HomeMy WebLinkAbout2014-00946 - mechanical CITY OF ORONO *2014-00946* .
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� 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS . 1205 SHORELINE DR i i i ty ��i ur�������
�;'iU KPliry P;tikwa�v � ,g�i-.}��U��
PIN . 02-117-23-43-0015 i�ron��� MN `�'���'.;�, ���'`� ``
LEGAL DESC : REG.LAND SURVEY NO. 0397 Receipt No: :i.0 i 1�4:, i,u;� �:�. �'.�14
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500) Rons Mechanical
PROPERTY TYPE : RESIDENTIAL Previous Balance: .UO
CONSTRUCTION TYPE : HEATING SYSTEMS Permits 87.50
2014-00946 1205
VALUATION : $ 7,000.00 Shoreline Dr
NOTE: 1 FURNACE(CARRIER) 101-32530
Mechanical/Septic/Other
Permits :3.50
2014-00946 12U5
Shoreline Dr
101-20802
Uue to g�vts-State
Permits 2.00
2014-00946 1205
Shoreline Dr
101-34440
Bldg Permits-mail in fees _
Total: ________ 93 OU`
Check g3.00
r,hPr..k Nn: 11389
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APPLICANT MECHANICAL 87.50
STATE SURCHARGE MECH(VALUATION) 3.50
RON'S MECHANICAL,INC. MAIL-IN FEE 2.00
2026 COLBURN DRIVE
SHAKOPEE,MN 55379 TOTAL 93.00
(952)445-8585 Payment(s)
Minnesota State License#:mech- CHECK 11389 93.00
OWNER
JACKLEY ET AL,JAY M
1205 SHORELINE DR
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 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
� � ����:
Applicant Permitee Signature Date ued ignature Date
� � FOR CITV USE ONI,Y
' A� City of Orono
, 4O`r ` P.O.Hc,x 6t, Datc Rcccivcd: Pcnnit ri
���-y;, ��''�' 27511 Kcllcy Parkway
�'�'�!: �rj Crysr�l B.�y.MN 55323 Approvcd By: Amuunt�: __
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������%��y��o'i` Phonc(y�2)31y-4h00 Fux(9i2)Z49-4611i
anA�-
CITY OF ORONO- MECHANICAL PERMIT
(All Conunrrcinl permits must he approved by ihe Buildin�Official or Inspeclor.�ndi�>r I�ire M,�rshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City ofliccs. Applications will
be reviewed and a pennit will he issued withiri two working day.s.
?. Pennit cards will be sent by relurn mail after a review is completed. PER'M[TS ARE NOT
VALID UNTII.YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CA1tD IS POSTED ON THE lOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are reyuired for each
heatino,ventilation,humidification-dehumidification,and air conditioning installation inclueling
heat loss/heat gain calculation,dcsign temperatures,equipment ratings and iclentifica�iun as iu
type,manutacturer aiid mouel. Dnta shall be preserted or form provided.
4. When any new construction or remodeling is involved,a separate building permit must he
obtained.
5. All work must be done in accordance with the Uniform Mechanical Codc/State Building Cudc
rcquircmcnt�.
(i. All work must be inspected (rou�h-in and f'inal). Call(952)34)-4600.
(24-48 hour notice required)
