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Home My WebLink About2013-00639 - mechanical . .. CITY OF ORONO * Z 0 1 3 - 0 0 6 3 9 * 2750 KELLEY PARKWAY DATE ISSUED: 07/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 4300 SIXTH AVE N PIN ; 31-118-23-12-0022 LEGAL DESC : SHARON HILLS : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 26,725.00 NOTE: (1)RHEEM HEATING SYSTEM-NATURAL GAS-3°FLUE- 105,000 INPUT BTU'S-96,600 OUTPUT BTU'S (1)PRESTIGE WIRSBO-SOLO 1 l0-INFLOOR TUBE (1)RHEEM COOLING SYSTEM-4 TON APPLICANT MECHANICAL 334.06 RICCAR HEATING&AIR COND INC. STATE SURCHARGE MECH(VALUATION) 13.36 2387 STATION PKWY NW ANDOVER,MN 55304 MAIL-IN FEE 2.00 (763)754-4000 TOTAL 349.42 OWNER GEHRMAN,ROBERT&MARILYN 4300 SIXTH AVE N LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This pertnit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time foF due cau . � 7� �� /3 -�, �a, ,3 A cant Permitee Signa ure Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1� F C Y USE ONLY ��.�`j�r�� City of Orono / ��/� � / �ONO P.O.Box 66 Date Receive 0 Permit# �� 2750 Kelley Parkway �� Crystal Bay,MN 55323 Approved By: Amount$�� l ' Phone(952)249-4600 Fax(952)249-4616 er�� F `� � �qkESHo��. CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 VALID UNT[L 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 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: "-7��(J� (Q � /�,(�_ � ner: paulson Construction � a�iU �Zi'vCi L'aiif; City: Anoka, MN 55303 �7�3- 7�� - �a 7� Home Phone: Atternate Yhone: Contractor Information: RICCAR NEAT(NG&AIR �/ ` /� Contractor: : .� �387 STATION PARKWAY N.Y� � •Contact Person: / � e '�L�� IWD4VER,MN 55304 Address: 763-154-4040 State Bond #: ��QQ�� 7� City: Zip: Expiration Date: �" �s" �'7 Phone: Alternate Phone: [� Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now re ire a Site Plan& Review by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: / Make: , -�(,�Q Model: /L_.�T�s �Q �Z�}.! � �' t �(,L�C.L1C� Fuel: � V � �Q Flue Size: `� � -�' �� Input BTUs: �v�, � Output BTUs: _ �� Q �D CFM: COOLING SYSTEMS Quantity: � Make: ModeL• � � ,� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENT[LATION ❑ No. 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 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;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(If Applicable) $ 2.00 Total Permit F'ee $ PERMIT FEE CALCULATION S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � - � X .oi2s $ .3�3� 01.� (con ract price) (minimum$50.00) 2. STATE SURCHARGE �� ?a� 3..� (c6ntract price)� x.0005 $ � � 3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ■ * 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 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 . � � Date: — ' � 3 K I � DAiE�� TIME � CITY OF ORONO CA�LED IN 7 L,7 J INSPECTION NOTICE SCHEDULED —� /-3 ��d� PERMIT NOC�D/� —��J�� COMPLETED /��y . A D D R ESS �lrl AY �� /�j/j �2/l/L� OWNER - TELEP NE NO�� -�S� CONTRACTOR �� DESCRIPTION � �l/��L��X�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERI� CTOR TO ET YOU:_YES_NO � COMMENTS: � W a � J O r" �f � �� '� � � 12 i �'��✓ _ � Q � Z W � W � � d W F3'1NORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CI�RRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice �— / DATE TIME � CITY OF ORONO CALLED IN ,7�-Z��3 INSPECTIO NOTICE SCHEDULED -3/ o -I3 '6�— PERMIT N 0 ' � � COMPrETED ADDRESS OWNER � _T EPHONE NO. 'y - CONTRACTOR � � � DESCRIPTION �'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB p WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPWNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTI FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:�YES_NO y COMMENTS: � � o �vJ cS � � �-�-�cj /� J;.., — � �l'c�� — i /V o �-- . � � � G. � `� �l v l �� Q z -z�.� � � � �z� � � �' � �l�S� b j _ i d W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W RECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail br the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's FHe Canary CopylSke Notics � DATE TII�E CITY OF ORONO CALLED IN ��I-�i-(_� � �•�� INSPECTION OTICE SCHEDULED "1� t<` � PERMIT NO. . �� COMPLEfED ADDRESS ��C`� �t�E�.� �� OWNER �: � ��r� �''�.� TELEPHONE NO. 7�'3 -�� --�K��1 CONTRACTOR �� ,LC�' �✓ � DESCRIPTION �-L�--� '� L�-"�-` �--�' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑CORRECT WORK&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 RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on si e: Inspector. ' White Copyllnspector's File Canary CopylSite Notice INSPECTION NOTICE DATE TIME CITY OF �{��L2� cA��E�-iN SCHEDULED PERMIT NO. �7�'��r COMPLETED <� - / -/�_ ADDRESS 1f ��% i,Yft� �r_�� /��. OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑ REINSPECTION ❑CONC SLABS MECHANICAL FINAL �FOLLOW-UP ❑ FOOTING ❑ ULATION YC7L`OMPLAINT ❑POURED WALL ❑ RATED ASSEMBLY ❑ FIREPLACE ❑ FOUND. DRAINAGE ❑BUILDING FINAL ❑SPRINKLER SYSTEM ❑ FRAMING ❑SEPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL ❑ ❑ PLUMBING RI ❑S&W HOOKUP ❑ � ❑PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: z Q � : ►_- ��vvt•Z� � "�c3 l� J W C�. �t�'2'�s r � ._ __� - _ J Z O � � W � � � O � O � W � Q � Z W W � � C� � FURTHER CORRECTIONS MAY BE REGlUIRED 0 PERMIT FINALED � ❑ WORK SATISFACTORY: PROCEED � PHOTO TAKEN p ❑ CORRECT WORK& PROCEED V ❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ❑ CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED. CALL INSPECTOR ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: ��H-- f'�' �� DATE TIME V CITY OF ORONO CALLED IN �a-� INSPECTION NOTICE SCHEDULED �a-a -i� ° � PERMIT NO.aO(v� -GY>L�� COMPLETED ADDRESS �� 1C��-�i )`77t�, �" • OWNER TELEPHONE N0.7�-3 75� �� CONTRACTOR � � DESCRIPTION e � ` �'� � ❑ FOOTING ❑ PLU G FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ HANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. � J O � � O � W � " Q Z �-"' W � W � � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAII TO ARRANGE ACCESS. Ca11 for the next inspection 24 h rs ir�advance. (g52) 249-4600 OwnerlContractor on site: r� Inspector. White Copyllnspector's FI Canary CopylSite Notice