HomeMy WebLinkAbout2010-01096 - mechanical CITY OF ORONO PERMIT NO.: 2010-01096
• 2750 KELLEY PARKWAY
� ORONO,MN 55356- DATE ISSUED: 1 U08/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3020 NORTH SHORE DR
PIN : 09-117-23-32-0003
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,000.00
NOTE: 1 CARRIER NG FURNACE
1 CARRIER 2.5 TON AC
APPLICANT MECHANICAL 112.50
RON'S MECHANICAL,INC. STATE SURCHARGE MECH(VALUATION) 5.00
12010 OLD BRICK YARD ROAD
SHAKOPEE,MN 55379 MAIL-IN FEE 2.00
(952)445-8585 MISC FEE 0.00
TOTAL 119.50
OWNER
SWENSON,J&K
3020 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 du�cause.
�?'"Y�C� G� l l l l
Applicant Permitee Signature Date Issued By ' ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
I�OK CtTY USE ONLY �
� ' � City of Orono
,,��' �� p,C). Ru�bb Date Recrived_ Nermit#
• � 27ti11 Kcllev �'�irkw�rv
a ��' � Cry�s(al Biv.N1N Sj3�3 APl�roved F3y: _ Amount`�: _
2r � �� , e' Phone(�)ti''1_'J9-J600 F'a.e(9�?)'_-l�)-a616
t,���µor�,
CITY OF ORONO— MECHANICAL PERMIT
Inll(�nmmeriial permft,5 mu.tit he.ippru�-cd by the Building Oft'icial or Insper�or;md/��r Fir. Marsh.illl
� GENERAL INFORMATION �
I. Yuu may apply for mechanical pennits by mail or in person at the CiCv offices. Appli�•ati��n�will
hc rrviewed and a permit wil] be issued within two workin;days.
?. Permit card� will he sent by return mail afCer a review is completed. PERM1't'S ARE NO"1'
VALID UN7'IL�'OU RECEIVE A PERMIT. WORK MUST NOT I3EGIN UNTIL THI:
PI?R��llT CARD IS POSTED ON THE.IOB SITE.
.�. M�•chanical Desi�ns- Complete c<�Iculations, details and specificatiuns are rec�uire�l C��r cach
hc;ilin��.ventilatiun. huntidil�ication-dehumidification,and air con�ilic�nin�, inst;tllati��n incluclin�
hrat lu,s/heat �ain calru(alie>n, desibn tempesatures, equipmenf ratin�s an�f identific•ati�>n a�tu
tv��r_ manutacturer an�i m�idel. Datu shall he presented on form pr�vided.
=4. When any new a�nstructi��n or remodeling is involved,a separate buil<ling permit must hc
nhtain��l.
S. Ail �vurk musi b�d��ne in accorclance with the Unifurm Mcchanical Codc/St�tic Buil�fin�Cucic
rrquir�mcnts.
h. All wurk n�iust b� inspccted(rc�ugh-in and Final). Call (952)249-4600.
(2�J-�48 hour notice reyuired)
7. Ffuu��� Hcatin��Tcst Recorii must bc submittcd hcfore finaL �
TYPE OF PERMIT
Check All That A t �
�r�i<i�nlial ❑ Commrrci�l(Approva) Rcyuircd) ,
❑ Ncev ❑ Ad�ition�il ❑ Repairs cpla�•c
� Job Site / Owner Information:
- �,
S�r� ,���i�����: ����� f' �J�'������1�1�� �r�
�+�c;K �c�������� ����� ��!��r��i>1������ c�r
(�wner: �. � Mailing Adciress: l.
