENT
Thc work for which this permit is issued shall bc performcd according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding 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
cxpire 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.
"I�he applicant is responsible for assuring all required inspections are
requestcd in conformance with the Sta[e Building Code.This permit may be
revoked at an time for due cause'
���� � ��---r-�l-��� / / / /
pplicant Permitee Signature Date Issued By.' ature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
— •—_ . FOR CITY USE ONLY
City of Orono
. 4O� P.O.Box 66 Date Received: Permit#
��,�s � 2750 Kelley Parkway
ia ���`1'�;s'!�. � Crystal Bay MN 55323 Approved By: Amount�:
\�� ������,o� Phone(952)249-4600 Fax(952)249-4E 16 � �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Quilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut wili be issued within two working days.
2. Pemiit 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�ns—Complete calculations, details and specifications are required for each
heating,ventilation,humidification-dehumidification, and air conditioning installarion 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 ❑ Replace
Job Site/ Owner Information:
Site Address: �z C r� ,��,•ti��v j2 �� S .
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Owner: J - G ��`� �-t ( Mailing Address:
City: (�� � n/ C� Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��� � Y {�'� t��� �'L���Contact Person: ��� �'
Address: �Z�' � �L�� S�'�/ �� )�� State Bond#: � `��^�'' �5���
City: � �Uv�� Zip:S��u' Expiration Date: -l? - ��'- � r�
Phone: �l��v�� ��h" � ��� 3 Alternate Phone:
❑ Insurance— Current: l�t/C S %������` S vl��r 7"�`f
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. '
IS TAIS 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 witt�Flue/Masonry
VENTILATION �� �G��— ,� U��S
❑ No. Kitchen Exhaust duct recirculating cfin
� No. 3 Bath E�aust(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
I
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 modificarion 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 Perniit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
"vs� ; PERMIT FEE CALCUI,ATION(S)-JOBS 4VER$������� �E:�� '�� � °�� a '`
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
�uc�� — x .0125 $
(contract pnce) (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 pernut 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.
� �
l � . ..��� ''�.��. . _ . � � ,e.: . .,: PERMIT APPLICATI4N AGBEEMENTi�: ' . .� ::�� ��� ;
The undersigned hereby applies to the City far issuance of a Mechanical Permit, agrees to do all
wark 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.
� /� �
A licant's 5i ature: �Q,��'i✓ � `-�� Date: � / o � 1��'
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� �C C� � � � DATE TIME
� OF ORONO � CALLED IN � � ��
INSPECTION NOTI �CHEDULED � _,�1�
PERMIT NO. � ��(�CpMPLETED
ADDRESS ��C /� C ��/'? � �
OWNER TELEPHONE.N . � r `�' � ���^���
CONTRACTOR �
� DESCRIPTION � ����'1 � I���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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 ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W Y'�i.YVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHtN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Owner/Contractor on site:
Inspector. .
White Copyllnspector's File Canary CopylSite Notice