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HomeMy WebLinkAbout2015-00355 - mechanical � 1 CITY OF ORONO * 2 0 1 5 - 0 0 3 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/30/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2496 SANDSTONE LA PIN : 33-118-23-11-0023 LEGAL DESC : STONEBAY : LOT 020 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 11,079.00 NOTE: (1)RHEEM FURNACE (1)RHEEM A/C (1)KITCHEN EXHAUST-HOOD VENT (1)BATH FAN APPLICANT MECHANICAL 13 8.49 STATE SURCHARGE MECH(VALUATION) 5.54 RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 2387 STATION PKWY NW TOTAL 146.03 ANDOVER,MN 55304 Payment(s) (763)754-4000 CHECK 46029 146.03 OWNER Wooddale Builders Inc. 6117 BLUE CREEK DR SUITE 101 MINNETONKA,MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces 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 wittt 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. 'fhe applicant is responsible for asswing all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ' ��2t��_ 3 ,�, 1..� � ��� Applicant Permitee Signature Date Issue y Signature Date F R C TY USE ONLY O City of Orono � �O P.O.Box 66 Date Rece � Permit# ��J'� 2750 Kelley Parkway Crystal Bay,MN 55� � , Approved By: Amount$� •� Phone(952)249-4600���(��?���(�j6 a � 'ri 't F � �qK�,sHO���' CITY OF ORONO—MECHANICAL PERMIT _ (All Commercial permits must be approved by the Building Official or lnspector and/or Fire Marshall) GENERAL 1NFORMATION L You may apply for mechanical permits by mail ar in person at the City offices. Applications will be 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modeL Data shall be presented on form provided. 4. When any riew construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be 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 Neating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 Residential ❑ Commercial(Approval Required) New ❑ Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: �� � � ��{ ����7'C� �(�L�_ Owner: Wooddale Builders Mailing Address: 6117 Blue Circle Dr. City: �uite l�? Zip: Home Phone. Minnetonka, MN 55343 �lternate Phone: Contractor Information: , Contractor: RICCAR HEATING&AIR W. Contact Person: �1 �Che(I-e. ANDOVER,MN 55304 ' / Address: 763-754-4000 State Bond#: �1����`� � � City: Zip: Expiration Date: �-- �� � Phone: Alternate Phone: ❑ Insurance—Current: lhJ�,s'fi ����'� 1 I v l C,l�`fZ,L�( MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�Io HEATING SYSTEMS Quantity: � Make: � ��t.. Model: ���/ �Q `d Fuel: �� u Flue Size: Input BTUs: ��� � Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: ��.�f�Y�- Model: �� �`l"� �Q Tons: �- � H. Power F[REPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION I-�a-z� Uen,-F � Na � Kitchen Exhaust duct recirculating cfm [✓]� No. � Bath E�aust(must have duct outside) �cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ 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;excludinQ 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 $ 5.00 Mail-In Fee([f Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE C�LCULATION S —JOBS OVER a5G0.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) /(, � ?9 . � X .�125 $ /�� �/ (contract price) (minimum$50.00) 2. STATE SURCHARGE / Gj � L � ` , � � !r x.0005 $ �"� / (contract price) 3. POSTAGE& NANDLING(Only on Mail-In Applications) $ _ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���- a� ■ * 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. [t 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 there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION 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 regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signatu : ` ��e: r����S 3 DATE TIME� CITY OF ORONO cnLLED IN �, !,�� � INSPECTION NOTICE SCHEDULED ���flb �. .�,A� PERMIT NO.���� COMPLEfED ADDRESS ���� � OWNER TELEPHONE NQ. ����� �`�� CONTRACTOR ����� � � DESCRIPTION t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB EC�4A1 CAL I�� ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ PTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICO CTOR TO MEET Y�OU: YES_NO y � /�v�p�i �-G Gct � o ,y c. ' !<S �� �" S � e 1�1�4 � �A�C�GC� �� �/rI4G � '�'�'liCS� A'O��/�L��SG OC .�—� � �+�5�k0�.� o/� a:� �eti.�r- Mt�A"s �7r/•a�o.ti -L. , bai...;� W � .i ��.rN—la-�—$�lbefibC+�..� - Q . Su �s � i��u�•� - _ z ` �''Ysv ve nt d � �.c���o�-r,�c��G. - W - b��l� � ,i`.-►t�� � c�-�F,�.r�ws'�,G - � - �'�" � �� - l�sr ' .F v..z�e,� 1'�" , rLia1�� �" W piR'JO(QRK�I,�SFACTORY`.PROCEED J" O PROJECTCOMPLEfE W �'�ARRECT WORK 8 PROCEED C�v¢ r ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COWERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advan�. (g52) 249-46�� OwnerlContractor on site: Inspector: `"" White Copyllnspector's Flle Canary CopylSfte Notke � �� DATE TIME � �� �� CITY OF ORONO �� CALLED IN INSPECTIO OTICE SCHEDU�ED _�� � PERMIT NO�/S ODc�s COMPLETED ADDRESS 2-�� � J c��1 �,,,C'�-��Q �1� OWNER TELEPHONE NO. ��3�' �U'�� CONTRACTOR ( C�21� • � DESCRIPTION �i r�a l /��� l� ❑ 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 /�f�OECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION V� WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 4! ❑ AS BUILT-SURVEY ❑ W R HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ S IC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTORT�U: _NO � COMMENTS: o� _ . _ a CJI� t�i <S `la � 'tc i ��.�,. � - !� Q -- �4�, �-s'�� C___9s�. /,.a. �g �•�.�oQ � � A`l {ua✓K � CoN.c ,�1�� 0 � W — � �� P'tL�� �1> �QI�+C �+r�/Jlet�.sre C°s/�` - Q � 2 c�a..c ��f eG.� �j�j/oQs. i.��G - W � - � �ai...,r„� �•�',t�.�0 J W ❑WORK SATISFACTORY:PROCEED �IECT COMPIEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerfConVactor on site: Inspector. �� White Copy/lnspector's File Canary CopyfSite Notice