HomeMy WebLinkAbout2014-01129 - mechanical II 1 I II 1111 11111111111,1 II
CITY OF ORONO * 2 0 1 4 — 0 1 1 2 9 *
2750 KELLEY PARKWAY DATE ISSUED: 10/02/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 200 WAYZATA BLVD W
PIN : 36-118-23-43-0001
LEGAL DESC : UNPLATTED 36 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 110,000.00
NOTE: (2)HYDRO THERM NATURAL GAS HEATING SYSTEMS-5"FLUE-600,000 BTU INPUT,556,000 BTU OUTPUT
APPLICANT MECHANICAL 1,375.00
JOHNSON CONTROLS STATE SURCHARGE MECH(VALUATION) 55.00
2605 FERNBROOK LN MAIL IN FEE 2.00
PLYMOUTH, MN 55447 TOTAL 1,432.00
(763)585-5093 Payment(s)
CREDIT CARD 7618 1,432.00
OWNER
Wayzata Country Club
200 WAYZATA BLVD W
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 180 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
revoked at any time for due cause.
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Applicant Permitee SigDate Issufi By Signature Date
Sep. 30. 2014 12: 59PM JOHNSON CONTROLS INC. 7635855173 No. 4815 P. 2
�onicC�
FO CIT U E ONLY.
City of Orono4'
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Date Rece►vet I Parmit ii .0/2750 Kelley ParkwayCrystal say,MN 55323 ApprovcdAmounry f Phone(92)249-4600 Fax(952)249.4616 CITY OF ORONO-MECHANICAL PERMIT
H (Alt Commercial permits must be approved by the Building OfPietal or Inspector and/or Fire Marshall)
GENERA)_;JNFORIv1ATION;.
], 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 TIIE 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 final.
t Y'PE:OF PERMIT -
.(0k ok Al1'T11at,Apply
❑Residential ❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs Replace
Jo�i`'Site 7 Owner Tnforrr atton 7
Site Address: 200 Waal r.c`fF lel v� R
Owner: W c,lz �- - fes r�nor tt�R Mailing Address: 2 v o a) Li zaf- r31 vol
City: Wad z.0.*0.ti v.t.) 5 3 9 l Zip:
c-c)S 5 e-c‘-
I4eiine Phone: C,D t . - 7 y/`6 a-S D Alternate Phone: -
,Contraeto Information;
Contractor, -J o i.y saw 6 Contact Person: NA.i«e, L__. r G h
Address: 2 60 5 ,-i —c, Lo State Bond#
A.) r±
City: ply tea Zip: ',5.0/7 Expiration Date:
Phone: 7G, 3- 5- Alternate Phone. (o c2- (ct - 29 (, 1
Cc) bl2-- g19 - 2-96 u
Insurance-Current: _
1
O t. 2. 2014 10: 56AM JOHNSON CONTROLS INC. 7635855173 Po. 4817 P. 2
ku H am.401 _� P: PV-0: ;' 101k741a .... A h teMi.
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.•
IS THIS GEOTHERMAL? ❑Yes [ No
HEATING SYSTEMS
Quantity:
Make: 14 lc r Vr
Model: K
Fuel: N �7
Plat Size: 5
Input BTUs: 600 M($N f imbvt bCt7 law) .
Output BTUs: 5 S(d M,(St-4 C S 6,000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
El Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must'be approved by Fire Marshall([proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill [] Other/List What&Whcre:
2
Sp. 30. 2014 12: 59PM JO-NSON CONTROLS INC. 7635855173 No, 4815 P. 3
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0 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 Iicensed contractor.
Skip next section, if this applies; Cost of Permit $ 15,012,
State Surcharge $_5.00
Mail-In Fee(If Applicable) 5 2.00
TotSal Permit Fee $
i g .Zt LT 0.0T4,, ry ;, r @O33YN.rFi'
x. J lc
If above does not apply;follow guidelines below
1. CC±NTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
110,000 __ x.0125$ 1375.
(contract price) (minimum 550.00)
2. STATE SURCHARGE
H 0.0 Pp x-0005 $ 5 5
(contract price)
3. POSTAGE&HANDLING(Only on Mail-1n Applications) $ 2.00
4, TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I y 3 g,b 0
■ * 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 arc 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 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 Signature: '----2-7.e.,./2..Z,_--- -7-3-....1(1ate: 9i/�30 / _
3
--Sep, 30. 2014-12: 59PM—JOHNSON CONTROLS INC, 7635855173 No, 4815—P. 1
This facsimile may contain confidential and privileged material and is for the sole use of the intended recipient. Any
review or distribution by others is strictly prohibited- Please respect the private nature of this communication. If you
are not the intended recipient, please contact the sender and destroy all copies. Your cooperation is appreciated.
RECIPIENT
ATTENTION: a r\
COMPANY: C ; �}- � Oro v`n
FAX NUMBER: j 2, - 2... L W (Q N U9-
DATE: 9! 30//`4
Johnson
Cont oI
INGENUITY UITv *WF_LCC NI •
SENDER
FROM:
Johnson Controls, Inc.
Minneapolis Branch Office
• 2605 Fernbrook Ln N
Plymouth, MN 55447
Phone (763)566-7650
Facsimile (763)566-2208
Gel( 2167
7
NOTES 0Vf 740 5 5 - Sc-)93
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Number of Pages (including cover) —
DATE
CITY OF ORONO CALLED IN !0 -70.-t`f
INSPECTIO OTI E SCHEDULED /0't3-1 4 _
PERMIT NO�a -�<t/cis COMPLETED
ADDRESS Z C)0 -t.N A1- 1-a /3l.V t�
OWNER TELEPHONE NO. 743-5(65-5ac13
CONTRACTOR 3tm4,4fl►.1 v-is'T '$ /r1Kl=vyAx.41
DESCRIPTION e)-0t l2k �i"/ —
1`
to ❑ FOOTING ❑ P BING FINAL 0 EXCAV/GRADING/FILLING
cz ❑ POURED WALL ❑ ECHANICAL RI ❑ LAKESHORE/WETLANDS
y
CI FRAMING ECHANICAL FINAL LI TREE REMOVAL
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
✓ 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP
cr
❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:_
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Q.
CCOWIW
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CC
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
0 CORRECT WORK&PROCEED ❑IS E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
0 CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours'n advance. 95 ), 4 -4600
Owner/Contractor on site: / j� /
Inspector.
White Copyllnspector's File Canary Copy/Site Notice