HomeMy WebLinkAbout2009-00746 - mechanical - CITY OF ORONO PERMiT NO.: 2009-00746
, 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUEu: 10/22/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 425 FERNDALE RD N
PIN : 36-118-23-14-0014
LEGAL DESC : HAUSER LAUER WCC ADDN
: LOT 003 BLOCK 001
PERMIT TYPE : MECHAN[CAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 9,000.00
NOTE: 2 RUUD NATURAL GAS FURNACES
APPLICANT MECHANICAL 112.50
RON'S MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 4.50
12010 OLD BRICK YARD ROAD
SHAKOPEE, MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL ll 9.00
OWNER
HAUSER, HELEN
425 FERNDALE RD N
WAYZATA, MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this perniit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State E3uilding 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 type of work
shall be compied with whether or not specified herein.This permit will
expire and become nuli 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 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 cau�se.
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Applicant Permitee Signatu�� Date Issued By Sig ture Date �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
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C1TY OF ORONn— MECHANICAL PERN1IT
1iAII C't�minerCial pcimil.ntu.l he upproaeel h� the Ituilding Ol�liei�il nr la.pectnr anil;�,r I�ire�1ar.hull)
GENCK/�L INFORM�TION �
1. Yuu uiay appl�� li�r mcchanical permits by mail or in person at lhc Citti<�fliccs. /\p}�li�:ilions w ill
hc rrviewed and a pennit will he issued within two workins�day�.
'. Permii �tirtls will be Scni i�y reWrn mai] alt�r a review is coinplcted. PERMI"fS ARF NO"l�
V�1UU UNT1I�.YOU RECF.IVF:A PGKMIT. WOI2Ii MUS7'NUT BI?G1N UN'fti..'I'Hli.
PGRILIIT CAItD IS YOSTED ON THE JOS SITE.
�. Merhanical Drsi�ns—Cumplete calculations,details and specifir,uians arc ree{uir��l len cach
hcalin�,vcntilati��n,humidificalic�n-cichumidificatic�n..ind air cuncliliuuin��inst��ll,itiun inciudin�
iicai lus.1'hcat�ain r<il�ulation,d�sign tcmperatures,�quipiucnt r<Uings and i�lrntilicali��n ;u t��
typc. manuCac�urcr an�l mod�l. Duta Shall bc Prescntecl on f�irm pruvi�ic�l.
�. Whun xn�� iicw conslruction��r r�uwdcling is invi�lvcd,a scparal�buildin����icrmit mu�t hc
�,htaincd.
�. All work must hc�func in accc�rdance with thc tJniform Mcchviical Co�i��:Statc liuil�linc Ccxlr
rryuircmcnt�.
(�. nil w��rl: must bc ins�ccicd (ruu�h-in an�l final). Call (9�2)?49-460U.
(2�-�8 how•notice required)
7. H�?utic Elc��tin�;'I��sl Rccor�i mus( hr 5uhmiticd hclure 1'inal.
TYPE OF YERMIT 1
_ (Check All That Apply) �
�Kcsi�irniial � Commcrcial(Approval Ra�uired)
� Nc�� ❑Additic�nal [� Re��air� �Rc��l;irr
Job Sit�,� Owner Information: —)
s�<< n�i�i��e��: G�Z�.�f11�-1C�.—C1�,1�� �GI '�
()wn�r:�,���� Mailing Addre�ti: _
City: Orono L�p. ���
Fic�mc Phune: �Z" ��'.. —rJlv�� Alternate Ptioile: �f SZ"���j J `��J
(w�►-�)
Coniractur Information:
������C�..i����.: Ron's Mechanicai Inc ('p��tact Person: Linda
AcidreS�: 12010 Oid Brick Yard Road Stafe Bond #: ���,Q� ��
City: Shakopee Z��: 55379 Expiration Date: O �� _
�,������e: (952)445-8585 Alternate Yhone:
� Insurance —Current:
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MECHAN[CAL SYSTEMS BEING WSTALLEU �
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Nc►te: All Gruthcrmal Systcros�vill n��w rcyuirc a Site Ylan & lt��vi�� I,y �iur l3uil�iin_OIIi�•i;il.
Iti'C111S GLOTlIl;121b1.�11�' ❑ Y�s �Nu
�ic.a�r�Nc; s��s���N�s
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c>����,��� t�ru.: � ��� — -
t'I M: —
C:OO1.1NC; SYS'1'GA�S
Ou.uitil�: —
ti1;�k�::
�-luclr I: — --
I��n�: —
!l. F'citi�cr —
1�INI:PI.�1C[:�
�f C;a. Facic�r� Firel�lacc l3rand Nau�e: __ _
� ��'u��� 13urning Eireplacc�
� Wrn��l tit��v� Mu�cl Nu.: ---- --
❑ 1�v'u�ul Sluve Wilh Flue
� t?ti7'!!,A"1'ION
❑ No. Kitchcn Exhaust durt reriicula�in�: --J�Iin
❑ N<r. fialh F..rhaust(must havc�1u�t uutsi�i�) _�•I���
� N��. --- O�hcr k�.�ns: Lucaliuns �Ini
f�U[;1.S7'UILAGL (A�usr be�ippruved G��l�ire A�ars{irrll if pru��osing lo abcindu��trnrk i�r��lac��.!
