HomeMy WebLinkAbout2010-00841 - mechanical CITY OF ORONO PERMIT NO.: 2010-00841
2750 KELLEY PARKWAY
` ` � ORONO, MN 55356- DATE ISSUEn: 09/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2605 NORTH SHORE DR
PIN : 09-117-23-42-0002
LEGAL DESC : UNPLATTED 09 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 18,000.00
NOTE: 2 CARRIER HEATING SYSTEMS
1 FAN
APPLICANT MECHANICAL 225.00
RONS MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 9.00
12010 OLD BRICK YARD ROAD
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL 236.00
OWNER
JEROME,MR.&MRS.JOHN
2605 NORTH SHORE DR
WAYZATA,MN 55391
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 goveming this type 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 of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due�Cause.
�'1�41.6�.t.< <ih� / / / /
Applicant Permitee Signature Date Issued By i ature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
�� y TOK CITY L'SE ONLY
M O,¢��,0 City of Orono
p.C). Hp�(�� Datc Receivcd: Yrrmit#
� �� � 27ti1)KclleV Park���ay
a � p- Cryst�il E3av,h1N��3�3 APProved F3y: Amount 4:
, , a _ __ ------_._
�� � ; e> Phone(2��1_'J9--l600 Fas(953)'49--tG16
<�R��ne4. .
CITY OF ORONO- MF,CHANICAL PERMIT
(All(�umme�rci,il p�rmits niu�t he approve•d by the Buildin�,Otticial or lnspeciur andlur Pire Marsh;ill)
GENERAL INFORMATION _
�. YOU fllfly tl}�))�y ��OI'C11eC�18111Ci1� p�l'1111TS by Iil�ll� Of IIl ��iS011 �I[�le C1IV OftlCeti. Ap�)�IC11[Ill]1S�Vi��
he reviewed and a permit wil] be issued within tw��workina days.
�_'. Permit cards will he sent by retw�n rnail after a review is completed. PERMI't'S ARF.N07'
VALID UN1"IL YQU RECENF,A PERMIT. WORK MUST NOT BEGIN UNTIL TfIE
P[;RM1T CARD IS POSTED ON THE.IOB SITE.
�. h1e��hani��al Desi�,�ns �-Complete calculations,details and s�ecifications v�e require�f Cur e,�ch
hr.itin��.��rntilatiun, hiunicliiication-dehumidification.a»d�air conditii�nin�;inst�tllati<�n incluclin�
hcat li�s,/heat�ain �alculation,design tempernture�ti, equipmei�t ratin�s xnu ide:ntilicatiun a.5 tu
I����c. manufacturer ancl rru�del. Dat<t shall he presented on fonn provided.
�4. ��Vhcn �iny new cun�truction or remodelin�;is involved, a separate huiJding permit must bc
�,ht�tinc��l.
S. /�lI wurk must b� donc in aca�rclance wiLh thc Unifurm Mcchanical Cod�/Sttile E3uildin�;Cudc
rrquir�mc:nts.
h. All ����urk must b� inspcctcd(r<�ugh-in and Final). Cal] (952)2�19-460U.
(2a--t8 hour notice required)
7. F�fuuS� k Icatin��Test Rca�rd m�isl bc submiucd hcFore final.
TYPE OF PERMIT
(Check All That Apply)
Rcsi<i��nti,il ❑ Comrnercial(Approval Rc;quircd)
❑ Nc��v ❑ �1d�litional ❑ Repairs Rcplarc•
� Job Site/ Owner Information:
j� r ��, �
Sire /�ddr�ss: t-`�l�l} t`I.. `�('j���� ;/�j �I i
' -, t-� , .., ,
(�wner- ���lrl ����1 j�'Y�� M�iiling Address: ��1J j ��� ����'�� ���,
c�r�: �%���l�i�,' �����1� ����r
z��:
�{�, / l �r -7 ?
f lun�� Phc�n��:� 1f Lf / r 1�` �f Alternaie Phone: 1 �`J� � I� ���L-
Contractor Inforrnation: ��
Rons Mechanical Inc Linda
Contract��r: Contact Person:
12010 Old Brick Yard Road
Adcirf;�ti: State Bond #: QlZ 'rJ�l1���0�'
Shakopee 55379
City: Zip: Expiration D�lte: � �I
P�������. (952� 445-8585 �tern�te Phone:
� Insurance -Cttrrent: �e�p ___.__
1
MECHANICAL SYSTEMS BEING INSTALLED
f +w
Note: All Geothenn�il Systems will now reyuire a Site Plan & Review by our Building 01�ficial. ..
