HomeMy WebLinkAbout2010-00865 - mechanincal ' CITY OF ORONO PERMIT NO.: 2oiaoog6s
r ' 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISsuEn: 09/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 585 STUBBS BAY RD N
PIN : 32-118-23-24-0006
LEGAL DESC : UNPLATTED 32 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,000.00
NOTE: 1 RUUD HEATING SYSTEM
PAID WITH 2 CHECKS:#4405 FOR$41.00ᅁ FOR$16.00
APPLICANT MECHANICAL 50.00
RONS MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.00
12010 OLD BRICK YARD ROAD
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL 57.00
OWNER
FORT,JOHN&KRISTIN
585 STUBBS BAY RD N
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The wock for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for�ue cause.
�la�'`'�"'vc � l l
/ /
Applicant Permitee Signature Date Issued y ' ature D
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
r 1
� 1�'OR C[TY L'SL ONLY
o,¢,,��o c�r,� ot�o��o��o
P.C).Rux b6 Date Rec�ivcd: Prrmit#
� �� � � � ��7ti0 K�II�y P.irk���iv
' � � Crv�<tal k3 i� N1 N �>t�3 APProved t3y: __ Amount$:
_-- -- -----__
� e'' Phone(�)�')'-19-�600 Fa�(9S?)"_'d9-a616
f,�R�xp�y.
CITY OF ORONO— MECHANICAL PERMIT
(;AII (�untmrrri�il��crmit,�mu��t be approved by the Buildin��011ici,il ur Incpec�ur;incr%ur Pin:Marshalil
�ENERAL INFORMATION
l. 1'uu niay apply for mechanical permits by mail or ii� person at the Ciry otfices. Applirati�m��will
he reviewed and a permit will be issued within two workirib days. �
�. Pcnnit rards will he sent by retw�n mail afCer a review is completed. PERIVII'l'S ARF NO'I�
VALtD UN7'1L YQU RECENF,A PERMIT. WORK MUST NOT BGGIN UNTIL THE
Pr:RNIIT CARD IS POSTED ON THE JOB SITE.
�. Me�:hanical Desi��,n�—Complete calculations, details and sp�cificatiuns are rrquire�l C��r�ach
hr,ilin�. ventilatiun, htunidiliCation-dehun�idificatiun, anti air rondilioi�in�*ins[allati��n inciuclin�,
hr;it Ii�,s/heat gain ��alcu(ation, desibn tem�ea�atures, equipmen[ ratings�u�d identit'ication as tu
�v����. manufacturer ancl m��eiel. Data shall he presented on form provided.
�. Whcn any new c��nsh�ucti��n or remodeling is involved,a separat�huilding permit must bc
nhl�iinrcl.
S. nll �vurk mus� bc d��n� in a�:coreiance with the Unifurm Mcchanictil C<�dc/Stale Buil�lin�Cu�lc
rrc�uircmcnt�. �
(>. All wurk n�iust be ins��ecCed(rcnigh-in and Final). Call (952)249-�1600.
(2-t-a8 hour notice reyuired)
7. F�l��us�� Hcatin��Test Record must he submittcd hefore fina(.
TYPE OF PERMIT
Check All That A 1
[V�Kcsi<irnti.il ❑ Commercial (Approv�il Requircd)
❑ Nc�v ❑ Adclitional ❑ Repairs �plarc
� Job SiC�. / Owner Information:
� j �� >
Site Adc1r��S: ✓'��� ��i'1�1'f� I� '►� �'�
� �.
O�vner������/ I{,.%�� Mailing Address: ��� -�����[/J G�-4 ��
y
City: r /��� ��� 7,ip: ��3��-'
F[un�e Ph��ne� ��� ����'� ��� Alternate Phone:
�('ontractor Infoi•mation: �
Rons Mechanical Inc Linda
C��ntr<<ct��r: Contact Person:
12010 Old Brick Yard Road
Adclre�s: State Bond #: �� �" ,�
Shakopee 55379 2 ��
City: Zip: Expiration Date:
ph�����. (952� 445-8585 �ternate Phone:
❑ l��surai�ce —Ctirrent:
I
MECHANiCAL SYSTEMS BEING INSTALLED �� •
,
Note: All G��>thermal SVsteins will nc>w require a Site Plan & Review by otn� Buildin�; Oflicixl.
IS"I'HIS GGOTH�RMAL? ❑ Ycs [�No
HI�;ATING SYSTEMS
Quantity: �
Makc: ��,�
M�>cicl: 1����Q —
Fucl: �
Fluc Sizc:
Inpu! (�TUs
�
Output }3TUs:
CFM:
COOLING SYSTEMS � �� 1� ry ,h¢, �\� � �l I � QS—�--
qv�� ) �
�)
QuantiCy:
Makc:
Mc�drl:
T�ms:
1��. Powcr
FIREPLACES
Gas Factory �ireplace Brand Name:
Woud Burning Fireplace
Wood Stove Model No.:
Wood Stove With Flue
VGNTILATION
Nc�. Kitchen Exhaust duct recirculatinb cfm
No. l3ath Exhaust(must have duct outside} cfm
N�i. Other Fans: L,ocations cfm
FUGL STORAGE (Must be npproved by Fire Marshall if pro��osrrzg to abandon ta�rk irr pince.)
� InstallaCion � Rcmoval
Fucl OiL gail�ns ❑ Underground ❑ Inside ❑ Outside
L,P Gas: gailons
Other:
G.AS LIN�;ONLY
� Outdoor Uriil � Other/List What& Whcre:
2
J `'1
.
� PERMIT FEE CALCULATION(�)
BASED OFF- 20(J2 STt�TE STATUE
� Ycs, this section applies
Thc rcpl<iccment of a Rcsidcnti<ii Cixturc or a�pliance that mcets all three of the following requircmcnts:
1. Does not rcquire modificatii�n to electrical or gas scrvice.
2. Has a total cost of$500.00 or]css; excludinv the cost of thc Fixtur-e or ap��liance: and
3. Is improvecl,installed or replaced by the homeowner or licensed contractur.
Skip next scction, if this applics; Cost of Permit $ 1i.0(1
State Surcharge � 5.00
Mail-In Fc;e(If A�plicable) $ 2.0(1
"Cotal Permit Fee $
[� PERMIT FEE CAL,CULA�'F4N(S�-JO�B�� C?VER $�40�.00
Ii ahuvc d<�cs not a}���ly, t�ollow guidelines below:
1. CONTRACT PRICE "� is 1.25"/r�ot�cuntract price with a (Minimum N'ee of$SOAO)
3oet� X .����s� 3�.�
(cuotract price) (minimum)i0.00)
2. ST�1T[i SURCHARG� "�* Add the State Bldg Codc Div. Surchargc (Minimum Fee of'�5.011)
x .0005 $ �• 7u
(contract price) (minimum'�>.00)
3. YOSTAGE& HANDLING (Only on Mail-In Applications) $ 2.OU
�1. TOTAL YERM11'FEE(Add Lincs 1-3 Above) $ ��.0�
• �` GON"I�RACT PR10E or .IOB COST means the actual or estimated dollar amount ch�rged Cor thc
permittcd work including matcrials, labor, profit, and other fixcd costs. It is thc amount to bc chxigcd
t�� ihc customer for the work done. If any material, equipment, labor or installatiims arc Iurnishe�l by
thr� owner, tenanC or any other party, the reasonable market value of such items ulust be added to the
estimatccl cost or contract price for permit fee purposes. In the event that there is a dispute ��n thc
am�>unt of the job cost, the City may request the submission of a signed copy of the actual c��ntract.
• "`" 'l�he STA']'E SURCHARGE is.00US times the Contract Price or a minimuro of$�.00.
MECHANICA:L PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrecs to do all
w<�rk in strict accordance with the ordinances of the City and the regulati��ns of the St�itc of
Minnesota, and certifies that all statements made on this application are complete, true and
corrcct.
Applicant's Signattn�e: Date: ���� ���
Reset Farm 3
C� DATE TIME "
CITY OF ORONO CALLED IN
INSPECTION NOTIC�,E � SCHEDULED '' " a '
PERMIT NO. a24 U—DO� COMPL ED �
ADDRESS �5 S
OWNER S�/C� TELE ONE NO.��Z Z•� �S�
CONTRACTOR �5 /,IC'�C�
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� DESCRIPTION � ���
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
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 MpINT. -- ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
c�n COMMENTS:
W /�n �y �cMl �S � C�, (G
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDiTIQN WITHIN HOURS. O PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Catl forthe next' spection 24 hours in advance. (952) 249-4600
OwnerlContractor
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
� �� �
� �:-f'L/` TE TIME
CITY OF ORO O CALLED IN / � �
INSPECTION�NO IC��O a�� EDULED a- /J�/
PERMIT NO. �� ��MPL
ADDRESS S
OWNER T PHON NO �
CONTRACTOR
a DESCRIPTION
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
WNER/C RACTOR TO MEEf YOU:�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ��ROJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
Owner►Contractor on sit .
Inspector. , l
White Copyllnspector's File Canary Copy/Site Notice