� Ins�allatiun � Rcinuval
Fucl Oil: ball�,ns ❑ Uncicrgruun�l a In.iJ.� f�(>ui.si�ir
. l.P Ga�: _ �allon�
(.)Ihcr:
G.15 L,(iVL:ONL.Y
❑ (.lulducn CiriU � Uthcr i List What.� Whcrc:
7
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Oct-20-2008 04:21pm From-CITY OF ORONO +9522494616 T-862 P.003/003 F-144
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i a��, (1 �I � I I I I � jl� �4�� �' I�{ �I ' 4 i I' i I r II.�. ��� � .1f � �� I � ��
'���yp��4'�I1I{?�P IKn'<<�IP 1� i � I I� �1�Rn) I 7��p7�^}� ,Inl �,`ryA� � � �'p f I Ifl l I��f o, li f N���I �I��1{�c
i.l�l,l I'. ✓I I�I l.l�ilil§� , � �I'I�. �!�IlIII.I�II��I I� i �..Ih��II��'I�F�Imtl�No� N�'h;i�����i'R I ��I''III.III����� II�.I�I���I�i�i�(1 ������� ��,ll� ��l��l-'i1��1�
(� Yes,this section applics
�'he rcYplacemenc of a ReSide t2n 'al fixnuc or appliance that meets all tl�ree of the foliowin�requirements�
1. Docs not requite modification to elec�ical or gas service.
2, Has a tncal cost of$500.00 or less;excl 'n tl�e cost of the fixt�uc or appliancc: and
3. Is improved,insralled or rE�placcd by the homeovvner or licensed contractnr.
Skip next section,if this applics; Cost of permit $ 1�.00
State Surcharge $ .50
Mail-In Fee(If AppliCable) $ 2.00
Total permit�ee $
�R (I 1(
1�I �)� k j �� �� � �� 1 Nif'I��I I ' 1 I��
L IfJli� l ��I���� ���• �1 MIAf1I 1.��' .I..� u'.i .�u . i'��•��. I�'�i�4��7�I�Ij4��c'��l�i�'�1�/���II�h
If above does not apply;follow g��idelines below:
1. CONTRaCT PRICE * is 1.25%of con�ract price with a(Minimum�'cc of$50.00)
����) X_o�zs$_._� ��a-�
(con�racL pricc) (i�iinimum�SU.UO)
2. STAT�STTR(:HARGE ""'Add the S[acz Bldg Code Div. Surchurge(Minimum�'ee of 5.50)
x.0005 $ � •��
(Contrnc�prica) 1 ininimum$ .SO)
3, pOSTACrL c�T�A,NFaI�P.VG(Only on Mail-In Applications) $_. 2.00
4. TOTAL P�RMIT FE�:(Add Lines 1-3 Above} $,�_l ` 1 vv
■ * CONTRACT PRICE or JOB COST means the �ctual ar esrimated dollar am��unt cl�a�•ged foi• the
permztted work including macerials, lflbor,profit, and othzr fixed eos[s. T[is che xnwunt to be eliarged
to the customer for rhe work done. If any material, equipment, labor or insiallations are furnished by
zhe owner, tenant or any otlirr parly, the reasonablz mnrket value of such items rnust be added to the
estimatcd cost or coniract price for permit fee purposes. In the event that cher� is a dispure on rhe
amoun; o:the job cost, thP Ciry nzay raqucst the submission of a signed eopy ot�thc actual canµact,
■ **The STATE SURC�iARGE is.00OS of the Building Departmznt at(952)249-46Q0 for tlic price.
' ,F } �i� '�+�I �rri �� �f) �' �� ��'i ' ��� � �� � � �� ���'��i��� � � :,
��15(�.'�.{I��;��,fl�iR��il,) ,.N 1��!I� �Wl� � i� �� r��fi.l:��,i��f�f6,�����JItI�,�n Y�.l��l���j�f(�i
The undersigned hereby applies to the City for issuance of a Mechanieal Pen�lit, a�rees to do a11
work in strict accordance with the ordinanc�s of the Ciry and Th� r�gulatiuns of the State of
IV�innesota, and certifies thnt all statements made on this application are �;omplete, true and
correct.
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Applicant'>Signature: �'��"�` ' �/��' Date:�_�.�
3
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CITY OF ORONO CALLED IN I I����C.���J TIME
INSPECTION NOTICE l�I SCHEDULED _ �
PERMIT NO.,-���-C�I `f�' COMPLETED
ADDRESS � . ��rn��� �� �.
OWNER �— .l.L��P� CONTR. C_ (�} � .
TELEPHONE NO. �C��c��� 7 � � �7 I�- l I
� DESCRIPTION �II�C� � �(��Y.����
� � 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
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED vC, ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W{LL RETURN
� CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on site:
Inspector. �� '
White Copy/lnspector's File Canary CopylSite Notice