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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. }� '�.j � �) c ��� l_� C�YYl�c�1 ��'l /z j��� �O npplicant enni ee ig Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` � � 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$: �s �,,���o� Phone(952)249-460 Fax(952)249-4616 � � � ��eao$�' 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: 1 Y� � s- ��) �— '� I�,-�.c� ` �,���,� ' � ��SU'✓T..��i�r,c r . + '� ''� 'ME�HANICAL 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 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: 2 r � � 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 3 /� � (/ �'�`� V � �A�oZL��/L' TIME CITY OF ORONO CALLED IN INSPECTION N�IC� ., SCHEDULED ��' ��v PERMIT NO. �' � �`�"�� connP�E1E� ADDRESS �� �'� ��df'/�� �-�--� L.,ti '/ �vu � u . .�.y,�-/,, OWNER TELEPHONE NO.��,� -,�t�/-/�u/y CONTRACTOR ��—t� t-' �'� `��'�-�t2� >; DESCRIPTION f % k- C��� /�� � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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: � W a � J O a � O � W � Q � Z W � W � � GW `'E�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � � 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. �� ���� << < Whiie Copyllnspector's File Canary CopylSite Notice