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Home My WebLink About2011-00955 - ventilation -. CITY OF ORONO PERMIT NO.: 2011-00955 2750 KELLEY PARKWAY ORONO, MN 55356- DATE lssuEn: 08/29/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 2740 KELLY AVE PIN : 21-117-23-23-0037 LEGAL DESC : VERN-MAR MANOR : LOT 012 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : VENTILATION VALUATION : $ 2,400.00 NOTE: 3 BATH EXHAUST FANS APPLICANT MECHANICAL 50.00 WILLIAM H. GILBERTSON LLC STATE SURCHARGE MECH(VALUATION) 1.20 5910 HAWTHORNE RD MOLJND, MN 55364- TOTAL 51.20 (6l2)702-3428 OWNER O'MALLEY, PHYLL[S 2740 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AI�D 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 pcnnits. 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 consVuction 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. � ��-r,��-�L�� `� i ` I i / / i i Applicant Permitee Signature Date Issued By Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � FOR CITY USE ONLY � � ,►` City of Orono , O4O`vO P.O.Box 66 Date Received: Vermit t? �,, 2750 Kelley Parkway �`�'�,�:J�. � Crystal Bay,MN 55323 Approved By: Amount$: �d�� ,��o` Phone(952)249-4600 Fax(952)249-4616 � � CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 pernzit will be issued within two working days. 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, details and specifications are required for each heating,ventilation,humidification-dehumidification, and air conditioning installation inciuding 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(Approvai Required) ❑ New ❑ Additional ❑ Repairs ❑Replace Job Site/ Owner Information: , Site Address: � �Y�' (t ��j /-�v � Owner: �'�� /�� /�i'.�-.�,..c.'' Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �rr•�.�.,, /'J .j,L.,�G� �`� `' Contact Person: ��'�" ��'�"� Address: �y/d �o��,.-� /�l� State Bond#: City: ��Y/�r Zip:,�s�G y Expiration Date: Phone: �� '` 7� ` � y�Z � Alternate Phone: ❑ Insurance—Current: 1 . . . . . ' . Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTUs: Output BT'Us: 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 Eachaust duct recirculating cfin ❑ No. 3 Bath Exhaust(must have duct outside) S�'� 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 PERMIT FEE GALCIILATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excluding 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 $ PERMIT FEE CALCULATION(S)—JOBS OVER �SOQ.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � `/��, 0 � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract pnce) 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 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 esrimated cost or contract pnce 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. �� f .� ,. c � � � :��z� .�� .�� ..� 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. �j ii Applicant's Signature: �C�,,��!�� Date: � �'q 3 � � � �� v' DATE TIME V CITY OF ORONO CALLED IN � � INSPECTIONN�O�IC .,,�,-scHEDULED ��T /� PERMIT NO.o`'�� 'C.�!��coMPLETED ADDRESS �� OWNER ' TEL� HONE NO. - 7Da 3 CONTRACTOR � � � � � DESCRIPTION � � ❑ FOOTING ❑ PLUMBI INAL ❑ EXCAV/GRAD FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: W �� f e f �-I-� 5� i� a � � o �. _ f - ! � 0 � W � Q � 2 W � W � � • � �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next in ion 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSNe Notice