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Home My WebLink About2012-00263 - mechanical � CITY OF ORONO * Z � 1 2 - 0 PJ 2 6 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1680 CONCORDIA ST PIIY : 17-1 17-23-22-0032 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 029 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHAN[CAL- MULTIPLE VALUATI0l�1 : $ 8,000.00 NOTE: 1 BRYANT NA7�GAS FURNACE I BRYANT 2.5 TON AC APPLICANT MECHANICAL ]00.00 RONS MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 4.00 1812 OLD BRICKYARD RD. SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 O TOTAL 106.00 OWNER WILLIAMS&JUDY FESENMAIER, BRIAN 1680 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT 'I he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding 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 Ihis 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 afrer work has commenced. I'he applicant is responsible for assuring all required inspections are requestcd in conforn�ance with the State Building Code."Chis permit may be revoked at any time for due cause. �/Z�' �"` ' V / / / / Applicant Permitee Signature Date Issued Qy Sig ure SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � � FOR CITY USE ONLY �� ,��` City of Orono ' , �O`�' ' P.O.Bc,x 6R Date Received: Permit tl �� {� ,y;, � 275U KcI1cY'Purkwny ,� }i�Y �'r�! Cry.1al Bap.MN 55323 APproved[3y: __ Amount Y: -- � �.��o`,;' Phonc(�)i2)'_39-4h0U Fax(9�2)2d9-41,1l� CITY OF OKONO-MECHANICAL PERMIT (All C�immeiciel pennits must be approved by Ihe Buildin�Officiul or Inspec�or andior I�ire M:irshull) GENERAL INFORMATION 1. You may apply for mcchanical permits by mail or in person at the City oflices. Applications will t�e reviewed and a pennit will he issued within two working days. 2. Peritiit cards will be sent by re[urn mlil after a review is comple[ed. PERMCI�S ARE NO'r VALID UN`I'lL.YOU RECEIVG A PERMI"I'. WORK MUST NOT BEGIN UNTIL THE PERMIT CAKD IS POSTF.D ON THE,IOB SITE. 3. Mechanical Desi�ns—Complete calculations,deta�is and specifications arc rcyuired for each heating,ventilation,humidification-dehumidification,and air conditioning installation incluaing hcai loss/heat gain calculalion,dcsign temperarures,equipment ratings and iclentificaliun as I�� typc,manufacturer and model. Data shall be presented on lorm provided. 4. When any new construction or remodcling is involved,a separate buildin��permit must be obtained. 5. Ali work must be done in accordance with the Uniform Mechanical Code/Staie Building Cudc rcquiremcnts. (i. All work must be inspected(rough-in and final). Call(952)249-�600. (24-48 hour notice required) 7. Housc lleating Tesl Rccord must be submitted hefure final. TYPE OF PERMIT Check Atl That A 1 [�'Residential ❑Commerciai (Approval Required) ❑ New ❑Additional ❑ Repairs [�'KeEilace Job Site /Owner lnformation: ' -','�� r� �I�� =� s��e ada��e�s: C�Ci�C�' ��_h )� � ,��,� /- „�.�_, .�� -, U�,11eT.�j�j(�� ,rl��(,��'✓)�� Mailing Address: �� i��,if� �i,,,/ ��' City: � l�Ul��,� Zip: ��J � ,� �,-;� `-�']� .; Home Phone: �� -��% Alternate rhone: Contractor Information: Rons Mechanical Inc. �-Inda Contractor. Contact Person: 12010 Old Brick Yard Road ��r� I l D� Address: State Bond #: �—�, Shakopee 55379 � �� City: Zip: Expiration Date: Phone: (952) 445-8585 qtternate Phone: [✓] lnsurance-Current: ��LM� ] � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now requirc a Site Plan & Review by our Building Official. IS THIS G�OTHCRMAL? ❑ Yes No HEATING SYSTEMS Quantity: Makc: �( '1' � Modcl: "1� �7`�C7�/w F��: N Fluc Size: Inpw BTUs: �� Output l3'TUs: ��U� CFM: COOLING SYSTEMS Quan[ity: I Make: k M��: � 0'�1;2 NAb3c� Tons ��`' H. Powc r FIR�PLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ W�>od Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Baih Exhaust(must have duct outside) cFm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Mars/tall if proposing to abandon ttenk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outsidc LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 P��.��T�E c�:,eu�.ATlox4s� BASED OFF- 2Q02 STATE STATUE ❑ Ycs, this section applies The replacement of a Residential fixtw�e or a�pliance that meets all three of the following reyuire�nents: l. Does not require modification to electrical or gas service. 2. Itas a total cost of$500.00 or less;exdudine the cost of the fixture or a��pliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.p0 State Surcharge � 5,Op Mail-In Fee([f Applicable) $ 2.0(1 Totai Permit Fee $ PE�'th�I`F FE�+CALGt.J�,ATi(�� —,{t7�3�OVER$SOU.00 II abovc docs not apply: lollow guidelines below: 1. CONTRACT PRICE '" is 1.25°io of contract price with�i (Minimum Fee of$SOAO) �6�c� � .0�25 � i uo u D (contract price) (minim�un$�0.001 ?. STATE SURCHARGE �j h�/� o�� v a .000s �; (contrac[ptice) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �3. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ V v ■ "' CONTRACT PRICE or JOB COST means thc actual or estimated dollar amount charged for thc pertnitted work including materials, labor, profit, and othcr fixed costs. It is the amounl to bc chargcd to lhe customer for lhe work doue. It any material, cquipment, labor or installations are lurnishcd by the owncr, tcnant or any other parly, the reasonabLe market valuc of such items musl be addeel to the estimated cost or contract price for perinit fce �urposes. In the evcnt that there is a disputc on the; amounf ��f the job cost, the City may reyucst the submission of a sig�cd copy of the actu��l contract. MECHAP3ICAL PE�MIT AP�'LiCATION AGREEMENT The undersigned hereby applies [o 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 con�pLete, true ancl correct. l� � �/ Applicant's Signature: _ �� Date: _ � � 0 __ ---�.1--__ '_— ---- - R�set Form 3 �J� ATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED -a��. a; PERMIT NO.aSia -ooa�3 COMPIETED ADDRESS �� -a S7� OWNER �n-tGL�'l �� '4 TELEPHONE NO. ��L �7� 3�� CONTRACTOR � �L�C� >: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J BING RI L ❑ FOUNDATION/REMOVAL � OWNER/C NTRACTOR TO ET YOU: YES NO � MMENTS: � W a � J O � � O � W � Q � Z W � W � � d W e�'tlY6RKSATiSFACTORY:PROCEED f� PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETUFN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � U'«ol`� . White Copyllnspector's File Canary Copy/Site Notice