��r�i�G� ���
c:iry: �- z�p: _
--,
t[un�e Phone: ���� ��' � �� Alternate Phone: �7� ��-� �
� Contractor Information:
Rons Mechanical Inc Linda
Cc�ntractar: Contact Person:
12010 Old Brick Yard Road n ���n
Aciclre��;: State Bond #: S{ '�v�� ��
Shakopee 55379 � �
City: "Lip: Expiration Date:
Phone: (952� 445-8585 �ternate Phone:
❑ Insurance —Currei�t: _ __
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Ceothermal Syste�ns will now requirc a Site Plan & Review by our Buildin�OfCicial. � �
IS THIS GEOTH�RMAL? ❑ Ycs �/ No
HEATING SYSTEMS
Q«<,,,t;��: l �
M<<��: arri e�
M�>clel: �(�r�vW�
Fucl:
Fluc Sizc:
Input BTUs: ���
Output BTlis: �
CFM:
COOLING SYSTEMS
Quantity: �
Makc: � `n �/Y��iY
-^�ba-�--�-
M�>��t►: ��kA�P1kS3o
-r��„�: a��
x. P„W�r�
FIfiEPLACES
Gas Factory Pireplace �3rand Name:
Wood Burning Fireplace
Wood Stove Model No.:
Wood Stove WiYh Flue
VLNTILAI'InN
Nc�. Kitchen Exhaust duct rccirculaling ct�m
No. E3ath Exhaust(must have duct outside) ci�m
No. Other I'ans: Locations ctm
FUEL STORAGC (Must Ge approved by Fire Mnrslzall i�'pmposi�ag to aba�tdon tnnk ia pince.)
� Installati��n � R�moval
F�iel Oil: gallons ❑ Undergrou��d ❑ Insidc ❑ Outsidc
LP Gas: gallons
Other:
GAS LINE ONLY
� Outdoor Grill � Other/List What& Wherc:
2
i •
' � PERMIT FEE CALCULATION(S)
BA5ED OFF- 2()t?2 STATE STATUE
� Ycs, this section applics
Thc rcplac�ment ot'a Residcntial fixture or appliance that meets all three of the fullowing requirements:
L Does not rcquire modificatiun to electrical or g�is service.
2. Has a total cost ol�$500.00 or less; excludin�the cost oi�thc Fixture or appliance: and
�. ]s improved, installe�(or replaced by the homeowner or licensed contraclor.
Skip next scction, if this appties; Cost of Permit $ 1>.00
State Surcharge $ 5.00
Maii-In Fee(If Applicable) $ 2.U0
Total Permit Fee $
PERMIT FEE CAL,GULATtON S -JOBS QVER $500.00
ff ahuve docs not a}�ply; follow guidelines below:
I. CONTRACT PRICG "�is 1.25%�of�contract price with a (Minimum Fee of$50.00)
`�I�� x .0125`� �� .��
(contract price) (minimum 550.00)
2. STATE SURCHARGE "��" Add thc State Bldg Code Div. Surcharge (Minimu►n Fec uf$5.011)
x .00Qi $ �.�
(contract price) (minimum�5,pp�
3. POSTAGE& NANDLING (Only on Mail-In Applications) �; 2.00
4. 'I'OTAL YERMIT FEE(Add Lines 1-3 Above) $ ���.� `�
■ " CON"IRACT PRICE or JOB COST means the actual or estimated dollar amount ch�rged tin� thc
�rsmitte� work inciuding materials, labor, profit, and other fixed costs. It is thc amount to be charged
t�� thc customer for the work done. If any material, equipment, labor or installations �re furnishcd by
[hr owncr, tenant or anyo uther party, the reasonable market value of such items must be addcd t�� thc
�stiulatcd cost or conh�act price i�or permit fce purposes. In the event lhat there is a dispute on thc
amount of the job cost, the City may request the submission of a sianed copy of the actual contract.
• ��'�'l�he S�I'A7'E SURCHARGE is.0005 times the Coniract Price or a minimum of$5.00.
MECHANICAL PERMIT AFPLICATION AGREEMENT
Th� und�rsigned hereby applies ro the City far issuance of a Mechanical Pcrmit, a�rees t�� do all
we�rk in strict accordance with the ordinances of the City and the regulations ��f the State of
Minnesota, and certifies that all statements made on this application are complete, truc and
currcct.
Applicant's Si�nature: Y���'�'l�� Date: � ��3���
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