HomeMy WebLinkAbout2010-00331 - ventilation � �
CITY OF ORONO PERMIT NO.: 2010-00331
� 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE Iss[7ED: OS/11/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1030 LOMA LINDA AVE
PIN : 07-117-23-14-0056
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,150.00
NOTE: 1 KITCHEN EXHAUST
] BATH EXHAUST
INSTALL NEW CLASS"B"FLUE 2 STORY
APPLICANT
MECHANICAL 50.00
RAY N. WELTER HEATING CO STATE SURCHARGE MECH (VALUATION) 0.57
4637 CHICAGO AVE
MINNEAPOLIS, MN 55407- MA1L-IN FEE 2.00
(612)825-6867 MISC FEE 0.28
TOTAL 52.85
OWNER
WOLLNER, LORI HUINKER&GARY
1030 LOMA LINDA AVE
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 this type of work
shall be compied with whether or not specified herein.This permit will
expire and become nuli and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construc[ion 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.
�'yvCG7,ce l�it. l l � �
Applicant Permitee Signature Date Issued By Si ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
i
FOR CITY USE'ONLY
. o,¢o�o City of Orono .
P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
y, '` Crystal Bay,MN 55323 Approved By: Amount$:
?,�� (952)249-4600
CITY OF ORONO-MECHANICAL PERIVIIT
(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 retum mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERNIIT. 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 final.
TYPE OF PERMIT
Check AIl That A 1
Residential ❑Commercial(Approval Required)
❑New �ditional ❑Repairs ❑ eplace
Job Site/Owner Information: ������� �
SiteAddress: � A�YJ (�� '` ��-'��{'►�trV �,j�{'�1,� f
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Owner: l,�Yl,i YI�!I lJ UZ. Mailing Address: �y�Yy►�
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c�ri: ���ti�J� � l�'l�M z�p: �536�f
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Home Phone: a Alternate Phone:
Contractor Information:
Contractor: 1� . �,/�1�.rl LK �i. Contact Person: I � � C � �
Address: L�(� J ,�-�l � �v. State Bond#: �3 bG (o �l�l_�
City: 'r t��i S• Zip:55���Expiration Date: _�S',� (- )�
Phone: �/�- �.�5� 6 gG7 Alternate Phone:
w��tlnt ASk�t1�"�
❑ Insurance—Current: �, 9'I - /�
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTLTs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
�i
/ No. � Kitchen Exhaust � ductL`t7 recirculating ��� cfm �3��'
Q� No. �_ Bath E�chaust(must have duct outside) �cfm �8S��
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
��Sil�<( N��J �ti�bs �� �j,� ��U� � ��4n —� ���,�
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';PERMIT FEE CALGLTLATi�N{S} ; �;
BASED OFF;--.';20Q2,S�'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; 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 $ .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERMIT,FEE"C�LGLTLATION S =JOBS.OVER$S,Q.O:DO .
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
� � �� �� x.0125 $ �D �
(contract price) (minimum$50.00)
2. STATE SURCFIARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
X.000s $ ��g
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J�• �
■ * CONTRACT PRICE or JOB COST means tlie 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 funiished by
the owner, ter.ant or ar.y other party, the reasonable market value of such items must be added to the
estimated cost or contract price for perniit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request tlie submission of a signed copy of the actual contract.
■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
NIECHAh1ICAL PERMIT:APPI,I�ATI+DAT AG'rItEE1�1ENT ° �'
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: �''S`' Jl1
3
�� �-r, � �.� � �
DATE TIME
CITY OF ORONO CALLED w ^ / � �
INSPECTION N—O�TICE SCHEDULED 7��LC�' y=����
PERMIT NO. '��I L�' GC 1�.�J COMPLETED
ADDRESS � � 3 C� � r'` r ►lC� � i � )C�C� �� L`f
OWNER TELEPHONE NO. �� «�-��--r� '-�� �
CONTRACTOR . " � I �?-C f �� �E D t- t_C C�L-f- �
>: DESCRIPTION -�-� � � ��� ` �{ 1 � C� � �7 1
�
ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SE T FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU�YES_NO
� COMMENTS:
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W �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: �►
Inspector. r `
White Copyllnspector's File Canary CopylSite Notice