HomeMy WebLinkAbout2015-01502 - kitchen exhaust . CITY OF ORONO * 2 0 1 5 - 0 1 5 0 2 *
" 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 577 PARK LA
PIN : 06-117-23-41-0046
LEGAL DESC : MINNETONKA SUMMIT PARK
: LOT 012 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 1,500.00
NOTE: (1)K[TCHEN EXHAUST-6"DUCT REC[RCULAT[NG 296 CFM
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.75
WESTIN PLUMBING& HEATING INC TOTAL SOJS
15494 67TH STREET Payment(s)
BECKER, MN 55308- CREDIT CARD 6236 50.75
(763)913-8613
Minnesota State License#:
PLUM-PC645827,mech-MB003074
OWNER
TEELE&AMY SULLIVAN-TEELE, BRENT
577 PARK LA
LONG LAKE,MN 55356-
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 null and void if construc[ion authorized is not
commenced within 180 days of the da[e 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 conform e with the State Building Code.This permit may be
revoked at any time f due cause.
, o �-�,�� �l �a ��
Applicant Pe i e Signature Date Issued ignature Date
FOR USE ONLY
� � �O A T City of Orono l��Y���- �`�`' �s
1 VO P.O.Box 66 Date Received. Permif# J' • ��
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$: �� �
Phone(952)249-4600 Fa�t(952)249-4616
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l�kESHOR�G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permiu 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 City 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 UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB STTE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating, ventilation,humidification-dehumidificarion,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 P�RMIT
Check All That A 1
�Residential ❑ Commercial(Approval Required)
❑ New � Additional .Q Repairs ❑Replace
Job Site/Owner Information:
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Site Address: S^% / �� �k L �{�-E
Owner: "/t",�-/r Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
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Contractor: f�/,F>'/�.,, �a � -� ��/l("� Contact Person: `��
Address: ����`� �'k S State Bond #: �� DD�0%��
,
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City: ��a c��f Zip: ��>� Expiration Date: ��—1
Phone: �E � ^%�� "��/� Alternate Phone:
❑ Insurance— Current:
1
MEC�-IANICAL SYSTEMS BEING INSTALLED • .
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 BTUs:
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 � ��' cfin
� No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations ��
FLTEL 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 FE�CALCULATION(S)
BASED OFF-2�302`S'I'ATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or ap Ip iance 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;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 $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PER�iIT FEE CALC�.7:i.ATT��T S =�C��S £��EFZ�Sfl0.00
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� ���� xA125$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x.0005 $
(conuact price)
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 dollaz 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 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.
MEC`��ANICAL P�1�'T AP�'�I�ATI��AGR�F..��`. ;. .,... . . .. . M,,,. ',
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: / � �" ` ���
3
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DATE TIME
CITY OF ORONO CALLED IN //-oZ S
INSrECTION NOTICE CHEDULED //-�D�' /��
PERMIT NO.�70/_ �S /J���OMPLETED
ADDRESS � 7� ���-
OWNER TELE HONE NO.�� �� -3/
CONTRACTOR `�' �
� DESCRIPTION ����-
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO _
� COMMENTS:
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W ❑ RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C0IIERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (9� 249-46��
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OwnerlContractor on site: �
Inspector. _ � %
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/ p�E� TIME'
CITY OF ORONO cnLLED IN ` -+L/ ��
INSPECTION��I����O SCHEDULED �
PERMIT NO. � PLETED
ADDRESS �7 �
OWNER /E EPHO E NO����l
CONTRACTOR ` ry �
� DESCRIPTION � � �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO
y COMMENTS:
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W KSATISFACTORY:PROCEED O PRWECTCOMPLETE
� RECT WORK 3 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 2a hours in advaru:e. (952) 249-4600
OwnerlContractor on site•
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notice