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HomeMy WebLinkAbout2015-01043 - mechanical � CITY OF ORONO * z 0 1 5 - 0 1 0 4 3 * . 2750 KELLEY PARKWAY DATE ISSUED: 08/17/2015 ORONO, MN 55356- 952 249-4600 FAX: (952) 249-4616 ADDRESS : 2450 COBBLESTONE CT PIN : 33-118-23-11-0082 LEGAL DESC : STONEBAY SIXTH ADD[TION : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : FIXTURES- MULTIPLE VAL[1ATION : $ 13,215.00 NOTE: 1 HEATING SYSTEM(RHEEM), 1 COOLING SYSTEM(RHEEM),VENTILATION: 1 KITCHEN EXHAUST,3 BATH EXHAUSTS& 1 DRYER VENT, 1 GAS L[NE MAIN APPLICANT MECHANICAL 165.19 STATE SURCHARGE MECH(VALUATION) 6.61 RICCAR HEAT[NG&AIR COND INC. MA[L-[N FEE 2.00 2387 STAT[ON PKWY NW ANDOVER, MN 55304 TOTAL 173.80 (763)754-4000 Payment(s) Minnesota State License#: mech-MB003474 CHECK 46212 173.80 OWI�ER Wooddale Builders 6117 BLUE CIRCLE DR 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 Ciry approvals,and the State Building Code. This permit is for only[he 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 f�,, revoked at any time for due cause. J�,`�J �A,t � � d � �S l�� C� I "L..�� �`, � , Applicant Permitee Signature Date Issued By Signature Date � H'OR CITY L'SE ONLY �O City of Orono �� � NO P O.Bos 66 Date Received: ��TT�" ermit#�� � 27�0 Kelley Parhway �'7 Crystal Bay,MN 5�323 ApprovedBy: __� Amount$: /�' �� Phone(952)249-4600 Pax(9�2)249-4616 �� • 1 i 'L ; F � `qkE.SHO��` 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. PERM[TS ARE NOT VALfD UNT[L YOU RECE[VE A PERMIT. WORK MUST IYOT 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 Ei�ating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ) Re�idential ❑ Commercial(Approval Required) [�New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner [nformation: Site Address: �'7 �Q o ����7Z� �-�-. �', Wooddale Builders Mailing Address: 6117 Blue Circle Dr. Suite ?O 1_ Minnetonka, MN 55343 Z�p� t-tome t'hone: _ _ ��Alternate Phone: Contractor Information: Contractor: RICCAR HEATING&A1R r Contact Person: � �IC'�,1e��e I_ Ct►'1C�(e C) 3 . , Address:` ANDOVER, MN 55304 � State Bond #: {� O n�� —f�� City: Zip: Expiration Date: � � �� � � �n Phone: Alternate Phone: ❑ [nsurance—Current: e 1 - MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& EZeview by our Building Ofticial. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: Model: �� p� �� Q� Fuel: � u Flue Size: Input BTUs: � U Output BTUs � � CFM: COOLING SYSTEMS Quantity: � Make: �. Mode�: l3 r-�-� �3Lo Tons: �t H. Power FIREPLACES N1 r� ❑ 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 Exhaust(must have duct outside) cfin ❑ Na � Other Fans: Locations ��e�' ���-� cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in p[ace.) ��� ❑ [nstallation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LIIYE ONLY ❑ Outdoor Grill [� Other/List What& Where: 1"�t�.�,1 I 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;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 $ 1.00 Mail-In Eee([f Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER $500.00 [f above does not apply; follow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �.�a��s � X .o��s $ � _� l q (contract price) (minimum$50.00) 2. STATE SURCHARGE �3 a��. � X.0005 $ � �� � (contract price) 3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 2.00 4. TOTAL PERM[T 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 Signat � � � � �C Date: �- ll- / � 3 ��- �� \ /� `��1� TIME�/ CITY OF ORONO CALLED IN 1 INSPECTION OTIC SCHEDULED �� �[7—L�O � PERMIT NO.�� —d 1 d�COMPL ED ADDRESS a�S� l�l'J �-t� OWNER ICJ�Q� T ONE N0��03 7.5� �EE� CONTRACTOR � �� >; DESCRIPTION ' "�-'�"�.- � lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL Rt ❑ 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 � OWNERICONTRACTOR TO MEET YOU�_YES_NO ' � � COMMENTS: D ' �l U l�' �t � � /�� !5 ,�7a,(�s�Ce.Q o � ��.f f��sT?�s /i7 e �s �J6K�a� � � �lab�� ��� .���a �•�s� �� ° — lZo ,b`7G 6s�.� �j ��t,,s ���.i,e, W ' � Q z /�d5 b a� c�.�� � �,�t.v/c�e � � a�t�B4rt T� — , � ��,r �-��-�-� �e/.�r�t� 7��1� � � ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. �i� � White Copyllnspector's Ffle Canary CopylSite Notice � � �� � / (/ DATE TIME 1 CITY OF ORONO CALLED IN INSPECTIONfNOTIC �O y3 SCHEDULED �_�� PERMIT NOv1(:l� � COMPL � ADDRESS � �{ � l� �D�;�I� S f�,�QTLC . OWNER TELEPHONE NO. ��.3 �J� _�� CONTRACTOR � � f � DESCRIPTION `� ���� ��'�- ����` ly ❑ FOOTING ❑ DEMO-FINAL � ❑ SEPTIC FINAL � / Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL� Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �� Z ❑ RADON SLAB �ECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ E IC INSTALL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a �' �t�O�l� cs , rc6c..� ✓►1� — �K J " d� !i� �ovl ' �K O . � � " '�1'�� ���►G CN�u•�� '4!/`�i�S��dl�i -• !j �jPSL � � ���lsy�, I�4r• � �y, � l�'f{f� SL�✓�pf Q/t ��wv�.cs �J�.f! W ! -t � h � �O � r'�`f tr✓✓�- �[wG S �re/ l�x/..�S Q � 4S ' fi 4•w � � � ¢, t.K4 � L � dn/P�� — W � �p! r e c'C�! d�-"S__�d��� J d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � T WO 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site:�_ -�-�-- Inspector_ � White Copyllnspector's File Canary CopylSite Notice