HomeMy WebLinkAbout2015-00377 - ventilation ' - CITY OF ORONO * z 0 1 5 - 0 0 3 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/02/2015
ORONO, MN 55356-
(952) 249-4600 FAX: 952) 249-4616
ADDRESS : 2470 COBBLESTONE CT
p�� : 33-118-23-11-0080
LEGAL DESC : STONEBAY SIXTH ADDITION
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 825.00
NOTG: VGN"I'[LATION-FAN [N EXERC[SE ROOM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.41
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD TOTAL 52A1
HOPKINS, MN 55343
(952)933-1868 Payment(s)
CREDIT CARD 5815 52.41
OWNER
RICHARDS,PAUL&DIANE
2470 COBBLESTONE CT
LONG LAKE, MN 55356-
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 thc
State Building Codc. This permit is for only[he work described and does
no[grant permission for additional or rcla[ed 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 permi[will
expire and become null and void if construc[ion 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 afrer work has commenced.
The applicant is responsible for assuring all required inspections are
reques[ed in conformance with[he State E3uilding Code.This permii may be
revoked at any time for due cause.
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npplicant Permitee Signature Date Issue y Signature Date
�9529331869 18 58:43 04 01-2015 2/4
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O City of Orono ��
� NO P.O.Box 66 Datc I2eceive : �rntit k�� 7�
2750 Kcllcy Pad:way
Crystal I3ay,MN 55323 Approved By; Amount S: _
Phonc(952)249-7600 Pas(9>2)249�616
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�',�_FSH��e� CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by(}x�IIuilding OClleinl or Ins�:etor anc!/or fire Marshall)
GENERAL INFORMATTON ��
2. You may apply for meclianical permits by mai)or in person at tl�e City offices. Applications�vill
be reviewed and a permit will be issued within two�vorking days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVF.A PFRMIT. WORK N1UST NOT BEGIN UNTIL THE
PF,RMCT CARD IS POSTED ON Tl�E.�OB SITE.
3. Mechanical DesiQns—Complete calculations,details and specifications are required for eac3i
heating,ventiiation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calevlation,design temperatures,equipment ratings and identification as to
rype,manufacturer and model. Data shall be presented on form provided.
4. When any new conswction 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 Buildina Code
requirements.
6. All�vork must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required}
7. House Heatinb Test Record must be submitted before Cna(.
TYPB OF PERMIT
Check All That A 1
[�Residential ❑Commercial(Approval Required)
❑Ne�v ❑Additional ❑Repairs dRepiace
Job Site/Owner Information:
site Address: Z.��b COP��I..�ST�1�lE C.C)UE�T'-QR(JNO.t✓ll�i 5�3�(n
Owner:�AL�I. �i�1At�lE RICNf�t�p5 Mailing Address: �y�(� C,d$B(.EST(11�� �'
Ciry: l.0l�lCa LA10E zip: �535�v
Home 1'hone: �LD_�ZICI'q�il(,�. Alternate Phone: �(.p�2�22� —y3�
Contractor Infoz-mation:
Contractor: �T'1CP�l.�J�/��N1'`'J Contact Person: `�CQ(��D
Address: �-}�2$ S�AD11 ��,C �State Bond#:
City: }-,��11�(5 Zip:�3y3Expiration Date:
Phone: (�152>q33"���D� Alternate Phone: NONE
❑ Insurance—C�rrent:
1
9529331,86� 18 59 01 04 01-2015 3/4
MECHANICAL SYSTEMS BEING;INSTALLED
Note:All Geothermal Systems will now require a Si[e Plan&Revie�v by our Building Official.
IS THIS GEOTHERIbIAL? ❑Yes [�No
HEATING SYS'fEMS
Quantity:
Make:
Model:
FueL•
Flue Size:
Input BTUs: ___ ��
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: .._._ _._—
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Firepface Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove tilodel No.:
❑ Wood Stove with Flue!Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑, No. Bath Exhaust(must have duct outside) �cfm
[� Na �_ Other Fans: Locations�(����SF � �__._cfm
FUEL STOI2t1GE (Mtrst be approved by Fire Marshu!!if proposi�rg to abn�rdon tunk iu place.)
❑ Installation ❑ R�moval
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: galtons
Other:
GAS LINE O1VLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.9�2933�.869 18 59 13 04-01-2015 4/4
PERMIT FEE`CALCULf1TION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of ihe f'ollowing requirements:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$5�0.00 or less;exciudine the cost of the fixture or appliance:and
3_ Is improved,installed or replaced by the homeow�ner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I5.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable} $ 2.00
Total Permit Fee S
PERMIT FEE CALCULATION S —.7OBS'OVER$500.00
If above does not apply;follo�v guidelines belo�v:
1. CONTRACT PRICE *is I.25%of contract price witli a(Minimun►Fee of$50.00)
�VL-�3.Q� x.0125$ �.Q�
(contrnct pricc) (minimum$50.00)
2. STATE SURCHARGE
� 25.0o X.0005 � 0.yZ
(cOntracl price)
3. POSTAGE&HANDLING(Only on Mail-]n Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. �2.
■ * 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 rea5onable 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, tl�e City may request the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigr�ed liereby 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 regnlations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature. ���- Date: Q Q/ �
3
� DATE TIME �
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CITY OF ORONO ������aiLLED IN
INSPECTION NOTI E SCHEDULED �/ � - .
PERMIT NO. �� 5 �� COMPLEfED '
ADDRESS ��' � � � ���� (� � �' .
OWNER TELEPHONE �J� ����d
CONTRACTOR ��
� DESCRIPTION � ✓ �'"�'� ,�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ 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
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC I S ALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:� L���r=���[��(
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� RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. (952� 249-46�0
OwnerlCorttractor on site:
Inspector. �<^'`�
White Copyflnspector's Ffle Canary CopylSite Notiee
�� C��� DATE TIME V
CITY OF ORONO CALIED IN
INSPECTION NOTICE SCHEDULED �L'.:�
PERMIT NO. Z(����?��T� COMPLETED
ADDRESS �4 �I C-% �C�I�I C��'�I75Y1�_ C� �
OWNER TELEP NE NO��'�������g
CONTRACTOR C • S >
� DESCRIPTION C
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ D BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONT CTOR TO MEET YOU: YES_NO
� COMMENTS:
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W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPL E
� RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hou in adv . 952) 249-4600
OwnerfContractor on site:
�
Inspector.
White Copyllnspector's File Canary CopylSlte Notice