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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(<$500) 0.50 4342B SHADY OAK RD TOTAL 15.50 HOPKINS, MN 55343 (952)933-1868 OWNER HARVEY, MR. & MRS. 1199 ELMWOOD AVE MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in wnformance with the State Building Code.This permit may be revoked at any time for due cause. �----�.e_ -z._�:� !i�5� i G 'l �i ��7 i ��� p icant Permitee Signature � Date Is d By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESC ED ABOVE. v 1� t FOR CI'1'1'USE O�LY �� City of Orono �( �'����' p.p.g�y�� Datc Rcccivcd:�� ��crmit ���/ Q L�� �� ��'' 27�0 Kcllcy Parkway �� ;► �• Crystal Bay,MN 55323 Appro�cd By: Amount$:�.� �e ' Y,o���� (952)249-4600 :,_�te�Aa6s'/ 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 „�� I l ~ °� ` 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. � ; � Applicant's Signature: Date: � � ��� Reset Form 3 ��-� J `(���+ 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: � W a � J O � � O k W � Q � Z W � W � � �d 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: � W a � � O � � O � W � Q ti Z W � W � � d 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