HomeMy WebLinkAbout2009-00918 - mechanical " � CITY �F �R�N� PERMIT ]v0.: 2009-00918
• 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE issUED: 12/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1300 BRACKETTS POINT RD
PIN : 11-117-23-32-0017
LEGAL DESC : RGT ORONO POINT
: LOT 004 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,000.00
NO"I'E: 1 RUUD NATURAL GAS FURNACE
APPLICANT MECHANICAL 50.00
RON'S MECHANICAL, INC. STATE SURCHARGE MECH (VALUATION) 1.50
12010 OLD BRICK YARD ROAD
SHAKOPEE, MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL 53.50
OWNER
PILLSBURY, GEORGE
1300 BRACKETTS PT RD
WAYZATA, MN 55391-
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 permi[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�vork
shall be compied with whether or not specified herein.This permi[will
expire and become null and void if construction authorized is not
commenced within I80 days of[he date of issuance,or if construction is
suspended for a period of 180 days a[any time after work has commenced.
'rhe applicant is responsible for assuring all cequired inspections are
requested in conformance with thc State Building Code.This permit may be
revoked at any time for due cause.
`,�1�.i.Q �tn- / / / /
Applicant Permitee Signature Date Issued By S� ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
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CITY' OF OItnNO- MECHANICAL. PERMIT
�All('��nimcici;il permil�mu:t he apprm�ed b��the 13uilding C)(ficial or In.pe�tor un�l;��r I�iic;11.u.hall)
GENERnL INFOKMATION
1. You u1t�y aE?ply f��r n�cchanicxl permils by°mail or in person a�l(�i�Ci.ty aflices. /�p��li�afiun,�oill
he «viewe� and a permit w�itl be issued wi�hin two workin�dayti.
?. I'crmit cards will be�ent by return n�ail after u revicw is completed. -PERMI"I�S ARF NO�I�
Vr�l_.ID UN"i'll,YOU REC'F,[VE A PERM[T. WORI� MUST NOT BE(�;IN UNT11,THI?
P�RNII"1'CARD IS POSTED ON THE.TOB SIT�.
�. Mechanical Desi�ns—Complete calculations,det�ils and���rci(i�,itiun�are ra�uiral I�ur cach
hc��tin�.vcniilation, humidifi�alion-�ichumi�lificxtiun, an�l air run�liti�inin�installati�>n includin��
luat lut�;'hcat�ain c�ilculation,desi�;n ict�tper<tturc�.cyuipnicnl r<tlinas and iiicntilicaUvn as I�,
I)pc. n�anutaclur�er an�l model. Dal�t shall he presentr�l on (urn�pro�'i�lccl.
��1. W'hcn xnv ncw r<�nstruction�r remodelin�,is invulvccl, a scparate buildin����mnnil musl h�
c,hininecl.
�. All work musf hc �i�?nc in accqrdance with lhc Uni[��rm Mcchanical Co�lriSi,iic (iuil�iin�,('ndc
rcyuiretuent�.
(i. A(I��,���rl: must bc inspcc�cd(rou�h-in and linal). Cal] {9�'?) '_=4�)-�6llU.
(24-�t8 hour notice rec�uiredj
7. Ilouse fI��atinb 1�c;�t Rc�or�l nuist bc suhmi�icd beli>re 1'inal.
TYYE OF f'ERM1T
� (Chcck All Th�t Apply)
�Residcntial � C��ntuicrcinl(Approval Reyuired)
� Ne�� ❑ Adcli[i�in�il � Re��airs �'f�i•��lacc
Job Site / Owner ti�formation: �
Sitc Address: I�� ��l,q��1.- � � I � ���
. /l,��I l� l ('�J t'/���` � . . �U /�ddress: ��/�.� ��l,�l��1�1.�� � IV/�
�)N�IICI.� � M211�1� �
C�ity: Orono Z��: ��./ � �
I-io�ne Phonc: ���.� ����� l�lternate Pf�ione:
Contractor Information:
C���ntractor: Ron's Mechanical Inc Contact Pe.rson: Linda_
Acidresti: 12010 Old Brick Yard Road State F3ond #: ��-� 5�.0� ��-t
�.�ly: Shakopee Z�p, 55379 E�pi►�ation Date: _ �� (�� ��
i
Phone: (952)445-8585 Alternate Phone: _
� �t1SUC�tI10E' — � UI'i'elll: �� ���1 ___._
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MEC'HAN[CAL SYSTEMS BEING INSTALLEU ', "�
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Note: /\U Gru�hcrmal Syslcros�vill n��w reyuir�: a Site: Ylan & Rcvi�� hy �)Ul' I3UIIlIl11��Offi�i,il.
Iti TI115 GL;OTf�11�;RM!1L'.' ❑ Yes �No
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1IEA"1'ING SYS7'ENiS
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(_:UOI.1NG SY5't'[;1195
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f L Nci��-ct — —
1'1121:P1_AC[:S
� (;a. F:ic1<�r� Fire��lacc t3rand Naine: ___ —
❑ Wuo� 13urnin� Fireplace
� W'c�utl Sk���� Mc�drl No.: -------
❑ Wuu�l Sl��ve With Flue
VI?N"fll.n7'1ON
�] No. [Ci�chcn F,xh:iu�t clu�t rc;circulaiin�, _ �I�in
❑ N<,. [iath E�l��xu5t(must havc�iuci uutsiile) _��I��>>
�] N�'. __, Olhrr Fans: Lc,cti(iuns __rini
1�UE:L.S7'vIiAGL (�M1lus7 bc�uppro��cd U}�Fire Marsltull if prupusinb to abturdu�r�rrnk i�t plricc.)
� Inslallaliun � Retnoval
Fucl OiL' a�illuns ❑ Uncicr�;rounJ [� In�iJc �Ou��i�ir
� l,P Gas: _ �.illon�
()Ihcr.
l.:�ti LlN(?ON1,Y
❑ (_)utdoctir Grili � Othcr/List What.4 Wherc:
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Oct-20-2009 04:21pm From-CITY OF ORONO +9522494616 T-862 P.003/�03 F-144
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����� � t(`� I �i���i�F�ll j�ll I� � �I�il�� �1 "�I ' i, �� { � �i�ii I� �� ��1'I la� ��� �i��l��f�!t,r1� ��:��;
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f 3 i I r ��� t� � " I 7i, I„Is�i�i i li� I� C�111-�c
,�,� ;�����. ,a�h�,i������ � ���,� � .,�.���� �:� ���.�����,T�f�� �,��� �1�� ��� � �,�„���r� f, ��;�,��f,�,�.� ,�;��������-�,+� ��t�����;��,
❑ Yes,this secrion applics
The replacement of u Residenrial fixnue or appliance that meets all d�ree vf the following requirements�
�. Does not requu•e modificatiorc to�lec�ieal or gas service.
2. Has a tntal cost of$500,00 or less;excl 'n the cost af the fixt�un or ap}��iancc: $nd
3. Is improved,insralled or replaccd by ihe homeo,Wner or licensed conuacrru•.
Skip next secti�n,if this applics; Cost of permit $ 15.00
State Surchar�e $ _50
Mail-In Fee(If Applicable) $ 2.00
'fotal I'ermit�'ee $
1 ��{{ ��� � (�
f.� ' I ..l .�i.� f 1 I .I,��,�� �l.�I{Cf!t , � ' .t'.� � .4 .�'� �ei�f I���'!1l�ii'���i�jl�.�`��I}f�r���{�1���li
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of con�rAct price with a(Minimum�'re of$50.00)
r
�DD X_o�zs$ '�D v�o
(conaac�nricc) (�ninimum 35U.U0)
2. STAT�SLTRCHaRGE **Add the Statz 131dg Code l�iv. Surcharge(Minimum]Eee of 5.50)
x.0005 $ �• �
{COiIirACL priCd) �ininimum$ SO)
3. p4STAGr�&HANDI.I:VG(Only on Mail-In Appiications) $__ 2.00
4. TOTAL P�RMIT FEE(Add Lines 1-3 Above) $„���•�
■ "` CONTRACT PRICE or JOB COST means the $ctual oT csnmated dollar amount charged for the
permitted work including materials,lAbor,profit, and othzr fixed cosis. Yt is the anwunt to be charged
to the customer for The work done. If any material, equipment, labor or installat,ons are furnished by
the owner, tenani or any otl�er parly, the reasonablz markez value of such items rnust be a@ded to the
escimated cost or con�ract price for permii fee purposes. In the event that ther: is a dispure on ihe
Amouni of the job cost, the Cicy nzay rcqucst che submission of a signed eopy o1'thc actual con�act.
- **The STATE SURCHARG�is.0005 of the Building Departmznt at(952)249-4600 for tlie pricr.
' ��, ' ' � � i' l� �' ��
�;?�I:'�r �!`' � !;i?. �iR � ''� �� �,�' � � '� a�1�..i � , �,if:;�!�ii!�,_,��I�1�a1�i,q�ii;iNi�?�.,
The undersigned hereby applies to the City for issuance of a Mechanieal Pennit, a�rees to do all
work in strict accordance with the ordinanc�s of the Ciry and [he regulatiuns of the State of
Minnesota, and certifies that all statements made on this application are �:omplete, true and
correct.
Applicant'> Signature: r� r�d���"` Date: �����'�
3
� � ��_�-
I / DAT TIME ✓
CITY OF ORONO CALLED IN f 1���l��
INSPECTION NOTICE SCHEDULED � /z`=' /� � � �' ��
PERMITNO. �.�C.�'� -L�'���`l;�coMP�ErE�
ADDRESS � �C��C� I� 1'��-�C�_����, ���' �
OWNER CONTR. ��� � �`� {'� .
TELEPHONE NO. l �� � �1 ' �'� ���� ����Jc�r�,'
,. - . _. - __._ .�
�.
� DESCRIPTION �--�.-, " - l�t�YtC�u�
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
� ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑ CORRECT WORK&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
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
�
Inspector. rj!�
White Copyllnspector's File Canary CopylSite Notice