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Home My WebLink About2015-00350 - mechanical CITY OF ORONO * 2 0 1 5 — 0 0 3� . . 2750 KELLEY PARKWAY DATE ISSUED: 03/26/2015 ORONO,NIN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3155 NORTH SHORE DR PIN : 09-117-23-33-0001 LEGAL DESC : LJNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,500.00 NOTE: HEATING SYSTEM-CARRIER#58CTW 110 APPLICANT MECHANICAL 56.25 STATE SURCHARGE MECH(VALUATION) 2.25 RON'S MECHANICAL,INC. MqIL-IN FEE 2.00 2026 COLBURN DRIVE SHAKOPEE,MN 55379 TOTAL 60.50 (952)445-8585 Payment(s) CHECK 12043 60.50 OWNER MANDEL,JAMES&PAULA 3155 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 dces not grant pertnission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work sha(I be compied with whether or not specified herein.This pertnit 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. ��., `� � �--� �� Appli�itee Signature Date Issued y Signature Date � e FOR CITY USE ONLY � City of Orono . ;�'��A' �,U Hi�x(,(, Date Received: Pennit Jt �;� '� 2750 Kcllc)'Parkway 3, }��'�. �.+t Crysuil Bay.MN 55323 APproved L3y: Amount R: -- ��;�?�f��:�4.o`� Phono(452)'_4y-4600 Fax(9�2)24y-461ti � CITY OF ORONO —MECHANICAL PERMIT (All Commerci,il permits must he approved by Ihe Building Official or Inspector.mdjor Pire Marshall) GENERAL INFORMATION L You may apply for mcchanical permits by mail or in person at the City ofl'ices. Applications will be reviewed and a pennit will he issued within [wc�working days. ?. Permit cards will be sent by return mail after a review is c;ompleted. PERM[Z'S ARE NO'T VALiD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE IOB SITE. 3. Mechanical Desi�ns—Comple[e calculations,details and specifications arc reyuireci l�or each heating,ventilation,humidification-dehumidification,and air conditioning installation inclueling hea� loss/heat gain catculation,design temperatures,equipment ratings and iclentificaiiun as�� type,iiianufacturer and model. Data shall be presented on lorm provided. 4. Wh�n any new construction or remodeling is involved,a separlte building permit must he obtained. 5. All work musl be done in accordance with the Unitorm Mechanical Code/State Building Cudc rcquircments. (i. All work musc be inspected(rou�,h-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House 1lca�iiig"1'est Rccord must be submilted before final. TYPE OF PERMIT Check f111 That A 1 [�Residential ❑Commercial (Approval Required) ❑ New ❑Additiunal ❑ Repairs �Replace Job Site /Owner lnformation: =��j j ��'I(-t(r ``>��' � ��i l%(� Site Address: � �� Owne�� ,/� � ��/!�� Mailing Address: �I J� �(--�� `�l�� I�� /�{l�,-�1.�� ' _ ��n�� Zip: �.� � I City: �. Home Fhone:�-�� Alternate Phone: Contractor Information: Rons Mechanical Inc. Contact Person: Llnda Contractor: Atldress: 1_�) %�-, �(')l��(.�� (��State Bond#: _j/Yl �J (�32� I Shakopee 55379 City: Zip: Expiration Date: Phone: (952) 445-8585 Alternate Phone: [� lnsurance—Current: __ l � ,� . R�iEE�HANICAL S�STEM� BEING INSTALLED � � � Note: All Geothermal Systems will now reyuire a Site Ylan 8r Keview by our Buildino Official. IS THIS GEOTHERMAL? ❑ Yes []�No HEATING SYSTEMS Quantity: I Makc: l�arYl� 1� Mo��: 5$c�rw 1�� Fue�: � Fluc Size: Input BTUs: ��,U�/� out��u� r��rus: �g,�n D Cf�M: COOLIIVG SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ (ias Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recircutating cfm ❑ No. Bath Exhaust(must have duct outside) cf'm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsitall if proposing to abandon tnnk in place.) ❑ Installation ❑ � Removal Fuel OiL• gallons ❑ Undergrourid ❑lnside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What &Where: 2 � � ��l1rIIT�EE CALCULATIQ�(S� BASED OFF-2002 5'TATE STATUE ❑ Yes, this section applies The replacement of a Residential fixture or aQpliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fix[ure or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-[n Fee(If Applicable) � 2.00 Total Permit Fee $ [�� :��c��-�r�s�Q��R��ar.o� -� If above does not apply: follow guidelincs below: L CONTI2ACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) y5o� X .o�25� 5�. `d� (contract price) �minimum$�U.UOj 2. STATE SURCHARGE � y� � .��5 � a.a5 (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � . ,_Z�� ■ ''' CONTRACT PR10E or JOB COST means the actual or eslimated dollar amount charged for the permitted work ineluding materials, labor, profit, and othcr fixed costs. It is th� amount to be charged to lhe customer for the work done. If any material, equipmcnt, labor or installations are turnished by the owncr, tenant or any other parly, the reasonable market value of such items must be added to thc estimated cost or con�ract price for permit fce purposes. In the event that there is a disputc on the amounl of the job cosl, the City m�y reyuesl the submission of a signcd copy of the aclual contract. NiECHANICAL PERMIT APFLICATION AGREEMENT' The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulaCions of the State ��f Minnesota, and certifies that all statements ma�e on this application are complete, true ancl correct. Applicant's Signature: � �� Date: 3�� --- ��l88� ff'3t'�Yl 3 � — � TE T1111E CITY OF ORONO CALLED IN r INSPECTION NOTICE SCHEDULED �/ - /� PERMiT NOr�DI�`0�3� COMP ED ' ADDRESS S.5 � OWNER ELEPHONE N — � —g � CONTRACTOR C � DESCRIPTION ��CitiYl� Ge� Q� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ��b1ECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: aFu�� e,ol��,o�c�- � � o � . � � ee��i`�Ks ��s !i � � o _ ' ' '"',� - P:X[s�t:�K � ��w4��tL C�/'lc�� !/e.vt,hs _ W ' � Q k' �,JOrf� ��i Camdl,r�e `F�� a W � + � �B••,n„ .� ,,,,��eGp � � ❑WORKSATISFACTORY:PROCEED �t��OMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52j 249-46�� OwnerlCorttractor on site: Inspector. � � �.-. � White Copyllnspector's File Canary CopylSfte Notice