HomeMy WebLinkAbout2015-01134 - mechanical , CITY OF ORONO * z 0 1 5 - 0 1 1 3 4 *
2750 KELLEY PARKWAY DATE ISSUED: 09/03/2015
` ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3375 GRAHAM H[LL RD
P[IV : OS-117-23-11-0018
LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION
: LOT 1 BLOCK 1
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 14,600.00
NOTE: 1 HEATING SYSTEM(WIRSBO)
APPLICANT MECHANICAL 182.50
STATE SURCHARGE MECH (VALUAT[ON) 7.30
RICCAR HEATING&AIR COND [NC. MAIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER, MN 55304 TOTAL 191.80
(763)754-4000 Payment(s)
Minnesota State License#: mech-MB003474 CREDIT CARD 4048 191.80
OWNER
Wooddale Builders
6117 BLUE CIRCLE DR, STE 101
M[NNETONKA, 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 permi[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 construc[ion 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. ��f �
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Applicant Permitee Signature Date Issued By Signature � Date
09l03l2015 15:27 Riccar Heating ¢Wf}763 754 0132 P.002lOOd
� FOR CITY j3SE QNLl' ,���
CI of Orono `1
�Q�/-� P.O,Box 66 Dete Rcceived; (�i_I�__�bparmit# �
L/ 2750 Kelley Parkwny �r� �
Crystal B�y,MN 55323 Approved By; �Amount$:�t,
Phone(952)2A9-4600 Pax(952)244�616
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�qkE$M p�F.�' CITY OF pRQNO—MECHANICAL PERMIT
(All Commerciai permit�muyt ba approved by the Building ORlciel er Inspeetor and/or Fira Mershalp
GENER.A.L TNFORMATION
1. You may apply for mechanical pern�its by mail or in person at tha Ciry offices. Applications wiU
be reviewed and a pormit wi(1 be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NpT
VAT,Yb UN'FII,YOU RECEIVE A PERMIT. M 'f NdT BEGIN UNTIL TFIE
PERMIT CARD IS FOSTED QN'�'HE JOB SITTk
3. Mcehaniea!Dosi�ns—Complete calculations,details and speeifieations aro required for eacl�
heating,ventilation,humidification-dehumidification,and air eonditioning installation including
heat loss/heat gafn calculation,design temperatures,equipment ratings and identification as to
typo,manufacturor and model. Data shall be presented on Form provided.
4. When any now construotion or remodeling is involved,a separate building permit must be
obtaincd.
5. All work must be done in accordance with the Uniform Meehanieal Code/State Building Code
requirnments.
6. All work must be inspected(rough-in and final). Call(952)249-4600.
(Z4-48 hour notice required)
7. Houso Hoating Test Record must be submitted before final.
TY�E OF pBRMIT
C��eck Al!That A 1
�Residontial ❑Commercial(Approval Requil'ed)
�New ❑Additional [�Repairs ❑Replace
Jo.l�Sit�/_Ownar.Information:..... --- ..----..---. _ •
_ ,�r��
Site Address: __ �i���J�- �(�, �� • �S-
Owner: Wooddale Builders I
6117 Blue Circle Dr.
City: Suite 101
Minnetoi�lca,MN 55343 ��a' �"y5^'6���.3 ,
Home Phqne:
Contractor Informa�ion:
RICCAR HEA1'f NG&AIR H ,
Coa�h•actvr: � :;•Contact Person: �r C hel I� ,���rc�d
. ;:
� ANDOVER,MN 55304 . - r /
Address: -- 763-764-4QO�l ,,,,"', "' State Band#: 0 �7
City: Zip: Expir�tion Date; �� _��-�
Phpne; Alternate Phone:
❑ Insu�rance—Current: ���
1
09l03l2015 15:27 Riccar Heating �A�}763 75A 0132 P.003I004
MECH�NTCAL SYSTEM�B�I,NG INSTALLED
Note:All Geothermal Systems will now require a Site Pl�&Review by our Building Official.
IS THYS GEOTHERMAL7 ❑Yes �No
HEATING SYSTFNr.a
Quanttty:
^'`� � -
Make:
/� � .
ModeL• r�'-- .
Fuol:
Flue 5ize:
Input B'�'CTs: �
Output�TUs:
CFM:
COOLING SYS�'�MS
Quantity, �
� Niake: �
h ModeL
Tons:
� H.Power
� FIREPLACES
❑ Gas Factbry Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stuve del Na.:
� ❑ Wood Stove with Flue/Mssonry
`a VENTILATION ,/ /
❑ No. Kitcheru�.xhaust duct recirculating cfm
❑ No. �ath.Exhaust(must have duct outside) �{m
❑ No. Q her Fans: LocAtions ��
FUEL STORAGE (Must 6e kpproved b��FYre 1Vlarshall lf praposing to abandon ta !n lace.
p )
❑ Install on ❑ Removal
Fu Oil: gallons ❑ Underground ❑Inside ❑Outside
L Gas: gallons
or:
GAS LINE ONLY
Q Outdoor Grill Q Ot}►er/List Whst�Where;
2
09l03l2015 15:27 Riccar Heating �AX}763 754 0132 P.004l004
pERMIT FLE CALCULATiQN(S)
BASED OPF -2002 STAT�STA,'�LTE
❑ �Cas,this soction applies
Thc replacement of a Re$idential fixture or snnliance that meets all threo of tha follvwing requirements:
I. Does not require modification to electrical or gns service.
2. Has a t tQ al cost of$500.00 or less;�the cost of the fixture or appliance:and
3. Is imprvvad,�nstalled or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-Tn Fee(If Applicable) $ 2.00
Total Permit Fee $
�ERIvIIT FEL CALC'CIL�ITION S -JOBS OV�R$500.00
If above does nac apply;follow guidelines below:
1. �IYTRACT PRICE *is 1.25%of con�act prace with a(Minlmum Fee of$50.D0)
�6 .� X.oi2s$ �G
contfRct pflCe) (minlmum$50,00)
2. �TATT�SURCI-YAYtGE
x.0005 $ �• ��
(wnuact price)
3. PQSTAGE&HANDLIN(3(Only on Mail�In Applications) $
4. TOTAL PERMIT FEE(qdd Lines 1-3 Above) $ r(� � �
� * CONTRACT PRICE or JOB COST means the actual or estimarad dollar amount charged for the
permitted work including materials, labor, profit, and other fixod costs. It is the amount to be charged
to the customer for the work done. If sny material,equipment, labor or installetions are furnished by
the ownar, tenant or any other p�rty,the ressonable market vaiue of such items must be sdded io the
ostimated cost or contract price for permit fee purposes. In the er+ent that there is a dispute on the
amount af the job cost, the City may request the submission of a slgned copy of the actual contract.
iviECI�'ANTGA.�,�ERMT'I'ApPLYCATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical PeiTnit, agrees to do all
work in strict accordance with the� ordinances of the City and the regulations of tho State of
Minttesota, and certifies that all statements made on this applieation are complete, true and
correct.
Applicant's Signature: G¢.Q( V pate: g r ��-/ �
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DATE TIME
CITY OF ORONO C LED IN �(w
INSPECTION NOTICE SCHEDULED w �
PERMIT NO. COMPLETED
ADDRESS ���� �i'�'/'ti�(�'��'✓1 •�FI�J�
OWNER TELEPHONE NO.�C��,—�e�(��j�
CONTRACTOR � < <-�-�/�- ��.. /'
�: DESCRIPTION tJu� ��-"' �l l�l
l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �,�T�AECHANICAL 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 ❑ PTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WlLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector_ �� � h"`� �
White Copyflnspector's File Canary CopylSfte Notiee
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� DATE TIM��
� (�
CI�Y OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO..���5`d � � 3`� COMPLETED
ADDRESS ��� � G r���'"r` i 11 �
OWNER TELE HO N0.��3 75Y—�OC�
CONTRACTOR �� � � h �-Q(�T �
� DESCRIPTION
ly ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB g pAECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUN4ATION/REMOVAL
J ❑ DEMO-SITE PTIC INSTALL
2 OWNERICONTRACTOR T MEET YOU YES_NO
c�., COMMENTS:
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W /L�f�BKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE
w(��CORRECT YVORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑PHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cal ion 24 urs in adv �. (g52) 249-46�0
Ow Contractor on sit -
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inspector. �
White Copyllnspector's File Canary CopylSite Notke
� DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NDO�ICED ��3� SCHEDULED S-oZ,�f-!!o /�: d0
PERMIT NOc� S COMPLETED
ADDRESS �37 5 ���a-f'�'�- l�� /�( -
OWNER T L PHONE NO.
CONTRACTO
� DESCRIPTION ��-� .
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �GECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�FI�t�PECTION REQUIRED.CALL TO ARRANGE ACCESS.
✓ �
Cail for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. �'�w-
White Copyllnspector's File Canary CopyfSite Notice