IS THIS G�OTHERMAL? ❑ Yes [�No �
HEATING SYSTEMS
Qua„t;t,-: 1 I
M<<�;�: YY121� � ��1�-
M<>���: m�rc�oo 5 �n�Co(��
Fuc�: � ��
Fluc Si�c:
Inpul BTUs: 1O� V UW.D�
Output BTUs: ��, ���
CFM:
COOLING SYS1'Ei�1S
Quantitv. �( �{l
Makc: ' �.'��Y`�
M��dcl:
T<�n s:
N. Puwcr
F`1REPLACES
Gas Factory Fireplace Brand Name:
Wood f3urning Fireplace
Woud Stove Model No.:
Wood Stove With Flue
VGNTILATION
N�i. Kitchen Exhaust duct recirculatin� cl�m
No. E3ath Exhaust(must I�ave duct outside) cl�m
� No. �_ Other Fans: Locations�� ���1J�,A� cfm
I�'UrL STORAGG (Must be approved by Fire Mnrslaall if�roj�osi�ag to abantlon tniik rer place.)
� Installation � Removal
Fuel OiL gallons ❑ Underground ❑ Inside ❑ Outsidc
LP Gas: gallons
Other:
CAS LINE ONI.Y
� Outdoor Grill � Other/List What� Where:
2
v j
' � PERMIT F�E Ct�I,CULATION(S) � �
BASED OFF- 2(�}2 STATE STATUE
� Ycs, this sec[ion applics
Thc rcplacemcnt oi'a Residentia( Cixture or ap�liance that meets all three��t the tolluwing reyuir�me;nts:
1. Do�s not rcquirc modification to cicctrical or gas servicc.
2. 1�3as a t��tal cost��f$500.00 or less,excludin�the cost of thc fixture or appliance: xnd
3. Is improved, installed or replaced by the homeowner or licensed eontractor.
Skip next section, il'this applics; Cost ol'Permit � 1�.O0
State Surcharge $ 5.00
Mail-In Fac(If Applicable) $ ?.UO
Total Permit Fee $
� PERMIT FEE CAL�ULATIt7N(S)-3C1BS QVER$500.00
�l�ah��ve does not ap�ly: foll��w guidelines below:
1. CONTRACT PRICE "� is 1.25%�of contract price with a (Minimum Fee of$SOAO)
1����� x .0125 `� da�J.��
(con[ract price) (minimum Si0.00)
?. STATE SURCHARGE '��`Add thc State Bldg Cude Div. Surchargc (Minimum P'ee of y�5.U1))
x .0005 $ `�.��
(contract price) (minimum'��.00)
3. POSTAGE� HANDLING (Only on Mail-In Applications) $ 2.OU
�4. TOTAL PERMIT FEE(Add Lincs 1-3 Abovc) $ o+���.��
■ ' CONTRACT PR10E or .iOS COST means the actual or estimated dollar amuunt charged tur the.
pr�rn�itted work including materials, labor, proi'it, and other fixed costs. It is the am��unC to bc charbcd
to thc customer for the work doi�e. If any mat�rial, equipment, labor or installations are furnishcd hy
thc owner, tenant <�r ar.y other party, the reasonable market value of such items musC be added t�� the
estiu�ated cost or contract price for permit fee p�irposes. In the event that tharc is a dispute on thc
amount of the job cost, the City may request the submission of a signed copy of the actual cuntract.
■ ��� 'I'he STA7'E SliRCHARGE is.0005 times the Contract Price or a minimum of$S.UO.
MECHANICAL PERMIT AgPLICATION AGREEMENT
Thc undersigncd l�creby applies to the City for issuance of a Mechanica( Pcrmit, �►grees to do all
w�>rk in strict accordance with the ordinances of the Cily and the regulations of the St�ite of
Minnesota, and certifies that all statements made on this application are complete, truc anel
COrreCt.
Applicant's Sign�ture: �� �'�� Date: �'-L` �� �
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