HomeMy WebLinkAbout2017-00552 - duct work ! � � CITY OF ORONO
2750 T�ELLEY PARKWAY * 2 0 1 7 - 0 0 5 5 2 *
DATE ISSUED: 06/19/201'7
O�tONO, MN 55356-
(952) 249-�600 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 : $ 25,000.00
NOTE: DUCKTWORK AND BUILDOUT ON NW LOWER�,EVEL SUITES AND COMMON AREAS.
APPLICANT ' MECHANICAL 312.50
STATE SURCHARGE MECH(VALUATION) 12.50
AIR QUALITY SERVICES IN. TOTAL 325.00
7900 EXCELSIOR BLVD Payment(s)
SUITE#750 � CREDIT CARD 7316 325.00
HOPKINS,MN 55343-
(952)401-3838
Minnesota State License#:mech-MB003119
OW1�iER
Ugorets 8098 LLC
410 11TH AVE S �
HOPKINS,MN 55343- i
AGREEMENT AND SWORN STATEMEN I
The work for which this permit is issued shall be performed accordi g to
the approved plans and specifications,applicable City approvals,an the
State Buiiding Code. This permit is for only the work described an dces
not grant permission for additional or related work which requires s parate
permits. All provisions of laws and ordinances goveming this type f work
shall be compied with whether or not specified herein.This permit ill
expire and become nuil and void if construction authorized is not
commenced within 180 days of the date of issuance,or if constructi n is
suspended for a period of 180 days at any time after work has com enced.
The applicant is responsible for assuring all required inspections ar
requested in conformance with the State Building Code.This perm may be
revoked at any time for due cause. �
-/°l �0 � � � lj /
A p icant Permitee Signature Date Issued Signature Date
�
�
� � FOR CITY USE ONLY
. ' �O A r City of Orono
<y P.O.Box 66 ��� �7 Date Received:_ 't# 1?�1�. ��
O 2750 Keiley Parkway
Crystal Bay,MN 55323 Approved By: nount$���
Phone(952)249-4600 Fax(952)249-4616
� �
y �
� �.�' CITY OF ORONO—MECHANICAL PERMIT
t�k�SH�� (All Coinmercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
1. 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 UNTII,THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�—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 fmal). Call(952)249-4600.
(24-48 hour nodce required)
7. House Heating Test Record must be submitted before fmal.
TYPE OF PERMIT
(Check All That A 1
❑ Residential �Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: ��� � �y,,,�o� �
Owner: � �t�-' r�� z��{ Mailing Address:
—� � �
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: A�r l� ��� ��i�.�.�, Contact Person: ��,� ;-,�;a�
Address: ��OU �.�c��s�b� �,,oJ' State Bond #:
City: G�d� Zip:S� Expiration Date:
Phone: `�SZ —�?� � 3g 3� Alternate Phone: � 12 - ��--YSIo�'
❑ Insurance— Current:
1
.�
',+ /-t '��� ��i'a�� ,�b�� �� r��,� � . f
,�,.. �r�::�i\:'3''�3�I� ��' * ,•
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
HEATING SYSTEMS
Q„annry: .�,�r 1� 4 �.,..��a� p,r� � � �w�cc vc,1
Make: 5���3 4 �o�.n A-r�s
Model:
Fuel:
Flue Size:
Input BTCJs:
Output BTLJs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming 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: Locations 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:
2
� � � I
� �,
� T'� ��T���`;r. - �.
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
z.�DOp x .0125$
contract price) (minimum$50.00)
2. STATESURCHARGE
x.0005 $
(contract price)
3. POSTAGE&HANDLIN($(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(�f1dd Lines 1-3 Above) $
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pemutted work including material�, 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'�ermit fee purposes. In the event that there is a dispute on the amount
of the job cost, the City may 'equest the submission of a signed copy of the actual contract.
3� �� w ,� � ...
b�'�':�°�$ M�S �^
The undersigned hereby applies to �the City for issuance of a Mechanical Permit, agrees to do all
work in strict accordance with th� ordinances of the City and the regulations of the State of
Minnesota,and certifies that all stat�ments made on this application are complete,true and correct.
Applicant's Signature: � V'�"G��-�o Date: S Z 3 —��
3
��- ✓
TE _/ � TIME
CITY OF ORONO CALLED IN �o�
INSPECTION O�T CE HEDULED "�� ���
PERMIT NO. v ^�5�� PLEfED
ADDRESS ��
OWNER E P NE NO.
CONTRACTOR �� " �`� ���
� DESCRIPTION ��-��� ��� !'�
w ❑ 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
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
� ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEEf U:_YES_NO ��
y COMMENTS: � � � �L�G' �
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK 3 PROCEED ❑I E CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOfl REINSPECTION TEMPORARY
V BEFORE CONERING PERMANENT
❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REUUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
pwnerlContra on site:
.�
Inspector.
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FRESHWATER
BUSINESS CENTER
2500 SHADYWOOD ROAD
ORONO, MN 55331
MECHANICAL CONTRACTOR:
AIR QUALITY SERVICES, INC.
8000 POWELL ROAD
HOPKINS, MN 55343
952-928-3838
I hereby certify that this plan, specification or
report was prepared by me or under my direct
supervision and that I am a duly Licensed
Professional Engineer under the laws of the
state of Minnesota.
Signature: /' / `"
Mark H. Houston
Date: 5/22/2017 Registration No.: 19865
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FRESHWATER
BUSINESS CENTER
2500 SHADYWOOD ROAD
ORONO, MN 55331
MECHANICAL CONTRACTOR:
AIR QUALITY SERVICES, INC.
8000 POWELL ROAD
HOPKINS, MN 55343
952-928-3838
I hereby certify that this plan, specification or
report was prepared by me or under my direct
supervision and that I am a duly Licensed
Professional Engineer under the laws of the
state of Minnesota.
Signature: /' / `"
Mark H. Houston
Date: 5/22/2017 Registration No.: 19865
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MECHANICAL ENGINEER:
HOUSTON ENGINEERING
1725 Shoreline Boulevard
Shakopee, Minnesota 55379-9154
Tel: (612) 718-1319 Fax: (952) 492-6240
E—mail: mark.houston®mchsi.com