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Home My WebLink About2014-00879 - mechanical � ' � CITY OF ORONO * 2 0 1 4 - 0 0 8 7 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/13/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2420 DUNWOODY AVE PIN : 20-117-23-21-0018 LEGAL DESC : TOWNSITE OF LANGDON PARK : L,OT 001 BLOCK 007 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RELIGIOUS CONSTRUCTION TYPE : MECHANICAL- MU1,TIPLE VALUATION : $ 29,OS7.00 NO"I'E: 2 CARRIER NA"I'GAS FURN 2 CARRIL;R 6 TON AC GAS PP-KOIY HEA"1� 2 GAS I,INES"I�O NI;W ROO}�"I'OP UNI"CS APPLICANT MECHANICAL 363.21 STATE SURCHARGE MECH (VALUATION) 14.53 YALE MECHANICAL, WC. MAIL-IN FEE 2.01 220 WEST 81ST ST BLOOMINGTON, MN 55420- TOTAL 379.75 (952) 844-1661 Payment(s) CHECK 088159 379.75 OWNER Calvary Memorial Church 2420 DUNWOODY AVE WAY"LATA, MN 55391- AGREEMENT AND SWORN STATEMENT Tl�e work for which this permit is issued shall be performed according to the approved plans and specitications,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 pemiits. All provisions of laws and ordinances governing this typc of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction autliorized is not commenced widiin 180 days ofthe date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Statc I3uilding Code.This pern�it may be revoked at any time for due cause. ` C��/ �, /J� � � Ap icant Permitee Sign� re Dale Iss e By Signature Dale TJ� �4-c•a�5 � � �� C� . � � � � rC�'�`i►� �/1�1� �_—____ FOR ITY USE ONLY C� , ' �' CityofOrono g � a ,� ��'7� : �O^IO�� P.O.Box 66 Date Received: rmit# � " � 2750 Kelley Parkway �� Crystal l3ay,MN 55323 Approved By: •� . Amount$: � Phonc(952)249-4600 Fax(952)249�616 'i't �( �'w '' '' y � F � �q,�.� � �.` CITY OF ORONO—MECHANICAL PERMIT �S�� (All('ommercial perniits must bc approved by the Building Official or Inspector and/or 1'ire Matshall) 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 UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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. TYPE OF PERMIT (Check All That A 1 ) ❑ Residential �Commercial(Approval Required) ❑ New ❑Additional ❑Repairs �Replace Job Site/Owner Information: Slte Addl'eSS: 2420 Dunwoody Avenue Ownet': Calvary Memorial Church Mailing Address: 2420 Dunwoody Avenue City: Wayzata Zip: 55391 Home Phone: Alternate Phone: Contractor Information: Coritl'aCtOI': Yale Mechanical LLC ContaCt Person: Todd Jelle Address: 220 West 81st Street State Bond#: MB004822 City: Bloomington Zjp; 55420 Expiration Date: Phone: 952-884-I661 Alternate Phone: ❑ Insurance—Current: 1 . � MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATIlVG SYSTEMS Quantity: 2 Make: Carrier Model: 48TCE007 Fuel: NAT Flue Size: N/A Input BTUs: 115 MB3� Output BTUs: 93MBIf CFM: 2400 COOLING SYSTEMS Quantity: Z Make: Carrier Model: 48TCE007 Ton s: � H.Power FIREPLACES � Gas Factory Fireplace Brand Name: Kozy Heat ❑ Wood Burning Fireplace ❑ 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 if proposing to abandon tank i�t place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: Z new Rooftop Units 2 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 modi�cation 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) $29,057 x .0125 $ 363.22 (contract price) (minimum$50.00) 2. STATE SURCHARGE �29,057 x .0005 $ 14.53 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 379.75 ■ * 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 Pennit, 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: � i"�� Date: 8/5/14 � TODD JELLE 3 � R . � ALE M E. C N A N I C A L HVAC• PIPING• SHEETMETAL• MILLWRIGHT• PLUMBING September 18, 2014 RECEIVED �;, City of Orono ��? �'Z �� i 2750 Kelley Parkway Orono, MN 55356 C►TY OF ORONO Attention: Heating Inspector Subject: Permit: 2014-00879 Gentlemen: Enclosed please find test