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HomeMy WebLinkAbout2005-P08665 - mechanical CITY OF ORONO PERMIT 2750 Kelley Parkway - PO Box 66 Permit Number: P08665 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits (952) 249-4600 Date Issued: 5/3/2005 SITE ADDRESS: 850 Wayzata Blvd W Wayzata,MN 55391 PID: 35-118-23-44-0004 DESCRIPTION: Proposed Use: Institutional-Schools Permit Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: Other-(Approved By Bruce V) NOTICES/REMARKS: Also, Gas Line on Roof FEE SUMMARY: Permit Fee: $ 150.00 Valuation: $ 12,000.00 State Surcharge Fee: $ 6.00 Misc.Fee: $ 1.50 TOTAL FEE: $ 157.50 APPLICANT: Seasonal Control Mechanical Division Inc. OWNER: Cornerstone New Test. Church-C/O Dan L'Heui 6225 Cambridge St. 2605 Urbandale Lane St. Louis Park,MN 55416 Plymouth,MN 55447 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. APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Conies: 1-File(Si&nitures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing, 1-Finance Page 1 FOR CITY USE ONLY S� t 40% Cityof Orono 5/ ,�/ k% O PO.Box 66 Date Received: 2/05 Permit it �t bs- *44 _ 2750 Kelley Parkway = t Crystal Bay,MN 55323 Approved By: ount$: (952)249-4600 \ CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 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 fmal. TYPE OF PERMIT (Check All That Apply) ❑Residential 0 Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 850 Wayzata Blvd West OWner: Cornerstone New Testament Church Mailing Address: 2605 Urbandale Lane N City: Plymouth Zip: 55447 Home Phone: Alternate Phone: Contractor Information: Contractor: Seasoanl Control MDI Contact Person: Bruce Williams Address: 6225 Cambridge Street#29 State Bond#: 9432099 City: St.Louis Park Zip: 55416 Expiration Date: 03/28/06 Phone: (952)929-4423 Alternate Phone: (612)670-9002 02/12/06 ❑✓ Insurance—Current: 1 rvivellAtacm,SY " S INSTAum HEATING SYSTEMS Quantity: 3 Make: Lennox Model: GCS3-16-60-120 5 Ton roof top units Fuel: gas gas lines on roof Flue Size: Input BTUs: Output BTUs: 120,000 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑✓ Other/List What&Where: gas line on roof 2 k PERMIT FEE CALCULATION(S) BASED 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 require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excluding 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 Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) 12,000.00 x.0125$ 150.00 (contract price) (minimum$35.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 12,000.00 x.0005 $ 6.00 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 157.50 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. • ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. 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 statements made on this application are complete, true and correct. Applicant's Si natur-A ' Date: VA 9/)5-- C)44 C14111/4i2( t./ DA2i TIME CITY OF ORONO CALLED IN INSPECTION TIT SCHEDULED - ('316- 411 PERMIT NO. � A) COMPLETED ADDRESS c C��7�-CJCC� OWNER CONTR.pCJr TELEPHONE NO. b' ,7 DESCRIPTION ,fteet AT- - W 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS h 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL • 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION 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 LU 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q.. CC O CC O U- 14/ CC toW W CC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the nex 'nspection 24 hours in advance. (952) 249-4600 OwnerlContrac Inspector. a-Ake( White Copy/Inspector's File Canary Copy/Site Notice