HomeMy WebLinkAbout2012-00438 - mechanical CITY OF ORONO * 2 0 1 2 - 0 0 4 3 B *
�' 2750 KELLEY PARKWAY DATE ISSUED: 05/22/2012
� • ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1770 SHADYWOOD RD
PIN : 17-117-23-21-0023
LEGAL DESC : SHADY-WOOD
: LOT 018 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 4,000.00
NOTE: 1 CARRIER 3.5 TON AC
APPLICANT MECHANICAL 50.00
RONS MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 2.00
1812 OLD BRICKYARD RD.
SHAKOPEE,MN 55379 MAIL-IN FEE 5.00
() TOTAL 57.00
OWNER
O'DONOGHUE,DANIEL&SUE
1770 SHADYWOOD RD
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 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 construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of i 80 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 cadse.
�
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V Y�.Ow�.
Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E.
1�OR C1TY USE ONLY
.,, O,¢p�,� City of Orono
P.O.Bo�bb Date Recrivcd: !'ermii#
� � ' �' 37�17 Kelley Parkway
�+ � +�-� ('rystal Bay.MN Si�?:� Approved Ry: Am�iwit 9+:
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+" � � : o��� Phone(U��'J�'.19-1600 Fax(9�?)'_a�)-�1616
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C`ITY OF ORONO–MECHANICAL PERMIT
(nll(���mmerci,�l prrmits nuist be.ipproved by the Building Olficial or lnspenor;ind/ur I�ire M,ushalll
GENERAL INFORMATION
I. Y��u rnay apply t�or mechanical permits by rnail or in person at the City offices. Applirati�m�will
he reviewed and a permit will be issued within two working days.
?. Pern�it card�will be sent by return Jnaii after a review is compie[cd. PERMI"t'S AKt;NO"1'
VAI_[D UN"I'1L YOU RF..CEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PGRMIT CARD IS POSTEll ON THE.TOB SITE.
3. Mechanical Desi�,�ns—Complete calculations,details and sp�cificatiuns<u�e required f��r each
heatin�,ventilatiun, humidification-dehu�uidificatiem,and air amditiuning installatiun inclu�ing
hc�at lu,s/heat�ain calculation, design teroperatures, e�yuipment ratin�s an�i identilication .��, lu
ty��c. manufa�t�ircr and m�xlel. Data shall be presented on form provided.
4. Whcn any new a,nstruction or remodelinb is involved, a separate huilding permit must be
l��)l<llil�t�.
5. Ail work�nu,t be de>ne in acce�rclance with the Unif��t•m Mech�nical Code/Statc Building Cuelc
rcyuircmcnts.
l�. All work must be inspcctcd(roubh-in and final). Call(�52)249-46O0.
(24-�18 hour notice required)
7. Hi�us� Hcatin�Test Rccord must bc submiltcd bet�orc final.
TYPE OF PERMIT
Check All That A 1
[]'IZrtiid�.ntial ❑ CoiYunercial (Appro���il Reyuireci)
❑ Ncw ❑ Adciitional ❑ Repairs ['�Rcplacc
Job Site/ Owner Information:
Site Addre��: ��� SYY�I� l�l�(� �OQ�
Uwner:�l p��1 �-CX`�1�U.� Mailing Address: ��� S��Vv� �0�
City: �YbY�O Zip: �'rJ��
f-i��n�c Phone: ��Z���"�`�� Alternate Phone:
Contractor Information:
Rons Mechanical Inc Linda
Cc�ntractoc: Contact Person:
12010 Old Brick Yard Road
Addre�s: State Bond #: R�L� �� ��
Shakopee 55379 ��201"Z
Cily: Lip: Expiration Date:
Pi������. (952) 445-8585 qlternate Phone:
❑ Insurance –Current: V ___—
1
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MECHANICAL SYSTEMS BEING II�iSTALLED � . * �
Note: All Geuthermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTH�RMAL? ❑ Yes [�No
HEATING SYSTEMS
Qu�antity:
Makc:
Modcl:
Fucl:
Flue Sizc:
input IiTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
M����: ��(Y I�v
Modcl: ��� 1,��-
Tons: �� �
H. Powcr
r�IItI:YLACES
Gas Factory Fireplace f3rand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen ExhauSt duct recirculating clm
N��. Bath Exhaust(must have duct outside) cfm
N��. Other Fans: Locations cim
I�UEL STORAGE (Must be approved by Fire Marshall if proposirag to abando�r tank i�r place.)
� Installation � Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Out�ide
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What& Where:
2
.
� � �. ----
� � P���T��E cai.�via�o�v�s�
BASED OFF- 2(l(l2 STATE STATUE
� Yes, this section applics
Thc replaccmcnt of a Rcsidential fixture or appliance that mcets all three of the following reyuircments:
l. Does not require modification to electrical or gas service.
2. Has a tuta] cost of$500.00 or less, excludin�the cost of thc tixture or appliancc: and
3. Is im}�roved, installed or replaced by the homeowner or licensed contractur.
Skip next section, if this applies; Cost of Permit $ 1�.O0
State Surcharge $ 5.00
Mail-In Fee(If Applicable) ,y; 2.0O
Total Permit Fee $
� PERMIT FEE CALGULATION(S)—�3+OBS OVER$500.00
If nbove does not apply; follow guidelines below:
L CON1'RACT PR10E * is 1.25%�01'contract price with a (Minimum Fee of$50.00)
400o a .����s � 50�u�
(contract price) (minimum 550.00)
2. STATE SURCHARGE `���Add thc State Bldg Code Div. Surchargc (Minimum Fee ol'$SAO)
x .0005 $ �.(��
(contract price) (minimum$S,pO�
3. YOSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00
4. 'I'OTAL PERMIT FEE(Add Lines i-3 Above) $ ��•��
• �" CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for thc
permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charbed
to the customer for the work done. If any material, equipment, labor or ins[allations arc furnished by
the owner, tenant or any other party, the rea5onable market value of such items must bc acl�ied tc� the
estimat�d cost or contcact price for permit f�ee purposes. In the event that there is a dispute on the
an�ount of the j«b cost, the City may request the submission of a signed copy of the actual cuntract.
■ �'��'� The ST'ATE SURCHARGE is .000_5 times the Contract Price or a minimum of$�.00.
MEGHANIC�.L PERMIT APPLICATION AGREEMENT
The unde:rsigned hereby applies to the City for issuance of a Mechanical Permit, abrecs to do all
work in strict accordance with lhe ordinances of the City and [he regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
corrcct.
Applicant's Signatur : ����� Date: ����� ��
Reset Form 3
DATE TIME/ ✓
CITY OF ORONO CALLED IN
INSPECTION NOTI E ,/ p� SCHEDULED �� ���
PERMIT NO D —G�Y'30 COMPLETED
ADDRESS ���� S
OWNER LEPHONE NO.gS� ��� 3��
CONTRACTOR � �
a DESCRIPTION �� � ' `-'
� ❑ FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAI RI ❑ LAKESHOREIWETLANDS
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
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ OEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE
W O CORRECT WORK&PROCEED ❑ E CERTIFICATE OF OCCUPANCY
� O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (g52) 249-4600
Owner/Contractor on site:
inspector.
White Copyllnspector's File Canary CopylSfte Notice