HomeMy WebLinkAbout2010-01149 - mechanical CITY OF ORONO PERMIT NO.: 2010-01149
. �� 2750 KELLEY PARKWAY
J ORONO, MN 55356- DATE ISSVEn: i U22/2010
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 : HEATING SYSTEMS
VALUATION : $ 0.00
NOTE: 1 CARRIER NAT GAS FURNACE
APPLICANT MECHANICAL 50.00
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 57.00
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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
%��Q.c p �- i i �7��t¢.,� l i
Applicant Permitee Signature Date Issued y ' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB .
i
1�'OR CITY USE ONLY
o,¢,d�o c�ry oeo►�o►,o
P.f).Ro�b6 Date Recrived: Prrmit N
?7tiil K��IIeV P,irk�vav
a ` y ('rvslal f3av.ti1 N»3'3 APProved 13y: _ Amount$:
F _-- —._____ _
�t ��,�,� ;%e�" Phc,ne(�1��)_'�l9-�600 1 a.�(95_')'_�19--tG16
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CITY OF ORONO— MF,CHANICAL PERMIT
Ir'\II(��imine�rcial permit>inu��t he�ippruvrd by[he f3uildink 01`ficial or Inspector;indiur I�ir� �l�irsh;�ll)
LGENERAL, INFORMATION �
I. Y��u n��ay apply for mechanical pennits by mail or in person at the Ciry of't7ces. Applirati��n���vill
he reviewed and a permit will be issued within two working days.
�_'. Pcrn�it c<irds will he sent by return mail atter a review is completed. PERMI'l,S A(2F.NO"1'
VAL1D UNT1L YO[�' RF.CEIVF.A PERMIT. WORK MliST NOT Bi��GII� UNTIL TFIE
PI?RNIIT CARD IS POSTED ON THE.TOB SITE.
�. Mc�chanical Desi�n�—Complete ctilculations, details and sp�cificati��ns are requir�d C��r each
hratin�, ��entilatiun. humidifi�atiota-dehumidification,and air conclitii�ning inst<tllati��n including
hr;it lu,s;heat �ain cakulalion, desibn temperxtures, equipment ratin�s and idcntiCicati��n a�5 tu
I����c. maniifacturer an�i m�xfel. Data shall he presented on fon� provi:leu.
d. When any new ce�n5h�uctic�n ��r remod�linb is involved, a separate building permit must be
�,ht�iinril.
S. lAll w��rk mu,t b�d�m� in .iccurdance with the Unifin�n� Mcchanictil Co<I�/Stale B�iil�iim�Cucle
rrquircm�n(s.
h. All w�>rk must bc inspcctcd(r<�ugh-in and Final). Call(95�)249-�4600.
(2<t--18 hour notice required)
7. Fluutic Hcatin�Tcst Rcc�>rd must hc submittcd hefore final.
TYPE OF PERMIT
(Check All That Apply) (
[]JZrsi<lenli.il ❑ Commer�ial(Approval Rcquircd)
❑ Ncw ❑ �1d�litional ❑ Repairs [�Rcpi�zrc
�Iob Site / Owi�er Informatic�n:
Site �ddr���s: ����-+-/ ��������/ )f' ,r%�� U� l ���
Owne�: J�'!t-�� j�����l���l� MailingAddress: ���� �����It� ����(_�I � J�
City: �������� Zi : J � � �
P
E lun�e Ph��nt: ��� �) �"� � Alternate Pho�le:
Contractor Information:
Rons Mechanical Inc Linda
Contract��r: Contact Person:
12010 Old Brick Yard Road
Acl�iresti: State Bond #: �5�� �U1�
Shakopee 55379
City: Lip: Expiration D�lte: � ��
p���.����. (952� 445-8585 �tern�te Phone:
❑ Instu�ance —Current:
1
MECHANICAL SYSTEMS BEING INSTALLED � '
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Oi�ficial.
1S THIS (TEOTHCRMAL? ❑ Yes [✓]�No
H1�;ATING SYSTEMS
Quantitti�: �
M<<��: Oa.�r�Y
M�>���: �bMuco�
e����: ��
t=i�� s«�:
ir,��U� s`rus: �_�
Output BTUs: ��Q�UV V
CFM:
COOLING SYSTEMS
Quantity:
Makc:
M��del:
'I��ms:
I I. Puwcr
FIKEYLACI;S
Gas Fac[ory� Fireplace 13rand Name:
Wood Burning Fireplace
Wood Sto��e Model No.:
Wood Stove With Flue
VENTILAI'ION
No. Kitchen Exhaust duct rcc�irculatino cCm
No. E3ath Exhaust(must have duct outside) cl�m
No. Other Pans: Locations cl�in
FliGL STORA(iE (Must be appro►>ed by Fire Marshnll if�proposi�zg to abaridon ta►ik i�r pince.)
� Llstallalion � Removal
Fucl Oil: gallons ❑ Underground ❑ Insidc ❑ Outsidc
LP Gas: gallons
Other:
GAS L1NN:ONLY
� Outdoor Grill � Other/List What& Where:
2
�
. ,
PERMIT FEE CA�LCULA'IION(S) �
�ASED OFF'- 20t�2 STATE�TATUE
� Ycs. this secti<m �pplies
Thc rcplacement o1'a Residential fixture or ap�liance that meets all three of the fullowin� requircmenls:
L Does not require modification to clectrical or das scrvicc.
2. t-�as a total cost oi$500.00 or less;excludin�the cost oi'thc fixture or appliancc: and
�. Is improved, installed or replaced by the homeowner or licenscd contractor.
Skip next section, if this applies; Cost of Permit $ 1�.f)0
State Surcharge $ 5.00
Mail-In Fec(If Applicablc;) $ 2.O0
Total Permit Fee $
� PERMIT FEE CALCULAT'ION(�)—TOBS (�VER $500,00
If xhuvc ducs not apply; follow guidelines below:
1. CONTRACT PR10E * is L25°i��oi�contract price with a (Minimuin Fee of'$50.00)
�Ib�D X .����s � ��(�
(contract price) (minimum 5�0.00)
?. STATE SURCHARGG '��` Add lhe StaCe Bl�ig Code Div. Surchargc(Minimum P'ee of'�5.1111)
X .000s � 5 ���
(contract price) (minimum$�.00)
3. POS'I'AGE� HANDLING (Only on Mail-In Applications) $ 2.00
�t. TOTAL PERMIT FEE(Add Lincs 1-3 Ab�vc) $ �/�'" "
■ " CONTRACT PRiCE or .IOS COST means Che actual or estimated dollar amount charged fur the
prrmittcd work induding materials, labor, profit, and othcr fixed costs. It is thc amount to be chxrgcd
t�� lhc customer for the work done. If any material, equipment, labor or installations are fun�ished by
thr e�wner, tenant ��r any other party, the reasonable market value of such items must be addcd te� thc
estii»alcel cost or contr�ict pri;e for permit fee �urpos�s. In the event that lherc is a dispiRe <�n thc
amuunt of the job cost, the City may request the submission of a signed copy of the actual contract.
• �"`'I�he S'�I'ATE SURCHARGE is .00US times the Contract Price or a minimun�of`�5.�)0.
MECHANICAL FERMIT APFLiCATION AGREEMENT
Th� undersigned l�creby applies to the Ciry for issuance of a Mechanical Pcrmit, agrees <<� do all
work in sU�ict accordance with the ordin�nces of the City and [he regulati��ns of the State of
Minncsota, and certifies that all statements made on this application are complete, truc and
con�ect.
Applicant's Signatt�n�e: ����„�i�'" " Date: ��' �$' ��
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