HomeMy WebLinkAbout2017-00347 mechanical CITY OF ORONO * Z 0 1 7 — 0 0 3 4 7 *
2750 KELLEY PARKWAY DATE ISSUED: 04/1U2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 767 BRIDGEWATER DR
PIN : 33-118-23-12-0089
LEGAL DESC : STONEBAY SEVENTH ADDITION
: LOT 2 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 9,795.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)RHEEM NATURAL GAS FURNACE
(1)RHEEM A/C UNIT-3 TON
(1)KITCHEN EXHAUST
(2)BATH EXHAUST
APPLICANT MECHANICAL 122.44
STATE SURCHARGE MECH(VALUATION) 4.90
RICCAR HEATING&AIR COND INC. MAIL-IN FEE 2.00
2387 STATION PKWY NW
ANDOVER, MN 55304 TOTAL 129.34
(763)754-4000 Payment(s)
Minnesota State License#: mech-MB003474 CHECK 46975 129.34
OWNER
Stonebrook Development LLC
6117 BLUE CR DR
MINNETONKA, MN 55343-
AGREEMEIYT AND SWORN STATEMEIVT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,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 goveming this rype 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 I 80 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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App icant Permitee Signa� Date Issued By gnature Date
� �` FOR CITY USE ONLY , � ��
City of Orono RE
�O�O P.O.Box 66 ��'�� Date Received: Permit# D�_
2750 Kelley Parkway �
Crystal Bay,MN 55323 App f��� Approved By: Amount$: �
Phone(952)249-4600 Fax(95)�4�4�I'6
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�q �," CIT��F ��2�OMECHANICAL PERMIT
K������� (All Commercial permits must be approved by the Building Official or[nspector 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
VAL[D UNTIL YOU RECE[VE A PERMIT. WORK MUST NOT 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 Heating Test Record must be submitted before final.
TYPE OF PERMIT
Check All That A 1 )
�esidential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB]
�ew ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: � � �
Owner: Mailing Address: Wooddale Builders
,.• .
6117 Blue �.��cle D�.
City: iP� � Suite 101
��-����� Minnetonka, MN 55343
Home Phone: ��q�- .3 Alternate Phone:
Contractor Information: �
�
Contractor: RICCAR HEATING&AIR Contact Person: ` ✓1C��e-�
Z387 STATION PARKWAY N.W. � /
Address: ANQOb'ER,MN 55304 State Bond #: -�1���n���`-I
City: Zip: Expiration Date: � ' ��" � �S
Phone: Alternate Phone:
❑ Insurance-Current: �
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan & Review by our Building Ofticial.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: !
Make: ��e.��
ModeL 7 1P�-t-� �
Fuel: / V ��
�r
Flue Size:
Input BTUs: � U� �U
output BTUs: �a o0
CFM:
COOLING SYSTEMS
Quantity: �
Make: ��
Model: /� � ��p
Tons:
H. Power
FIREPLACES
❑ 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) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be npproved by Fire Marshall if proposing to ahandon tank in place.)
❑ [nstallation ❑ Removal
Fuel OiL• gallons ❑ Underground ❑ lnside ❑ Outside
LP Gas: gallons
Other:
GAS L[NE ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
PERMIT FEE CALCULATIONS
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
( 7A �
l 5 - � X .��25 $ /�GY , l�.3
(contract price) (minimum$50.00)
2. STATE SURCHARGE �' "����� x .0005 $ — �/
(contract price)
3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERM[T FEE (Add Lines I-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 s atements made o this application are complete,true and correct.
�
Applicant's Signature �Date: �CO �� �
3
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED )11 LO j("j G�3C.)
PERMIT Noacll W3'4 1 COMPLETED
ADDRESS c. 7 C CACIu Je
OWNER TELEPHONE NO. (O 3 15 J
CONTRACTOR ICO CCoi
32 DESCRIPTION S r•tt �G►.p,
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP ❑ FOLLOW-UP
LAI_ ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP ElFOUNDATION/REMOVAL
❑ DEMO-SITE ❑ SEPTIC INSTALL
OWNERICONTRACTOR TO MEET YOU:_YES—NO
• COMMENTS: Fr2(hi' �e R. T. /7a S/,1S
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W ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLETE
CC ❑ CORRECT WORK&PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
4NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. S J l )
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. /l /_ rM ETep
ADDRESS "`
OWNER .T ) P. •NE NO.
CONTRACTOR /CI /' i ac
(///t"��
DESCRIPTION Fil/vd
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W 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
14.
❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING ›r-44ECHANICAL FINAL 0 RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
9 COMMENTS: ( /�4 e 71122,W " � �/ 6-&.0
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CILU 0 WORK SATISFACTORY:PROCEED ilkitROJECT COMPLETE
CC
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
CZ)
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. qt.,
White Copyllnspector's File Canary CopylSite Notice