HomeMy WebLinkAbout2016-00006 - lower level bath exhaust � ' CITY OF ORONO
* 2016 - 00PJ06 *
2750 KELLEY PARKWAY DATE ISSUED: OU05/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 ETHEL AVE
PiN : 20-117-23-24-0017
LEGAL DESC : CASCO HEIGHTS
: LOT 006 BLOCK 003
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULT[PLE
VALUATION : $ 800.00
NOTE: LOWER LEVEL BATH EXHAUST
APPL[CANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.40
BEN SCHERER PLUMBING&HVAC INC. TOTAL 50.40
4520 85TH STREET SE
DELANO, MN 55328- Payment(s)
CREDIT CARD 4343 50.40
(763)972-8137
Minnesota State License#: mech-MB003633,p1bg-PC648530
OWNER
Everlast Enterprises, Inc.
CLEARY,JAMES
4109 NORTH SHORE DR
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 governing Ihis 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 the 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issue y Signature Date
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�R C DSE ONLY
City of Orono I
���0 P.O.Box 66 Date Receiv �Pecmii#� �l6_ U��
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: �
Phone(952)249-4600 Fax(952)249-4616
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��XESH�R�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshail)
GENERAL INFORMATION
1. 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 RECEIVE 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 fmal.
TYPE OF PERMIT
Check All That A 1
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑Replace
Job Site/ Owner Information:
Site Address: ��g'S ���� J t r�
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Inforrnation:
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Contractor: ��� \,f-����� I�"}-��Contact Person: ����4-f �
Address: ��Z{' `�5�✓S k�� � State Bond#: ��'�t� C'c' �(�3�
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City: �'�.L'-�r"�� Zip: ��� Expiration Date: � �� � Z-
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Phone: (L 1 Z �- �-- �� �J Alternate Phone:
❑ Insurance—Current:
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MECHANICAL SYSTEN�S BEING INSTALLED f !
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: �Q t.,✓�'� (t v Z/ � rl . S ��—
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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
❑ No. Kitchen E�chaust duct recirculating cfm
� No. �_ Bath E�chaust(must have duct outside) �_cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Undergound ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCtTLATION(S)
BASED OFF-2002 S'I'ATE 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 Surchazge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERA�IIT FEE CALCLJLATTON{S -JOBS O�ER$5�0.0�
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
� �j � x.0125$
conVact price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PRICE ar 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 pariy, 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.
I�C:`�-iATTICAL P�I�.�VIIT..A�PZI�.AT�fl�T AGREE1v�L�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.
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Applicant's Signature: � 'S � ,L� Date:
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CITY OF ORONO CALLED IN J`���`�" ==~L�
INSPECTION NOTICE SCHEDULED
PERMIT NO. �_b l Io-DA�G� COMPLET
ADDRESS .���5� - - �
OWNER TELEPHO NO. �G��Z�S�
CONTRACTOR � �C�7e�e�'
� DESCRIPTION �� � S �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S PTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL 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.
Call for the next inspection 24 hours in advance. 9 2� 249-4600
OwnerlContractor on site:
Inspector.
White Copyflnspector's File Canary CopylSfte Notice