HomeMy WebLinkAbout2001-P04735 - mechanical 'P
PERMIT
�,ITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: Po4�3s
Crystal Bay, Minnesota 55323 P@C'CTllt Typ2: Mechanical Permits
(952) 249-4600 Date Issued: 12i1g�2ooi
SITE ADDRESS: 3333 Shoreline Dr
Wayzata,MN 55391
PID: 20-117-23-11-0024
DESCRIPTION:
Proposed Use: Commercial
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mechanical Undefined
DETAILS:
Approved per resolution#:
Separate permits required:
Other-(Fire Marshall must inspect!)
NOTICES/REMARKS:
This is a wet chemical kitchen hood fire suppression system.
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,050.00
State Surcharge Fee: $ 1.03
Misc. Fee: $ 1.50
TOTAL FEE: $ 37.53
APPLICANT: Nardini Fire Equipment Co. OWNER: Rick's Super Value
405 Cty Rd E- W 3333 Shoreline Dr
St. Paul,MN 55126 Wayzata MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Conies: 1-File�SiQnitures Required). 1-Applicant. 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1
r��s-29'L001 12:02Pm From-CITY OF ORONO +9522494616 T-259 P.002/005 F-215
CYT'Y OF 0120N0 Al'PLICA.TiON' FOR MECHANTCAY,pE�tMYT
Box 66 (2750 Kelley P,a�kway)
Cr�stal Bay, NiN 55323 '
�zErrEnar,I�vk'ox�►�oN . � _ .
. 1. You�may apply �or mechanical permiu by n:ail or in person at the City officts. AppIications will be
reviewed and a permit will be issued within 2 worlcing days.
2. Permit cards wil!be sent by return mail after a review is completed. PERMITS AF'.E NOT VALID UNTIL.
. YOU RECEIVE A 1'L-'RMYT. WO1�I�MUST NOT BEGIN i7NTIL HB PERMIT CARD IS P�STED OH
THE J B SITE.
3. Mechanical Desi*E,n& - Complete calculations, details and speci�cations are required for each heating,
ventiIation, humidificatioa-dehumidification, :tnd air Cozlditioning installation iztcludiug beat loss/heat gain
calculation, design tcmpe�'atur�s, equipment r:ttings aud idcntification as to rype, manufacturer and model.
Dat3 shall be presented on form provided. Idf:ntificatioa of aad speciftcations Por water heating equipment
shall also be provided. - � ' '
4. 'VVhen any new coustzuction or xemodeling is �nvolved, a sep�.ratc building permit must be obtained.
5. All work must be done in�ccordance with the l7uifarm Mecbanical Code/State Buildiug Code re�irements,
� l� �� 6. AR work must be ins ected(rou u�and fuu�l). CaI12�9-4600. ?ft-hotu aot's.ce re uired. l ,,J ^%�
j P �- 4 �. %'. %-,
� � 7. House Heating Test Recard m�st be submitte�E before fi1�a1. ��,�l�, `'� ' �("�`( l.� � �.
��� � j �I, �.l
: �nstructions Complete all items on this applicatiou. Compute the permit Pee. Sign an�date the certification.
� � �'� � INCOMPI.ETE APPLICATIONS WILL NOT BE PROCESSED. Yf you have questions, ca11249-4604,
���� P ease check one: `U New Addition Repair �• Replace • r: •
,� y(�`,�� Residencial �_ Commercial �
� �'OB SITE." �-� �` •
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� �[ 1C>r C \�r i� �__� • �-
� �'(�,�; Owner's Name:�_?,c �� _ � ��;��, �� _�: .c_ _Telephone Number: �y � -
�\ Nla.iling Ad�ress: ' �- t _� --
������ �:���,c�.� �\ ��-� _ � __-� City:� ��: �. ,;�_ �: <_ �ZYp �^_�t� ,;�, �_. _
� Contractor's Name:�� 1r. -�,>:,�-�, �- ,�r-��- C.r., , � � :� . Telephone Number ����� ,i ���z �,��}
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IVIa�nQ Address.� t��- > c ': �?L- <. Ct . . � -
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S�S'STEM DESCRTPTYON ' �. •
� HEAT�NG e'"" i .
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COOLTNC SYSTEMS
Quantiry: .
Make: �
Model:
Tons:
- H. Power �
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__.
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�-.--i--k=�R_i� �'1C`C)C-� -���~E' �S�.-.�7 r�S���c�ti'1 �--�t:� a 1 1 .
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�.�v-29 ,20�1 12:02pm From-CITY OF ORONO +9522494616 T-259 P.003/005 F-215
FIR�pY.ACES � � .
Gas fact�ory fireglace �
'VVood burning factory fireplac� with flue
Wood Stave
Wood stove with flue , . .
Brand Naz�e � Model No. �
VENTILATION � . . � - . . � � . . .
No. � � � Kitchen�xhaust ducted � recireulating cfm
�No. � Bath Exhaust (must be ducted outside) � ��
No. Other Fans: Locatian�c ' � � � , � ���
�'Y7EL STQRAGE� (MUST•BE APPROVET� BY ��MARSi�AL) .
�Installation -� fiemoval � � • � � �
Fuel oil: .gallons �^ underground inside outside
� LP Gas: , gallons , .
, >.Other . . Cas operung .
PERMIT �"EE CALCULATION � � �
1. 1.25% of Contract Price* or ini m Fee 35.00 .
«.
. `/` _ x .O i2S $ '-' . _ __-_
} / G /
I- e..._
� � �.`�....�_,`\ __7-._..> •
' ' (co,itract price)
2. tate Surchar e. ** Add the State Building Code Division .
:�.> .
. . Surcharge to each germit.. : �' c�,�_ �c, � x .0005 $ � � _ _
or $.SO, �vhichever is greater (conuacl price) . � .
3. Postage a. d�-Iandlin� (Only maii-ui applications) . . $ _.,� 1.50
4. TOTAY,PERMIT FEE (Add lines 1-3 above) $ -�� 1 � -' '-
* CONTRACT PRICE or]OB COST means the actual or estimated dollar amount chatged far the germitted
work including materials,labor,profit,and ot�er fued costs. It is tbe amount to be chazged to the customer
for�}1e work done. If any mater'eal, equipme.�it, labor, or iastal3adon are furnished by the owner,tenant or
any other party ihc reasonable market value<�f snch items must be added to tlie estimated cast or contract
_ price.for permit fee purposes. In the event that Ihere is a dispute on the au�ount of the job cost,the Ciry may
� reques� che submission of a signed copy of th�:actuaI contract. , ,
'"* The STATE SURCHARGE is .00OS of the concract price under�1,Q00,000 or $.50-whichever is greater.
For valua�ions over$1,000,000 call the Deparunent oP Iaspectional Services for che price.
The undersigned hereby applies to the City f<�r issuance of a Mechanieal Permit, agrees to do all
work in strict accordanee with the ordinaneFs of the City and the regulations of the Minnesota
State F3uilding Code, and certi�es Lhat ali sta�emenis made on this application are complet�, true .
and correct.� � �
Applicant's Signature: �._.1}L�_���r �._. -�`�� � � -' _ Date: I l ��'�'i �1.�l — .
Approved By: � ...�-�.'"-. � . -- Date:� � � /3�� �
�/tv-�2001 12:02pm From-CITY OF ORONO +9522494616 T-259 P.004/005 F-215
�CREDENTTAL CER'r�CATION APPLICAT'YON
CI'r�Y (1F ORONO �
2790 Kelly Parkway, P.O. 8ox 66
. Crysrtal Bs��►, MN 55323
. phon,e: 249-4600
. . � � -
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Busmess.l l c r-z �. � ,, � ,�� _ t.,,, ; c �, , Phone: t=�1 ._.<_ ;�'� - �;;1 - .
� (Suafncss and Home)
Address:�- ��` � - <� � � �.��- - - . '
Ciry•_ `_'�s-�ct.�--�- �» �- �,�,� _ State: ����1 Zap: 4 _�=:��Z.�C
�
Type of License Held: Iv�aster Plum.ber , House Mover Other .
State T,icense No. LxpizationAats
Have you ever had a license revoked? � � =- When �
NOT'E: '�'bc City does not have a specia�bpn�t �azm to use. Proof of Workers Compensation
3I7SFlrance coverage is required �or all contractors.
Check kind of trade applying�for: �
Septic Contractor. (Required: MPCA Individual Sewage Treatment
� Syscems Y,icense) � . ' � �
House Mover (Required: $2,000 Bond, 10-50-iQ0,000 Insurance)
Mechanical (Required: $2,004 Sond, 10-50-I00,000 �nsurance)
Plumber {ltequired: $;L,000 Bpnd, IO-50-I00,000 Insurance OR
a copy o��the State Plumbing InsuranceBond)
Municipal connections (sewer/water) Yes d��
� �'ire Sprinkler Ynstallers (Required; $2,000 Bond, 10-50-100,000)
Work shall not commenc� until this application has Ueen approved and required permits ar�
issued, Please indicate any other, persons authorized by you to apply for ��ermits:
�i�lST ✓ f,f1m`-,t� 6/ A' �O�
The undersigned h�reby makes application r.o the City of Orono, Minnesota, for credentia�
certification as indicated above, subjeci to the l:�ws of the State of Minnesota and the Ordinance�
of the City of Orono. A,il applications are subject to a ten (10) day approval periad. ��'
disapproved, written notice will be sent.
� --C� �
Si�nature: ���� � ��c.l%� I?ate• /�� � -
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No���2001 12:03pm From-CITY OF ORONO +9522494616 T-259 P.005/005 F-215
s
Scc.l3.04 RIGHTS OF SZ78JECPS OF DATA
Subd. 1. Type af data. lbe tigh[s of iadividual on who�a the dua is sroesd or to bc stoted shall b�as su fotsh in�is sec�nn.
�
5ubd.2. Yarotmat3on reqe�red to be p�ea iadi�idaal. Aa iadiv�wl ssked lo suPp�Y P�vatc or cot�deaaal dsa eoocesain8 fucautf shsll
be iaPormed oP: (�the purpou aad iatcaded�e oF du t�q�esmd d:�widsin tde colIecoag 3nre aS��Y.P��rica!subdivisio0.0�s�tawide sysre�;
(b)whe�er Etd osay refuse or is legally ie9�d�+'�PPIY��N���<<��Y lmawa eoosequeace uisie4$fmm his?uPPlyc�g or reCwiag oo supply •
. privste or confldcacial dam;aad(��he idendry of a�cr persoes or catidcs au�od�ed by state orfedcral Iaw eo eeccive�e dan. Th3s�quueu�eac shaIl
no�apply whea aa issdividvsl is asked m iuPPly invcsogadve ds�.p���susat op seedon 13.82.suiidivision S,w a law eafommenc oh9cer. �
'rhe cnnunissioner of rsvemie enav Isce d�e �rouce rznuiced ander this hdiv'ssioa in the individoal isicome rax ar omaertv�c mfu,nd
insetve�tions irts:ead of on those fo .� �
Sabd.3. Aeeess to data by individw�l. iFpon c�eq�usc m u respoasibk a�stho�iey�aa;adividual sbal!be iafonned wherher h�is th��ubject
of sw�ed da�a oa iadividvak.and whedur it is elassi[fed as public.P:ivace or eo�fidendxl. Upoa his t4tr�et teques�au iAdividual who is du snbjcct
of soo�d privatc or pablie dara on iodividttsls st�all be ahaw�n the dnci wi�aac aRy ebarge m fum�ed;il he d�stres�shill be ielotAied oF d�e coapeat
:ad iuueanis;g oP�hat dam. After aa iodividu�l ha.s beca sbowa du pcira�dan a�!iaiot�aed of its mesuiag.fhe dara aad nat be discloscd to him for
six mon�s tl�ensfrcr unIess a disputc or acrion pursuazsc oo ehis seedaa is pcndiag or addidoa3!data oa the iadividusl has beea eollared oc enared.
The tesponsibfe aucboriry s6a1!pmvide eopia of the privare or pablic dan upon�equ�sc 6y the iadividual subjx�of�he d�. ?he rrspons�lc aat4odty
asay require�hc requadag person tu pay the:eatat eos�s o!maldng.eetviyirig.aad eompding�he eopies.
1he responsibk auihori;y shall eampiy itnmed'naly�i[possible�wi�at�y tequesc made pctrsuan�to this subdivislow ot withia five diys af
d►e daic of the iequest,exeiuding Sanudays�Suadays aad legsl holid�ys,i!iromediace eamptisnce is aot possittk. If hG caaaot wmp�y wirh the Rqucs�
wichin dus tiau.he st�ap so infonu�iadividua(,sad may hara aa addidousl hve daya ai�whicl�oo compty with tha hquesr,excNediag Saaud�,ys.
Suudays�t(i leg�l Aolidays. . .
Subd.4.•Proceduse whea data is aot aeeurau or eomple te. 11n�dividua!�my eon�eu We accurrey or eo�apluecuss of publis or privau
ciara eoneec�tia8 himseif. To e�eeaise this righc.ass individual shaa��ity m wriaag�e rapoas3le sur�wri�r descnbiag d�e aaaue ot�he diaage�eemenc
The rospoessble authoriry shall within 30 days e'�er. (a)CosreCt the data folle�t0 bC Itiacceti�[e OC i�CbdiQlete apd AREmpt Lo uatify past 3'CCip'tents oF'
inaceuraae or iacom�lete dara,including recipiencs aamod by tbe indi+idual;or(b)nodty du iadividus!tLat!�e believos tlu data to be w�rtcG J�aca
in disput�sdell be disciosed oNy iF the individusl's saremea�o[dis�{rccsaeat is iaeluded wich►he disclosed daCs. '
• 3'he dctetsainacoa oP dsa rtspoaul�Ie aud�o�'uY inay be appesled purnosat to tbe p�Ovisioas of she adtninisnxtiva pmccdu�act�elaqn8 rn
camestcd cases. ' .
. DATA PR�'V CY ADVLSORY
In accordanee with M.S. 13.04,Subd.2� "ltights of subjeets oFdara",we would like to inform you tt�at youY reqnest
for a permit or liceuse fxom the Ciry of Oroao or any c�f its departments may reguire you w furuish cectain privace or
confidential usforrnation. • � .
You are Aotif:ed that: � � .
1. The information you fucnish will be used tu determiae yaur qualification for the pe:mit or license requested.
2. You may refuse tv supply data,, but refusa! may tequire that tlie City c3eny the Qermic or lieense.
� 3. Tha iaformacion may be shared wich acher tacal, s�ace or federat ageneies to the ex[en�naxssary co pracess
the permit or licease.
a. If your reques[�d pemu[ 4r lioensa sequi�Cs Council action to approve, some informasion may become
public. � ' ,
S. You have cer[ai�e rights under M:S. 13.a� (avaiIab[e upon request) to review private da�a oa yaurself.
f.• Your full aame is reqaired to process thi� applieation or permic.
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111a . f�rr n�,L� M�/ �.S-D-��'_ �.�1:�7�`���
cicy stite- - • zip Phoae
I underscand my rigt�rs ac scated abave. �
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EXHAUST DUCT C60' PERIMETER)
C❑❑KING HO�D
Q------------------- ---------q
�C10'0')
� WET ;
� CHEM
— ---- ---- ------ — --- �
� FIRE 30o soo
� SYST �
� �
EGRESS i � � � � �
i
i i
; b---q
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O � �
i FUTURE FUTURE
MANUAL RELEASE STATI❑N � R❑TISSERIE ROTISSERIE
i
i
i
�
b��.� �z1i31 "� HAZARD ELE�/ATIDN
..� ,� N�T T❑ SCALE
EQUIPMENT LEGEND
SYMB�L DESCRIPTIDN
wET ANSUL R102, 3,0 GAL,, WET CHEMICAL FIRE SUPPRESSIDN SYSTEM
CHEM.
