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Home My WebLink About2007-P11712 - ventilation PERMIT CITY OF ORONO Permit Number: 27:0 Kelley Parkway- PO Box 66 P11712 Crys al Bay, Minnesota 55323 Permit Type: Mechanical Pernvts (95�� ;�49-4600 Date Issued: 11/27/2007 SITE ADDI�ESS: 1280 Bracketts Pt Rd Unit# Wayzata,MN 55391 P�� 11-117-23-32-0019 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Permits Pcrmit Sub-type(s): Ventilation DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 35.00 valuation: $ 1,000.00 State Surcharge Fee: $ 0.50 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.00 APPLICANT: Kleve Heating&Air OWNER: Robbin&Kristine Johnson 6365 Carlson Drive Suite G 1280 Bracketts Pt Rd Eden Priaire,MN 55346 Wayzata,MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. ��-� —L-%�l. L C APPLICANT PL'RM[TEE SIGNAT E ISSUED BY SIGNATURE � Copies: 1-File(Sigr�atures Reyuired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1 .� FOR CITY USE ONLY �'�� City of Orono 4 �� P.O.Box 66 Date Received: Permit# n �` 2750 Kelley Parkway ��.;,, � �� ,� l�� Crystal Bay,MN 55323 Approved By: Amount$: ��r��y�G� (952)249-4600 . �o�.� ��_:_.- CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Of�ficial or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 RECE[VE 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 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 A 1 ) �Residential ❑Commercial(Approval Required) ❑ New � Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �zxo Bra�k�crs poipt Roaa �Wner: Rob Johnson/Bottema Construction Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: COf1tC1CtOC: Kleve Heating&Air Cond. COIlt1Ct PeCS011: Ashley 6365 Carlson Drivc,Suite G Address: State Bond#: City: �de°P`a'�'e Z�p: ss3a6 Expiration Date: Phone: (9s2�9ai-a2>> Alternate Phone: (9sz�34s-�2a2 ❑✓ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED 1 HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: [nput BTUs: Output BTl1s: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑✓ No. 1 Other Fans: Locations for f3oiler 220 cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: CAS LINE ONLY ❑ Outdoor Grill ❑✓ Other/List What&Where: gas to pool boiler 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERM[T FEE CALCULATION S —JOBS OVER $500.00 If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) 1,000.00 x.0125 $ 35.00 (contract price) (minimum$35.00) 2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) t,000.00 x.0005 $ o.so (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 37.00 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. ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: Date: Reset Form 3 Z� � D TIME V CITY OF ORONO CALLED IN y� INSPECTION NO CE SCHEDULED � � PERMIT NO. � COMPLETED ADDRESS fn��D C7�/� OWNER CONTR. �� TELEPHONE N0. �s 2 �`�l 7'"a'�� DESCRIPTION �/r �7L � ❑ FOOTWG � MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � � � S� �l� r- S-�- � � - � 'd � 0 � w � Q � z W � W � � d W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR W{LL RETURN ❑ CITATION ISSUED �STOP OFDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector_ � �t_� �� White Copyllnspector's File Canary Copy/Site Notice