HomeMy WebLinkAbout2009-00405 - mechanical �: . „� CITY OF ORONO PERMIT NO.: 200�-oo4os
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/14/2009
952 249-4600 FAX: 952 249-4616
ADDRESS � : 1305 SHORELINE DR
PIN : 02-117-23-34-0013
LEGAL DESC : REG.LAND SURVEY NO. 1350
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 16,000.00
NOTE: 2 CARRIER NAT.GAS FURNACES
2 CARRIER AC'S
APPLICANT MECHANICAL 200.00
RON'S MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 8.00
12010 OLD BRICK YARD ROAD
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(952)445-8585 TOTAL 210.00
OWNER
POPP,WILLIAM&TERI
1305 SHORELINE DR
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
1'he 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 sepazate
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 d�{e cause.
/'►'�.GG(�C �/ l l l l
Applicant Permitee Signature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E.
f 'ti
N'OR CI'fY USI;ONLY I
,���; Cih°oi'Orono
Q �. P.0 tfc�x Ah Datc Rc�civcd: _ Pcrmil 1t — -
� �7i0 Krlic��P;uk�cue
a , 'y ('rest:�l Ii;n,h1N��3�i Appn.ivcd Rv: !\rniumf$:
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C.ITY OF ORONO— MECHANICAL NF.RN1IT
(iAII(���mmer�iul permi�.musl be approveJ h��fhe T3uildin�Olfici�il or litsp�chir an�lj�x I�ire Mar.hnll)
GENEItAI_ INFORMATION ___ ,
]. Yc�u uiay applV f�ir mechanical permit�by mlil or in p�.rson at lt�ic:CitY c�flices. Ap��li�alions���ill
hc reviewed and a pennit will he issued within two�vorkin�days.
'. I'crmii ��ircis will be sent hv return mai] aftec a review is complrted. YERMI"I�S f�\RF..NO'l�
VAI_,IU UNT7I,YOU RECEIVF;A PERMI7'. 1�'ORti NIUST NU1'BEGIn UN1'II.THE.
PGRNIIT CARD IS POSTED ON THE,iOB SITE.
�. Mrchanical Desi��n�—Complete calculations,details and tp�cific,•�Iiuns are icyuirccl Ic�r c;ich
huatin:;,vrn�ilati�m,humi�lification-dchui��idificaticin,and air cc�nciitionin�instt�llatiun inrludin�
hcal los�i'hcat g<tin calculati��n.desi�n tcmperatures,equipment ratings and idcntiCicati��n a�lu
IY'nc. n�anuCaclurer an�1 moci�l. Dala shal(�bc presentc�i on form pru��idcel.
'�. �'��1C11 <illV' IlCll%l'I�IISII'U�:l:(�fl r`C 1-llil,?!I�jin�Ic I:?NOIVL`C�,1 4C7211'i;lC�)ll1�U111!�7C1'lllll. IT1i1�L�;C
t tOl1U I1CC�.
�. Ali work must he�iune in ac�or�iance with the t)niform Mrrhanical CodciSt�i�c l3uil�ling C`���Ic
rrc�uircmcnl�.
(�. i\Il w��r1: must he inspc�tud(rough-in ancl f'inal). Call(9�2)?�J9-=t600.
(2=1-�18 hour notice required)
7. Houtic I��Icalinb T'est Rccor�i �uust(�e suhmilted bcl��rc final.
� TYPE OF PERMIT
Check All Thal Apply}
�'Kctiidcntial � Cornmcrcial (Approval Requircd)
� Nc��� ❑Acldi(i�inal � Reptiirs �'I��il,�cr
� Job Site/ Owner ]nformation: ��
Sitc /�cldress:
1305 Shoreline Drive Orono
��N;����.: Bill & Teri Popp Mailing Address: 1 305 Shoreline Dri e
�,���: Orono _ l�p: 55391 _
�
��iome Phone: 9 52—4 7 6-1 0 61 Alternat.e Pl�ione:
C��ntractor lnformation:
Cc�ntr��ctot: Ron's Mechanical Inc Contact Peason: Linda
A�1dreSs: 12010 Old Brick Yard Road State Bond #:
C�it Shakopee 55379
y� _ Zip: Expiration Date:
��E���11e. (952)445-8585 niternate Phone:
❑ Insurance —Current:
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I� � ` MECHANICAL SYSTBMS BEING INSTALLEU �
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Note: AU Gruthcrmal Systcros wiil n��w rcyuirc a Sitc I'lan & R��vic�� h�� c�ur liuil�lin�,(.)Iliri;il.