report(s) submitted in compliance with applicable building regulation work done within your jurisdiction: Calvary Memorial Church 2420 Dunwoody Avenue Orono, MN Should there be any questions regarding this work, please contact Todd Jelle or me by telephone at 952-884-1661, and reference our Job Number J14-0866. Very truly yours, ,� , �� 6}'Le��_ �C�� Ronald M. Gundershaug V.P. of Service Operations �_. /j el Enclosure: Test Report Making Buildings Work Better � - - .. . i � j � � COM BUSTION ANALYSfS DATE: JOB� i� � r— � — . �--� CUSTOMER: �-. � �•r� �,l� r�. ' WIO� ��/ /�� t� ADDRESS: � ��. ' � � �l NIUNICIPALITY:tv'�t'l•�t�( k r '�- TYPE OF EQUIPi41ENT: TYPE OF EQUIPMENT: j agr: Repair: Tag,-: F=oair. D�take: ��MI C� �' N=sv Install:�_ �iiake: ��f�'(�p f�,<' Nasv install: �nod�i-: 5�,sa TC'�`�r�7a��A S',��s�� ;io�=i-: %,:?a`?'��,��;r=��r��,r,'��'J��c.'3 Serial=: �(�/C�I'C ]'�' �� Serial.-: I/��_�� Input:��, U�� Output: � input ��oj (?(�C� Output: � � .7 �-� Type of Fuel: /(J�� Type o4 Dra�`,: l. C�_ Type of Fu�l: .�(�� Type o�Dra'r::� Gas Pressure: Gas Pressure: (Hiahl Standard: . r (Pitad) (Lo�,v) (�igh)Standard:�w S �p��Ed) (Lo��vl iblodulating Bumer. Yes i�lo i��lodulaiing 6umer. Yes i�l� Test Tag install�d: Yes No Test Tag instali�d: `!es i�lo ANALYZEP. READINGS: ANALYZER READINGS: High(Standzrd) P�ledium (i�cpplica��l=) Lar�lif a�plic�Gla) 'r'igh(S�andard) P�ledium (if apolicable) Lo��v(if applicaole) �� ' �? p? 02 �r � p? 02 co? �,J 3 co? co? co? �,a � co2 ��? co >3 co co co� co co r Si�ck TEm Stack Temo Siack T=mo: S�.ack Temp��_S`_�k T=me: S�ack Temp: P � CONititENTS: �CO�LI,LIENTS: I TYPE OF EQUIP141ENT: ITYFE OF EQUIP�I�NT: I 2n=: r�.cn2;� I 2�—: ��Ncif: �.. ��take: �^J�;��Install: ti1Gke: Pde;i Ins�all: �� i�ilod al.-: Pilod el-: SariaL=: Seriai=: In�ui: Outpui: Input O�_�iput: Type o�Fuel: TyGe o`Dr�-.: �YG�c�Fuel: Type c�Dra�_: Gzs Pressurz: Gas Przssure: (Hiah) S�and�rd: (��rledj (Lo,,,i) (H�Sh)Stancard: (��1adj iLo��v) i��lodulating 6umer: Yes �lo Dilo�ul�ting Burner. Yes i`�lo -est Taa ins.=!led: Yes i�io Tast Ta�insr�ll�d: Yes i`lo Ai`JALYZcR P.EADINGS: ANALYZER RE�,DI�1GS: �i5h (Siandard) �Vl�dium (i�2pp!ir,bla) Lo��v fl'aopiic2Cla) Hish(Siand2r�} �ble�ium (i�a�pGcablej Laav li��polic2'oi�) 0� �"' �� 0� �� CO2 CO2 CO2 CO2 CO2 CO2 CO CO CO CO CO CO St�ck Tem�: St�ck i emp: Stac'<Temo: Stsck Temp: Stack Temp: S,ac,<Temp: CO`+1�1ENTS� COi�1,41ENTS: ^ Se��ice Technician �� 'ale Mechanical '.20 W 81 st Streei 3loomingtcn, MN 55420 Q.�,7-RR�-1 FR1 F• �,�-RR4f1��15 10/2Q/2011 � \� `.,9 � DATE TIME � CITY OF ORONO CALLED Ir�� INSPECTION NOTICE . r SCHEDULED �-� /Z'�'-/Y) PERMIT NO. '�-� �� C��S��COMPLETED ♦ ADDRESS �� ZC✓ � l�C'C; - OWNER TELEPH NE NOC ~ , , � ��, ,� CONTRACTOR � DESCRIPTION �! V� � � I' ��E'�'V� � ly ❑ FOOTING ❑ DEM�-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE D�TIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: �!— � a ` o �s -e e �' � � � � �tC ` 0 � W � � � Q zur � �Sln - � � �a �:�� — o �� a W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O RRECT WORK,CALL FOR REINSPECTION TEMPORARY B ORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContra r on site: Inspector. White Copylinspector's File Canary CopylSite Notice ( 1 �'?�� DATE TIM� / �ITY OF ORONO CALLED IN `� INSPE 710N NOT C scHe�u�e� c I �5 P�RMIT NO. � ` � � COMPLETED ADDRESS C !Ck �(1• �' I IC"�YIOl2(Q� u.•��- a yu � � OWNER TELEPHONE NQ. �`� ��I3 � CONTRACTOR G �a��ll � � � � DESCRIPTION ly ❑ FOOTING ❑ DE O-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ 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 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � i J O � � o � � � � W � Q � 2 W � W � J a W ❑WO SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g5 9-460� OwnedContractor on site: Inspector: � White CopyRnspectors File � Cenary Copy e Notice