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Home My WebLink About2016-00109 - mechanical CITY OF ORONO * Z 0 1 6 - 0 0 1 P1 9 * ^ 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3640 JACOBS MILL RD PIN : 32-118-23-24-0010 LEGAL DESC : JACOBS MILL : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : UNDEFINED VALUATION : $ 1,950.00 NOTE: NEW ITEMS FOR ADDITION: -[{ARD PIPE 3 RA IN LL,ADD 1 WA LL,REDO DUCT IN WORKSHOP -RELOCATE AIR EXCHANGE,VENT ONE BATH FAN APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.98 RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00 2387 STATION PKWY NW TOTAL 52.98 ANDOVER, MN 55304 (763)754-4000 Payment(s) Minnesota State License#:mech-MB003474 CHECK 46421 50.98 CHECK 46421 2.00 OWNER HOFFMAN,KEITH&MARY 3640 JACOBS MILL RD LONG LAKE,MN 55356- 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 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 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. /�j� _ Iw� I' V�� .=� ��-'� l/��-�,�`�� 2 l "z / l U, Applicant Permitee Signature Date Issued By Signature Date � � FOR CITY USE ONLY �O f � '��` City of Orono l t � / �O�O P.O.Box 66 Date Received: ��Permit# �� 1�/ (, t 2750 Kelley Parkway �.1 y, Crystal Bay,MN 55323 Approved By: � Amount$:---�G� '� c U Phone(952)249-4600 Fax(952)249-4616 I a , � y � � �. �qKF,`H`��, CITY OF ORONO—MECHANICAL PERMIT _ (All Commercial permits must be approved by the Building Official or Inspector 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 l �esidential ❑Commercial(Approval Required) �� (�:e�Y�od� l ❑ New �Ad rtional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �(�'�—�� ._�,� (`() �S ��r d�� r: f��e-��1�', Wooddale Builders 6117 Blue Circle Dr. City: Suite 101 Home Phone:q,�a� 3�e�-QS`�� Minnetonka, MN 55343 Contractor Information: RICCAR HEATING&A1R l / _ ��` J Contractor: 2381 STRTION PAftK�NAY fd.W, Contact Person: �� l�(' �(<<� (��1L� l� C� ANDOVER,MN 55304 Address: 763-754-4000 State Bond#: (��1.�f��3�� City: Zip: Expiration Date: �- � .S- � �D Phone: Alternate Phone: ❑ Insurance-Current: e 1 l � MECHANICAL SYSTEMS BEING INSTALLED � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHE L? ❑ Yes �fo HE SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: ��Q �� J � �' l ►'� �� o«tp��t sTus: Cl — LC� cFM: � � 61 �-C�p rk.S� �d � � COO YSTEMS .�� [�� , e �-t:r- Quantrty: 1 IC.�� Make: � � � �l-- ModeL• Tons: H.Power FIREPLACES �� /` L l "� ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm No. —� Bath Exhaust(must have duct outside) cfm � No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal �� Fuel Oil: gallons ❑ Underground ❑ [nside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY , r / ,� �� t�— ❑ Outdoor Grill ❑ Other/List What& Where: 2 r t , PERMIT FEE CALCULATIONS -__� 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum ee of$50.00) � �U � x .0125 $ Q , �G (contract price) (minimum 550.00) 2. STATE SURCHARGE / �� q. � x.0005 $ < < (contract price) 3. POSTAGE&HANDLING(Only on Mail-In 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. 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 Signatu . > ` � Date: / " � � ��D 3 �� Q� ✓ —Q�E �/ TIME CITY OF ORONO cnLLED IN ��<<��.� _� INSPECTION OTICE SCHEDULED � � PERMIT NO � -G�O/d!� COMPLETED ADDRESS OWNER � � EPHONE NO. ' �U CONTRACTOR � DESCRIPTION — � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ��1ECHANICAL RI ❑ SITE INSPEGTION 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 v ❑ DEMO-SITE ❑ SEPTIC iNSTALL 2 OWNERICONTRACTOR TO MEET YpU:_YES_NO v�i COMMENTS: � L .�. �;�,� -- � 0 � �u��voS , f��l/./rt.S ' �� ° — oeisG�i,AO — W hat�[ ��rc � e�.�6c✓to.- � Q /NSuIGb-�� - Ylo G�� ,,C.,,� p - � D��i�� L � W � J a W FACTOHY:PROCEED ❑PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ISSUE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERtNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 24 hours in advance. (g52) 249-46�0 OMrneNCartra�tor on site: � . Inspector: r--� White CopyAnspecto►'s Fib Canary CopylSite Notice