HomeMy WebLinkAbout2015-00356 - mechanical f CITY OF ORONO * z 0 1 5 — 0 0 3 5 6 *
2750 KELLEY PARKWAY DATE ISSUED: 03/30/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2498 SANDSTONE LA
PIN : 33-118-23-11-0022
LEGAL DESC : STONEBAY
: LOT 019 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,435.00
NOTE: (1)FURNACE
(1)A/C
(1)KITCHEN EXHAUST-HOODNENT
(1)BATH EXHAUST
APPLICANT MECHANICAL 117.94
STATE SURCHARGE MECH(VALUATION) 4.72
RICCAR HEATING&AIR COND INC. N1,4IL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER,MN 55304 TOTAL 124.66
(763)754-4000 Payment(s)
CHECK 46027 124.66
OWNER
Wooddale Builders Inc
6117 BLUE CIRCLE DR
SUITE 101
MINNETONKA,MN 55343-
AGREEMENT AND SWORI�I 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. 1'his pertnit is for only the work described and does
not grant permission for additional or related work which requires separate
permiu. 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 conswction 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 conforrrtance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Iss By Signature Date
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CITY ONLY
City of Orono � �j�
�O�O P.O.Box 66 - Date Receive :� ermit# af/�� `�
2750 Kelley Parkway ,- �,� �-
Crystal Bay,MN 55323 ('� `'�, `. � Approved By: Amount$:/='��
Phone(952)249-4 �x�9�2)�249-4616
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lqkFSHv��` C,iTY_OF OKONO—MECHANICAL PERMIT
(All Commerci�t'permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
l. You may apply for mechanical permits by mail or 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. PERM[TS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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 he presented on forr.�provided.
4. When any new 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 Heating 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:
.�2 / 1 �
Site Address: Wooddale Builders �(J�,l�l�(`St�fZ • �S� " �'�S' GSL��
6117 Blue Circle Dr.
Owner: Suite 101 Mailing Address:
Minnetonka, MN 55343
City: Lip:
Home Phone: Alternate Phone:
Contractor Information:
t •
Contractor: ���u�,.,��_ Contact Person: C Y� lC�"l� � (� �r'1C�'t'Yle �
2387 STATION PARKWAY N.W. � ,� / I / /
Address: ANDOVER,MN 553�4 State Bond#: �� 1���.-3`—( �`-1
763-154-4000 ^ ( �
City: Zip: Expiration Date:
Phone: Alternate Phone:
❑ Insurance—Current: �-�—,(�r LL,I
1 ��.1, . ,, �
�rut.c�
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now requi a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes No
HEATING SYSTEMS
Quantity: �
Make: � � � L
Moae�: ��9 � �
FueL• l� ��
Flue Size:
� I
Input BTUs: O �' � `-'
Output BTUs:
CFM:
COOLING SYSTEMS
Quantiry: �
Make: �e-!�
Model: �� /�' �
Tons: � r/
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VEN"I'ILATION I�O�1!��
V
✓d Na � Kitchen Exhaust duct recirculating cfm
[� No. �_ Bath Exhaust(must have duct outside) �cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsha[l if proposing to abandon tank in place.)
❑ [nstallation ❑ 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;excludin�the cost of the fixture or appliance: and
3. [s 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 $
� PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 �
[f above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
� ��3� � X.o�zs $ �� �. 9`l
(contract price) (minimum 550.00)
2. STATE SURCHARGE �
���3 � X.0005 $ - l�
(contract price)
3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
■ * CONTRACT PR[CE 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 Signa re� ' Date: �`�� �S�'
3
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DATE TIME �J
CITY OF O ONO CALLED IN ��
INSPECTION NOTICE SCHEDULED -��-�-LS �
PERMIT NO..�.���.�S�C� COMPLETED
ADDRESS 2 � C'1� � c3-p�„�.•t7�Vl� ��
OWNER TELEPH E NO. 7 �� G�
CONTRACTOR � C_ � �
� DESCRIPTION J""�--1--- ,��,��-� ����
4r ❑ FOOTING ❑ DEMO-FINAL �,�/� ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI /�/�'�n ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ UMBING FINAL �� ❑ TREE REMOVAL
� RADON SLAB MECHANICAL RI
Z ❑ ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE PTIC INSTALL
2 OWNERICONTRACTOR TO MEET YO�YES_NO
c�.� COMMENTS: �'`_
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W RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 ho rs in advance. (g5 6��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
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DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE r� SCHEDULED
PERMR NO.,2��`-��'dU3��CcOMPLETED --��
ADDRESS � �� � C`-�.��5��-�yl� C,�
OWNER TELEPHONE NO. ��0 3 7S�"C�Q�
CONTRACTOR i CC��
� DESCRIPTION ����-� � / /' � �
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING F;1 ❑ EXCAV/GRADING/FILLWG
Q ❑ FOUNDATION WATERPROOF ❑ PLUM FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB HANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION �❑ OD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ PTIC INSTALL
2 OYYNERlCOIdTRACTOR TO MEET YOU: ' YES_NO
��., COMMENTS: �f
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W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advan 249-46��
Owner/Contractor on site:
Inspector:
White Copyllnspector's Fiie Canary Copy e Notice