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Home My WebLink About2010-00636 - mechanical � , ! CITY OF ORONO PERMIT NO.: 2010-00636 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2060 SIXTH AVE N PIN : 27-118-23-31-0002 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RELIGIOUS CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 21,000.00 NOTE: 1 CAPTIVE AIRE NAT GAS HEATING SYSTEM 1 KITCHEN EXHAUST 1 DISWASHER EXHAUST IN KITCHEN GAS LINE-MAKE UP AIR UNIT ON ROOF APPLICANT MECHANICAL 262.50 THERMEX CORPORATION STATE SURCHARGE MECH(VALUATION) 10.50 3529 RALEIGH AVE S ST LOUIS PARK,MN 55416 MAIL-IN FEE 2.00 (952)922-0606 MISC FEE - 0.00 TOTAL 275.00 OWNER CHURCH,TRINTY LUTHERAN 2060 SIXTH AVE N LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 goveming 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confortnance with the State Building Code.This permit may be rev ed at any time for d e cause. 1 �i /� /U �LC.i�I.J �'i /�7 / Applicant Permitee Signature Date Issue y Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . f ( FOR CITY USE ONLY , � ��a�;l l �, � ' � Cit of Orono /_ l,�' � � P.O Box 66 Date Received: �/Z� � Permit# �� l0 3�/ `Q� �„ 2750 Kcllcy Paricway � �` �• Crystal Bay,MN 55323 Approved By: � Amount$: � r��`�>,��o�F� (952)249-4600 ,�t,i,rxaxoa>/ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must bc approvcd by thc Building Official ar[nspcctor 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. � 3. Mechanical DesiQns—Complele 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 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) �New ❑ Additional ❑ Repairs ❑ Replace �` Job Site/Owner Information: Site Address: � �0 6� {��e N�r� Owner: Tr1�:� L��ero,e� C�yrc�, Mailing Address: City: ��ov�o Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: 71'1erw+ex ContactPerson: �oe Roe�ern Address: 352°1 R�.�e��+ R,ve. S State Bond#: City: S�• Lo�;s Park Zip:55`Ilfv Expiration Date: Phone: q52-92Z- o�Oo(o AlternatePhone: �C IZ- 75�'Z-�9'� ❑ Insurance—Current: 1 � � � � MECHANICAL:SYSTEMS BEING�I�ISTALLED � � Note: All Geothcrmal Systems will now require a Site Plan&Rcvicw by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: �.,�P��Ve R i Te Model: Q2— D.Soc�,CrIS Fuel: N��al G-as Flue Size: N/A Input BTUs: 305 , Z17 oucpUc BTuS: 3 0 5� Li� CFM: Z�(�,00 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 VENTILATION dNo. _� Kitchen Exhaust duct recirculating �$00 cfm ❑ No. Bath Exhaust(must have duct outside) cfm [� No. �_ OtherFans: Locations d;�� ,,,,as�er- ex�'x.4s} op cfm `�H Ec..��c.�e� FUEL STORAGE (Must be approved by Fire Marshall if proposing to abando�t tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground a Inside �Outsidc LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: M al�e v,p q� v,+�;�- o h ro�'� 2 �' ' , r - PERMIT FEE CALCULATION(S) � � �� BASCD OFF - 2002 STATE�STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not rcquire 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 $ I 5.00 State Surcharge $ .50 • Mail-In Fee(If Applicable) $ 2.00 ' Total Permit Fee $ PERMIT�FEE CALC�JLATION S -JOBS OV�R$SQ0.00 �� If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) Zl�oc�v x.0125 $ ZloZ �50 (contract price) (mi�imum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) Z-►�o�o x.0005 $ �J` 50 (contract pricc) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Z.75 . O� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, ]abor,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. ■ **The STATE SURCHARGE is .0005 of the Building Deparm�ent at(952)249-4600 for the price. � � MECHANICAL PERMIT APPLICATION AGREEMENT� The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces 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: QQQ� /�—�j?��+�jt� Date: 7` Z 7 ' �V Reset Form 3 � � ' C'<�` DA TIME V CITY OF ORONO CALLED IN / �� INSPECTION NOTIC SCHEDULED � PERMIT NO O� - � J� C PLETEQ ADDRESS o?d� /�L 1 `� `� OWNER ELEPHONE NO. �� 3�g�a� CONTRACTOR� ` � DESCRIPTION � �L�t� ��G7'Zl�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING �MECHANICAL FINAL p TREE REMOVAL Z ❑ INSULATION WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWN ONTRACTOR T EET YOU:�YES_NO c�n COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j � ❑WORK SATISFACTORY:PROCEED �\P�ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED � fsSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice