HomeMy WebLinkAbout2015-01586 - mechanical r" �, CITY OF ORONO
� � `��-�t'�} 2750 KELLEY PARKWAY * z 0 1 5 - 0 1 5 8 6 *
'�����,�,, ��� DATE ISSUED: OU05/2016
/ - r� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS ' : 3423 SHORELINE DR
P[N ; : 20-117-23-12-0034
LEGAL DESC ' : REG. LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALLTATION ����/ : $ 9,000.00
NOTE: THIS PERMIT IS FOR:3435 SHORELINE DR
1 HEATING SYSTEM(GOODMAN), 1 MECHANICAL ROOM VENTILATION, 1 GAS LINE TO FURNACE IN MECHANICAL ROOM
APPL[CANT MECHANICAL 112.50
STATE SURCHARGE MECH(VALUATION) 4.50
EL[TE CONTRACTORS INC. TOTAL 117.00
3160 162ND LANE NW
ANDOVER, MN 55304- Payment(s)
(763)286-6519 CREDIT CARD 8836 117.00
Minnesota State License#: mech-MB005753
OWNER
Brook Investment Group LLC
34321 MYRTLE LA
UNION CITY,CA 94587-
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 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 t SO 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. �
/�,�? �"/�
Applicant Permitee Signature Date Is ued Signature Date
,
r: �
� �' FOB CITY USE ONLY
City of Orono
. „ �O� P.O.Box 66 Date Received: �� ZZ�IS p��i��Z�/5-�I5 l
� � 2750 Kelley Parkway /
Crystal Bay,MN 55323 Approved By: A�vun{$; `` .
Phone(952)249-4600 Fa�c(952)249-4616
�Fl.9xES OR�.�'� CITY OF ORONO-MECHANICAL PERMIT
H (All Commercia!permRs must be approved by the Building Official or Inspector and/or Fire Marshatl)
GENERAL INFO�tMATION
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 wili 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 DesiQns—Complete calcularions,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 final.
'TYPE OF PERMIT
C�eck All That A 1
❑ Residential Commercial(Approval Required)
�New ❑ Additional ❑Repairs ❑Replace
Job Site/Owner Information: �,�y���- 3�;;�
Site Address: � ��� ,����� �i i�-�, /�/rr'
Owner:5�4�%4� ����✓.1�n.��- Mailing Address:
City: U ' ,� Zip:
Home Phone: Alternate Phone: la/� � e�i� -- �/�,�
Contrac#or Informatia�:
Contractor: �,j��-�=- �-�',� ���"��c:,�c�!�' ��� Contact Person: z.r� � ,��
Address: ,y�l���� /��� '`'r�.✓ r�/�� State Bond#: f'�'� ��l)e"� -%'��
City: �.��" v ����' Zip:SV�SO yExpiration Date: �' ��-/�
Phone:��;;� -' �-��- ��1 � Alternate Phone:
❑ Insurance-Current: ��.-,�-a ��t-���{��,t��;-«r,c�i
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MECHANICAL SYSTEMS BEING INSTALLED � �
Note: All Geothermal Systems will now re uire a Site Plan&Review by our Building Official. �' �
IS THIS GEOTHERMAL? ❑ Yes o
HEATING SYSTEMS
Quantity: �
Make: (�r��� �v�t,�
Model:
Fuel: ���, �.i �—!�c.�
Flue Size:
-3�; ,� U , � ,
Input BTUs: � � ` �' 'J
our�ut BTus: I 1 �� � � �
�
CFM: �C�i? Z�
COOLING SYSTEMS
i
Qu�t��: r J �
Make:
Model:
Tons:
H. Power —
FIREPLACES
❑ Gas Factory Fireplace Brand Name: :
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
a Kitchen E�chaust duct recirculating cfin
❑ No. Bath E�chaust(must have duct outside) ��
,� No. � Other Fans: Locations lI%'��c t',..t��:��.��` �'��'' i c�.��� ��
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ !�1� _ / ��1
Outdoor Grill [� Other/List What&Where: ���?-f�/a� l �� �l�'�%'<�' `�`�`
/
2
� ,
.
