HomeMy WebLinkAbout2010 - 00842 - mechanical • CITY OF ORONO PERMIT NO.: 2010-00842
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/14/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 850 WINDJAMMER LA
PIN : 07-117-23-11-0010
LEGAL DESC : PIRATES COVE
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,500.00
NOTE: 1 CARRIER NAT.GAS FURNACE
1 CARRIER 3.5 TON AC
APPLICANT MECHANICAL 118.75
ROWS 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 125.75
OWNER
KHAN, FAIZ&KATHLEEN
850 WINDJAMMER 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 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 conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant PermSignatureitee Date
��-Pt�
Issued B ignature • Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
FOR CITY USE ONLY
O,Ar City of Orono
0p,0,"()x66 Date Received: Permit#
0 -
2750 Kelley Parkway
• .'iApproved By: Amount$.-----_-_
Crystal Bay.MN 55323 PP
Phone(952)249-4600 Fax(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial 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 a permit will be issued within two working days.
2. Permit cards will he sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating.ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculation,design temperatures, equipment ratings and identification as to
type. manufacturer and model. Data shall he presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must he
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. I--louse Heating Test Record must he submitted before final.
TYPE OF PERMIT
(Check All That Apply)
ZrResidential ❑ Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs Q R place
Job Site/ Owner Information:
Site Address: )1,-1J JVIJI 11try1 mPr ll�/I��l
Owner:i' '11( 0 )(3/i Mailing Address: VVI tiari6(11:/1{
City: 0rüio Zip: J Jab t
Home Phone. cG
141/- Alternate Phone:
Contractor Information:
Contractor: Rons Mechanical Inc Contact Person: Linda
12010 Old Brick Yard Road
Address: State Bond #:
City: Shakopee Lip: 55379 Expiration Date:
Phone: (952) 445-8585 Alternate Phone:
I 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 [IN°
HEATING SYSTEMS
Quantity: l
Make: Cam!✓te
Model: JBMVC?Do
Fuel:
Flue Size:
Input BTUs: 1 DO 1OOO
Output BTUs: aS IODO
CFM:
COOLING SYSTEMS
Quantity:
Make: CQI,rrlQX
Model: 14A-M54?
Tons: -316"
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 elm
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 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
PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
Yes, this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
I. 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 CALCULATION(S)-JOBS OVER $500.00
If above does not apply;follow guidelines below:
I. CONTRACT PRICE is 1.25%ofcontractprice with a (Minimum Fee of$50.00)
��
"{�o x .0125$ 113.15.
(contract price) (minimum 550.00)
2. STATE SURCHARGE ' " Add the State Bldg Code Div.Surcharge (Minimum Fee of$5.00)
x .0005 $ 5.V Fe�/ee
(contract price) (minimum$5.00)
3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ' 15•
• 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 PERMIT APPLICATION 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 Signaturip f )1\a/KA''' Date: 61.' I' ID
Reset Form 3
D TIME v
CITY OF ORONO CALLED IN /D
INSPECTION NOTICE SCHEDULED 104–140 cl?'dD
PERMIT NO. o20/0 -1)0e6 COMPLETED
ADDRESS 8S0 lv2LA-7
OWNER J '`. k, TELEPHONE NO. 452 y72- 6655.1
CONTRACTOR /4eci(afrQ
DESCRIPTION 0)14/ Q
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
• ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
0 FRAMING ❑ MECHANICAL FINAL I=1 TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
I=, ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
:ING RIIC AL ❑ FOUNDATION/REMOVAL
/OWNERI••NTRACTOR TO ME OU: YES NO
• -• % ' MENTS:
cc
cc
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cc
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W
W
W —
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• ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: `�
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice