HomeMy WebLinkAbout2017-01443 - mechanical , '�
CITY OF ORONO * 2 0 1 7 - 0 1 4 4 3 *
2750 KELLEY PARKWAY DATE ISSUED: i ll06/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 739 STONEBAY DR
PIN : 33-118-23-11-0071
LEGAL DESC : STONEBAY THIRD ADDITION
: LOT 004 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 13,950.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM NATURAL GAS HEATING SYSTEM
(1)RHEEM 3 TON A/C UNIT
(1)KITCHEN EXHAUST HOOD VENT
(2)BATH EXHAUST- 110 CFM
APPLICANT MECHANICAL 174.37
STATE SURCHARGE MECH(VALUATION) 6.97
RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER,MN 55304 TOTAL 183.34
(763)7544000 Payment(s)
Minnesota State License#:mech-MB003474 CHECK 47256 183.34
OWNER
Wooddale Builders Inc
,O.
6117 BLUE CIRCLE DRIVE
MINNETONKA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shail be perfortned 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 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 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 ignature Date
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�_^�_` �OR GITY USE ONLY
' Cit of Orono � (�
� ���^ P.O y3ox 66 Date Receiv d��� Permit#��7_U �/" �
�1 2750 Kelley Parkway / �3� t/
Crystal Bay,MN 55323 Approved By: Amount$: � T
Phone(952)249-4600 Fax(952)249-4616
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`��q ��,��. CITY OF ORONO–MECHANICAL PERMIT
� �k� `� '� �����' (All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
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
VALID UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BECIN 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 )
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esidential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�New ❑ Additional ❑ Repairs ❑ Replace
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Job Site/ Owner Information:
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Site Address: _ wooddale Builders �
6117 Blue Circle Dr. �•�o?– �'�/S – Q��j/3
Owner: �uite 1�l
City:
Minnetonka, MN �5343
Home Phone: Alternate Phone:
Contractor Information:
RICCAR HEATING&AIR 1 �—I
Contractor: 2387 STATION PARKWAY Pd.W. Contact Person: �l�e��e �t,►'���eC�
ANDOVER,MN 55304 ' /
Address: 163-154-4000 State Bond #: �'�d.3 d Q����f-
City: Zip: Expiration Date: � – ��-- � �
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 / �� �c.� �
Fuel: /V (,�'
Elue Size: �~
�nput BTUs: � 4/ �-b -- ------ —----—----- ---------—
outpUt sTus: �S �
CFM:
COOLING SYSTEMS
Quantity: �
Make: (—
Model: � ✓�
Tons: ✓
H. Power
FIREPLACES
❑ as Factory Fireplace Brand Name:
❑ Woo rning Fire
❑ Wood Stov Model No.:
❑ W tove with Flue nry
VENTILATION
�d V'e��
❑ No. l Kitchen Exhaust duct recirculating cfm
❑ No. � Bath Exhaust(must have duct outside) //�cfm
❑ No. Other Fans: Locations cfm
F[JEL STORACE (Must be approved by Fire Marshall ifproposing to abandon tank in place.)
-
❑ Installation Removal --�--�- �
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Fuel Oil: gallons ❑ Underground ❑ [nside ❑ Outside
LP Gas: a ons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00)
l�. q� o. �° X .o125 $ . ��
contract price) (minimum$50.00)
2. STATE SURCHARGE 2 q C
/�.1� ld Q- � x.0005 $ • 9�
(contract price)
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. [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.
M�CHANICAL 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 ma on this application are complete,true and correct.
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Applicant's Signa r • Date:
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