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Home My WebLink About2017-01373 - duct work � CITY OF ORONO � Z 0 1 7 - 0 1 3 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2500 SHADYWOOD RD PIIv : 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 : $ 35,000.00 NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) DUCTWORK FOR LOWER LEVEL SOUTH#700 DUCTWORK FOR SUITE#400 APPLICANT MECHANICAL 437.50 STATE SURCHARGE MECH(VALUATION) 17.50 AIR QUALITY SERVICES IN. TOTAL 455.00 7900 EXCELSIOR BLVD SUITE#750 Payment(s) HOPKINS,MN 55343- CREDIT CARD 3185 455.00 (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 pertnit 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 afrer 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. • . � �� , /v �5� �7 d t,t.,.d � � � � � Applicant Perm ee Signature Date [ssued B ignature Date � • . % FpR CITY USE ONLY r ,�O A T City of Orono ��/� �D/�Qf 3-7 �yO P.O.Box 66 Date Received:�� p�t� /� 2750 Kelley Pazkway Crystal Bay,MN 55323 Approved By: pmount g.�^ ��-� Phone(952)249-4600 Fax(952)249-4616 ' ��l-9kF o4ti`'� CITY OF ORONO -MECHANICAL PERMIT SH (All Commercial petuiits must be approved by the Building Official or Inspector and/or Fire Marshal]) GENERAL 1NFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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�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 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: ��.5�(1 �� ,,r. � Owner: �x ��,ru�S Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractar: �►� �1�� S�c r�+�L� Contact Person: jcntit-� �r�� Address: ��Q� �xu,�ylv� �f��'�aState Bond#: City: ��'JS z�p:Ssjy3 Expiration Date: Phone: �7 SZ - `�zb-3�j 3$ Alternate Phone: �rL - Z S�- �/ � ❑ Insurance- Current: 1 . . . . . �C'�iANICAi,SYS��+IS E�i��ii�d�aT;��;��: : :'.;, ,. ., . :. .. � , � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes�To HEATING SYSTEMS Quantity: � r L o..a-� l—C.J i.` �o�� 708 Make: �v..c.,�..v��c. r rJ�� Model: Fuel: Flue Size: Input BTUs: Output BTLJs: CFM: COOLING SYSTEMS Quanaty: 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) �� ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LIlVE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 � PERNIIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3�DUr3 � x A125 $ contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. G �/ ■ * 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. 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. I�vIECHl��IaCAL�E�ZMiT APPLI�A'�'I��T A��E,�IENT . 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: f�'��—�� 3 , � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS Address: � Permit No.: �� `�l �� Description of work: � Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: 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: � Yes 0 No Date of Survey: Revised date(?): Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed Pro osed Setbacks: Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland Side Side Buildin Hei ht Anal sis: Distance Between First Floor and defined Top of Roof'` (See"building heighY' �a� � definition : First Floor Elevation from buildin lans : (b) Highest Existing ground level (per survey)or 10' above lowest ground level, �� whichever is lower: Difference between b and c *: (d) DEFINED HEIGHT *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) *If hi hest existin ad'acent rade is below FFE-Hei ht is a + d Shoreland District MCWD Permit Average Lakeshore Setback g�uff Met? 0 Yes 0 No Permit Number: 0 Yes � No 0 N/A 0 Yes � No 0 N/A—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf % and s � Yes � No � Yes � No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx ✓ � Fees to be Char ed YES NO Permit Plan Review State Surcharge Investigation Fee SAC–Number of SAC Units Other(specify) S uare Foota e $ er S uare Foota e Basement X = $ 1St Floor X = $ 2nd FIoOP X = $ Garage X = $ Estimated Construction Value: $ J y�� '�—' Orono Inspections Required Work Requiring Separate Permits � Footing � Site � Plumbing � Grading/Filling 0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical 0 Fire � Foundation Survey � Hardcover Removal 0 Fireplace � Water Connection � Framing Other(specify) � Masonry � Sewer Connection � Waterprooflng/Drain tile ,��/��u l /�� 0 Mfg. � Lawn Irrigation � Foundation Waterproofing � � � � � Other(specify) � Landscaping 0 Framing 0 Septic 0 Insulation � As-Built Survey inal � Lathe Required State Permits 0 Other(specify) 0 Well Electrical REMARKS (in-house): OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: 0 See Builder Acknowledgement Form � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. Updated: June 2017 z:\forms�plan review checklist 06-2017.docx ATE TIME CITY OF ORONO CALLED IN INSPECTION N �IC .yJ��CHEDULED !/— 'I J� PERMIT NO.� — co erEo ADDRESS � �— OWNER � TEL P NE NO�� 8o��'S CONTRACTOR � DESCRIPTION � / �� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COM ENTS: �- � uG`�t�UQli�� `� � � � —�—�-ti-�r ' U��'' � �� P�C T�� J`� � � O � W � Q � 2 W � W � � W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �` ❑ RRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY �ti �' O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContract n site: Inspector. White Copyflnspector's File Canary CopylSite Notice C-� DATE TIME CITY OF ORONO cnLLED IN N�SPECTION NOTICE SCHEDULED �— � I I '�O PERMR NOoZU�7 'U�3�3 COMPLETED nuoREss o�5�U ��iWOcr� � O'WNER T LEPHONE NO.LQ(��1� CONTRACTOR � DESCRIPTION �Y1�..� �"�-� v v�� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TF�EE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dwNERICONTRACTOR TO MEET YWl:_YES_NO � COMMENT� � � -� � !�' /h �lGf f Q-��r� �4� C� o � � �. � � � W Q rl -ev'N�1 � � � W � j • � O YNORK SATISFACTOHY:PROCEED PROJECT COMPLETE W ECT WORK 8 PROCEED ❑ISSUE CERTIFlCATE OF OCCl1PANCY ❑OORRECT WORIC,CALL FOR REINSPECTION TEMPORARY BEFORE((�NNERIN(i PERMANENT O CORRECT UNSAFE COND1710N WfTHIN ��- O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CTATION ISSUED O INSPECTION REQUIRED•CALL TO ARRANGE ACCESS. csN ror u�e�ext�e�ao�za no�rs u+�►�. (952) 249-4600 owr�erlcomra on site: �nspector: Whit�CoPY�� Gmry CopyfSit�NoUe