HomeMy WebLinkAbout2013-00799 - ventilation CITY OF ORONO * 2 0 1 3 - 0 0 7 9 9 *
,
2750 KELLEY PARKWAY DATE ISSUED: 08/14/2013
� ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 880 PARTENWOOD RD
PIN : OS-117-23-43-0001
LEGAL DESC : PARTENWOOD
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : VENTILATION
VALUATION : $ 1,700.00
NOTE: 2 BATH EXHAUST
APPLICANT MECHANICAL 50.00
CENTRAIRE HEATING&AIR STATE SURCHARGE MECH(VALUATION) 0.85
7402 WASHINGTON AVE
EDEN PRAIRIE,MN 55344- MAIL-IN FEE 2.00
(612)941-1044 TOTAL 52.85
OWNER
GRAY,JERRY&CYNTHIA
880 PARTENWOOD RD
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 Ciry 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 sepazate
permiu. 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 the State Building Code.This permit may be
revoked at any time for due c,'ause.
\� L�,`' / / / /
Applicant Permitee Signature Date Issued By ' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
vt ��'�N��
FOR CITY USE ONLY
� ' ' ����„ City of Orono
� /` �+��r,'� P.O.13ox 66 Datc Rcccivcd: Pcrmit#
�� �'1 2750 Kelley Parkway
4, Gystal Bay,MN 55323 Approved By: Amount$:
1 Phonc(952)349-4600 Fax(952)249-4616
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���%�� Ld` �" CITY OF ORONO— MECHANICAL PERMIT
�� '��ti t t�� � (qll Commercial permits must be approved by[he Ruilding Official or lnspector and/or F irc 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 sentby return mail after a review is completed. PERMITS ARE NOT
VALTD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculadons,details and specitications 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 ncw 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 Codc
requireinents.
6. All work n�ust be inspected(rough-in a�1d fi��al). Call (952)249-4600.
(24-48 hour notice required)
7. FIouse Heating Test Record must be submitted before tinal.
TYPE OF PERMIT �
(Check All That A 1 )
�Q Residential ❑ Commercial(Approval Required)
��
❑ New ❑ Additional [�Repairs ❑Replace
Job Site/Owner Information:
Site Address: � �� �� ����'+-�c,[.,���z�� 1�� . �CL��� ��g�_��t� �5�— 3 ��
Owner: �����Lf ti �'r7"� Mailing Address: ��G� ����i''i�ti�'tl1�G'� ��
City: ��`t1g ���i.� Zip: S ���—�!
Home Phone: �,��—�3� `�y� Alternate Phone:
Contractor Information:
Contractor: �--�------��—� Contact Person: ���� r/! �1�����r �'
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Address: � State Bond#: �; j a-�/�'l�
7402 Wash�ngion Avenue
City: �den Prairie,MN 6534aZip: Expiration Date: � ��C � �p�C-� �
�y_y� 941-1044
Phone: Alternate Phone:
❑ Insurancc—Current:
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� ' MECHANICAL 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
F[REPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masoniy
VENTiLATiON
❑ No. Kitchen Exhaust duct recirculating cfm
� No. � Bath�xhaust(must have duct outside) � '` cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing tn ahandon 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
PERMTT FEE CALCULATION(S) � � � �
BASED OFF -2002 STATE STATUE �� ° °
❑ Yes, this section applies
Tlie replacement of a Residential fixture or a�pliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas se�vice.
2. F[as a total cost of$500.00 or less;excluding the cost of the fixtm-e or appliance: and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applics; Cost of Permit $ 15.00
State Surcharge � 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
� PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 �� � � �
If above does not apply;follow guidclines below:
1. CONTRACT PRiCE * is l.25%of contract price with a(Minimum Fee of$50.00)
t�(,%C� x .0125 $ `_'� C.%
(contract price) (minimum$50.00)
2. STATF.SURCHARGE �
� '7C'�C�' X .000s � ��� �
(contract pricc)
3. POSTAGE&HANDLiNG(Only on Mail-In Applications) $ 2.00
`--,
4. TOTAL PERMiT FEF.(Add Lines 1-3 Abovc) $ r7 �• '� `�
■ * CONTRACT PRTCE or JOB COST means the actual or estimated dollar amount charged for the
permitted wark including materials, labor,profit, and other fixed costs. It is the unount to be charged
to the customer for the work done. If any material, equipment, labor or installations are funiished by
the owner, tenant or any other pariy, the reasonable market value of such items must be added to thc
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 conh-act.
MECHANICAL PERMIT APPLICATION AGREEMENT
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 co�nplcte, truc and
correct.
Applicant's Signature: �� v�� �� Date: �� �'`l �
(��-� TE . TIME \ /
CITY OF ORONO CALLED IN / -- ' 3 �
INSPECTION OTICE HEDULED � � — �'3 U
PERMIT NO � �7 OMPLETED
ADDRESS /�$
OWNER TELEPHONE NO. ��—�v�
CONTRACTOR '
� DESCRIPTION
� ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c��, COMMENTS:
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� ❑1�0RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECT�ON REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site���
Inspector.
White Copyllnspector's Fite Canary CopylSite Notice
5��- �� ✓
DATE TIME
CITY OF ORONO CALLED IN I`a�l/ �
INSPECTION NOTICE SCHEDULED -z-3—�s�
PERMIT NO. OMPLETED
ADDRESS ��D ��f!/1 �l DOG� /�
�B TELEPHONE NO.��'��S-���77`�
CONTRACTOR ��� z`e �
` � • „o";O �7�3� / / a D!3- /G�
>, DESCRIPTION �� �
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� ❑ FOOTING P MBING FINAL ❑ EX GRADING/FILLING
Q ❑ POURED WALL MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
� ❑ 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
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� RK SATISFACTORY:PROCEED ROJECT COMPLEfE
W ❑ RRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARFiANGE ACCESS.
Cail for the next inspection 24 h in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. �--
White Copyllnspector's File Canary CopylSite Notice
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