HomeMy WebLinkAbout2015-00893 - ventilation , CITY OF ORONO * Z 0 1 5 - 0 0 8 9 3 *
� 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRES5 : 315 HOLLANDER RD
PIN : 25-118-23-43-0014
LEGAL DESC : HOLLY ACRES
: LOT 001 BLOCK 002
PERMIT TYPE : MECHANICAL(<$500)
PROPERTY TYPE : RESIDENTIAL
COI�ISTRUCTION TYPE : VENTILAT[ON
NOTE: BATH FAN
APPLICANT MECHANICAL(<$500) 15.00
STATE SURCHARGE MECH(<$500) 1.00
FAZENDIN,ANDY& ELIZABETH
315 HOLLANDER RD TOTAL 16.00
WAYZATA, MN 55391- Payment(s)
CRED[T CARD 2747 16.00
OWNER
FAZENDIN,ANDY& ELIZABETH
315 HOLLANDER RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The appli �nt is responsible for assuring all required inspections are
requeste in conf ance with[he State Building Code.This permit may be 1
r oke any t for due use: � � 1 ��
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plicant ermitee Signature ate [ssued By Signature Date
� � FOR CTTY USE ONLY
, _ O City of Orono i ����- �j
� � P.O.Box 66 Date Received: `��T'�ermit#� / _3
� 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: ��� flmount$:�_
Phone(952)249-4600 Fax(952)249-4616
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t�'FESH�R�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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
req�iirements.
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 befare final.
TYPE OF PERMIT
(Check All That A 1
�Residential ❑ Commercial(Approval Required)
1
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address:
� � � ��.�� � ,�'� .
Owner:�_(�Ct,/��� �����'�Olailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractar Information:
Contractor: Contact Person:
Address: State Bond#:
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current:
1
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� � ta� ,�.�' �-a � ,��"�` a -� r t� 'E�� �.
,J,z� ',Yv`fg, air� '•i.� �' �. �. •
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 BTiJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Ma1ce:
Model:
Tons:
H.Power
FIItEPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating c&n
❑ No. Bath Exhaust(must have duct utsid cfin
� No. �— Other Fans: Locations � cfin
FUEL STORAGE (Must be approved by Fire Marsha[I 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
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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;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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $ �
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
x.0125$
(contract 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 or JOB COST means the actual or estimated dollaz 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 fiunished 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.
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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 Signatur Date: S
3
� �� DATE TIME
CITY OF ORONO CAL_LED IN �
INSPECTION NOTICE SCHEDULED �� 1�
PERMIT NO. cOMPLETED
AD RE
� ����ELEPHONE NO.��7���
CONTRACTOR
� DESCRIPTION a`/° �-���- f�-/�t� ,A
n� ��—�-.-��--
4� ❑ 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
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTFiACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. 2) 249-4600
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary C yfSite Notice