HomeMy WebLinkAbout2008-00150 - kitchen exhaust � , ,
CITY OF ORONO PERMIT NO.: 2008-00150
2750 KELLEY PARKWAY
ORONO, MN 5535G- DATE ISSUED: 08/19/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1199 ELMWOOD AVE
PIN : 07-117-23-14-0059
LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
NOTE:
(1)KITCHEN EXHAUST- 2 DUCT RECIRCULATING 300 CFM
APPLICANT MECHANICAL(<$500) 15.00
PRACTICAL SYSTEMS STATE SURCHARGE MECH(<$500) 0.50
4342B SHADY OAK RD TOTAL 15.50
HOPKINS, MN 55343
(952)933-1868
OWNER
HARVEY, MR. & MRS.
1199 ELMWOOD AVE
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of[he date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in wnformance with the State Building Code.This permit may be
revoked at any time for due cause.
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p icant Permitee Signature � Date Is d By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE.
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FOR CI'1'1'USE O�LY
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�• Crystal Bay,MN 55323 Appro�cd By: Amount$:�.�
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CITY OF ORONO—MECHANICAL PERMIT
(All Commcrcial permits must hc approvcd by thc Building Oflicial or Inspcctor and�or Fim Manhall)
GENERAL INFORMATION
1. You may apply for inechanical permits by mail or in person at the City oft�ces. Applications will
be reviewed and a pennit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PF,RMITS ARG NOT
VALID UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT BFGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�nls—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. 1[ouse Heatinb Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑Commercial(Approval Required)
❑ New 0 Additional ❑ Repairs ❑ Replace
Job Site/Owner Infonnation:
Site Address: �91 Ei��woov AVF
,
Owner: 'A Mailing Address: sAMF
Clt 'VIOLIND �� 55364
Y� P�
Home Phone: Alternate Phone:
Contractor Information:
Contractor: PRACT�cAL SvsT�:�s Contact Person: 1oANN
AC�C�COSS: 4342B SHADY OAK RD State BOrid#: 558516
City: xonKiNs Z�p: ss343 Expiration Date: �9ioxioH
Phone: (9s2�933-�xba
Alternate Phone:
otroiro�
❑✓ Insurance—Current:
1
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°� ` MECHANICAL SYSTEMS BEING 1NSTALLED
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output I3TUs:
CFM:
COOLING SYSTEMS
Quantiry:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burninb Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑✓ No. 1 Kitclien Exhaust � duct recirculating 300 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORACE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel OiL- gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
.
PERMIT FEE CALCULATION(S) �
QASED OFF - 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residentia] tixture 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 5500.00 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 ap�lies; Cost of Pennit $ 15.00
State Surcharbe $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE CALCULATION(S)-JOBS OVER$500.00
If above does not upply; lollow guidelines belo���:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
300.00 x .0125 $ 37.50
(contract priccl (minimum$3�.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fcc of�.50)
300.00 x.0005 S o.50
(contractpricc) (minimum$ .50)
3. POSTAGE&HANDLING (Only on Mail-In Applications) � 1.50
38.00
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 tixed 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 �nust be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a di5pute 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.
MECHANICA4L PERMIT APPLICATION AGREEI�vIENT `
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 or
Minnesota, and certi�es that all statements made on this application are complete, true and
correct.
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Applicant's Signature: Date: � � ���
Reset Form
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`(���+ DATE TIME
CITY OF ORONO CALLED IN I�I
INSPECTION NOTICE SCHEDULED ' L -OCi
PERMIT NO. �� ����I��U COMPLETED
ADDRESS I � �`'7 � � VVl ( .l�C�)C"� ' ?�P
OWNER , CONTR. �/�(� (�•-f- � St��S'l� ,
TELEPHONE NO. ��,� - �J�� � �C��
� DESCRIPTION �C�-ft�f� U-P,11f ���f
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLIN�,�y�
Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORE/WETLANDS`-�""'S
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATEFi HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTAIL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL p . ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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WORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE
W ❑ ORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on si�e:
Inspector. L:�; �. �:� /'� — l
White Copyllnspector's File Canary CopylSite Notice
��� }� DAT d TIME v
ITY ORONO CALLED IN �l � �0
INSPECTION NOTICE SCHEDULED � a% dD -
PERMIT N . � D�SO COMPLETED
ADDRESS
OWNER CONTR. G� -
TELEPHONE NO. �_ ^ `�- a� ` ��
� DESCRIPTION J.
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FIL�ING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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 MEEf YOU:_YES_NO
� COMMENTS:
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W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for ihe next inspection 24 hours in advance. �952� ZQ9-46QQ
Owner/Contractor on s,ite:
Inspector. i_
White Copyllnspector's File Canary Copy/Site Notice