HomeMy WebLinkAbout2017-00411 - duct work CITY OF ORONO * z 0 1 7 - 0 0 4 1 1 *
2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017
�, "' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2500 SHADYWOOD RD
PIN : 20-117-23-11-0034
LEGAL DESC : REG. LAND SURVEY NO. 1630
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : DUCT WORK
VALUATION : $ 2,500.00
NOTE: DUCTWORK FOR BUILDOUT OF SUITE#100
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 1.25
AIR QUALITY SERVICES IN. TOTAL 51.25
7900 EXCELSIOR BLVD Payment(s)
SUITE#750 CREDIT CARD 7316 51.25
HOPKINS, MN 55343-
(952)401-3838
Minnesota State License#:mech-MB003119
OWNER
Ugorets 8098 LLC
410 1 1TH AVE S
HOPKINS,MN 55343-
AGREEMENT AND SWORIv 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. ���'�
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App7icant Permitee Signature Date Issued By Signature Date
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� F CI USE ONLY
O City of Oro�o /��� �/
� �- � P.O.Box 66 � Date Receiv � Pesmit# �LI �
� 2750 Kelley Paticway
� Crystal Bay,M�I 55323 �� Approved By: Amount$: �
Phone(952)24�-4600 Fax(�)249-4616
y i �.�~Z ITY OF ORONO—MECHAlvICAL PERMIT
qkESH�� (All Commer�ial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATIO
1. You may apply for mecha�pical permits by mail or in person at the City offices. Applications will
be reviewed and a permit`1vi11 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 RE�EIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POS�I'ED ON THE JOB SITE.
3. Mechanical Desi is—Coqnplete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calculaltion,design temperatures,equipment ratings and identification as to
type,manufacturer and m�del. Data shall be presented on form provided.
4. When any new constructiQn or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in�accordance with the Unifoim Mechanical Code/State Building Code
requirements.
6. All work must be inspect�d(rough-in and final). Call(952)249-4600.
(24-48 hour notice requipred)
7. House Heating Test Reco�d must be submitted before final.
TYPE OF PERMIT
Check All That A i
❑ Residential �Com�ercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Addit�onal ❑Repairs ❑Replace
Job Site/Owner Informati n:
Site Address: ��C�d , ��o.eQ,L,,►� `�
Owner: � vr•-+-5 rv �� Mailing Address:
City: � Zip:
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Home Phone: Alternate Phone:
Confiractor Information:
Contractor: �t�Q.����c..5 Contact Person: '�r�1�
Address: �� E-x�l �shrQ�v�# State Bond#:
City: Zip:�S3y3 Expiration Date:
Phone: S -? 3 Alternate Phone: �o�Z ' Z€Z ' �{S��
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❑ Insurance-Current:
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Off`icial. �
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IS THIS GEOTHERMAL? ❑Yes ;'�No
HEATING SYSTEMS
Quantity: �.,�c �.J�vr� �.� ti..��J'o� O d— ��..!� �10U
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
QuantitY:
Make:
Model:
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 cfin
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locarions cfin
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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1. CONTRACT PRICE *'is 1.25%of contract price with a(Minimum Fee of$50.00)
Z.r'oo = X .oi2s$
(contract price) (minimum$50.00)
2. STATE SURCHARGE,
x.0005 $
(contract price)
3. POSTAGE&HANDLIN�(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE�Add Lines 1-3 Above) $ �( ' ��
■ * CONT'RACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the
permitted work including materi�ls, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work donQ. If any material,equipment,labor or installations are furnished by the
owner, tenant or any other patt+y, the reasonable market value of such items must be added to the
estimated cost or contract price f¢r 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.
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The undersigned hereby applies �o the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with Ithe ordinances of the City and the regulations of the State of
Minnesota,and certifies that all s�atements made on this application are complete,true and correct.
A licant's Si ature: / L�� Date: �—Z�"� 7
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� -� DATE TIME
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CITY OF ORONO CALLED IN �, �_��
INSPECTION NOTICE •'( SCHEDULED
PERMIT NO. � COMPLETED
ADDRESS `�- `_�C�� `-� ��==�1 •-i l�>c 1 �
OWNER TELEPHONE NO. ��a' C�'Z� �3r�
CONTRACTOR � i r C � j'�{
� DESCRIPTION '��x�-_ � � ;C`, i� IL_
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL 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
v ❑ DEMO-SITE PTIC INSTALL
Z OWNEiVCONTRACTOR TO ME� YES_NO
y COMMENTS:
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4�j WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑ RRECT NfORK 3 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CONERIN(i PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR W{LL RETURN
❑STOP ORUER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTIONREWIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-48��
OwnedContra on site:
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Inspector:
White CopyAnapector's Flle Can�ry CopyfSH�Notks
IDATE � TIME
CITY OF ORONO caLLE�IN
INSPECTtON y � SCHED LED
PERMIT NO. � � COMPL�reo ;
ADDRESS d�'
OWNER TE PHONE NO.
CONTRACTOR
� DESCRIPTION
tN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL'I ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ ECHANICAL RI � ❑ SITE INSPECTION
Q ❑ FRAMING ECHANICAL FIN�L ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/F REPLACE ❑ COMPLAINT
e ❑ FINAL ❑ WATER HOOK-UP� ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL �I
2 O'WNERICOIdTRACTOR TO MEET YpU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY`.PROCEED ,/%�9�\ROJECT COMPLETE
W O CORRECT VIfORK 3 PROCEED l]ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. q pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail rorthe next inspect�on 2a�wurs in ac�vance. (952) 249-4600
OwnedContra site:
Inspector:
Whits Copyflnspectors File C�pnary CopylSke Notk:e
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