The URL can be used to link to this page

Home My WebLink About2014-00785 - mechanical � , , � CITY OF ORONO * Z 0 1 4 - 0 0 7 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2526 SANDSTONE LA PIN : 33-118-23-11-0018 LEGAL DESC : STONEBAY : LOT O15 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,435.00 NOTE: 1 RHEEM NAT GAS FURNACE 1 RHEEM COOLING SYSTEM 1 KITCHEN EXHAUST 3 BATH EXHAUST APPLICANT MECHANICAL 117.94 STATE SURCHARGE MECH(VALUATION) 4.72 RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 2387 STATION PKWY NW ANDOVER,MN 55304 TOTAL 124.66 (763)754-4000 Payment(s) CHECK 45717 124.66 OWNER Stonebrook Homes 1016 COVEWTRY 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 does not grant permission for additional or related work which requires separate permits. Al(provisions of laws and ordinances goveming this rype 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. > �� / / Applicant Permitee Signature Date Issued By i ature ate � 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 � a y � F � `qkfSNn�'�v CITY OF ORONO—MECHANICAL PERMIT _ (All Commercial permits must be approved by the Building Official or[nspector and/or Eire 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 VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete caleulations,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 l ) [�R sidential ❑Commercial(Approval Required) Q/New ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: ��o� �1 (�CL'f$71L� ��2..�. ��' er: Wooddale Builders C��a.. ,3�-�lS�- USy3 City: �i 17 Biue �ircle Dr. Suite 101 Home Phone: Minnetonka, MN 55343 Contractor Information: RiCCAR NEATING&AIR ` I ' Contractor: ' �381 STATION PARKWAY N.W. �Contact Person: �1 lC��e,� (� L-U�1 L�e� ANDOVfR,MN 55304 Address: 763-754-4000 State Bond #: rn,3�]�,�y 7� City: Zip: Expiration Date: ZS ' �� `7 Phone: Alternate Phone: ❑ Insurance—Current: �� 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes [�No HEATING SYSTEMS Quantity: ( Make: Model: �� Q Q Fuel: K Flue Size: � Input BTUs: �� Output BTUs: �FM: 3/ COOLING SYSTEMS Quantity: / Make: e Model: �� /�� Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. ` 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 Marshall if proposing to abandon tank in place.) ❑ [nstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ [nside ❑ 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 ap liance 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. 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 $ PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 If above does not apply;follow guidelines below: 1. CONTRACT PR[CE * is 1.25°/a of contract price with a(Minimum Fee of$50.00) 9�`�'�-'�� x.0125 $ (contract price) (minimum�50.00) 2. STATE SURCHARGE �L.,�� x.0005 $ - �p ! (contract price) 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ . �p ■ * 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. [f 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 Signatur J � Date: — a '� 3 �!�O� RICCA-2 OP ID: KNEL ACV7�O� DATE(MM/DD/YYYY) �- CERTIFICATE OF LIABILITY INSURANCE 03/24/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IMSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED r REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. iPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement s. PRODUCER 763-29rJ-8��6 CONTACT Liberty Insurance Agency pH�ONEE Fax Monticello ac No �: ac No: 1560 Hart Boulevard �o�sg: Monticello,MN 55362 Randy Hadaway INSURER S AFFORDING COVERAGE N,e,ic# iNsuReRa:West Bend Mutual INSURED Riccar Heating&Air INSURER B: Conditioning,Inc. INSURER C: 2387 Station Parkway NW Andover,MN 55304 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFiE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE POLICY FF POLICY P LTR POLICY NUMBER MMIDD MMIDD LIMRS GENERAL LIABILRY EACH OCCURRENCE $ 'I�OOO�OO A X COMMERCIAL GENERAL LIABILITY X BC01844519 04/01114 04/01/15 pREMISES Ea occurtence $ 2�0,00 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ ��,�� X Blkt Add�i IIISfI. PERSONAL 8 ADV INJURY $ �,0��,�� Wg�482 GENERALAGGREGATE $ Z,OOO�OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Z,OOO,OO POLICY X PR�- LOC Emp Ben. S 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident �,��,�� X ANY AUTO BC07844519 OM01114 04/07/15 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Peraccident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ ��OOO,OO A EXCESS LIAB CLAIMS-MADE CU01844521 �4/��/�4 04/01/15 qGGREGATE $ DED X RETENTtON �OOOO $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'UABILITY y�N X ORY LI T E A1 ANYPROPRIETOR/PARTNER/EXECUTNE WC01844520 04/07/14 OM01/75 E.L.EACHACCIDENT $ 50�� OFFICEWMEMBER EXCLUDED? � N�A � (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ SOO,OOO If yes,describe under DESCR�PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ �JOO�OO DESCRIPTION OF OPERAT10N3/LOCATtON3/VENICLES (Attaeh ACORD 101,AddWonal Remarks Schedula,if more spaee is requlred) CERTIFICATE HOLDER CANCELLATION ORON001 SHOULD ANY OF TIiE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CI�/Of OfOnO ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 662750 Crystal Bay, MN 55323 AUTHORIZED REPRESENTATIVE �a•�<�..� OO 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD `:�" DAT TIME CITY OF ORONO CALLED IN Z INSPECTION NOTICE SCHEDULED � —a — 3�� PERMIT NO.�D/ —l3078 OMPLETE ADDRESS �5� OWNER T LEP O E NO. CONTRACTO '� �; DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS � O ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � — a _�(,� S/.teG,��,�Ya��i1 � o � Can�ir�c�f � �ro�i�✓�, Gri�c�s .��' �. � � � L, l��.�P�. �w �'r eti� raow�r -- ° c� `l��e� 3 ` I�,�y �U� ` �ias W - � � � Q zr e �ec� � � t h.s o�, � ��a v � ��'aa� ��i�� a .+ � l.J4l/� rS/I ��ty /,J�� — i'y!�_¢�L. _ C r��-F qL G �C r ��wi�r�� W O WORK SATISFACTOR :PROC�ED ❑ PROJECT COMPLETE ~ � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � w C�ECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. forthe next in ion 4 ours in advance. (952) 249-4600 Own IContracto ��r�t � Inspector. "`^ White Copyllnspector's File Canary CopylSfte Notice ;� i `-D�TE �� TIME ✓ CfTY OF ORONO iN �� INSPECTION I SCHEDULED �$��,� � PERMIT NO. � �� OMPLEfED ADDRESS �� OWNER TEL HONE NO? 3 7�T" CONTRACTOR CC�� DESCRIPTION �� L�"�' 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION �WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO \ ` WCOMMENTS: , ` KO f ��"� � 4 1�v[� /S � � n s��r f� /,�� e��.� ,� � l�r,P� w�� ° r�� W � Q � � W ,�ev�,�•`(� V� �!/L�!+�'� � j � ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK 3 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDEH POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREWIRED.CALLTOARRANGEACCESS. Call forthe next inspection�4 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector: ` White CopyAnapector's File Canary CopylSke Notiee