HomeMy WebLinkAbout2016-00583 - mechanical CITY OF ORONO
i ` 2750 KELLEY PARKWAY * z 0 1 6 - 0 0 5 8 3 *
, DATE ISSUED: OS/24/2016
. ' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616 _
ADDRESS : 3375 GRAHAM HILL RD
PIN 1 ' : OS-117-23-11-0018
LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION
: LOT 1 BLOCK I
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 16,350.00
NOTE: NEW:WIRSBO BOILER IN GARAGE WITH SNOW MELT FOR SIDEWALK&APRON
APPLICANT MECHANICAL 204.38
STATE SURCHARGE MECH(VALUATION) 8.18
RICCAR HEATING&AIR COND INC.
2387 STATION PKWY NW TOTAL 212.56
ANDOVER,MN 55304 Payment(s)
(763)754-4000 CREDIT CARD 4048 212.56
Minnesota State License#:mech-MB003474
OWNER
Wooddale Builders
61 17 BLUE CIRCLE DR,STE 101
MINNETONKA, MN 55343-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
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 governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void ifconstruction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of l80 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 Sig�ature Date Issued By Signature Date
05l2412016 12:10 Riccar Heating �A�(}763 754 0132 P.002l004
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t FOR C1TY USE ONT.Y
Q City of Orono c�/
, � �O P.O.Bax 66 Uate Raceived: � I�OPermit#�0 J a �
2750 Koll�y Parkw�y L/-
Cryytal Bay,MN 55323 Approved By: �Amount$:_ ;�I� • JY'
Phone(9S2)249-460p Fax(952)249-4616
�`�<a,� ���fi CITY dF ORONO—MECHANICAL��RMTT
F3 H Q (All Commercial permiu must be appraved by the Buiidmg OfEic�al or fnapcctor and/or Fire Msrshail)
GENERAL INFORMATION
1. Xou msy apply for mechanical permits by mail or in person at the City offices. Applicatione will
be reviewed and a permit will be issued within two working days.
2. Pernxit cards will be sent by retum mail after a review is completed. FERMITS ARE NOT
VA,LI�UNTII..YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL TI�IE
PERMIT CA���,S�Q�'�ED ON THE JOB SITE.
3. 1�iechanical Desiens�Complete calculations,detaits and specifications are�equired for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
Ueat loss/he�t gain cslculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Dsta shall be presented on form provided,
4. When any new construction or remodeling is invotved,a separate bui[ding permit must be
obtained.
5. All work must be done in accordance with the Clniform Mechanical Godc/State Building Code
requirements.
b. All wo�k rnust be inspected(rough-in and final). Call(952)249-4600.
(z4-48 hour notice requlred)
7. House Heating Test Record must be su6mitted before final.
T�YPE OF PERMIT
Check All That A 1
�Residential []Commercial(Approval Required) [BRekflow Device:❑AV,B �PVB]
�New ❑ Additional ❑l�epairs ❑Replaae
Job Site/Owr�er Info�7nation.
/ - �_/
Site Address; � c. / !/� .
Qwner: // l�l� cf_N� �1� Mailing Address: _
Ciry; Zip: ^
ome one: ternate one:
Contractor Informatior�:
r
Contractor: , RICCAR HEATING&AiR : . Coutact Ferson:
- ANDOV�R,M�4 55304 � �
Address: T63�7.54�OA.0 � Y State Bond#; /� QQ���
City: Zip: ExpiraCion Date: � � �- �
�'hone: Alternate Phone:
❑ Insurattce—Current:
I
05124I2016 12:11 Riccar Heating �A�)763 75A 0132 P.003J004
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MEcxArrlc�,sYs��zs B�nv�r�vs��.LL�� �
Note; A11 Geothermal Systems will now require a Site Ple��&Review by aur Building Official.
IS THIS GEOTHERMAL? �Yes �]No
HEATTNG SYSTEMS '
Quantity: ` ,
Make: !N � �.Q,,�, `�
Model: .
Fuel:
Flue Size:
Input BTUs:
Output$TiJs:
CFM:
COdY.TNG SYSTEMS
Quantiry:
Make:
Model;
Tons:
H.Ppwer
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood 9kove with Flue/Masonry
VENTILATION
� Ir1�E�ltch�ri ExtrgusE-tiCrC�C��at�tifl��fm -- --
❑ No. Bsth Exhaust(must have duct outside) cfm
❑ No. Qtf�er Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marsha!!if proposing to abandon tank in place.)
Q Installation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ pther/List What&Where:
2
05I2412016 12:11 Riccar Heating �A}�}763 75d 0132 P.004l004
�
_ , •�, . PERMIT FEE•GAI.CLT�,A,TIONS' , � _ .
1. CONTR�,CT PRIC� *is 1.25%of contract price with a(Minimum Fee of$54.00)
c�Q •� x.0125$�ryy�
( ontcact price) nimu S$50.00)
2. STATE SURCI•IA12CE / �J � /('/
L.��2 �d• � x.00OS $ � 1S
(contract priCp)
3. POSTAGE 8c HANDI,ING(�nly on Mail-In Applications) $ �Q�� '�
4. TOTAL PERMI'�FI��(Add Lines 1-3 Above) $ � ��- ��
■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollAr amount charged for the
permitted work including materisls, labor,profit,and oeher fixed costs. It is the amount to be eharged
to the custnmer for the work done. If any material,equipmcnt,labor or iastalfations are furnishcd by the
ownar, tenant or any other purty, the ressonAble market value of such items must be added to the
estimatad 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 msy request the submission of a s;gned copy of the aetual eontract.
_ �cz�;ri�c�.z.i��ruvnr ap LY�ai�QN;�G�Em�rrT �
The undersigned hereby applies to the City for issuance of a IVlechanle&1 Permit, agrees to dp all
work in strict accordance with the ordinances o�the City and the regulations of the State of
Mirviesota,and certifi at a 1 statements made on this application are compleCe,true and correct.
, `
Applicant's Signat Date: �/�`�/
3
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTIC� ���sCHEDULED �,,I i o j 1 lo ���
PERMIT NO. Z�D � COMPLETED
ADDRESS ��� S ��J��3�Y� � I I � �c� �
OWNER TELEPHONE NO.�1O 3 �S4-��D
CONTRACTOR R ► C C a r �p r�
� DESCRIPTION RI� �'�--C� �v�--���
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB �MEeHANiCAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
�4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ S P C INSTALL
Q OWNERfCONTFiACTOR TO MEET YOU:�ES_NO
v�i COMMENTS: `� � � c�E�w c� l I� � ��P�"'
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GW'�NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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�' ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site: ����
Inspector_ � �-'
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DATE T
CITY OF ORONO CALLED IN
INSPECTION NOTICE �� SCHEDULED ��p t �- �,
� PERMIT NO. �(�I�"���`"J�' COMPLETED
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ADDRESS ��"' /
OWNER TELEPHONE NO.��T���GYX>
CONTRACTOR
�: DESCRIPTION �l' d
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� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FI AL ��
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING -
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL �
Z ❑ RADON SLAB �AECHANICAL RI ❑ SITE INSPECTIONS/?Lr�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS !
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ,.��(T
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ! vY/ ,
i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REM�AL�
v ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS:__ �P �� �T�-- �YCL.4� ,��
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� �WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W �CL1BflECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONOITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR
O CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector.
White Copylinspector's File Canary CopylSite Notice