HomeMy WebLinkAbout2011-00104 - mechanical CITY OF ORONO PERMIT NO.: 2011-00104
. 2750 KELLEY PARKWAY
` ORONO, MN 55356- DATE ISSUED: 02/15/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 350 CRESTVIEW AVE
PIN : OS-117-23-14-0057
LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK
: LOT 000 BLOCK 006
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 3,000.00
NO'll�,: 1 RUUD Nn"I�GAS FURNACF.
(
APPLICANT MECHANICAL 50.00
RON'S 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 57.00
OWNER
STEPHENS III ET AL, WINFIELD R
3770 BAYSIDE RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
l�he���ork for���hich this pennit is issucd shall be performed according to
the approved plans and specitications,�pplicable City approvals,and the
State[3uilding Code. "fhis permit is for only thc�eork described and docs
not erant permission for additional or related work which requires scparate
permits. All provisions of laws and ordinances goveming this type of���ork
shall be compied with whether or not spccihed herein.'Chis permit�vill
ezpire and become null and void if construction aulhorized is not
commenced�cithin 180 days of the date of issuance,or if construction is
suspended lor a period of 180 days at any time after���ork has commenccd.
The applicant is responsible for assurinc all required inspections are
requested in confonnance with the Slate I�uilding Code.This permit may be
revokcd at any time for due cause.
/ / / /
Applicant Pennitee Signature Date Issued B ignature �ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
• • 1�OR CI'I'Y Util:ONLY'
O,¢�1,�,0 City of Orono
P.O. tio�(�6 Dat�Recrivcd: Pcrmit#
� _'7>II KclliV P.uk��av
�+ � ��,�� ('ru<t�il k3�v.h�l�„3'? Approved i3v: Anwunt 0..
�_
- --. _ __— _
��." ' Phonc(�)�')_'-19-�a600 Fas(95�)�=19--1616
<7R�xA*1.
('ITY OF ORONO— MF,CHANICAL YERMIT
(;�II(�ummcrrial��rrnut�mu.�t he approve�d by the Buildin��011icial ur Incpcclur tind�ur I�irc Marshali)
LGENERAL INFORMATION _!
I. You may aE�ply for ri�echanical permits by inail or in person at the Citv uffice��. Applirati�m��will
he revi�wed and a perrnit will be issued within two workinb days. �
_'. Pcrmit rards�vill he sent by return tnail after a review is completed. PEKMI'I�S ARE NO"l,
VALIr� uN'rIL YOU RECErvF.A PERYt1'r. wORK �1US'I'NOT I3GGIN UNTII,TFIE
PI?Rl��i1T CARU IS POSTED ON THE JOB SITE.
�. �1c�:hanical Desi��ns—Complete calculations, details and�p�ciflc<iti��ns are re��uired C�ir each
hr.ilin�- ventilatiun, humiclification-dehumidificati�m,and air condilic�nin�; installatir�n includinc
. .
hr:it fe�„!heat�a:n c<�lculrtion, dcstbn temperatureti, eqwpmciit iattn�s an�l i�iciit�l�cali��n a�� t��
I����r. m�inufacturer and m�idel. D<at<i shall he presented on forin pr�vided.
�4. ANhcn any new a,n�tructic�n or reroodeling is involv�d,a separate buildin�permit must hr
��ht�iinc��l.
5. nil �vurk mu,i b� dunc in .icc�>rdance wiLh ihc Unifurni Mcchanic�il Codc/Stalc f3uil�lin��('ucic
rryuircmcnt�.
(�. All w�>rk must b� ins��cctcd(n�ugh-in and Final). Call (952)2�19-4600.
(2�4--1ti hour notice required)
7. F{uuti.� Hcalin��Tcst Rccorii must bc subntiltcd hefore tinal.
TYPE OF PERMIT
(Check All That Apply) �
[JZr�i�l�nti,il ❑ Commerci�l (Approval Rc;quirrJ)
❑ Ncw ❑ Adclitionxl ❑ Rc;paiis Zcpla�•c
Job Sit�./ Owner Information:
Site �ddr��s: J�IJ ��V ��� �`"
��1�'1� V 6� ��1� V�V� �� r '�
Owne� Mailing Address: i
��tr�:l.�� l�� 1��: 5
Fiunie Ph��ne: Alternate Phone:
Contractc�r Inforrnation: ��
I----
Rons Mechanical Inc Linda
C��ntractur: Contact Person:
A(�C�t�etiti: 12010 Oid Bnck Yard Road St�1iC $O[1C� #: K.� �lf[���Q�
Shakopee 55379
City: Lip: Expiration Date:
Phone: (952� 445-8585 p�ternate Phone:
❑ [nsurance — Cun�ent: ____
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Gec�thennal S_ystems will now reyuire � Site Plan & Review by our Building 01�l�icial.
IS THIS (:LOTH�RMAL? ❑ Ycs � No
Hh;ATING SYSTEMS
Quantity: �
M<<��: RU.(�l7
���a��: �� 0�
r�U�i: tJ�
Fluc Sizc:
Input �3TUs: ��
Oul��ut BTUs: ���/
CFM:
COOLING SYSTENIS
Quantity:
Makc:
M��ciel:
Tuns:
l i. P��wcr
r�ir�YL�ac�s
Gas I�'actory Fireplace 13rand Name:
Wood f3urning Pireplace
Wood Stove Model No.:
Wood Sto��e With Flue �
VLNTILATIOI�
No. Kitchen Exhaust duct recirculatin� cfm
No. f3ath Exhaust(must have duct outside) cl�m
N��. Other Fans: L,ocdtions cfm
Gli EL S7'ORAGE (Must be ap��roved by Fire Marshall if proposing to aba�:don tarrk irr place.)
� Installation � Rcmoval
Fucl OiL• gallons ❑ Underground ❑ Insidc ❑ Outsidc
[.E'Gas: gallons
Other:
GAS LINE ONLY
� Outdour Grill � Other/List What& Where:
2
�
.
FERMIT FEE CALCULATION(S)
BASED OFF- 2�02 STATE STATUE
� Ycs, this section applies
Thc rcplac�anent<>1'a Residential t'ixturc or ap�lianee that meets all threc��f thc 1'oll��wing requircmrnt�:
1. D��es not rcquire modification lo elcctrical or bas scrvice.
2. Has a t��tal c��st of`�SOO.UO or less; cxcludinv lhc cosl of thc Fixturc or appliancc: tind
3. ls improved, installed or replaced by the homcuwncr or licenscd contr<tctor.
Skip next section. if this appiics; Cost ol Pcrmit $ 1�.(1O
State Surcharge � 5.00
Mail-In Fee(If npplicable) $ 2.U(1
"Cotal Permit Fee $
[— PERMIT FEE CALCULATI4N(S)-JOBS aVER $500.00
It�ah��ve ducs nut aj�pl�: �i�llow �uidelines bel��w:
I. CON"CRACT PRICG �` is 1.2_5�%,01�contract price with a (Mini u� Fee of$50.00) �
�W� x .0125 $ ����
(runtract price) (minimum 5�0.001
?. STATE SliRCHARGE '��� Add thc Stale Bldg Codc Div. Surchargc (Minimum Fee ufb5.U0)
x .0005 $ �.��
(contract price) (minimuni�+�.00)
3. YOS'1'AGIi � HANDLWG (Only-on Mail-In Applications) $ 2.00
�1. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) $ 5� '��
• ' CON"CRACT PRICE or JOB COST means the actual or estimated dollar amount charged l��r thc
permittcel work including materials, labor,profit, and other fixed costs. It is the amount to bc chargcd
t�� thc customer for the work dune. If any material, equipment, labor or installations are f�n�i�ished by
thc c�wner. tenanl ��r anv other party, the reasunable market value of such items must bz a�lcied t�� thc
c�timatc.d cost or contract price for permit fee purposes. In [he evenl that there is a disputc on thc
�imount of the jub cost, the City may request the submission of a sianed copy of the actual a>ntract.
■ �" �I�he STATE SL;RCHARGE is .0005 times the Contract Price or�t minimum of$S.UO.
MECHANICAL PERMIT APPLICATION AGREE1ViENT
The undersigned hereby applies to th� City for issuance of a Mechanicaf Permit, a�rees to do all
wurk in strict accordance with the ordinances of the City and thc regulations ��f the State ��f
Minne�ota, and certifies that all statements made on this application are complete, tru� unel
a��rrect.
Applicant�s Signatu��e: ���1�� Date: �� �����
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