HomeMy WebLinkAbout2010-00514 - mechanical CITY OF ORONO PERMIT NO.: 201Q00514
, 2750 KELLEY PARKWAY
�
ORONO, MN 55356- DATE IssuEn: 06/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 366 NORTH ARM LA
PIN : 06-117-23-24-0011
LEGAL DESC : NORTH ARM ESTATES 4TH ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,000.00
NOTE: 1 RUUD NAT.GAS HEATING SYSTEM
APPLICANT MECHANICAL 50.00
RON'S MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 2.00
12010 OLD BRICK YARD ROAD
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL 54.00
OWNER
LARSON,MR.&MRS.MARK
366 NORTH ARM LA
MOUND,MN 55364
AGREEMENT AND SWOR1�1 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 pertnit is for only the work described and dces
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.l'his permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if consWction 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.
�1�,! G" / / (/!���-st / /
Applicant Permitee Signature Date Issued B ignature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E.
M'OR CI"1'Y l�Sh:ONI.I'
��0�� Cih of Orono ----
I'.O F3��s(�A DatC Rc�cived' Pcnnil{t
. , �^>II Kcllr� 1',irk�+�i�
�a ���'�� � � (1�:tal 13a�.MV'��3_3 r\ppCu�cd R�- 1nn�uni�+:
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CITY OF ORONO — MF,CHANICAL YERMIT
(AU(���rnmercial permil.mu,.t he apprnved I,c lhe t3uilding Offieial nr Inspeitor uml:�u f�ir�•��lenhall)
CTENERAL [NFORMATIUN
1. You may aE����ly (��r mech�niral permils hy mail or in person xl lhc City offices. Ap��li��ili�in,�ciil
he reviewecl and a��ermit will be is�ucd within two workin�days.
_'. Permil rar�is will be seni hy rcturn mail after�review is completed. PF..,RMI"fS ARF NOI�
V�1LID UNT1L,YOU RE?CE[VF..A PERM[T. WORI�NIUST NU1'BEGIN UNT11,TH[?
PEKMIT CARD 1S POSTF,D ON TH�JUB SITE.
3. MechanicaJ Dcsi��ns–Cornplete calculations,details and �peci(icatiun�are rce�uire�l tc�r e;�ch
hc�itin��,vcn�ilation, humidit�i�ali�m-cichumi�iilic�tiun, an�l xir r��ndi�i�>nin�;insl�illati��n includin��
hcut lus�;'h���t�ain c<'ilculalion. dcsrgn (cntpert�ttu�cs,cyuipnicnl ralings and icirntilic.ilion as I�,
i��pe.mattt:fac!urcr an�1 muci�+l. Data shall hc p�cscrtrd un li�ru;pr��vi�lcci.
�. Whcn anv nca'construction��r remudcling is invulvccl, a scparatc l��u�ildin��}��crmil mu�l hc
c,(�i�inccl.
�. All w�ork inusl he clone iii aecordanee wiih the Unif��rm Mechanical Co�lciSt�i(e l3uiidin�Gxlc
rcyuircnlcnt..
6. Atl worl: must be inspcctcd �rou�h-in and Fin�jl). Call (9�?)?�l9-=l6UU.
(2=�-�18 houi•notice►-equired)
7. E[uusc H�aling 1"c�t Rc�oril must bc suhmi�tcd hcli>re (�in<il.
--- — TYPE OF PERMIT ---- -- --1
� __ (Check All That Apply} �
Y�11Zcsidcntial � C<�iuuicrcial (Ap�roval Required)
�—�
� Ncw ❑Additi�inal � Re��airs Rcplucc
Job Site/ Owner Information: �
Srtc Addre�s: ��� �1_I�l � � / JI ��� �1.%I I� t
Owner:l�l��� �_11���� Mailin� Address: ��D��� �I ��� l,L.il�' /�
City: Orono 7i�: ����(
„ (,,�.
Horue Phori���� 1�� ��",3 � A1Cernate Phone:
Contract��r Information:
C��ntractor: Ron's Mechanical inc �ontact Person: Linda
��i�r�,5�. 12090 Old Brick Yard Road State $ond #: �L� �llL I I� -1
City: Shakopee Z�p: 55379 E�piration Date: � _
Phone: (952)445-8585 Alternate Yhone:
Ins�irance—Current: �Q�--
t
-------�-----------_.__._ .___ — --------------------1
MECH�-1NICAL SYSTEMS BEING INSTALLEU � _
Note�: �111 Grulhcrmal Systrm; will ni�w rey«irc a Site Ylan & 12cvi�w hy �+ur liuil�iin�,OIiirinl. �
lti T1iIS GLOT�IE;KNI�1L? ❑ Yes [�Nu
HI:.4T[NG SYS7'EN1S
C)uanl i1�: � — --
Nl,il:c: �W��
�'I���icl: �_1'`-v`��_ —
I u�I: � — — --
I�luc .5iic: ------
In��ut l3'I U. �VVV - -----
C)ul��ut l3l'U�: � v� -
t'I M:
(:OO1,1N(�; SYS'1'EA1S
Ou.�nti��- —
�-7;�1,��: -
�fu�lcl: — -
I�in�:
f L Nci��-c� — —
1'lIt1:P1_��CES
� C;<i.F;ici<�r� Firepl�icr t3rand Name: _._ -
❑ Wu��� 13urning Fireplare
� W�xi�Stiivr M�idrl N��.: -------
❑ ��'u�xl St�rve With Flue
�'I�:tiTI1.,A7'1ON
❑ No. 1<itchcn Fxhaust duct rcrirculaiin�, _ c lm
❑ N<,. B<<ih F,aliau5l(must havc �1ucl uutsi�i�) _��I�>>
� Ni'. --- Othrr Fans: L�n'aliuns __rini
1�UE:L.S7'UIZAGL (A'1��s7 bc�aNpro��crt!by I�ire hlarshull if pruposi,�g ro a��urdun�u��k in plac.•eJ
� InstallaUun � Rcutoval
�Fucl Oil: g.illuns ❑ Uncicrgruun�l � lii�i�lc �<)u��iiir
i.P C_i;is _ �.�llons
()ihcr:
(.:1ti LlM?ONl,l'
❑ Ouldo��r Grill � (.)thcr l List What .k Wherc:
7
• Oct-20-2009 04:21pm From-CITY OF ORONO +g522494616 T-862 P.003/�03 F-144
.