• `
PERMIT FEE CALCULATION{S)
BASED OFF-2�0� S'I'ATE STATUE
❑ Yes,this section applies
The replacement 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;excludin¢the cost of the fixture or appliance:and
3. Is improved, installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surchazge $ 1.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PEl�I�1i'T F�E CAI;CULATION S -��� C?�ER$St��.O�l
If above does not apply; follow guidelines below:
1. CONTRACT PRICE *is 1.25%of coniract price with a(Minimum Fee of$50.00)
� .
,� �,<-�:J �',� X.O 12S$
(contract price) (minimum$50.00)
2. STATE SURCHARGE
c
/ G '! � , �� X.00OS $
(conuact 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 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�E��[ANiCAL P����'�?�'LI�A1'��'..AG�E�ENT
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
conect.
Applicant's Signa re: � ��c.�-�/�L�.����s� Date:/ �- -' �� — /`�
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DATE TIME
CITY OF ORONO CALLEDIN �'�
INSPECTION N�TICE, scHEou�Eo �1
PERMIT NO. � �,�'"�'� � COMPLETED �-
ADDRESS `r � � �j ��f e �� n2 ;�.�
OWNER TELEPHONE NO. l�� 7 ���1 "�1�
CONTRACTOR v
� DESCRIPTION � ► �) ' 'v I.c�S J �V``�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WA�LS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERlCONTiUCTOR TO MEEf YOU:_YES_NO
v�i COMMENTS:
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContrac n site:
Inspector:
White Copyllnspector's File Canary CopylSite Notice
��
�(� ��iV C��� `��A E—'�� TIME
CITY OF ORONO CALLED IN O�
INSPECTION OTICE SCHEDULED o�-'�7 -/Lo •�—
PERMIT NO. 1 �D�S COMP eo
ADDRESS � ��
OWNER TE EPHONE 0.���-7O�' �l4�
CONTRACTOR -S
� DESCRIPTION � � �- . �
tL ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNER/CONTMCTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
w ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52 j 249-4600
OwnerlContract�n site:
Inspector. � '
White Copyflnspector's File Canary CopylSite Notice
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LINDELL ENGINEERING, INC.
M E C H- E L E C C O N S U L T ASN T S
3411 KILMER LANE NORTH
PLYMOUTH, MINNESOTA
19 55441 (763)542-9163
I REREDY CERTIFY THAT TRIS PLAN, SPECIFICATION,
OR REPORT WAS PREPARED DY HE OR UNDER MY
DIRECT SUPERVISION, AND THAT I " A DULY
REGISTERED ERGINEER UNDER THE LAMS OF THE
STATE OF MINNESOTA
PRINTED NAME. Rtci, rd A. Uu"U P.E.
DATE- fE 'M f8--- REG. N0. --78E0 --------
0
I REREDY CERTIFY THAT TRIS PLAN, SPECIFICATION,
OR REPORT WAS PREPARED DY HE OR UNDER MY
DIRECT SUPERVISION, AND THAT I " A DULY
REGISTERED ERGINEER UNDER THE LAMS OF THE
STATE OF MINNESOTA
PRINTED NAME. Rtci, rd A. Uu"U P.E.
DATE- fE 'M f8--- REG. N0. --78E0 --------
� i��--�'" ��-�r
� TIME �
DATE
CITY OF ORONO CALLED IN �--,
INSPECTION NOTICE SCHEDULED _��C�_ ��
PERMIT NO. ���5 "G�15�(� COMPLETED
ADDRESS �`�� � �vl'�' �t {1,�. ��'�
OWNER TELEPHONE NO. 7�-�-Z��/�„�jcy
CONTRACTOR ��T f l '�47{��cr f�+r�
� DESCRIPTION �'i��C`�/`y�
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑,S PTIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU:.�YES_NO
� COMMENTS.�,��� i �'1 �t�l `-�-�`,�' �-K�LIL_SJCIc`
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W� ❑WORKSATISFA RY: EED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
� EFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. ���) �-fD��G �. �������t�s•
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
Owner/Contrac r on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice