HomeMy WebLinkAbout2014-00465 - mechanical " CITY OF ORONO * Z 0 1 4 - 0 0 4 6 5 *
2750 KELLEY PARKWAY DATE ISSUED: OS/16/2014
' ORONO, MN 55356-
(952)249-4600 FAX: 952 249-4616
ADDRESS : 2524 SANDSTONE LA
PIN : 33-118-23-11-0019
LEGAL DESC : STONEBAY
: LOT 016 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 10,935.00
NOTE: 1 RHEEM NAT GAS FURNACE
1 RHEEM 2.5 TON AC
APPLICANT MECHANICAL 136.69
STATE SURCHARGE MECH(VALUATION) 5.47
RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER,MN 55304 TOTAL 144.16
(763)754-4000 Payment(s)
CHECK 45606 144.16
OWNER
Stonebrook Homes
1016 COVETRY PL
EDINA,MN 55424-
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 permission for additional or related work which requires sepazate
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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause�
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Applicant Permitee Signature Date Issued By ' ature Date
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FOR CITY USE ONLY
�O A rO City of Orono
� �y P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
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CITY OF ORONO— MECHANICAL PERMIT
��kEs���� (All Commercial permits must be approved by the Building Ofticial or[nspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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. PERMITS ARE NOT
VAL[D UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD lS POSTED OlY THE JOB S[TE.
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 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:
Site Address: ����
�� ner:_ Wooddale Builders Mailing Address:
� 6109 Blue Circle Drive
City: _ Suite 2000 Zip;
Minnetonka, MN 55343
Home Phone: lternate Phone:
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Contractor Information:
,
Contractor; RICCAR NEATING&AIR. Contact Person: J��/(r��TQ.� �� �r 1[►dY( � (�
2
� pNDOVER,MN 55304
Address: �63-154-4000 State Bond#: `��� ��7L-/
City: Zip: Expiration Date: (� ' �o� - � �
Phone: Alternate Phone:
❑ [nsurance—Current:
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now rec�uire a Site Plan& Review by o�tr Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes [y�No
HEAT[NG SYSTEMS
Quantity: !
Make: /(2-2
Model: � [o � Q
Fuel:
u
Flue Size:
Input BTUs: l Q ��U V
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: l
Make:
Model: ��'TJ �Q
Tons: �/
H. Power
F[REPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILAT[ON
❑ No. � Kitchen Exhaust duct recirculating cfm
❑ Na � Bath Etchaust(must have duct outside) �cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall 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;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 $ I5.00
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:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
�.� . c-a x.ot2s $ �`3 .l0 9
contract price) (minimum$50.00)
2. STATE SURCHARGE �Q �� � �v cL
x.0005 $ �, 7 �
�(contract price)
3. POSTAGE&E{ANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERM[T 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. [n 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.
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Applicant's Signa e• Date: � o —
3
DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE �/SCHEDULED
PERMIT NO.���'��y� COMPLEfED r /��
ADDRESS �SoZ .s?.ta�`"ot2 (.°<<•
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
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� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ��0(IECHANICAL RI O LAKESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
ZO INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT
v ❑ DEMO-SITE 0 SEPTIC MAINT. � FOLLOW-UP
= p DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: -l/�s'S I�K� 4�✓ Z'�.�3Z` �L6 �rZ�.s, �
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W� .❑JW_O-R-K-SATISFACTOFlY:PROCEED ❑PROJECT COMPLETE
� p�6�CT VI�RK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOH
O INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24hours in advance. (952) 249-4600
ctor on site: �
Inspector: `
Whits CopyHnspectoPs File Cenary CopylSite Notice
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE - //��j SCHEDULED - � •g 30
PERMIT NO.er.Y4��`��f^" COMPL ED
ADDRESS �S a� l����� ���
OWNER TE HONE N07�'7s�"
CONTRACTOR
� DESCRIPTION ��� .
�
� ❑ FOOTING ❑ PLU G FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL CHANICAL RI ❑ LAKESHORFJWEfLANDS
y ❑ FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ OOD BURNER/FIREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP O PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAI ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAl10N/REMOVAL
Z OWNERICONTRACTOR TO MEET Y�OU:_YES_NO
y COMMENTS:
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W � WORKSATISFACTOR`F PROCEED ❑PROJECT COMPLETE
� ❑ RRECT YVORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT NlORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours' advance. (g52 9-460�
Owner/Contractor on site•
� Inspector.
White CopyAnspector's File Canary CopylSite Notiee