1'Hh"�r4 � i , �I �I ill�'ll 1 i �,I U�� . t' � j�'.I' � E r: � �1�
rh�l i �� ��. ' ��r ' � i l {^� � � � � i� �i�E l� t � I11 �� ��y i �i � � ��
I 1 fi � i� , � I � fi.
��� �i N� li���i �� I'����I�,f�� �� ��� �II i � ,f t, .� l ��I h,.�.,)�.,� q� �I� '��. � i�N�d ��V{ � �(� Il!' 1y I !�' � � ���i
i i"�{ 1) ti r��.� 1 �� I�r�i��il I��i�l�lfi � MI �� �S�`����' i �r I ���i��(�I� f �'�fi I �j ��1�I�1������t�� II l�I�i
Fr�1�� h�.�f�.�.r j ia��II{ � ��I,I �I.�;.�I,�I I�!`�I.i. .�f{I!,���iTtl � ��,NINA��1��IH:I��� �I.��I�i�i(V�. I�If.{r�ll���i�l.I.���({��•��l�.l�t��.�.i.11l'l
(] Yes,this section applics
The rc-placement of a Resident�al fixnuc or apptiance that meets all tt�ree of the followin�requirements�
i. Docs nor requu•e modificatian t4 elec�ieal or gas serviee.
2, Has a tntal cost of$500,00 or less;excl 'n the cost of the fixturo or ap}�liancc:and
3. Is improved,insFalIed or rEYplaccd by rhe homeowner or licensed contracrc��•.
Skip next section,if this applics; Cost of 1'ermit $ 15.00
State Surchax�;e $ .SQ
Mail-In Fee(If Applicable) $ 2.40
Total permit�ee $
v�,������ E� �(r�{�
�.� � I ��. .'i �MI�Rli .�li�i���t�� .��� i �i!.i .w ��'`71M N,I€���I;�l�6�����5���`��1i1�'���{0��I I
, � � i , .. � . ' .
If above does not apply; follow guidelines below:
I, CQNTRACT_PRICE *is 1.25%of con�ract price with a(Minimum�'cc of$50.00)
�od� X_o�zs$ .�
(roncraci price) (�ninimum$SU.UO)
2. STATF SiTRC:H.��RGE ""'Add the Scatz 131dg Code Div. Surchf►rge(M inimum lEee of s.s0�
x.0005 $ �•��
(ContrAc[priCd) {ininimum$ .SQ)
3. pOSTAGE&HANDLING(Only pn Mail-In Applications} $__ 2_00
4. TQTAi.PER'VIIT FE�:(Add Lines 1-3 Above} $,____ _�•o"
■ w CONTRACT PRICE or JOB COST means thc actual or esrimated dollar am<�unt charged for the
permitted work including macerials, labor,profit, and othzr fixed costs, It is ehe anwunt to be cl�arged
to the customer for the work done. If any maierial, equipment, labor or installat�ons are furnished by
rhe owner, tenant or any otl�rr paziy, the reasonablz markec value of such items rn�sst be added to th�
estimatcd cosc or conrract price for permii fee purposes. in the event that ther: is a dispute on ihe
amount of the job cost, the City n�ay rcquest the submission of a signed eopy ol'the actual contract.
■ **The STATE SURGHARG�is .0005 of che Building Departmznt at(952)249-a600 for tlic price.
� J ,. I �"� '' ,i{ y�ry �'� 'FI f��: i� '';i �� i� i i � !, `� ' It t ' l., h' '' `,'
���: !i 11 1 l�li I� iti� � �i �ta:e��,. i��:iiU(�h,�,i�11�Jd�11r���I;;I�I l��;i
The �u�dersigned hereby applies to the Ciry for issuance of a Mechanieal Pernzit, asrees to do a11
work in strict accordance with the ardinancas of the Ciry and �he regulatiui�s of the State of
Minnesota, and certifies that all statements made on this application are t;omplete, true and
correct.
Applicant'> Signature: Date: ��V�V ��
3