7. Housc Healing'1'est Record must be submitted before final.
TYPE OF PERMiT
Check All That A 1
�csidential ❑Commercial(Approval Required)
❑ New ❑Addi[ional ❑ Repairs ' Replace
Job Site /Owner Information:
j2C,�r J(�i�I'�'������ l��`iV�'
Site Address:
Owne�� � ���I `'I"1���l Mailing Address: � ��,)� ���t C° I���P �I I��
� 7 C-C�'�
City: ��/'�"�L'��� Zip: �� �
�/���'C �t7������
Home Phone:`-� ' Alternate Phone:
Contractor Information:
Rons Mechanical Inc. Contact Person: �"�nda
Contractor:
Address:
�1�)�� ln��J��r�� 4��I�¢'_ StateBond #: � �3��
Shakopee 55379 g'��}��t,v
City: Zip: Expiration Date:
P���11e: (952� 445-$585 Alternate Phone:
[� Insurance- Current: �,Q��
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now requirc a Sile Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes No
HEATING SYSTEMS
Quantity: I
Makc: �,�(r��
Mad�l: 0����
FueL•
Fluc Size:
Input 13TUs: �
ouc>>�� a�rvs: ��
crM:
COOLING SYSTEMS
Quantity: �
Make: � ��
ModeL• � l�1 �
Tons: d `
H. Power
I+IREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stovc ti��ith Fl��/M.asonry
V ENTILATIO N
❑ No. Kitchen Exhaust duct recirculating ef�n
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsttall if proposing to abandon tnnk in place.)
❑ lnslalla�ion ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
4 '
� PERMIT FEE CALCULATI�N{S}
BASED OFF- 20(l2 STATE STATUE
❑ Yes, this section applies
The replacement of a ResidenCial fixture or appliance that meets all three of the following requireinents:
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 anpliance: and
3. Is improved,installed or replaced hy the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-[n Fee(If Applicable) $ 2.00
Total Permit Fee $
�� . � . . . ��`:�`���i�`"'4.r�����`�.�Qi`f ��.���^-���QS7«.�����.AJ��.� �,;.� . � .. .
If abovc docs not apply;follow guidelines below:
L CONTRACT PRICE 'k is 1.25°Jo of contract pricc with a(Minimwn Fee of$50.00)
�Ob� � .0�25 � ��.
�contract price) (minimum�;50.00)
2. STA1'E SURCHARUE
�o � .���5 � 3��
(contract pricc)
3. POSTAGE& HANDLWG(Only on Mail-In Applications) $ 2.00
�i. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �"1�"�.��
• ' CONTRACT PRICE or JOB COST means thc actual or estimated doilar amount charged for the
permitted work including materials, labor, profit, and other fixed costs. lt is ihe amount to be charged
to lhe customer for thc work done. If any mat�rial, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added co fhe
estimated cosC or contract price for permiC fee purposes. In the evcnt that there is a dispule on the
amounY of thc job cost, the City may reyuest the submission of a signed copy of the actual contract.
MECHANICAL PERMIT APPLICATION AGRBEIviENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with Che ordinances of the City and the regulations of the State of
Minnes��ta, ancl certifies that all statements macle on this application are complete, true ancl
correct.
Applicant's Signature: ��yV•`�' Date: C��—"'�_1 �_-----
R�34�t FtN'E�i
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�� ATE TIME
CITY OF ORONO CALLED IN � -C --72�
INSPECTION N TIC SCHEDULED - �
PERMIT NO. � ��� oMP►-�rEo '�
ADDRESS �
OWNE TELEPHONE NO� `�73"$�aq
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CONTRACTOR
�; DESCRIPTION GC-�� ���C-'�
�
ty ❑ FOOTING ❑ PL BING FINAL p EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ CHANICAL RI ❑ LAKESHORE/WEfLANDS
�
❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE
� ❑CORRECT WORK 8�PROCEED IS UE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. � 24 -46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle , Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMR NO. �,�� "4��� COMPLEfED �
ADDRESS�/� SiCar�/•rre. �D/'•
OWNER TELEPHONE NO.
CONTRACTOR �o�s ih'%�i�
� DESCRIPTION
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�FINAL ❑ WATER HOOK-UP �FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR TO MEET Y�OU:_YES_NO �
� COMMENTS:;P'�/�'1.� /fO��c r 7+1i lp� �C.P/l +c5�-
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� ❑WORK SATISFACTORY:PROCEED �pROJECT COMPLETE
W ❑CARRECT WORK 8 PROCEED ❑IS`SUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours�in advance. (952) 249-46��
Owne ctor on sNe: �r�1 � '
Inspector.� 7�
White CopyAnapecto�'s File Canary CopylSMe Notiee