HomeMy WebLinkAbout2018-00063 - mechanical . �..
CITY OF ORONO * 2 0 1 e - a 0 0 s 3 *
2750 KELLEY PARKWAY DATE ISSUED: OU18/2018
� ORONO,MN 55356-
(952 249-4600 FAX: (952)249-4616
ADDRESS : 737 STONEBAY DR
PIN : 33-118-23-11-0070
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 12,975.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM NATURAL GAS FURNACE
(1)RHEEM 3 TON A/C
(2)BATH EXHAUST
APPLICANT MECHANICAL 162.18
STATE SURCHARGE MECH(VALUATION) 6.48
RICCAR HEATING&AIR COND INC. NIpIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER,MN 55304 TOTAL 170.66
(763)7544000 Payment(s)
Minnesota State License#:mech-MB003474 CHECK 47334 170.66
OWNER
Wooddale Builders
6117 BLUE CIRCLE DRIVE#101
MINNETONKA,MN 55391-
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 permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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.
1'he 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 By ature Date
, .�
F CIT USE ONLY
City of Orono � 'Q�� �/��
�O�O P.O.Box 66 Date R �v� � Permit �O �./ Yy—
2750 Kelley Parkway n � REC�I"N'�D
Crystal Bay,MN 55323 Approved By: Amount$: lJ �
Phone(9�2)249-4600 Fax(952)249-4616
y� �fi JAN 1 8 2018
� ��, CITY OF ORONO-MECHANICAL PERMIT
'�k��Ha
�,��m, (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
CITY OF ORONO
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. PERMITS ARE NOT
VAL[D UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
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
ty�e,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) [Backflow Device: ❑ AVB ❑ PVB]
�New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: [ � � �� •
Owner: Wooddale Builders Mailing Address:
6117 Blue Circle Dr.
City: Suite iUl 7ip: �
Minnetonka, MN 55343
Home Phone: �lternate Phone:
- -���r3
Contractor Information:
Contractor: RICCAR HEATING&AIR Contact Person: ml�{����e L.L(.,4�1C`� -�('l� �
2387 STATIOiV PP,R �t, . .
Address: AND01%ER,MN 55304 State Bond#: ►���d�� ��
City: Zip: Expiration Date: �" � S � � �
Phone: Alternate Phone:
❑ Insurance-Current: e
1
MECHAMCAL SYSTEMS BE1NG 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 �
Fuel: 1 V Q��
Flue Size:
� �
Input BTUs:
Output BTUs: �� �
CFM:
COOLING SYSTEMS
Quantity: /
Make: � �
Model: �� � �
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
❑ No. � Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsha[I 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 CALCULATIONS
I. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00)
/�.� 2�' � X.o�zs $ 1�.�. 1�
�ontract price) (minimum$50.00)
2. STATE SURCHARGE 1�(��
��� �,�x.0005 $ • -?" d
� (contract pnce)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �0 • C2�,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. 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 certifie that all statements d on this application are complete,true and correct.
Applicant's Signat e• � Date: 1-" l�� ��
3
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DATE TIME
CITY OF ORONO cnLLED IN /' Z ?��
INSPECTION N TI� � SCHEDULED /� 3��� �
PERMR NO. P ETED
ADDRESS 3 � _
OWNER TELEPHONE .
CONTRACTOR \ _
� DESCRIPTION ' `
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❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL
C �MECHANICAL RI ❑ SITE INSPECTION
Z ❑ LATHE RATED WALLS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑
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Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL �
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"� DESCRIPTION ��� �-��
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Q ❑ POURED WALL ❑ PLUMBING RI �
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Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑�NOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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