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
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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
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`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.
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Applicant's Signat � � � � �C Date:
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`��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
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� ❑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 �
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/ (/ 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: �
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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