HomeMy WebLinkAbout2015-00281 - mechanical demo and replacedment , CITY OF ORONO * 2 0 1 5 - 0 0 2 8 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/12/2015
ORONO, MN 55356-
(952 249-4600 FAX: 952) 249-4616
ADDRESS : 2345 BLAINE AVE
PIN : 17-117-23-34-0011
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 009
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 10,500.00
NOTE: MECHANICAL DEMOLITION&REPLACEMENT
A)REMOVE EXST'G DEHUMIDIFER ALONG WITH ALL CONNECTED DUCTWORK,PIPLING AND CONTROLS
B)REMOVE EXST'G ROOF MOUNTED INTAKE HOOD,MOTORIZED DAMPEER AND CONNECTED DUCTWORK,SEE NEW PLAN FOR
REPLACEMENT
C)REMOVE EXSTG POWERED WALL VENTILATOR,M.O. DAMPER AND DUCTWORK. SEE NEW PLAN FOR REPLACEMENT
APPL[CANT MECHANICAL 131.25
STATE SURCHARGE MECH(VALUATION) 5.25
BOSTROM SHEET METAL WORKS MAIL-IN FEE 2.00
110 SYCAMORE ST W
ST PAUL, MN 55117- TOTAL 138.50
(651)646-7475 Payment(s)
Minnesota State License#: mech-MB003332 CHECK 16951 138.50
OWNER
(WELL NO. 3 PUMPHOUSE),CITY OF ORONO
2345 BLAINE AVE
PO BOX 66
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which[his 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
no[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 cons[ruction 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 permi[may be
revoked at any time for due cause.
` �� � /�� , �Z /5
�,�Gl,� ( �'i�-- � � �u;v� � � �
Applicant Permitee Signature Date Issued By Signature Date
�._,� FO C�Y[�SE ONLY
fr` � City of Orono
� �►O�� P.O.Box 66 Date Recei��'� Permit# �� � a��
!, 2750 Kelley Parkway 7�; ��;
� Crystal Bay,MN 5�323 Approved By: � .� Amount$: /�-���' �
I�� � Phone(952)249-4600 Fax(952)249-4616 �
�2� �f ���V�'}L r�v��� OVJC_v�
� �:���s��?,��G CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or[nspector and/or Fire Marshall)
GENERAL 1NFORMATION
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 Desi�ns—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 � , ,.�.— ,-- --r-* r�,
,�.
TYPE OF PERMIT �
Check All That A l )
❑ Residential ��] Commercial(Approval Required)
❑ New ❑ Additional ❑ Repairs �Replace
Job SiCe /Owner Information:
Site Address: 23`t� h��fi,�= fk�l�
Owner: C�Zh C� G^c�,a- Mailing Address: �1v� k-�l.�y P_ i�
City: D�'.-�;:�v Zip; 5-5�i 5 l�
Home Phone: ���SL� Z�L-`1(�ff'� Alternate Phone:
�
Contractor Information:
Contractor: ���f?om �►�tE�E� 1�1��;r�, �l�„2�S Contact Person: {��,� �A!'�,crrc2�
Address: I�'+� Syt��rn�� �� w. State Bond#: �� �%v ;�, �� �
City: .�t, P��� Zip:5��i'► � Expiration Date: ��Z�((�.
Phone: ��v���lo`{t�-7'�t7S Alternate Phone: ����� Z�S - Z���
❑ Insurance—Current: �-c�R� +���Cuc�
1
. '
� MECHANICAL SYSTEMS �EING'����INSTALLED���
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS TffiS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity:
Make:
ModeL•
FueL•
Flue Size:
Input BTUs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIt21:PL:�CES
�! Gas Factory Fireplace Brand Name:
� �buo� Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove�ith Flue/Masonry
VENTILATION S'��c ��"���� �,��
❑ Na 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 if 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&Where:
2
, .
� � �� �PERMIT FEE CALCULATION(S) � �
� BASED tJFF - 2002 STA"I�E 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;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 Surcharge $ 5.00
Mail-[n Fee(lf Applicable) $ 2.00
Total Permit Fee $
PERMIT FEE CALCULATION��S)—JC)BS 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$50.00)
���GC? x .0125 $ ��� , �"�
(contract price) (minimum$50.00)
2. STATE SURCHARGE � ��
i�� �c� X.000s $ 5 ,
(contract price)
3. POSTAGE& HANDLING(Only on Mail-[n Applications) $ 3.00
��
4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ � ��. �
■ * CO�ITRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor, protit, 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
[he owner, tznant 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 statements made on this application are complete, true and
correct.
,
Applicant's Signature: �`-� "'J`-�-��— (�'w�.., Date: 3`�F I 1�
3