HomeMy WebLinkAbout2012-00611 - mechanical ' �` CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 2 - 0 0 6 1 1 *
DATE ISSUED: 06/27/2012
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 45 SMITH AVE
PIN : 02-117-23-22-0009
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,300.00
NOTE: (I)RUUD HEATING SYSTEM-MODEL-RGRL06-NATURAL GAS-60,000 INPUT BTU'S-57,000 OUTPUT BTU'S
(1)RUUD COOLING SYSTEM-MODEL-UAPM024-2 TONS
APPLICANT MECHANICAL 91.25
RONS MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 3.65
1812 OLD BRICKYARD RD. MAIL-IN FEE 2.00
SHAKOPEE,MN 55379
O TOTAL 96.90
OWNER
PHELPS,ELLEN&DAVID
1950 FOX RIDGE RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 are
requested in wnformance with the State Building Code.This permit may be
revoked at any time for due c se.
(e ��-7 �/ a— !�l � � a7� / �
Ap ' ant Permitee Signature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� � �
FO CIT USF;ONI.Y
�j City of Orono �
/�� ��� P.O.H��x 66 Date Receive� cnnit H �
2750 Kcllcy ParkwaY
�'�� �� C'ryslal B��y'.MN 55323 APProved By: Amuunt S: --
R����cM� Phonc(vi2)'_49-4fi00 Pax(9;2)249-41,1(i
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JU►v � 1 e'0'�All C�imme�C;�TY„OnFsOR'OrNOI—y 11MB CHA�NI'CALyPE,R'MITI'e M;��.hal1)
C� FORMATION
1. You may apply for mechanical permits by mail or in person at the City otTices. Applications will
be reviewed and a permit will he issued wi[hin two working days.
?. Permit cards will be sent by return mail after a review is completed. PERMII'S ARE NO'r
VALID UNTIL.YOU RECENE A PERMIT. WORK MUST NOT BEG1N UNTIL THE
PERMIT CARD IS POSTED ON THE.TOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications arc reyuired for each
heatino,ventilation,humidification-dehumidification,and air conditioning installation inclueling
hcal loss/hcat gain calculation,dcsign temperatures,equipment ratings and identificaliun as I��
type,ivanufacturer and model. Data shall be presented on torm provided.
4. When any new construction or remodeling is involved,a separate huilding permit must be
abtait;ecl.
5. All work inust be done in accordance with the Uniform Mechanical Code/State Building Cudc
rcquircmcnts.
6. All work must be inspected(rough-in and final). Call(952)24�)-4600.
(24-48 hour notice required)
7. Housc Heali�ig'l�esl Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial (Approval Required)
❑ New ❑Additional ❑ Repairs j�Replace
i
Job Site /Owner lnformation:
Sit.e Adciress: �� J��� 1���I I �,�l��
� �.
Owi�e������� ���'�' � � Mailing Address:
City: ����!�(�..��C/I Zip: �' ' J ' I
Home Phone: �0��' a�".�� Aiternate Piiunc:
Contractor Information:
Rons Mechanical Inc. Contact Person: Llnda
Contractor:
12010 Old Brick Yard Road �L��I ��L,�
Address: State Bond #:
Shakopee 55379 g�ao��
City: Zip: Expiration Date:
Phone:
(952) 445-8585 plternate Phone:
❑ Insurance—Current: _____
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MECHANICAL SYSTEMS BEII�TG INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes .�No
I�EATING SYSTEMS
Quantity: �
Makc: l�.l�l.�
Model: �Q„Lap_
FucL• � �
Flu� Size:
Input l31'Us: ��./,��
Output [3'TUs: � C7D
Cf'M:
COOLING SYSTEMS
Quantity: �_
Make: \'�u'��
ModeL• ����
Tons: �
Fl. Powcr
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marslaatl if proposing to abandon tnnk in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outsidc
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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�ERMIT FEE CALCULATION{S)
• BASED OFF-�002 STATE STATUE
❑ Yes,this section appties
The replacement of a Residential fixture or a�pliance that meets all three of the following requireinents:
l. Does not require modification to electrical or gas service.
2. Has a total cos[of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 1�.00
State Surcharge $ 5.0O
Mail-�n Fee(If Applicable) $ 2.00
Totai Permit Fee $
PE�i`�'���`+��4.�,:C:��:;ibi'�4'����)�=.fQ��C3`J�R$50ft�.04 -�
[f abovc docs not apply: follow guidelines below:
L CONTRACT PRICE * is 1.25 io of contract price with a(Mini�mm� Fee of$SO.UO)
�� a .�I25 $ "I �.�"�
(contract price) (minimum$�OAO)
?. STATE SURCHARGE
x .0005 $ �•��
(con[rac[price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I�D `�[ �
■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted work including materials, labor, profit, and oCher fixed costs. It is the amount to be eharged
to the customcr for Che work done. IF any matcrial, equipmcnt, labor or installations arc furnished by
the owner, tenant or any olher party, th� reasonable market value of such items musl bc added to the
cstimated cost or contract price for permit fce purposes. In the event that therc is a dispute on the
amounf of the joli cost, the City may reyuesl the submission of a signcd copy� of the actu,al contract.
MECHANICAL;1'��tMiT APPLICAT`ItJN AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all
work in sh�ict accordance with the ordinances of the City and the regulations of the State of
Minnese�ta, and certifies that all statements ma�le on this application are c�mplete, true and
correct.
Applicant's Signature: _��� Date: --�_���_�------
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