sYST. M❑UNT ANSUL SYSTEM AS HIGH ❑N WALL AS P�SSIBLE,
�soo THERMAL DETECT�R W/�USIBLE LINK ELEMENT W/500° F RATING
� REM❑TE MANUAL PULL STATION—M�UNT 4'-0" A,F,F,
� AGENT NOZZLE
AGENT DISCHARGE PIPING
---------------- ACTUATION/CONTR�L LINE
D4 GAS SHUT—OFF VALVE
N�TES�
1)THE WET-CHEMICAL FIRE SUPPRESSI�N SYSTEM SHALL BE
INSTALLED IN ACCORDANCE WITH ALL MANU�ACTURERS, NATI�NAL,
STATE AND LOCAL C�DES AND REQUIREMENTS,
2)WHEN SYSTEM DISCHARGES, ALL GAS & ELECTRIC T❑ APPLIANCES
UNDER THE PR�TECTED H��DS MUST AUTOMATICALLY SHUT D�W N,
PROJECT NAME & ADDRESS; NARDINI FIRE EQUIPMENT C�MPAN
RICK'S SUPERVALUE 405 CDUNTY RDAD E, WEST
3333 SH�RELINE DRI�/E ST, PAUL, MINNES�TA 55126-7093
NA�/ARRE, MN 55392 C651)483-6631 FAX,C651)483-6945
www,nardinif ire,cor�
UL-300 � DRAWN BY� TMP PR❑JECT#�
PAGE #; 1 ❑� 1 DATE� 11/29/01 1000RES01337
EXHAUST DUCT (60' PERIMETER)
, COOKING H��D
C10'0'>
Q------------------- ---------q
� �
i WET ;
� CHEM — ---- ---- ------ — ---
; FIRE soo soo �
� SYST N 1N
� 1 IN IN IN IN
EGRESS � �
� b-
� __q
�
� ;
o �
�
i FUTURE FUTURE
MANUAL RELEASE STATI�N i R�TISSERIE ROTISSERIE
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i
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. -� 1i31 � ' HAZARD ELE �/ATIDN PY
�,� �: � � . �� Ro�o co
-(�
,� N❑T T❑ SCALE �
EQUIPMENT LEGEND
SYMBOL DESCRIPTI❑N
wET ANSUL R102, 3,0 GAL,, WET CHEMICAL FIRE SUPPRESSION SYSTEM
CHEM,
FIRE M❑UNT ANSUL SYSTEM AS HIGH ❑N WALL AS P❑SSIBLE,
SYST,
FL 500 THERMAL DETECT�R W/FUSIBLE LINK ELEMENT W/500° F RATING
� REM❑TE MANUAL PULL STATION-MOUNT 4'-0" A,F,F,
-D AGENT N❑ZZLE
AGENT DISCHARGE PIPING
---------------- ACTUATION/C❑NTR❑L LINE
D4 GAS SHUT-❑FF VALVE
N❑TES�
1)THE WET-CHEMICAL �IRE SUPPRESSIDN SYSTEM SHALL BE
INSTALLED IN ACC�RDANCE WITH ALL MANU�ACTURERS, NATI�NAL,
STATE AND L❑CAL C❑DES AND REQUIREMENTS,
2)WHEN SYSTEM DISCHARGES, ALL GAS & ELECTRIC T❑ APPLIANCES
UNDER THE PR❑TECTED HD�DS MUST AUTOMATICALLY SHUT D❑W N,
PR❑JECT NAME & ADDRESS� NARDINI FIRE EQUIPMENT COMPAN
RICK'S SUPERVALUE 405 CDUNTY R�AD E, WEST
3333 SH�RE�INE DRI�/E ST, PAUL, MINNESOTA 55126-7093
NAVARRE, MN 55392 C651)483-6631 FAX,C651)483-6945
www,nardinif ire,cor�
UL-300 DRAWN BY� TMP PR�JECT#�
PAGE #� 1 ❑� 1 DATE� 11/29/01 1000RES01337
DATE TIME
CITY OF ORONO CALLED IN �/�-�'
INSPECTION NOTIC ��� SCHEDULED ���� � '3 ���''
PERMIT NO. �� � '� COMPLETED Z�2� z 'J d I��''�
ADDRESS 3 3 � 3 `S �`'cs`- /� `'`� �V`�+-� �
OWNER /����s ls+'1 a,�le'.4� CONTR. 6fVa.�cJ ��-�. � F�'�.-� �gP•
TELEPHONE NO. �`� ��� � 7 � ` ��7 3
� DESCRIPTION f<<^q ( �'eS 7` " kr�¢< �� K. �oflc� s ys-f��..�,
lL 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
�
03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
0 12 WATER HOOK-UP 17 SITE INSPECTION
Z 04 WALL BD.
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
W 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
= 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
J �YES_NO
Q OWNERICONTRACTOR TO MEET YOU:
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� COMMENTS:
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d ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W
� G CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�7 CORRECTUNSAFECONDITIONWITHIN HOURS. �; PHOTOTAKEN
INSPECTOR WILL RETURN � CITATION ISSUED
f' STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 249-46��
�rlContractor on site:
�ctor. `� "c� ��� `�
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White Copyllnspector's Fiie Canary CopylSite Notice