HomeMy WebLinkAbout2010-01200 - ventilation • CITY OF ORONO PERMIT NO.: 2010-01200
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 12/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2943 FARVIEW LA
PIN : 04-117-23-34-0008
LEGAL DESC : FARVIEW
: LOT 008 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,400.00
NOTE: 2 I3n"1'H FXIIAUSTS
APPLICANT
MECHANICAL 50.00
HI TECH HEATWG& AC STATE SURCHARGE MECH (VAC,UATION) 5.00
10035 PILLSBURY AVE S
BLOOMINGTON, MN 55420- TOTAL 55.00
(952)292-5780
OWNER
WILSON &TARA SULTON, GARY
2943 FARVIEW LA
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. "This permit is for only the work described and does
nol grant permission for additional or rclated work which requires separate
pennits. All provisions of I�ws and ordinances governing this type of work
shall be compied with whcther or not specitied herein.This permit will
erpire and become null and void if construction authori�ed is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at any time after work has commenced.
The applicant is responsiblc for assurin�all rcquired inspections are
requested in conformance with Uie State f3uilding Code.This permit may be
revoked at any time � �causc.
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npplicant enni ee ig Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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� � FOR CITY tiSE ONLY �
,��� City of Orono
O} Q P•O.Box 66 � Date Received: Permit#
� �;;; 2750 Kelley Parkway �—__�
a ����','�,r=� Crystal Bay,MN 55323 � Approved By: Amount$:
�s �,,���o� Phone(952)249-460 Fax(952)249-4616 � � �
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will
be reviewed and a pernut 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 Desiens—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 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 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: _ �� �"'3 �GVUJI�� l�t"iVY1Si�
Owner: �'��t�(-� '�/ � �'v �f /5 � Mailing Address: ���n,��
City: � R,�1�{��) Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ��i—��.C.,� � -� ��� Contact Person: I t'�V1/l S��c,�,�,5k�,
Address: ��0 3 5 ���S(�(,����tt1�cS�State Bond #: I�J L N 0 4y bG�.�
City: i��odw+w�4iT�^ Zip: ��t;Expiration Date: Q-�C�4-��c7 (t
Phone: q�j�. o��lat �?�'4 Alternate Phone:
❑ Insurance- Current:
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'� ''� 'ME�HANICAL SYSTEMS BEING INSTALLED
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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
VENTILATION
❑/ No. Kitchen Exhaust duct recirculating cfm
[� No. �_ Bath E�aust(must have duct outside) (M-(Ny�s;,, d���cfm
❑ 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: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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PERMIT FEE CALCLILATION(S)
BASED OFF - 2002 STATE STATUE
❑ Yes,this secrion applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modificarion to electrical ar 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 $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
�D' ' PERMIT FEE CALCULATION(S)'—30BS OVER $500.00 �.
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 oc'�
�l- X.�125 �
(contract price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00)
x.0005 $
(contract price) (minimum$5.00)
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 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 actual contract.
■ **The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00.
MECHANICAL PERMIT APPLICATION AGREEMENT
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.
Applicant's Signature: Date: � � ��] l d
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CITY OF ORONO CALLED IN
INSPECTION N�IC� ., SCHEDULED ��' ��v
PERMIT NO. �' � �`�"�� connP�E1E�
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OWNER TELEPHONE NO.��,� -,�t�/-/�u/y
CONTRACTOR ��—t� t-' �'� `��'�-�t2�
>; DESCRIPTION f % k- C��� /��
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ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
T ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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GW `'E�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contractor on s�ite:
Inspector. �� ���� << <
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