HomeMy WebLinkAbout2008-00225 - duct work � CITY OF ORONO PERMTT NO.: 2oos-oo22s
� - 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/16/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 1680 NORTH FARM RD
PIN : 27-118-23-44-0010
LEGAL DESC : THE FARM AT LONG LAKE
: LOT 009 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 3,000.00
NOTE: REPLACE 7 SUPPLY AIRS IN BASEMENT
APPLICANT MECHANICAL 37.50
KLEVE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 1.50
6365 CARLSON DRIVE SUITE G
MN 55346- MAIL-IN FEE 1.50
(612)941-4211 TOTAL 40.50
OWNER
KAUFMAN,PHILIP&NICOLE
1680 NORTH FARM RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he 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 goveming 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 applicant is responsible for assuring all required inspections are
requested in conformance with ttte State Building Code.This permit may be
revoked at any 'me for due cause. �
, � � // / �/ ��
Applic e itee Signature Date Issued By ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� FOR CTTY USE ONLY
0 City of Orono ' '
�g �O� P.O.Box 66 Date Received: � Pertnit# .
�?, 2750 Kelley Parkway <
���21��j� r Crystat Bay,MN 55323 Approved By: Amount S:
��+E`� (952)249-4600
s
CITY OF ORONO-MECHA.IVICAL PERMIT
(All Commercial permiu must be approved by the Building Official or lnspecwr and/or Fire Marshall)
GENERAL INFORMATION �.� -
1. You may apply for mechanical permits by mail or in person at the City o�ces. 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 L�esigns—Complete calculations,details.and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain caiculation,design temperatures,equipment ratines and identifica?ion as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodelin�is involved, a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State BuildinQ Code
requirements.
6. All work must be inspected(roueh-in and final). Call (952)2�9-4600.
(24-�3 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT I
Check All That A 1
❑ Residential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
S ite Address: ' ��Tl J I'���►'� 1 �a�� �
� O�vner: 1V1 �� YY,t)�}�(_�1 Mailina Address:
City: Zip:
Home Phone: Alternate Phone:
_. _ __
_ _ . _ _
Contractor Information:
Contractor:Kle��P Htg�, �. A,L� Inc Contact Person: Ashley Griffin
Address: 6365 .ar� son Dr . Ste GState Bond �: Rr,T-561 Lfz5
Ci[v: Eden Prairie Zip: 55346Etpiration Date: 8/14/b9
Phone: 9 5 2-9 41-4 211 Alternate Phone: g 5 2-3 4 5-7 2 4 2
❑ Insurance -Current:
1
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'':�'.���`�a.s'-�.�"'.�.S��YIEGI�AN.I�?'AZ:.:Y..�S��nS;BE�IG��ST�<�ED�]��n��'�r., �a i;...,
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs: ._._
Output BTUs:
CFM:
COOLING SYSTEI�IS
Quantiry: -
�lal:e:
ModeL•
Tons:
H. Power
FiREPLACES
❑ G�s Factory Fireplace
❑ Wood Burnin�Fireplace
❑ Wood Stove
❑ Wood Stove�Vith Flue
Brand Name: I�tode!No.:
VENTILATiON
❑ No. Kitchen EChaust duct recirculatine cfm
❑ No. Bath E:chaust(must have duct outside) cfm
. ❑ No. Other Fans: Locations cfm
FUEL STORAGE(�tUST BE APPROVED BY FIRE M.ARSHALL) _
❑ Installation ❑ Removal
Fuei Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Odter/ List �Vllat�� �Vhere:
'�.�s G � �-� CSZ� � �(�"`�l ��111� �� �l�c�►-����►�
C"'`
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� '��``��y �i�".:i;�����4�`",:�;�h��',`�ERNIIT:FEE;;�CALCUL�ATION(S)�'�s>�:,;::�E�. ,�`,,���k;�_;;;:;:`� �':
`�+`;'� `; :��.,f;�?;��.�; 1 T:`:���BASED"OFF�_2,002'STATE STATUE,��:4'` ��-`�%� `;' -~�
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
]. 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 appiiance: and
3. Is improved, installed or replaced by the homeo�vner or licensed contractor.
Skip next section, if this applies; Cost of Permit � 15.00
State Surchar�e $ .50
Mail-In Fee(If Applicable) $ 1.�0
Total Permit Fee S
�. . -
�`�� -' �:_ `�� -� PERMIT FEE CALCUI;ATION(S) =JOBS OVER $500.00 -
If above does not apply; follow�uidelines below:
l. CONTRACT PRICE * is 1?�4'0 of contract price with a(�Iinimum Fee oiS3�.00)
3_���,a� x .ol,ss3� �� �
(convac:pnc�j (minimum���.00)
2. ST.aTE SURCH.aRGE " Add the State Bidc Code Div. Surchar�e (�Iinimum Fcc o('5.�0)
��Q z .000� S I �
(contract pnce) (m�mmum S 50)
3. POST�GE 8 HANDLING (Onl�• on tilail-In Applications) S 1.�Q
�3. TOTAL PER,IIIT FEE (.�dd Lines 1-3 .�bove) S �D `✓V
• ` CONTRACT PRICE or JOB COST means the actual or estima[ed dollar amount charoed for the
permitted work incfuding materials, labor, profit, and other fixed costs. It is the amount to be char�ed
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, [he reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the e��ent tha[ there is a dispute on the
amount of tl�e job cost, the Ciry may request the submission of a si�ned copy of tlie actual contract.
• *'The STATE SURCHARGE is .0005 of the Buildin� Department at(9�2) 249-4600 for the price.
- - - - � .'_ MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a lvtechanical Permit, a;rees to do all
work in strict accordance with the ordinances of the City and the re�ulations of the State of
Ivtinnesota, and certi ies that all statements made on this application are compfete, true and
correct.
Applicant's Sionature: Date:
; �. Reset Form, .. • .
. . :..,',:.�_.:::.:..:. . .
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