HomeMy WebLinkAbout2010-00620 - mechanical CITY OF ORONO PERMIT NO.: 2010-00620
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 07/26/2010
(952)249-4600 FAX: (952)249-4616
ADDRESS : 450 OLD LONG LAKE RD
PIN : 36-118-23-34-0014
LEGAL DESC : SUMMIT STATION
: LOT 007 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 5,000.00
NOTE: 1 CARRIER 5 TON AC
APPLICANT MECHANICAL 62.50
ROWS 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 69.50
OWNER PAID WITH CC# 5443
POLICINSKI,CHRISTOPHER&ANNE
450 OLD LONG LAKE RD
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 governing 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.
L-Ma
Applicant Permitee Signature Date Issued By ature I Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
rFOR CITY USE,ONLY
4p , City of Orono
P.O. Rov t,(, Date Received: Permit 0 _ _
O 275II Kelley Parkway
A,
) t• Crystal Bay.MN is 323 Approved fly ---___ Amount$:
�.{w (952)249-41,00
CITY OF ORONO— MECHANICAL PERMIT
(All('ommercial permits must be approved by the Building Olt icial or Inspector and/or time Marshall)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will
he reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heal loss/heal gain calculation,design temperatures,equipment ratings and identification as to
type, manufacturer and model. Data shall be presented on form provided.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must he done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT 1
(Check All That Apply)
Residential Commercial(Approval Required)
® New ❑Additional ❑ Repairs Replace
Job Site/Owner Information: ) Pn {�"
Site Address: I� Old [Q / L I P 0
_ , 9
OwnerC fl J Pill(iV JI`f Mailing Address: VT) CACI (GV VI tattl Pa
City: Orono Zip: 3D
Home Phone:-T /C/ — R Alternate Phone:
IContractor Information:
Contractor: Ron's Mechanical Inc Contact Person: Linda
Address: 12010 Old Brick Yard Road State Bond #: /2L (p MA_
City: Shakopee Zip: 55379 Expiration Date: $\O lc __ __
Phone: (952)445-8585 Alternate Phone:
0 Insurance —Current:
p.
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? 0 Yes El No
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make: earntr
Model: atAPCCUO0
II. Powei
FIREPLACES
O Gas Factory Fireplace Brand Name:
Wood Burning Fireplace
• Wood Stove Model No.:
Wood Stove With Flue
VENTILATION
No. Kitchen Exhaust duct recirculating
No. Bath Exhaust(must have duct outside) elm
O No. _ Other Fans: Locations elm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
Installation I=1 Removal
, .
Fuel Oil: gallons 0 Underground 13 Inside a Outside
LP Gas: gallons
Other:
GAS LINE ONLY
O Outdoor Grill 0 Other List What& Where:
0't-20-2009 04:21pm From-CITY OF ORONO +9522494616 T-862 P.003/003 F-144
.
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[7 Yes,this section applies
The replacement of a Residential fixture or appliance 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;excl n the cost of the fixture 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 $- .50
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
Son x.0125$ 4. -D
(contract price) (minimum$50-00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
x.0005 $_ a.t5t)
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-hi Applications) $_. 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $",�W�•C0
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that they: is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual contract.
• **The STATE SURCHARGE�yis.0005 of the Building Department at(952)249-4600 for the price.
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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 regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature:1p 0 0 1/ V'C)J A Date: 1.rLb” `b
111
3
�LDAO TIME k/
CITY O ORONO 5e7e,
CALLED IN O
INSPECTION NOTICE SCHEDULED aZ �D 9'DI°
PERMIT NO. a0/O-.L� ' ' /COMPLE ED
ADDRESS - DCS (-41a—
OWNER,'
_ ,
�/ —
OWNER .L/ / :J TELE ONE NO� -1170 "78/4
CONTRACTOR 40f)/L/1 aiL/14Z0e,
DESCRIPTION /9 /C
44 ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING
Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING 0 MECHANICAL FINAL
Q ❑ TREE REMOVAL
• 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
i0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
(1• COMMENTS:
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cc
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• Cl WORK SATISFACTORY:PROCEED POJECT COMPLETE
CC
❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site: /<����-�
Inspector.
White Copyllnspector's File Canary Copy/Site Notice