HomeMy WebLinkAbout2008-00083 - ventilation � ��a�81
` � CITY OF ORONO PERMIT NO.: 2008-00083
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 07/23/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 2615 COUNTRYSIDE DR
PIN : 04-117-23-12-0004
LEGAL DESC : COUNTRYSIDE MANOR 2ND ADDN
: LOT 002 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 600.00
NOTE: VENT KITCHEN EXHAUST AND EXTEND DUCTWORK-ALSO INSTALL GASLINE
APPLICANT MECHANICAL 35.00
LIBERTY COMFORT SYSTEMS STATE SURCHARGE MECH(VALUATION) 0.50
627 EAST RIVER ROAD
ANOKA, MN 55303 TOTAL 35.50
(763)422-8760
OWNER
TICHY, PAUL&MARY
2615 COUNTRYSIDE DR
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 Ciry 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 au[horized is no[
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
reques m co ormance with the S[ate Building Code.This permit may be
revoked at time for due cause.
� ��� � 6 � � , � � 3�0�
Ap ant erm�tee Sign e Date I ed By Signature Date
� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE.
.•
' � FOR CITY USE ONLY
' ,¢�� City of Orono �
O O P•O.Box 66 Date Received: Permit#
��:;�„n 2750 Kelley Parkway
� '}�"��'i��'fi',� �. Crystal Bay,MN 55323 Approved By: � Amount$:
�" �+�" �..o'` (952)249-4600
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CITY OF ORONO —MECHANICAL PERMIT
(All Commercial perniits must be approved by the Building Official or Inspector and/or F1re Marshall)
GENERAL 1NFORMATION
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations, details and specifications are required for each
heating, ventilation,humidification-dehumidificarion, and air conditioning installation including
heat loss/heat gain calcularion, 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 pernut 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 Hearing 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: .
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Site Address: , / �� � .,�, � �� ,�
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i
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: � ���Contac Pe son: ��� �-v�v��,�,��/
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Address: �v�" 7 �4������/ State Bond#: �'�'�( ��-�, � /
S��°5
City: � � Zip: ��� E�piration Date: �•- �f �V �}
Phone: 7� � � Y�} - �' �G c' Alternate Phone: �j ;t -�� �_���/n
❑ Insurance— Current: �
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. ,
MECHANICAL SYSTEMS BEING INSTALLED '
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
❑ 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. Other Fans: Locations cfm
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grili ❑ Other/List What&Where:
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' PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes, this section applies
The replacement of a Residential fixture or�liance 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; excludin�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 $
PERMIT FEE CALCULATION(S) — JOBS OVER $500.00 —�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25°/o of contract price with�a(Minimum Fee of$35.00)
b �� • �p x.0125 $
(contract price) (minimum 535.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50)
x .0005 $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pernutted 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 actuai contract.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
MECHANICAL PERMIT APPLICATION AGREENIENT
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.
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Applicant's Signature: � Date: �— ��- 4 �
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