HomeMy WebLinkAbout2016-00354 - mechanical r � �
CITY OF ORONO * Z 0 1 6 - 0 0 3 5 4 *
2750 KELLEY PARKWAY DATE ISSUED: 04/08/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 920 FOREST ARMS LA
P IN : 07-117-23-12-0017
LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN
: LOT 001 BLOCK 001
PERMTT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 8,000.00
NOTE: (1)RUUD NATURAL GAS FURANCE AND AIR CONDITIONING UNIT
APPLICAPIT MECHANICAL 100.00
STATE SURCHARGE MECH(VALUATION) 4.00
RONS MECHAN[CAL, INC. MAIL-IN FEE 2.00
1812 OLD BRICKYARD RD.
SHAKOPEE,MN 55379 TOTAL 106.00
�� Payment(s)
CHECK 13090 106.00
OWNER
MEAKINS,MR.&MRS. ROGER
920 FOREST ARMS LA
MOLTND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,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 type of work
shall be compied with whe[her 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 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.
`'✓l/�c—� ,�!' O V l l /1CJ
Applicant Permitee ignature Date Iss ed Signature Dat
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� ��, FOR CITY US6:ONLY
City of Orono
;'�����r��,. P.O.Hox 6(, Datc Received: Pcnnit ti
2750 Kcllcy Parkway
}i'�'1F. �.r� ('rystal Bay.MN 55323 APprovcd Dy: Amuunt�: --
';�.��ti,�,,yyo`�r Phonc(y52)34y-4h00 Fax(�)i2)24�)-4611i
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CITY OF ORONO–MECHANICAL PERMIT
(All C��mine�ci.il pennits must lc upproved by Ihe Buil�in�OfYicial or Inspector andjor I�ire M,�r,�hull)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City oflices. Applications will
be reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERM[T�S ARE NO'r
VALID UNTIL.YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE,IOB SITE.
3. Mechanical Desi�.ns—Complete calculations,details and specifications are rcyuired Cor each
hea[ina,ventilation,humidification-dehumidification,and air conditioning installati�>n inclu�ing
heat loss/heat gain ca(culation,desi�n temperatures,equipment ratings and iclentifica�iun as���
type,manufxcturer and model. Data shalt be presented on form provided.
d. Wh�n any new construction or remodeling is involved,a separate buiiding permit must hc
obt,�ineil.
5. All work inu�t be done in accordancc with the Uniform Mechanical Code/State B�ilding Cudc
rcquircments.
6. All work must be inspected (rou�h-in and final). Call(952)249-4600.
(24-48 ho�r notice required)
7. Huusc Hea�iiig 7'est Rccord must be submilted before final.
TYPE OF PERMIT
Check All That A 1
� Residential ❑Commercial (Approval Reyuired)
❑ New ❑Additional ❑ Repairs �Replace
Job Site /Owner Information:
SiteAddress: l/� { U��'� �t�1�Y-t�—����–�P(
9' ` Mailin Address: %�(� ����7��Y n' �� �-'rl
ow„e►�:I�'l��'�;5t%� N��G���. �n , g
City: �Ol'�(U Z1P� �����
I-tc;ne f'��one: ���� �"�'�t7 '�U93 Alternate Phone:
Contractor Information:
Rons Mechanical Inc. Lontact Person: � Llnda
Contractor:
Address: l�����' \���IJ�,y��`1 ���Il�f� State Bond #: � 1�� %�o�� I
Shakopee 55379
City: Zip: Expiration Date:
Phone: �952� 445-8585 Alternate Phone: '
❑ lnsurance– Current: ____
1
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: ,�
MECHANICAL SYSTEMS BBING INSTALLED
Note: All Gcothermal Systems will now requirc a Site Plan & Revicw by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑ No
IIEATING SYSTEMS
Quantity: �
Ma��: �U U G�
M����: �ag��l�o���, ��-
huc�: �1.�
Flue Size:
Inn!it I�TUs: � �l ��
Output I3'TUs: �� ,��
CFM:
COOLING SYSTEMS
Quantity: �
Make: � I\
ModcL•
Tons: �l�
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
V EN'1'ILA1'IUN
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) ctin
❑ No. Other Fans: Locations c[m
FLJEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
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PERMIT FEE CALCULATIQN{S)
BASED OFF- 2Q02 STATE STATUE
❑ Ycs, this section applies
The replacement of a Residential fixture or ap�liance that mects all three of the following reyuirements:
1. Does not require modification to electrical or gas service.
2. Has 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 $ 1>.00
State Surcharge $ S.Op
Mail-[n Fee(If Applicable) � 2.00
Total Permit Fee $
, P�!R���F��G��.C�.�,A'�C3�i��)=3t3��O"�ER�sa0.c�t�
If above does not apply; follow guidelines bclow:
1. CONTRACT PRICE * is 1.25°r'o of contract price with a(Minimum Fee of$50.00)
`6b�� x .oizs � 1�;b.U�
(contract price) (minimum$�O.UO)
?. STA1'E SURCHARGE 1` ��
x .0005 $ ���
(contract pticc)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
�3. 'I'OTAL PERMIT FEE(Add Lines 1-3 Above) $ ��l4.�J�
■ '" CONTRACT PRICE or JOB COST means the actual or estirnated doliar amount charged for the
pennitted work including materials, labor, prolit, and othcr fixed costs. It is the amount to be chargcd
to thc customcr i'or [hc work dotie. If any material, equipmcnt, labor or installations are Iurnished l�y
thc owncr, tcnant or any other party, the reasonable market value of such items must be added to thc
cstiniatcd cost or contract price for permit fce �urposes. In the event Lhat therc is a dispute ��n the
amount o£ the jol� cost, thc City may reyuesl the submission of a signcd copy of the actual contract.
11�IECHANiCAL PERMI'T�PPI.ICATION AGREEMENT
The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrces to do all
work in strict accordance with the ordinances of the City and the regulaCions of the State uf
Minnesuta, and certiiies that all statements made on this application are complete, true an�
correct.
, ,
Applicant's Signature:, ��� ��� Date: ---�� �` � �
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