HomeMy WebLinkAbout2014-01121 (mechanical- venmar air exchange) � . .
CITY OF ORONO PERM[T NO.: 2011-01121
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2732 CAROLINE AVE
PIN : 20-117-23-24-0041
LEGAL DESC : REG. LAND SURVEY NO. 1451
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,400.00
NOTE: AIR EXCHANGER-VENMAR CONSTRUC'I'O- 1.5V
APPLICANT MECHANICAL 50.00
AIR MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 0.70
16411 ABERDEEN ST NE
HAM LAKE, MN 55304 MAIL-IN FEE 2.00
(763)434-7747 TOTAL 52.70
OWNER
PERCIVAL, CHARLES& SUSAN
2732 CAROLINE AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonncd according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'I'his 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 commenceJ.
The applicant is responsible for assuring all required inspections are
requested in eonformance with the State[3uilding Code.This permit may be
revoke .at any�time for cause.
(�_ �� /� /� �� / � / L
App icant Permitee � nature Date Is d By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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CITY OF ORONO APPLICATION FOR MECHAIVICAL PERMIT �
Box 66 (2750 Kelley Parkway)
Ctystal Bay, MN 55323 RECEJVED
GENERAL INFORMATION SEP 2 6 2011
1. You may apply for mechanical permits by mail or in person at the City offices. Applicatio��OF pR�NO
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 RECENE A PERMIT. WORK MUST NOT BEGiN UNTIL TI-IE
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 installation
including heat loss/heat gain calculation,desi�n temperatures,eyuipment ratings and
identification as to type,manufacturer and model. Data shall be presented on form provided.
Identification of and specifications for water heating equipment shall also be 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 Unifonn Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call (952)249-4600. 24-hour notice
required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute tbe permit fee. Sign and date the
certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Ifyou
have questions, call (952)249-4600.
—�_
Please check one: Ne�._ Addition Repair lace
�sidential Commercial
JOB SITE: a`'��� �R����� `rv '�- Zip: ���c� �
Owner's Name:C��n�A,C�-�-SV�� �Si1��w V Phone 1Vumber: `�j��- +.-{,`j�� ��2�j
Mailing Address: SC��-� City: Zip•
Contractor's Name: Phone Number: ��'���C� `��� 1
Maiting Address: A ID II AC�1�t��e I�, 1 Tl� Zip:
16411 Aberdeen Street NE
Ham Lake,MN 55304
A r r
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantily:
Make:
ModeL
Fuel:
Flue Sire:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Po�ver
FIREPLACES
Gas factory fireplace
Wood burnin�factory fireplace with flue
_ Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATI01�1
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust(must have duct outside) cfm
No. 9t�ie�"ans: Locations cfm � � ,�
4��Q- �C U��c.���c�s,t..�_ v� � C;�.'� C��;�"1���L���
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
, . �
.
PERMIT FEE CALCULATION(S)
2002 State Statute 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 tess;excluding the cost of the fi�cture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is .O125%of job with a Minimum Fee of($35.00) �-�
�����1,��C.' —L�..�
� X.oi2s $ ���
(contract price) (minimum$35.00)
2. State Surchar�e. *z Add the State Building Code Division a Minimum Fee of($.50)
��-i� �, X .00a5 $ - �1 �
(contract price) (minimum S.30)
3. PostaQe and HandlinQ(Only mail-in applicatinns) $ l.50 �0
\ �I�� � �
4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �� Zv �j � l�-�
� � :
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for Uie pemiitted work � '
including materials,labor,profit,and other fuced costs.It is tl�amount to be charged to the customer for ll�e work
done.If any material,equipment,labor,or installation is furnished by the owner,tenant or any other party the
reasonable iriadcet value of such items must be added tn the eslimated cost or contract price for pennit fee pu�poses.In
the event that there is a dispute on the amount of the job cost,Uie City may request U�e submission of a signed copy of
the actual conUact.
**The STATE SURCHARGE is.0005 of the contract price under$1,000,0(�or$.50-wliichever is greater.For
valuations over S 1,000,000 cail the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Meclutnical Pennit,agrees to do all work in strict
accocdance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that
all statements made on this appli tion are complete,tnae and correct.
� �_� _ Z�--��
Applicant's SignaYure: � Date:
Approved By: Date:
Reset Form
�j�/ D CJ`� ' ATE TIME �
CITY OF ORONO CALLED IN �b .7�/�
INSPECTION N TICE Q��z� SCHEDULED / / •��
PERMIT NO. P�ETE�
ADDRESS
OWNER ' TELEPHONE NO. �'_�7�-6S�
CONTRACTOR �
>; DESCRIPTION L���
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ 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 O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED 1�`9�iOJECT COMPLETE
� ❑CORRECT WORK&PROCEED '�� ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑INSPECTION REQUiRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary Copy/Site Notice