HomeMy WebLinkAbout2011-00057 - bath exhaust CITY OF ORONO PERMIT NO.: 2011-000�7
' 2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE lssu��: OU27/20ll
' 952 249-4600 FAX: 952 249-4616
ADDRESS : 440 NORTH ARM DR
PIN : 06-117-23-31-0003
LEGAL DESC : VICTORIA ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(<$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCT[ON TYPE : VENTILATION
NO'l�E: [3A�I'l l EXHAUST&MOVE 2 SUPPLIGS
APPLICANT MECHANICAL(<$500) I5.00
SWIFT MECHANICAL, INC. STATE SURCHARGE MECH (<$500) 5.00
� 3404 VICTORIA ST N
SHOREVIEW, MN 55126- TOTAL 20.00
(651)486-6473
OWNER
EASTMAN, COLLEEN
440 NORTH ARM DR
MOUND, MN 55364-
AGREEMENT AIVD SWORN STATEMENT
"l�hc work f��r which this permit is issued shall bc perlonned according to
the approvcd plans and specilications,applicable City approvals,and lhe
State 13uilding Code. 'I'his permit is for only the work described and does
not grant permission for additional or related work which requires separatc
permits. All provisions of laws and ordinances governing this type of work
shall be compicd with ti�he[her or not specitied herein.This pennit will
expire and become null and void if construction authorized is not
commenced���ithin I 80 days of the date of issuancc,or if construction is
suspcnded for a period of 180 da��s at any time alter work has commenced.
The applicant is responsible for assuring all required inspections are
rcquested in conformance with th tate Building Code.This permit may be
revoked at any time for due cau . ��y��
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Appli ermitee i nature Date � �
Issued By Signature Datc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� FOR:CITY USE'ONLX>
, 0,���0 City of Orono
P.O.Box 66 Date Received: Permit#
� ° 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: -
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��o y Phone(952)249-4600 Fax(952)249-4616
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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 pernuts by mail or in person at the City offices. Applications will
be reviewed and a pemut will be issued within two working days.
2. Pernut 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�—Complete calculations,details and specificarions are required for each
hearing,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification 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 A 1 )
�Residential ❑ Commercial(Approval Required)
❑ New ❑Additional ❑Repairs ❑ Replace
Job Site/Dwner Information:
Site Address: � �' a � . ��m (� � ,
Owner: �� �� N �Y�S I�.� Mailing Address: �� � 1�1 WlL-w•
City: O (�-� ,J v Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: SW�L�T rYv�c i 1.5,.�c- Contact Person: ��U[-l�.
Address: 3�o`� U�.�i o�ra 5 S.�� State Bond#: J��7 Ip ^ 1'�.b
City: S L1oSc.�v��.w Zip:s�s�2� Expiration Date: � a 1 1
Phone: C(o S ��y�bb'(°`� �3 Alternate Phone: CI� S ►�3 S�7�0 b ��
❑ Insurance—Current: ���,,, �,�,,,�v�
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. ��
IS TffiS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTiJs:
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/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. � Bath Exhaust(must have duct outside) _��cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) w'� a', is. ���
❑ Installation ❑ Removal
S J�Ltie 5
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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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; 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 Pernut $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
� � '�i��..�; � � � ���
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 **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00)
x.0005 $
(contractprice) (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.
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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: ,Z �
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