HomeMy WebLinkAbout2007-P11610 ` PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11610
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued: 10/23/2007
SITE ADDRESS: 2237 Shadywood Rd Unit# -
Wayzata,MN 55391
PID: 17-117-23-43-0129
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Pernuts Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 43.75 va�uation: $ 3,500.00
State Surcharge Fee: $ 1.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 47.00
APPLICANT: Ron's Mechanical,Inc. OWNER: Paul Cherba
12010 Old Brick Yard Road 2237 Shadywood Rd
Shakopee,MN 55379 Wayzata,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPUCANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signa[ures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be
reviewed and a pernut 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical DPsi�ns -Complete calculations, detai�s and specifications 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. Identification of and specifications for water heating
equipment shall also be 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial
JOB SITE: L-L-�~� ��) .1��� �f����'`.l1> �r� Zi r��)
Owner's Name: _�(,� ��'1' �'1 '1�� Phone�umber:h���=�-���' � �
Mailing Address: 'I L��7 ��, y t^��Ck:'�'�'� KG' City• l !I���i�' Zip• �
Contractor's Name: RON' S MECHANICAL, INCphone Number: 9�52/445-��8585
Mailing Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379
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S1'S"1'E,�I UESCRIN'f'10\
HGATLYC SYSTEitiIS
Quantity: 1
�iake: � -------
Ivfodel: ����`Y ----.
Fuel: � � __._
Flue Size: ----__.___
Input BTUs: OQ� --�--.__
Output BTUs: ��— -- --_—._
CF�ti1: ---- ------
COOLING SYSTENtS
Quantity:
iviake: ---_
Model:
,_____—
I'ons: ______
-------.--___
H. Yowcr -------_
—---
FIREPLACES
_ GAS LINE ONLY
❑ Gas factory fireplace
❑ Wood buming factory fireplace with flue ❑ Installing a Gas Line Only
❑ Wood Stove
❑ `Vood stove with flue
Brand Name
_ Model No.
VEN'I'ILATIOi�1
No. Kitchen Exhaust duct
No. Bath Exhaust (must have duct outside)���ulating cfm
��• Other Fans: Locations
cfm
FUEL STORAGE (MUST BE APPROVED By FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ 1�nderground [] inside ❑outside
❑ LP Gas: gallons
❑ Other Gas upening
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PERMIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
�J�/�/v x .0125 $ �.��
. (contract price) (minimum$3�.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
x .0005 $ ���
(contract price) (minimum S.�0)
3. PostaEe and Handling (Only mail-in applications) $ 1.50
4. TOTAL PERitiTIT FEE (Add lines 1-3 above) $ 4�,��
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work includir,g
materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. Ifany material,
equipment,labor,or installation is 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 ihe submission of a signed copy of the actual contract.
'*The STATE SURCHARGE is.0005 of the contract price under S1,000,000 or$.50-whichever is greater.For valuations over
S 1,000,000 ca(1 the Department of Inspectiona(Services for the price.
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 Minnesota State Building Code,and certifies that al(st�Fements made on this
application are complete,true and correct.
Applicant's Signature: Date: '� ~��'�
Approved By: Date:
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CITY OF ORONO CALLED w l-��^
INSPECTION N IC / �, SCHEDULED l--��--6�— �:,�
PERMIT NO. l�� � COMPLETED
ADDRESS c�o� �J� ��'c'��/ I,c .[r�,{' ,�.�
OWNER , �1 • s � CONTR. �
TELEPHONE N0. � �� — a �� ` I �') � �
� DESCRIPTION ��--� �/" C��
� ❑ FOOTING � MECHANICAL RI CAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTI FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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� Cl WORK SATISFACTORY:PROCEED ,I�ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED `ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. (�✓' <e'-7���
White Copy/lnspector's File Canary Copy/Site Notice