HomeMy WebLinkAbout2017-01398 - mechanical � � CITY OF ORONO * z 0 1 7 - 0 1 3 9 s *
2750 KELLEY PARKWAY DATE ISSUED: 10/27/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 725 SIXTH AVE N
PIN : 26-118-23-44-0006
LEGAL DESC : LINPLATTED 25 118 23
: LOT 1 BLOCK 2
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : COMMERCIAL-BUSINESS
COI�TSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 28,700.00
NOTE: (1)RUPP NATURAL GAS HEATING SYSTEM
(1)CARRIER A/C-20 TONS
APPLICANT MECHANICAL 358.75
STATE SURCHARGE MECH(VALUATION) 14.35
YALE MECHANICAL, INC. MAIL-IN FEE 2.00
220 WEST 81ST ST
BLOOMINGTON,MN 55420- TOTAL 375.10
(952)844-1661 Payment(s)
CHECK 096682 375.10
OWNER
Spring Hill Golf Club
725 SIXTH AVE N
WAYZATA,MN 55391-
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 l80 days at any time after 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 1
revoked at any time for due cause. � '
e �-
C�-u-�e � � �� ���� 7� � 7
Applicant Permitee Signature Date Issued Signature Date
� ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: L � 1 � �X�� ��=/V Permit No.: ���` ���`�
Description of work: L,�� ,��'�l� m��d��` 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#: Reso#: Reso Date:
Zoning: Lot Area: SF/AC Width: Lot Coverage: SF %
Survey Submitted: 0 Yes � No Date of Survey: Revised date(?):
Landscape plan submitted? � Yes � No Landscaper:
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour)
Perimeter(linear feet) = 50% = L.F. below grade
Basement? 0 Yes 0 No, Stories
FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION:
The distance between the lowest proposed Slab at or above grade—
floor(of the basement or crawl space)and measure from hiqhest existinq
START WITH the highest point of the roof. ra ade to the highest point of the
START WITH roof even if fill was brought in to
elevate home.
If you have a...
SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure
(BASED ON windows): Subtract half the distance from highest existing grade to the
ROOF TYPE) between the highest point of the roof hi hest oint of the roof.
to the low point of the corresponding If you have a...
gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF
• GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half
windows): Subtract half the distance ROOF TYPE) the distance between the
between the top of the highest highest point of the roof to
window and the highest point of the the low point of the
roof corresponding gable or
hipped roof
• ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF
mansard,etc):No subtraction. (with windows): Subtract
SUBTRACTION Subtract the distance between the half the distance between
(BASED ON basemenUcrawl space floor and the the top of the highest
EXISTING highest existing grade adjacent to the window and the highest
GR.4DES) foundation OR 10 feet(whichever is less). point of the roof
• ALL OTHER ROOF TYPES
(flat,mansard,etc):No
EQUALS Defined building height subtraction.
Defined building height
EQUALS
Updated: October 2015
z:\forms\plan review checklist 10-2015.docx
, ,
Shoreland District MCWD Permit Average Lakeshore Setback g�uff
M et?
0 Yes 0 No Permit Number: � Yes � No 0 N/A � Ye 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 sf
� Yes � No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Fees to be Char ed YES NO
Permit �
Plan Review
State Surcharge
Investigation Fee �
�,'' SAC— Number of SAC Units
�' Other(specify)
Square Footage $ per Square Foota e
Basement X = $
15� Floor X = $
' 2nd FIOo� X = $
Garage X = $
'{ Estimated Construction Value: �����
� Orono Inspections Required Work Requiring Separate Permits
0 Footing � Site � Plumbing ❑ Grading/Filling
0 Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire
� Foundation Survey � Hardcover Removal ❑ Septic � Water Connection
� Foundation Waterproofing �Other(specify) ❑ Fireplace � Sewer Connection
0 Framing /(�f�C� ,lQ� � Masonry � Lawn Irrigation
� Insulation � � � � � Mfg. ❑ Landscaping
0 As-Built Survey � �as I«e ,�.,��. � Other(specify)
' Final
� Lathe ��3� Required State Permits
0 Other(specify)
� Well 0 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: October 2015
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_ �'�t�E (;j C G I � I j� . FOR/CITY USE ONLY
City of Orono ` I✓ �' � � /
�ONO`. P.O.E3ox 66 �� �,�,��� Date Recei�Gl� Pennit# O� //"��{ �
2750 Kellcy Parkway
