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Home My WebLink About2011-00188 - mechanical '' CITY OF ORONO PERMIT NO.: 2011-00188 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [SSt1E�: 04/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3423 SHORELINE DR PIN : 20-117-23-12-0034 LECAL DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : COMMERCIAL- BUSINESS CONSTRUCTION TYPE : MECHANICAL- MULTIPLE VALUATIO�V : � 17,�00.00 NOTE: ORF.ILLY AUTO PARTS STORE AT 3425 SHORELINE DR. �CnIZRIER NnT.GAS I IG�AI�ING SYSTEMS 4 CARRIGR 5 TON AC � APPLICANT J-BERD MECHANICAL MECHANICAL 218.75 3308 SOUTHWAY DR STATE SURCHARGE MECH (VALUATION) 8J5 ST. CLOUD, MN 56301- MAIL-IN FEE 2.00 TOTAL 229.50 OWNER Brooh Investment Group LLC 34321 MYRTLE LA UNION CITY,CA 94587- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which rcquires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and becc�me null and void if construction t�uthorized is not t commenced within 180 days o�the date of issuance,or if construction is suspended for a period of 180 days at any time al'ter work has conunenced. '1'he applicant is responsible for assuring all required inspections are requested in confor�nance with the State Buildi Code.This pennit may be � revoked at any time for d e c use. a"0"l� � -�� /P r�y�. ,S� � �v � Applicant Permitee Signature ate Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 � e FOR CITY USE ONLY !�I S B �� City of Orono � �� P.O.Box 66 Date Received:3 3 j �(Permit# �� a�, �� 2750 Kelley Parkway � �`f��". ,�� Crystal Bay,MN 55323 Approved By:� A�nount$: ��,�f��oc;J/ Phone(952)249-4600 Fax(952)249-4616 �' � ! �?r��/ CITY OF ORONO—MECHANICAL PERMIT (All Commcrcial pern�its must bc approved by the Building Ofticial or Inspector and/or Fire Marshall) GENERAL 1NFORMATION L You may apply for mechanical permits by mail or in person at the City oftices. 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. R'ORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desig��s—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 pennit must be obtained. 5. All work must be done in accordai�ce with tl�e Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and fii�al). 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 ply) ❑ Residential �Commercial (Approval Required) �New ❑ Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: ��2� ��0��ne�� V� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: ��rd I�/ler.IrY�i�tactPerson: /vte �� Y Address: ?J?j�U �OV1�wa`j �r State Bond#: City: �.�D� Zip✓�� Expiration Date: Phone: �%�ZD�IDCJ�O��}� Alternate Phone: � ❑ Insurance—Current: 1 , w ' MECHANIGAL SYSTEMS BEI�TC.�TN�TALLE��} ': Note: All Geotl�ermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: l,l��` ' 'ti/1 Model: �11 `x� Fuel: (/LJi . Flue Size: Input BTUs �VO� � Output BTUs: � � CFM: OD COOLING SYSTEMS � Quantity: . Make: � � Model: �—t�� Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buri�ing Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION Na Kitchen Exhaust duct recirculating cfin No. ��- Bath Exhaust(must l�ave duct outside) �cfm No. Other Fans: Locations cfin FUEL STORAGE (Must be app��oved by Fire Marsliall if proposi�:g to abandon ta»k in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 4� PERMIT FEE CALCL�LATION{S) BASED OF�- 2002 STA'TE STA"TUI; � ❑ Yes,this section applies Tl�e replacetnent of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and 3. Is improved, installed or re�laced by the homeowner or licensed contractor. Skip next section, ifthis applies; Cost ofPermit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ' P�I�:11�I'T'FEE C'ALCULATI�N S)-10BS C�VER��OO.tI� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) I� VV� x .0125 $ �` (J •�� (contract pnce) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) l�, �00�" X .000s $ 8."i� (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Ap�lications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��' �� ■ * CONTRACT PRICE or JOB COST meai�s the actual or estimated dollar amount charged for the permitted work includii�g materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work do��e. If any material, equipment, labor or iustallations are furnished by the owner, tenant or any otl�er party, the reasonable market value of such items must be added to the estimated cost ar 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 coi�tract. ■ **The STATE SURCHARGE is.0005 times tlle Contract Price or a minimum of$5.00. ,. .. n�z��xANICAz�� z��P�Lzea,�rzo�r��a�� ' , The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all .s�ateine�lts made on this applicarion are complete, true and correct. j� � � � 3-2�c-Zo l l Applicant's Signature: � Date: Reset Form 3 � � TIME � CITY OF ORONO CALLED IN INSPECTION�OrI��OD p �/ SCHEDULED i PERMIT NO. �3� /l) /1 COMPLETED � ` d ADDRESS_ ��Z� �.5� f�/� OWNER T LEPH NE NO.-3��Z9D �� CONTRACTOR � � DESCRIPTION �� /� �� "`�'r � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATEFi HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W 0. o �S �S ; �}1 �'C�� -�- �. � ° C�' , � \ - \ < <c�� t�► � Q � z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours irt advance. (952) 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice