HomeMy WebLinkAbout2017-00994 - mechanical • ` CITY OF ORONO * Z 0 1 7 - 0 0 9 9 4 *
2750 KELLEY PARKWAY DATE ISSUED: 08/2U2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 723 STONEBAY DR
PIN : 33-118-23-11-0068
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,395.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM NATURAL GAS FURNACE
(1)RHEEM 3 TON A/C
(1)HOOD VENT
(3)BATH EXHAUST
APPLICANT MECHANICAL 154.93
STATE SURCHARGE MECH(VALUATION) 6.19
RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER,MN 55304 TOTAL 163.12
(763)754-4000 Payment(s)
Minnesota State License#:mech-MB003474 CHECK 47167 163.12
OWNER
Wooddale Builders
6117 BLUE CIRCLE DRIVE
SUITE 101
MINNETONKA, MN 55343-
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. 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 are
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 Signature Date
� 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
�kFs H��� (All Commercial permits must be approved by the Building Official or[nspecror 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 RECEIVE A PERMIT. WORK MUST NOT BEGIIY UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Designs—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 invofved,a separate building permit must be
obtained. ��(��r��
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements. �uQ �i B�
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. C�N OF ORONO
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information: 1
�1
Site Address: �
Wooddale Builders
Owner:_ 6117 Blue Circle Dr. - Mailing Address:
Suite 101
City: _ Minnetonka, MN 55343 Zip:
Home Phone: `f��-�'yS-G�'�i�� Alternate Phone:
Contractor Information:
RICCAR HEATfNG&A1R n,1 �C'^e r (e � �` �
Contractor: 2387 STATION PARKWAY N.W. Contact Person: 1 � � r � 1 t-f i�
ANDOVER, MN 55304
Address: 163-754-4000 State Bond#: �����3y ��-�
Gity: Zip: Expiration Date: � ' ( �J- � �
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 �jNo
HEATII�IG SYSTEMS
Quantity: �
Make: /�j�(„
Model: � ����Qc.Q d
Fuel: / V
r
Flue Size:
Input BTUs: 4 C/ �
Output BTUs: d� Q(�
CFM:
COOLIIYG SYSTEMS
Quantity: � �
Make: �,
Model:
Tons:
H. Power
FIREPLACES
❑ ctory Fireplace Brand Name:
❑ Wood Burnmg '
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
/-�-�� I���
❑ Na � Kitchen Exhaust duct recirculating _ cfm
❑ No. � Bath Exhaust(must have duct outside) ��J_cfm
❑ No. Other Fans: Locations cfm
FUEL STORACE (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/ t at& Where:
2
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00)
����� x A 125 $ ��y � �..7
(contract price) (minimum$50.00)
2. STATE SURCHARGE �
���1 �?' 4s= X .000s $ � . � 9
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $
■ * CONTRAC"I' PR10E or JOB COS"[' 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 Signatur . Date: 0 ^l�- / �
3
DATE TIM�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�7`�'t�f COMPLETED �'o? - /� //=aD
ADDRESS �a'•� ����'''�
OWNER � TELEPHONE NO.
CONTRACTOR �LC��'
� DESCRIPTION ��-f1 �'�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOO�BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: S�✓ae% S � ✓`��r��rLS — D�C
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W ❑WORKSATtSFACTOFlIF PROCEED ❑PROJECT COMPLETE
WOdGORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CARRECT WORK CALL FOR REtNSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OMrneNContractor on site:
Inspector: �
VYhite CapyAnspecfoPs FNe Cenary CopylSite Notice
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S�" ATE/�( TIME
CiTY OF ORONO CALLED IN � �L U
ERMIT N�OTICE ,y�//�'� SCHEDULED � �l �
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ADDRESS
OWNER C�� PH91VE O.` � �
CONTRACTOR
� DESCRIPTION �1`�� /Vl-��/l � � ���
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE .8'MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERfCONTFiACTOR TO MEET YOU:_YES_NO
v�i COMMENTS: ��1'/'e G�i�d�'Jf �i�Iya l:.2—�S�
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W �WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR W{LL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerfContractor on site:
Inspector. �4'�o h �
White Copyllnspector's File Canary CopylSite Notice
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� %T� /� TIME �
CITY OF ORONO CALLED IN �'� �
INSPECTION N T C G� SCHEDULED
PERMIT NO. �/ � coM
ADDRESS ��
OWNER ` TEL H NE NO. �3�� —
CONTRACTOR � �--
� DESCRIPTION �
t~11 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ LATHE 'Q MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OWNERlCOHTRACTOp TO MEET YOU:_YES_NO
y COMMENTS: 'h �� G✓- �- �
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W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
�CORRECT WORK 8 PROCEED ❑ISSUE CERTIFIGATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑C�RRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR NALL RETURN
❑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
OwnerlContracMr o ite:
Inspector: c� �'.���'1 �
WhiM CoPYnnapector's Rle Canary CoP9fSite Notlee