HomeMy WebLinkAbout2018-00172 - duct work � , CITY OF ORONO * 2 0 1 8 - 0 a 1 7 2 *
2750 KELLEY PARKWAY DATE ISSUED: 02/27/2018
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 : $ 2,200.00
NOTE: DUCTWORK
APPLICANT MECHANICAL 50.00
AIR QUALITY SERVICES IN. STATE SURCHARGE MECH(VALUATION) 1.10
7900 EXCELSIOR BLVD TOTAL 51.10
SUITE#750 Payment(s)
HOPKINS,MN 55343- CREDIT CARD 7316 51.10
(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 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
,/�G�� z - z �-�a � � a �a?� ��
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Applicant Perrr►itee Signature Date Issued By ature Date
♦
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F R CI USE ONLY
�O . ` City of Orono i/ `� Q�/g_ � ���
��� P.O.Box 66 DaLe Rece��� Pennit# �
2750 Kelley Parkway �
Crystal Bay,MN 55323 Approved By: Amount$: ��. I a
� Phone(952)249-4600 Fax(952)249-4676
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`�kESH��� CITY OF ORONO—MECHANICAL PERMIT
(All Coirunercial pennits roust be approved by the Building Officia]or Inspector and/or Fire Marshall)
GENERAL 1NFORMATION
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�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 ar 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 )
❑Residential �Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑ Repairs ❑Replace
Job Site/Owner Information:
Site Address: :;��(,rK� ��1:u%���4�,�� � —�(,( /� a�
Owner: � �t � ` `• r•�r, Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: ,*►����t....,.-�.E f�/ 5����c�� Contact Person: ���c :'�i� �>�,�,�--��
Address: ���c �S�•���v��r.5� State Bond#:
City: ��'���n,�i Zip:����3 Expiration Date:
�
Phone: l �� '�I Zb-3h�38 Alternate Phone: p�rE��Ep
❑ Insurance—Current: ��Q � 0 2018
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MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systeins will now require a Site Plan & Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ❑No
HEATING SYSTEMS
Quantity: Q��u.�:r1L •�v� _��t•�-t.. �ZC�
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshull if proposing to aba�idon tank in ptace.)
❑ 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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PERMIT FEE CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
��1 c:>v �' x .0125 $
(contract price) (minimum$50.00)
2. STATE SURCHARGE
x .0005 $
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT 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,labar 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 far 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.
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 statements made on this application are complete,true and correct.
Applicant's Signature: '�l/��� Date: Z � Z�'—I�j`
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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: � ��� ✓ G�� CP����1� ��-�%(� Permit No.:�1;i��"' i ���
Description of work: ,1/(�i�(�� //I�,d�� (�i'7�I�L1P"t�;l aP.� Date Rec'd: � (
Septic review by: Date Approved:
Zoning review by: Date Approved:
, � l
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 � No Date of Survey: Revised date(?):
Landscape plan submitted? � Yes Landscaper: � No/None proposed
Pro osed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetiand
Side Side
Buildin Hei ht Anal sis:
Distance Befinreen 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 � No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 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 0 Yes � No
1 2 3 4 5 Type(s): Type(s):
Updated: June 2017
z:\forms�plan review checklist 06-2017.docx
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Fees to be Char ed YES NO
Permit �—
Plan Review
State Surcharge �
Investigation Fee
SAC—Number af SAC Units �'
Other(specify) (�
S uare Foota e $ er S uare Foota e
Basement X = $
1 n Floor X = $
2nd Floo� X = $
Garage X = $
Estimated Construction Value: � �-U/�
Orono Inspections Required Work Requiring Separate Permits
� Footing 0 Site 0 Plumbing � Grading/Filling
O Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical � Fire
0 Foundation Survey 0 Hardcover Removal � Fireplace � Water Connection
� Framing "�Other(specify) 0 Masonry 0 Sewer Connection
� Waterproofing/Drain tile ��C� �� � Mfg. � Lawn Irrigation
0 Foundation Waterproofing 0 Other(specify) � Landscaping
� Framing 0 Septic
� Insulation
0 As-Built Survey
' al
0 Lathe Required State Permits
� Other(specify)
0 Well � Electrical
REMARKS (in-house):
OFFICIAL REMARKS-TO BE NOTED ON PERMIT AND INITIALLED:
� 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
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���1TE� v TIME
CIn OF ORONO cnLLED IN `7 r� �''"��
INSPECTION IV�T�CErs_ ,Kj�/y SCHEDULED — �� �"'
PERMIT NO. �us vv� � COMPLETED
ADDRESS � �'"¢�-- � �
OWNER ' TEL ONE NQ�� 4 ��- �
CONTRACTOR
� DESCRIPTION �� —
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
v3 ❑ FOUNDATION DRAIN TILE PLUMBING FINAL ❑ TREE REMOVAL
� LATHE MECHANICAL RI
Z ❑ ❑ SITE INSPECTION
Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 �IUNERICONTRACTOFi TO MEET U: YES_NO
� COMMENTS: ��6
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� O WORK SATISFACTORY:PROCEED P JECT COMPLETE
W ❑CORRECT WORK 8 PROCEED O I UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK��L FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 br the next inspection 2a hours in advance. (g52) 249-4600
OwneNCorrtra on site:
Inspector: '
White CopYOnspector's Flle Canary CopylSfte Noties
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MECHANICAL CONTRACTOR:
AIR QUALITY SERVICES, INC.
SUITE 750
7900 EXCELSIOR BLVD.
HOPKINS, MN 55343
952-928-3838
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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: 2/19/2018 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
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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: 2/19/2018 Registration No.: 19865
C
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