Crysial[3ay,MN 55323 Approved E3y: Amount$:
I � � Phone(952)249-4600 Fax(952)249-4616
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'�, �,,�,�`:' CITY OF ORONO— MECHANICAL PERMIT
� ���f���� � (All('ommercial pennits must be approved by thc[3uilding Official or Inspector and/or Fire Marshall)
GENERAL INFORMATION
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 UNT1L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNT[L THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—Complete calculations,details and specifications are required for each
heating,ventilation,hwnidification-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 accordance with the Uniform Mechanical Code/State Bui(ding 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 ly)
❑Residential �Commercial (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑Additional ❑Repairs �Rep(ace
Job Site/Owner Information:
� *� ��� �
Site Address: 725 C - Wayzata MN
Owner: Spring Hill Golf Club Mailing Address:
City: _ _ Zip: �
I�ie� I����47� ' �UV Alternate Phone:
Contractor Information:
Contractor: Yale Mechanical LLC Contact Person: Tom Walters
Address: 220 West 81st Street State Bond#: MB004822
City: Bloomington Zip: MN Expiration Date:
Phone: 952-884-1661 Alternate Phone:
❑ Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothennal Systeins will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑Yes �No
HEATING SYSTEMS
Quantity: N 1 t`V�
Make: �,v�pp•
Model: �fl,'.�(:�'���'
Fu e I: �p�,,'�('n,'•
Flue Size:
Input BTUs: ,�.�,����
output BTUS: g OD�
,,,ti,�. ,..ac.
CFM: ��� �'�
COOLINC SYSTEMS
Quantity: 1(� �
Make: liD�.CV'1�'T
Mode�: 3gAUD��,SA A�' S�A
Tons: 2� •
H.Power
F[REPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTI[,ATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Exhaust(inust have duct outside) cfm
❑ No. Other Fans Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposu:g to abandoit tmtk in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
. �
PERMIT FEE CALCULATIONS
I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
2R,700 x .0125 $ 358.75
(contract pricc) (minimum$50.00)
2. STATE SURCHARGE
28,700 x .0005 $ 14.35
(contract pricc)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 375.10
■ * 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.
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 sta ments made on this application are complete,true and correct.
Applicant's Signature: Date:
/ 02� �
Tom Walters
3
v
�/\ DATE TIME
-CITY OF ORONO CALLED IN
INSPECTION�Q�CE SCHEDULED � �
PERMIT NO. '"'V�7-d��`�$ OMPLETED
ADDRESS � �` 5j u
OWNER TE EPHONE NO.�f��7� `��� 1
CONTRACTOR � B�"i1-�
� DESCRIPTION � '
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ 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
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� C MMENTS:
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W ❑WORK SATISFACTOR`�PROCEED ❑PRW ECT COMPLETE
� RRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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❑CORRECTVYORK CALL FOR REINSPECTION TEMPORARY
V BEFORECOA/ERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 2a hours in advance. (g52) 249-46�0
OwnerfContract site:
inspector:
ts CopyAnspector's Flle Canary CopylSke Noties
a►� nMe
CITY OF ORONO CALLED IN
IN8PECTION NOTICE 4 SCHEDULED
PERMR NO.7.,f)l 7 _� I�7�R COMPLETED Z � �
ADDRESS 7� � �i�C�LI �'�� �/.
O�WNER TELEPHONE NO.
CONfRACTOR
� DE8CRIPTION
1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBIN(i RI ❑ EXCAVKiRADIN(i/FILLINO
O ❑ FOUNDATiON WATERPROOF ❑ PLUMB�NG FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION
� � FRAMING ECHANICAL FINAL 0 RATED WALLS
� ❑ INSULATION WOOD BURNERIFIREPLACE ❑ COMPLAIPfT
`� INAL ❑WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
� O�N6VCONTR�CTOR TO MEET YOU:_YES_NO
� c:OM ENTSc
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� ❑WiORiC SATISFACTORY:PROCEED �OJECT COMPLETE
W O OORRECT WOFiK d�PROCEED �❑18SUE CERTIRC/1TE OF OCpJPMNCl/
0 ❑OOF�ECT WOW(.GLLL FOR REtNSPECTION T6iAPORAR'Y
C,� ����� PERMANBrT
O(bRRECT UN3AFE OONOI'TION WITHIN F10UR3. p PHOTO TAKEN
INSPEC7DR WIIL RETUFiN
O 8TOP ORDER P08TED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REOUIRED.C/1LL TO Ai#iANOE ACCESS.
caN tor u,s ne�ct inspecaon u no�rs�sd�ranos. (952) 249-4600
on si�e:
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