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HomeMy WebLinkAbout2010-01191 - mechanical CITY OF ORONO PERMIT NO.: 2010-01191 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4629 TONKAVIEW LA PIN : 07-117-23-32-0026 LEGAL DESC : REG. LAND SURVEY NO. 1036 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: HEATING SYSTEM-CARRIER-MODEL 58UVB080-NATURAL GAS-80,000 INPUT,76,000 OUTPUT BTU'S COOLING SYSTEM-CARRIER-2UACC630-2-1/2 TONS APPLICANT MECHANICAL 100.00 RON'S MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 5.00 12010 OLD BRICK YARD ROAD SHAKOPEE,MN 55379 MAIL-IN FEE 1.00 (952)445-8585 TOTAL 106.00 OWNER ABRAHAMSON,JAMES&DAWN 4629 TONKAVIEW LA MOUND,MN 55364 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if constrdction 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 conformance with the State Building Code.This permit may be revok at any time for duecause. /� /to l /v ��i►�%(GZ/L. �� / D Applicant Permitee nature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 s � M_4 9ITY SE ONLY O City of Orono // f Og �,., P.O.Box 66 Date Received: f'� �'ermit# a.ZO��� / 2750 Kelley Pmkwav Crystal Bay.MN 55323 approved By. Amount$: Phone(95'-)2149-4600 Fax(952)249-4616 <�t�xoei CITY OF ORONO—MECHANICAL PERMIT (All Connnerc•ial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will he reviewed and it permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII,THE PERMIT CARD IS POSTED ON THE JOB SITE. Mechanical Designs—Complete calculations,details and specifications are required fur each hcatinp,,ventilation,ltumidification-dehumidification,and air conditioning installation including heat loss/heat fain calculation,design temperatures,equipment ratings and identification as to type. manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,it separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. h. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. 1 lrutsc. Heating Test Record must be submitted before final. TYPE OF PERMIT RECEIVA Check All That Apply) ['' Residential ❑ Commercial(Approval Required) CITY OF ORONO ❑ New ❑Additional ❑ Repairs areplacc Job Site/ Owner II,nformation: //] + {� Site Address: U�� 106W r/l" W owne),� AVr4hq11fi9)V7 Mailing Address: L4j� V����(✓I l��(, L1� City: mow Zip: (fume Phone: t7Z qr)4�) Alternate Phone: Contractor Information: Rons Mechanical Inc Linda Contractor: Contact Person: 12010 Old Brick Yard Road ' Address: State Bond#: ' am � lI I Shakopee 55379 City: Zip: Expiration Date: 4fi1201 � Phone: (952) 445-8585 Alternate Phone: ❑ Insurance —Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes No HEATING SYSTEMS Quantity: Om ri-e/y Make: {{��, Model: UV tnz Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Q�v✓ Model: Tons: H. Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfm No. Bath Exhaust(must have duct outside) cl'm No. Other Fans: Locations c1m FUEL STORAGE (Must be approved by Fire Marshall ff proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 f ' . F] Yes, this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CA C"ULATIC _ -JOBS COVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE 1` is 1.25%r,of contract price with a(Minimum Fee of$50.00) x .0125$ co. (contract price) (minimum$50.00) 2. STATE SURCHARGE *"Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) x .0005 $ 4.0' (contract price) (minimum$'5.00) 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ lUQ.o • CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ■ "The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. MECHANICAL PMM AMXVW AGREEMENT ; The undersigned hereby applies to 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 of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: iV`v`� Date: Reset Form 3 % D TIME V CITY OF ORONO CALLED IN INSPECTION PIOTICESCHEDULED PERMIT NO �L COMPLETED ADDRESS Z OWNER TELEPHONE NO. l Z SL CONTRACTOR Aeelkll /�—' DESCRIPTION Ur/vt:�e' ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING tt Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O [I 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 v U NG RI AL ❑ FOUNDATION/REMOVAL OWNER/ NTRACTOR TO ME YOU: YE _NO r0A OMMENTS: W a J O W CC Q z W Z W cc O Wrc ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Cj BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice