HomeMy WebLinkAbout2012-00653 - mechanical w CITY OF ORONO * Z B 1 Z - 0 0 6 5 3 *
� 27�0 KELLEY PARKWAY DATE ISSUED: 07/10/2012
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3059 FARVIEW LA
PIN : 04-117-23-33-0008
LEGAL DESC : FARVIEW
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL(> $500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 16,000.00
NOTE: 2 CARRIER NG FURNACES
1 CARRIER 3 TON AC
APPLICANT MECHANICAL 200.00
RONS MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 8.00
1812 OLD BRICKYARD RD.
SHAKOPEE, MN 55379 MAIL-IN FEE 2.00
�� MISC FEE 0.00
TOTAL 210.00
OWNER
BAKER, KAREN
3059 FARVIEW LA
LONG LAKE, MN �5356-
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 typc 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 or 180 days at any[ime 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.
`"/2L�-C-( �� / / C7���_ l l
Applicant Permitee Signature Date [ssued Bv gnature - Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BE VE.
�
r FOR CITY USE ONI.Y
; �O,�` City of Orono
`Y ` N.O.Hox(,(, Datc Rcccivcd: Pcnnit N
• � � �` �7511 Kcllcy Parkway
��'�'�!� �u Crystal Ba}�.MN 553�3 Approvcd By: __ Amount g: __
������;���o�„�� Phonc(952)_'-1y-4t,00 Fas(952)2d9-461(i
CITY OF ORONO —MECHANICAL PERMIT
(All C�iminetci.il pennits must he approved by Nte Buildin�Official or Inspeclor andror f��ire M.irshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or in person at the City offices. Applications will
be reviewed and a pennit will he issued within two working days.
3. Pennit cards will be sent hy return mail after a review is completed. PERM["I�S ARE NO'I'
VALTD UN1lL.YOU RECEIVG A PERMI"I'. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE.TOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are reyuired for each
heatina,ventilation,hwnidification-dehumidificalion,and air conditioning installatiun inclueling
heaf loss/heat gain calculation,desi�n temperatures,equipment ratings and iclentilicaiiun as i��
typc,nianutacturer ancl model. Data shall be presented on torm provided.
:. Wher any ::ew constn!ction or remodeling is involved,a separate huilding pennit must he
obtaincd.
�. All work mu�t be done in accordance with the Uniform Mechanical Code/State Building Cudc
rcquircmcnts.
6. All work must be inspected(rough-in and f�inal). Call(952)249-4600.
(24-48 hour notice required)
7. Housc Healing Tcst Record inust be submitted hefore fina(.
TYPE OF PERMIT
Check All That A I
�esidential ❑Commercial (Approval Required)
❑ New ❑Addi[ional ❑ Repairs u Replace
Job Site / Owner lnformation:
s�r� A��,-e�s: �3059�v�,�[�� .�g.�� .
Owne��: ��l�n ����� Mailing Address: c�OJ�9 ��/'LI�LG� ���f
City: Ord� Zip: �3J�v
Home Phone: qb�� -�U 9• 9 �✓`� Alternate Phone: � �� � ������ ��
Contractor Information:
Rons Mechanical Inc. Contact Person: L�nda
Contractor:
12010 Old Brick Yard Road 'Q� F�`I�Q(�
Address: State Bond #:
Shakopee 55379 �����
City: Zip: Expiration Date:
Phone:
(952) 445-8585 Alternate Yhone:
❑ Insurance— Currcnt: __
1
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotherma] Systems wil( now require a Site Plan & Review by our Building Official.
IS THIS G�OTH�RMAL? ❑ Yes (�Io
HEATING SYSTEMS
Quantity: 2
Makc: Y Y'V2�
Mo���: ��►A-110 �FSC1fA{�(�
���i:
r-iU� s,z�:
tnpu, f3Tu5: w� �,V �OW
o�c},u� a�rus: �fS ,f:(7C� �`�,l�U`c7
CI'M:
COOLING SYSTEMS
Quantity: 1
Make: �(Y1�'Y
M����: a �. �3
Tuns: �
i-L. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Slove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILf1T10N
❑ No. Kitchen Exhaust duct recirculating cf�n
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: I_ocations cfm
FUEL STORAGE (Must be approved by Fire Mars/tall if proposing to abm:don tank in place.)
❑ Instailation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑Inside ❑Outsidc
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
a s
r
♦
FERMIT�`EE CALCULAT'I�N(S)
BASED OFF- 2t1�2 STATE STATUE
❑ Yes, this section applics
Thc repiacement of a Residential fixture or ap�liance that meets all three of the following reyuire�nents:
l. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixwre or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ I>.QO
State Surcharge $ 5.Op
Mail-In Fee(If Applicable) $ 2.pO
Total Permit Fee $
. —_�
�������-���:cu�:��Q���)-�oss o�E��s4o.oa �
Il�above docs not apply; [ollow guidelines below:
1. CONTRACT PRICE * is 1.25 io of contrect price with a(Minimwn Fee of$50.00)
I l,(�. �0 x .0125 $ �O• �
(contract price) (minimum$�11.00)
'?. STATE SURCHARGE Q
x .0005 $ U'��
(contract p[ice)
3. POSTAGE& HANDLINC'r(Only on Mail-In Applications) $ 2.00
�3. 'I'OTAL PERMIT FEE(Add Lines 1-3 Above) $ �'�• �
■ �'� CONTRACI' PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, profit, and o�her fixed costs. It is the amount to be charged
to lhe customer for the work done. If any material, equipment, labor or installalions are furnished by
th� owner, t�oant or any other party, the reasonable market valuc of such items must bc addecJ to the
estimatcd cost or contract price for permit fce purposes. In Ihe event that there is a dispute �rn the
arriount� of thc jo�i cost, thc City may requcst thc submission of a signcd copy of the actual contract.
Ni�CHANiCAL PERN[�T APPLICATI4N AGREEMENT
1�he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces to du all
work in strict accordance with the ordinances of the City and the regulationti of the State �>t�
Minnesota, and certilies that all statements ma�le on this application are complete, true ancl
correct.
Applicant's Sigilature: I��GN"�'" Date: �yJ� � O
Reset form
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DAT TIME
� CITY OF ORONO CALLED IN ��" ''
� INSPECTION TICE .,� SCHEDULED / J C�—
PERMIT NO. �— ' �`����� COMPLETED
ADDRESS o i��� �a����-�-�-�� ��N
OWNER TELEPHONE O. � � -ay7-�S�D
CONTRACTOR YT eC'�
. ii'' v�-x�/ - �
a DESCRIPTION � - Cln%t
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING LLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
NG RI ❑ SE�FINAL ❑ FOUNDATION/REMOVAL
OWNER/C�ITRACTOR TO MEEf YOU: YES_NO
c., OMMENTS:
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� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
Q ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CAII INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contractor on si :
Inspector.
White Copyllnspector's File Canary Copy/Site Notice