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Home My WebLink About2017-00891 - mechanical �� y ` CITY OF ORONO * 2 0 1 7 — 0 0 8 9 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2017 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 : MECHANICAL-MULTIPLE VALUATION : $ 3,000.00 NOTE: BUILDOUT OF SUITE#150-SUPPLIES AND DIFFUSERS APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 AIR QUALITY SERVICES IN. TOTAL 51.50 7900 EXCELSIOR BLVD SUITE#750 Payment(s) HOPKINS,MN 55343- CREDIT CARD 7316 51.50 (952)401-3838 Minnesota State License#:mech-MB003119 OWNER Ugorets 8098 LLC 410 11TH AVE S HOPKINS,MN 55343- 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 dces not gant 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 pertnit 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.1'his permit may be revoked at any time for due cause. ' � `t- iJ Applicant Permitee Signature Date Issued Signature Date � � FOR CITY USE ONLY Ci of Orono .J� � � �O�O P.O.Box 66 1 I Date Received: � � Permit#� �� / 2750 Kelley Parkway � Crysta]Bay,MN 5532 � Approved By: Amount$: Phone(952)249-4600 Fax 952)249-4616 y�qk� �R�cG� CITY OF ORONO—MECHANICAL PERMIT SH (All Commercial pernvts 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 UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi tg_is—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. ��;E�V E� 5. All work must be done in accordance with the Uniform Mechanical Code/State Building o e requirements. 6. All work must be inspected(rough-in and fmal). Call(952)249-4600. �U� � � �i�.��/ (24-48 hour nodce required) 7. House Heating Test Record must be submitted before final. CITY OF ORONO 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: � � Ub S G � C Cl �� ,J � Owner: �c,v.�.z..�5 Mailing Address: City: �a/��,1� Zip: T Home Phone: Alternate Phone: Contractor Information: Contractor: ft+� (��1�1 i��y �r,��a Contact Person: ��.n�t �..�� Address: �� x�1 lj�� 1�� State Bond #: City: ,' Zip:��'�.�� Expiration Date: �� , , Phone: � �`��'y�`.3�✓�� Alternate Phone: �(Z -- 2b`z_-yS�b ❑ Insurance— Current: 1 � � � r �i �3 �1 �} �,y� r 7 �n.� _i` �"� �,`��:;i�1 ',.�"�`��'sa��7'��+�w-,. ri� '�"�':'"�,,. � � \. Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes�o HEATING SY5TEMS ��nTy: Qu► �a,,`�- o�- S �.�J�-� ��.�0 �" 5 S Make: �' ��Sc./S Model: Fuel: Flue Size: � Input BTUs: Output BTiJs: 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: Locations �� FiTEL STORAGE (Must be approved by Fire Marshal[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 � � . ►r ... _ - �� .. ..i •��'�.z !: k it � �� r,. z� 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �30�0 ``' R .oi2s$ (contract price) (minimum$50.00) 2. STATESURCHARGE 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 fumished 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 puiposes. 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. � k�,�� , � ..,. ,,.. .. .. _ „_ s^ � 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 Signature: ;��'� �� Date: �J '– �—( � 3 PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS b o��c�c�� Address: �--� D �f?CL � ,�jOCT_ �/�O Permit No.: Description of work: "' v� �i2 Date Rec'd: Septic review by: Date Approved: Zoning review by: ''� Date Approved: ; Building review by: at'i�� Date Approved: � Grading review by: Date Approved: Zoning District: Zoning File#: Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? � Yes Landscaper: 0 No/ None proposed Proposed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildina Heiqht Analvsis: Distance Between First Floor and defined Top of �a� � Roo�` See "buildin hei hY' definition : First Floor Elevation from buildin lans : (b) Highest Existing ground level (per survey) or 10' �� above lowest round level, whichever is lower: Difference between b and c : (d) DEFINED HEIGHT If highest existing grade is: �e` above FFE-Height is(a)-(d) � below FFE-Height is(aj+ (dl Shoreland District MCWD Permit Average Lakeshore Setback Bluff Met? Permit Number: � Yes � No � N/A � Yes � 0 Yes � No No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and s % and s 0 Yes 0 No � Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: October 2016 v:\forms�plan review checklist 10-2016.docx Fees to be Char ed YES NO Permit Plan Review �.!- State Surcharge Investigation Fee ;�. SAC—Number of SAC Units Other(specify) Li- S uare Foota e $ er S uare Foota e Basement X = $ 151 Floor X = $ 2nd FIOOt' X = $ Garage X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits � Footing 0 Site � Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire � Foundation Survey � Hardcover Removal � Fireplace � Water Connection 0 Framing Other(specify) 0 Masonry � Sewer Connection � Waterproofing/Drain tile 0 Mfg. 0 Lawn Irrigation � Foundation Waterproofing �,� � Other(specify) � Landscaping 0 Framing 0 Insulation �� C� 0 As-Built Survey � Final � Lathe Required State Permits 0 Other(specify) � Well � Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: � See Builder Acknowledgement Form 0 Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: October 2016 v:\forms\plan review checklist 10-2016.docx C�g ��- �/ nMe CITY OF ORONO CALLED IN � - IN$PECTION NOTICE SCHEDULED - �-/? �O� PERMfT NO.�i��Z� MPLETED ADDRESS �.�� v�- � -�"/ OMINER ' LEP NE NO.�� -a��'�S�'� CONTRACTOR � DESCRIPTION SD - �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVlORADING/FILLIN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP k1 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPT�C INSTALL Z OMINBUCONTRACTOR TO YEET 1f�IF._1/E3_NO � COMMENT� L url��, m 4 o � f v K — v � � � v rn G�r P C�r/rl�c �/�h; � W r aC � i m� �.��1/-� ar's C�D�G%�j�e -P � � 3 W ❑WORIC SATISFACTOHY:PROCEED PfiOJECi COMPLETE � ❑OORRECT WOi�C 8 PROCEED D 1 E CERTIFIC/1TE OF OCCUWINCY W � ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE ff�VERINO PEqMANENT ❑CORRECT UNSAFE OONDITION WITHIN IiOURS- O PHOTO TAKEN INSPECTOR YVILL RETURN O STOP ORDER P08TED.CAI.L INSPECTOR O qTATION ISSUED ❑INSPECTION REQl11RED.C/1LL TO ARRAN(iE ACCESS. c�t�u��tto��►no�h�. (952) 249-4600 on site: � YYINb��to�'y F� G��