1S T1��115 GL.OTH1:R1b1A1,'? ❑ Yes [�No
��L.a�riNc,s��s���n�ss
u�����,u�y: � — - – —
ti�,���: .�0 .'�Y..1�1C_ �.r-�-
vi.,ctci: ����� ��� —
I ucl: _�J� — — ---
I�luc Sia:: -----
In�tut 1.3'I l.is: _ ��� �,D,� -� ----
Out4,ut li l'U�: � �� -
('1-R1:
(:l)OI.1NG SYS'1'G111S
�)UJllllib: � �
i���t�:C: i V� -
��.��, 1'�(K�l'�: � ` �Y� ��L ' P� ✓`i I _.
�,�„� � a
!I. t'c,ti.cr —
FIRl:P1,�1C.'[;ti
� C;a.Facie�r� Fireplacc l3rand Nante: __ _
❑ Wu��� 13urnin�; Fireplace
� Wc�utl titovr Mc,dcl No.: -------
❑ Wuod S(uve With Flue
V[?N7'11..A"('1ON
� No. _ Kiiehcn F,xi�ausi <�i�ct recircul<i,in`, ---clin
❑ Nu. [�nth F..xhaust(must havc�luct c�utside) ��•1���
� Ni'. --- �)Ihcr Fans: L��ctUiuns __�Ini
1�UEL S7'UILAGE (A�u.st be appro��er!b}�f'ire A1ars/tall if pruNusiug lo abunclou/rtnk r�r��/ncc�.l
[]� Installatiun a Rctnoval
f=ucl Oil: galluns ❑ Uncicr�;ruun�l � 1miJc �Oui�i�ir
l.P Gas: _ �allon�
OIhcr:
l:Ati L.INt:ONLY
❑ ()utdo��r Grill � Uthcr/1_ist �Vhat.k Wherc:
�
� PERMIT FEE CALCULATION(S)
BASED OF�- 2002 STATE STATUE
❑ �'eti,this se�•[ion applies
"l�hc replucen�cnl of a Residenti�l fixturc or a�pliance that meets all three of the l��llowin�;rcyuir�mcnts:
1. Does not reyuire modification to electrical or gas service.
?. Has a total a,st ot'$SOU.00 or less;excludin�the ccist of the fixture or appliancc: .�nd
3. ls improved,installed or re�laced by the horoeowner or licensed conUactor.
Skip n�xt sertion,if this applies; Cost of Ycrmit �_ I�.(1U
State Surcharge �+_ SU
Mail-In Fec([f Applicahlc) $_ ?.UQ
Total Yermit Fee �+
�_ YERMfT FEE CALCULATION{S)-JOBS 4VER $500.00 --1
I f ab<ive does nut apply: follow �ui�elines below:
1. CONTRAC7'PRICG �� is L2��ii���f contract price with a(Minimum ['ee of'$50.(111)
I � � x .Ul_'S �; ao�.��
(conVncl pricC) (minimurn ti?II.UII)
2. STATE SURCHARGE '° Add d�e State Bldg Code Div. Surcharge I:Minimum I�ce of`F.i1►)
x .O005 x � •d�
(contrac�pricel (ininimuin� .�111
?. POSTAGE&HANL�LING(Only on Mnil-In ApplicaCions) g ?.U(1_
-t. TOTAL PERM11'FI�:E(Add L.ines 1-3 Above) $ e���.O�
■ " CON'I'RAC'C PRICE or JOB COS1' means the �ctual or estimated elollar emount char�eel li�r the
permittecl work inclu�liug n�aterials, labor,profit, and other fixed costs. It is the amount lo hu ch�ir�ecl
tu the cu�lonler for the wotk done. If any material, equipment, lahor or installatic�ns arc lurnishc� hy
th� ��wner, lenant �,r any other party, the reasonable market value of such items must he ,�ddcel to thc
estiniated cosl or contract price for permit fee purposes. In the evenl that thcre is t� dis��ule nn thc
ainount of thc job cost, the City may request the submission of a signcd cupy of d�c actuxl r�mUacl.
■ '�" "1'hc STATI;SURCHARGE is.Q0�5 of the Building DeperUnent al (9�"')'4�)-d(i0U for Ihe�xicc.
�— MECHAN�CAL PEKMIT APPLICATION AGREEMENT �
Thr undersi�ned herehy applies to the City for issuance of a Mechanical Yermil, agrees t�� �In all
w��rk in slrict acce�rdance with the ordinances of the City and the re��ulati��ns ��l thc Statc uf
Minnesota, and certifies that all statements macle on this applicaticin are cc�mplete, trur anci
currcrt.
Applicant's Si�nature ___� �y�/�__ Date: _ _ �'_�_
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