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Home My WebLink About2012-00638 - mechanical CITY OF ORONO * Z 0 1 2 — 0 0 6 3 S * , 2750 KELLEY PARKWAY DATE ISSUED: 07/03/2012 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-118-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 3,500.00 NOTE: 1 RUUD 2 TON AC APPLICANT MECHANICAL 50.00 RONS MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 1.75 1812 OLD BRICKYARD RD. SHAKOPEE, MN 55379 MAIL-(N FEE 2.00 () TOTAL 53.75 OWNER Orono Woodlands 2100 S1XTH AVE N 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 City approvals,and [he Sta[e Building Code. This permit is for only the work described and does not grant permission for additionai 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 specitied herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with th�State Building Code.This permit may be revoked at any time for due cause. \ii%� � i i � Applicant Permitee Signature Date Issue y gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED BO � w � FOR CiTY USE ONI,Y City of Orono � ;,`��. P.O.Bnx bh Date Received: Pennit N y, '� 2750 Kclley P.ukway � �t'7�- �ri� Crystal B�iy.MN 55323 APProved By. Amount 4: -- �',;�`?��''��y'�0`�% Phonc(y�2)?49-4600 F�ix(9i2)24y-4611� wxo�: CITY OF ORONO—MECHANICAL PERMIT (All Commercinl perniits musl be�ipproved by the Buildin�,Officiul ur In�pector andior I ire M;irshall) GENERAL INFORMATION 1. You may apply for mechanical permi[s by mail or in person at the City offices. Applications will be reviewed and a permit will he issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMI"I'S ARE NOT VALID UNT[L.YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTF.D ON THE.10B SITE. " 3. Mechanical Desi�?ns—Complete calculations,details and specifications arc rcyuired Cor each heating,ventilation, humidification-dehumidification,and air conditioning installatie>n including hea� loss/heat gain calculation,dcsign temperatures,equipment ratings and iclentificlliun as te� type,manufacturer and model. Data shall be presented on lorm provided. 4. Wh�n anv new construction or remodeling is involved,a separate building permit must bc obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building C�xlc rcquircn�ents. 6. All work must be inspected (rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. Housc Ilealing Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 �csidenrial ❑Commercial (Approval Required) ❑ New ❑Additional ❑ Repairs L�"KePl�i«' Job Site /Owner Information: / i #� � � � Site Address: `—I . � l � � � _ CI` i 1 �rl��Ci f C�c�C�> ��C�Ci (�f�, �Z� �,/ Uw�� i_ � �C Mailing Address: c��r : �1Y ��'�� z�p: �� `3�(h Y Home Phon�:l�� \_/'��-' Alternate Phone: Contractor Information: Rons Mechanical Inc. Contact Person: �'�nda Contractor: 12010 Old Brick Yard Road State Bond #: �� Address: Shakopee 55379 City: Zip: Expiration Date: Phone: (952) 445-8585 qlternate Phone: ❑ Insurance—Current: _ 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan �Sz Revicw by our Building Official. IS THIS GEOTHERMAL? ❑ Yes r�No HEATING SYSTEMS Quantity: Makc: Modcl: Fu�l: r-i�� st��: Input l3TUs: Output [3'TUs: CFM: COOLING SYSTEMS Quantity: ' Make: �u,u,� Model: u,�'Q rnQ� Tons: O' H. Power FIR�PLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Mvdel No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircutating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tnnk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outsidc LY Gas: gallons Other: GAS L1NE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 , � PERMIT FEE CALCULATIC}N{S) BASED OFF- 20�2 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap�liance that meets all three of the followin�,require�nents: 1. Does not rec�uire modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine[he cost of the fixture or appliance: and 3. Is improved,installed or replaced hy the homeowner or licensed contractor. Skip next section,if this app]ies; Cost of Permit $ I S.Op State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2,00 Totai Permit Fee $ ��I'�'��`��i�T��[t`��:.. 1t??�3��ER.$5�:�'; , II above does not apply; follow guidelines bclow: 1. CONTRACT PRICE * is 1?5°Io of contract price with a(Minimum Fee of$50.00) �� x .0125 � 'J✓•� (contract price) (mini�mu $SO.UO) ?. STA1'E SURCHARGE �-y,,-,�A '1'�1�� ; .000s � � .� (contract price) 3. POSTAGE& I-IANDLING(On(y on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �•� ■ " CONTRAC"T PRICE or JOB COST means thc actual or estimated dollar amount charged for the permitted work includinb materials, labor, profit, and other fixed costs. It is the amount to be chargcd to the customer for fhc work done. If any material, equipment, labor or installations are furnished l�y the owner, tenant or any other party, the reasonable market value of such items must he added [o thc estimated cost or contract price for permit fce purposes. In the evcnt tl�at there is a dispute on the amount of the job cost, thc City may reyuest the submission of a signed copy of the actual contract. MECHAN�GAL PERMiT APFLICAT�ON AGFtEEMENT The undersigned herehy applies [o 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 uf Minnesota, and certifies that all statements maJe on this application are coinplete, true and correcC. Applicant's Signatw�e: V1� Date: ��----- R+�set Form 3 ��DATE TIME �/ CITY OF ORONO c �� INSPECTION NOTICE �,s CHEDULED � PERMIT NO.aora "��3�cOMPLETED � ADDRESS �-� � �'�� N OWNER TELEPHONE NO.4y2 �O� 7/S3 CONTRACTOR � , e� � DESCRIPTION , `G ��n`'`�- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J 0 � � 0 � W � Q � Z W � W � � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTORIMLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSlte Notice