HomeMy WebLinkAbout2007-P11556 - mechanical PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11556
Crys+t I Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
(952) 249-4600 Date Issued:
l 0/l0/2007
SITE ADDRESS: 126 Chevy Chase Dr Unit#
Wayzata,MN 55391
P I D: 36-118-23-41-0040
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 100.00 valuation: $ 8,000.00
State Surcharge Fee: $ 4.00
Misc. Fee: $ 1.50
TOTAL FEE: $ 105.50
APPLICANT: Ron's Mechanical,Inc. OWNER: RUTH L BROWNAWELL TRUST
12010 Old Brick Yard Road 126 CHEVY CHASE DR
Shakopee,MN 55379 WAYZATA MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERM[TEE SIGNATURE IS UED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Sepric) Page 1
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a pernut 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 RECENE A PERMIT. WORK MUST NOT BEG1N LTNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desi r�is -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 be presented on form provided. Identification of and specifications for water heating
equipment shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be 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-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call
(952) 249-4600.
Please check one: ❑ New ❑ Addition ❑ Repair�Replace�'Residential ❑ Commercial
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JOB SITE• ��� �r !l, � l,;f 1C�1��� (�I � Zi�: J J��J
Owner's Name: �,� '1 g("�1��,�(�l - 'G� , I ) Phone Number:����� �t (� — �J�f�
Mailing Address:� -t� _�'if,'G��_�('��� 1�1�. City: �'(���(��� Zip. G`�
Contractor's Name: RON' S MECHANICAL, TNCphone Number: 952/445x8585
Mailing Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379
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HEA1'INC SYSTENIS
Quantity: I
Make: �
MGdeI: � �(C.V � — --
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Fuel:
Flue Size:
Input BTUs: �b �
Output BTUs: UL ���
CF�i:
COOLINC SYSTEIIS
Quantity: I
Make: ���� --— --
Niodel: ��'I(�(���
"1'on�: �
_— — — _
H. Power
FIREPLACES GAS LINE ONLY
❑ Gas factory fireplaee ❑ Installing a Gas Line Only
❑ Wood burning factory fireplace with flue
❑ Wood Stove
❑ Wood stove with flue
Bi-and Name Model No.
VENTILATION
No. Kitchen Exhaust duct recalculating cfm
No. Bath Exhaust (must have duct outside) cfm
No. Other Fans: Locations cfm
FUEL STORAGE (N1UST BE APPROVED BY FIRE MARSHAL)
❑ Installation or ❑ Removal
❑ Fuel oil: gallons ❑ underground ❑ inside ❑outside
❑ LP Gas: gallons
❑ Other Gas opening
2
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YEI2NIIT FEE CALCULATION(S)
2002 State Statute ❑ 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; excludin�the cost of the fixture or appliance:
and
3) Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surci�arge $ .�G
Mail-In Fee $ 1.50
If above does not apply, follow guidelines below:
1. Contract Price* is .0125% of job with a Minimum Fee of($35.00)
D� X .�125 $ 1bo.0�
• (contract price) (minimum 535.00)
2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50)
�� X .000s � 4•0�
(contract price) (minimum S.�0)
3. Postage and Handlin� (Only mail-in applicatio�is) $ 1.50
4. TOTAL PERt�1IT FEE (Add lines 1-3 above) � (��.�
*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including
materials,labor,proYit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material,
equipment,labor,or installation is fumished 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.
**T'he STATE SURCHARGE is.0005 of the contract price under 51,000,000 or$.50-whichever is greater.For valuations o��er
S 1,000,000 call[he Department of Inspectional Services for the price.
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 Minnesota State Building Code,and certifies that all st�ements made on this
appfication are complete,true and correct.
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Applicant's Signature: ��'�'� Date: V �
Approved By: Date:
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CITY OF ORONO CALLED IN ��J I v�
INSPECTION NOTICE SCHEDULED _1_S�LL�� Z�.3�'J �1�1
PERMIT NO. G � COMPLETED
ADDRESS � � ? ' �
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OWNER ONTR.
TELEPHONE N0. �Z � � �
� DESCRIPTION_l�_1,�� , ��, �— �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE �
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
❑ tNSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on te:
Inspector. ����/�'/ �
White Copyllnspector's File Canary CopylSite Notice