HomeMy WebLinkAbout2010-00252 - ventilation ^ CITY OF ORONO PERMIT NO.: 2o�aoo2s2
2750 KELLEY PARKWAY
ORONO, MN 55356- DA'rE�SSUED: 04/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1280 LYMAN AVE
PIN : 35-118-23-34-0014
LEGAL DESC : LYMAN WOODS
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 2,300.00
NOTE: FAN IN SPA ROOM- 110 CFM
GASLINE FOR FIREPLACE IN SPA ROOM
APPLICANT MECHANICAL 50.00
SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 1.15
6219 CAMBRIDGE ST
ST. LOUIS PARK,MN 55416- MAIL-IN FEE 2.00
(952)92Cr4488 MISC FEE 0.00
TOTAL 53.15
OWNER
HANSON,HARLAN&MARCIA
1280 LYMAN AVE
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 dces
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 null and void if consVuction 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 applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revok at any time for due c use.
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Applicant Permitee Si ature Date I s By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE.
' ��IVE� F Y' SE ONLY
p City of Orono /�
O� �O P.O.Box 66 APR 2 2 201 p �`��'y�: � /�e(mit#�_V ��
2750 Kelley Pazkway '�
��t Crystal Bay,MN 55323 Approved By: Amounr$�F�„Z���
d� (952)249-4600 C�''IOF O�O�O
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry 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 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 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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�, Residential �Commercial(Approval Required)
/ �
❑New �Additional ❑Repairs 0 Replace
/
Job Site/Owner Information:
Site Address: 'O�� �-yl�'��,�d A'�JL,s
Owner: C��.�J Mailing Address: ��� �.SfI►+�W �
City: W��t Z�� Zip: �5�4/
Home Phone: Alternate Phone:
Contractor Information:
Contractor: cS�I�T 1 Y1�h}� Contact Person: ��1.�C�F�SP�
Address: �O�`�� �J�►��IOf� S State Bond#: � ��D��{a-
City: � �S �/���Zip:�`�Expiration Date: �/�s�l�
Phone: �Sd"���"���� Alternate Phone: CSa —a�S�g��9
❑ Insurance—Current: t��"P�( �IQ•o �vr�i�yulQ
1 �_ �f,co�.-rd`�
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Sa .�`�Y- �e��-�� �2. `1!v h
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 BT[Js:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
0 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 Exhaust(must have duct outside) cfin
� No. �_ Other Fans: Locations S'Qe4 p.�so�. 1(o cfm
FUEL STORAGE (�fust be approved by Fire Marshal!ijproposing to abandon tank in place.)
0 Installation a Removal
Fuel Oil: gallons ❑ Underground a [nside �Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: �iQaE Y��k d /�!�/� �o�.
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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;excludine 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 $
a,. ,'��; a w t .�.
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�� ' x.0125$ ��idO
(conuact price) (minimum$50.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surchazge(Minimum Fee of 5.50)
x.0005 $ `��S�
(contract price) (minimum$ .50)
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 chazged 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 aze 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 of the Building Department at(952)249-4600 for the price.
, .
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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.
Applicant's Signature: Date: T" ��O
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� ATE/ TIME
CITY OF ORONO CALLED IN r �
INSPECTION NOTICE �` CHEDULED ��
PERMIT NO. �D�D��D/�/�MPLETED
ADDRESS l �
OWNER ELEPHONE NO��
CONTRACTOR �
a DESCRIPTION � �, `--�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL '�MECHANICAL RI ❑ LAKESHORENVETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU�YES_NO
c�., COMMENTS:
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�K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CO ECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUtRED.CALLTOARRANGE ACCESS.
Cail for the next inspectio 2a hours in advance. (g52) 249-4600
Owner/Contractor site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice