HomeMy WebLinkAbout2013-00033 - ventilation CITYOFORONO * Z0 13 - PJ0033 *
2750 KELLEY YARKWAY DATE ISSUED: O1/15/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 475 DEBORAH DR
PlN : 31-118-23-23-0004
LEGAL DESC : MCCULLEY FARM
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ I,500.00
NOTE: 1 KITCHFN F;XIIAUSI'
APPLICANT MECHANICAL 50.00
J& S MECHANICAL, INC.
P.O. BOX 128 STATE SURCHARGE MECH (VALUATION) 0.75
WATERTOWN, MN 55388 TOTAL 50.75
(952)955-2627
OWNER
KATHERINE M. SWEETMAN,JAMES G WAIGHT&
475 DEBORAH DR
MAPLE PLA1N, MN 55359-
AGREEMENT AND SWORN STATEMENT
The��ork for which this pennit is issucd shall be performed according to
the approvcd plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not�rant permission for additional or related work which requires separate
permits. All provisions of laws and ordinanccs governing this type of work
shall be compicd���ith H�hether or not speci�ied herein.'I'his permit will
expire and become null and void if construction authorized is not
commenccd���ithin 180 days of thc datc of issuancc,or if construction is
suspended for a period of 180 days at any timc attcr work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the ate[3uilding Code.'I'his permit may be
revoked at afiiy time�� r duc ca ;` ,,-�
�"-_�< < -/ ���.-r�' � � l f J / f� l l
Ap�' nt Permite�, ignaturc ,� Date �55u�c [3y S' nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
'� ` "�' FOK CITY USE ONLY
`� City of Orono
O¢O�O P.O.Box 66 Date Received: Permit#
� 2750 Kelley Parkway
�y'�;��. +� Crystal Bay,MN 55323 Approved By: Amount�:
�d� � fi�,o`� Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pernut will be issued within two working days.
2. Pernut 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 TAE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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 consri-uction 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: � �� �R br� �r � � �O�a m�
�
�
Owner: � i� Sw-�-e� � Mailing Address:
City: G� a-�o Zip:
Home Phone: �/z- ��P• /�� 1 Alternate Phone:
Contractar Information:
Contractor: `� `� S ��.�.�� .�� Contact Person: °`-� r''y S���f��.
�
Address: ' �G' � �''��n � Z �' State Bond#: I°ti'l � �'�' S� y o' 9
City: Cf/o�✓�.�h Zip:Ss�BY Expiration Date: 6 -3 � / �/
Phone: �Sz " ��s - Z- �Z � Alternate Phone: �.�2 ` �5�'" -� ��'�
❑ Insurance— Current:
1
y � .
MECHANICAL SYSTEMS BEING INSTALLED "�
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS 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 with Flue/Masonry
VENTILATION
� Na � Kitchen Exhaust ,� duct recirculating G o�j cfm
❑ No. Bath E�aust(must have duct outside) cfin
❑ 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: gailons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
�
�� PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATLIE j
❑ 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; 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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER $500.00
If above does not apply; follow guidelules below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
��,�0 x.0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract pricc)
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
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 ar instaliations 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.
MECHAN'ICAL PERMIT APPLICATION AGREEMEI'1T
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. r
_� ,
A li nt's at �. � � — �.� ���
pp ca Sign ure: Date:
�
�
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE SCHEDULED
PERMIT NO. r �� COMPLETED �/-�i�_�
ADDRESS , 7`7 t� ��� � 12s' �
OWNER TELEPHONE NO.
CONTRACTOR `�'`� � �s'�if�����
�; DESCRIPTION l5�t"C`/t � �— �".��-�''����=� /!�(E�C�f 7/��.4i
�
lL ❑ FOOTING ❑ PLUMBING FINA� ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
�
Q ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
`� ❑ DEMO-SITE ❑ SEPTIC MAINT. � LOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSU CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. � ��----
White Copyllnspector's File Canary CopylSite Notiee