HomeMy WebLinkAbout2014-00993 - mechanical ' CITYOFORONO * 20 14 - 00993 *
� 2750 KELLEY PARKWAY DATE IS�UED: 09/04/2014
ORONO, MN 55356-
Z (952) 249-4600 FAX: (952) 249-4616
ADDRESS � 50 KELLEY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL- BUSINESS
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
NOTE: (12)CARRIER HF.,A"I'ING UNITS
(1 1)CARRIER COOLING UNITS
-' ��,� l�o( �c�_� ��c���fi cx t" Z �7 3c �F l(E�� /�/� ���Y �` �''�f� y �/c�C�l Z "I ->�
%��� / /�,�� f r(... ��
APPLICANT STATE SURCHARGE MECH (VALUATION) ll 1.35
MINNESOTA PLUMBING INC. TOTAL 111.35
520 RIVER STREET S Payment(s)
DELANO, MN 55328- CHECK 111.35
(763)972-9181
Minnesota State License#: mech-MB003326
OWNF.R
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O. BOX 66
CRYSTAL BAY, MN 55323-
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 specitied herein."Chis permit will
expire and become null and void if construction authorized is not
commenced within I 80 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 F3uilding Code.This permit may be
revoked at any time for due cause.
/ / �/
Applicant Permitee Signature Date Issue Signature Date
�fdR C USE O1VLY
City of Orono (�1'/� �1��
�ON P.O.Box 66 Date Rec�i� Perm�t i{ �`
O 2750 Kelley Parkway �
� Crystal Bay,MN 55323 Approoed By • Amount S
Phone(952)249-4600 Fax(952)249116i6 ///�
% �`
• ��
lq'rFSH���G CITY OF ORONO—MECHANICAL PERNIIT �r�,��
(All Commercial permits must be epproved by the Building Official or Inspector end/or Fim Mershell)
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the Ciry 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
PE1tMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/heat gain calcula.tion,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4. When any new construcrion 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 wock 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 ❑Additionat ❑Repairs ❑Replace
Job Site/Owner Information: i
Site Address: 2�30 Itelley Parkway
OWrier:City of Orono Mailing Address: a�so Kelley Parkway
Clty: Orono Zip; 55356
Home Phone: Alternate Phone:
Contractor Information:
COritr3CtOT: Minnetonka Plumbing rn�_ Contact Person: �igtine DeBoer
Address: sao River Street S St3tC BOIIC�#: MB003326
City: Delano Zip: �r Expirarion Date: 09/o4/aoi6
Phone: 763-972-9181 Alternate Phone:
� Insurance—Current:
1
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geotherrnal Systerns will now require a Site Plan&R_ evierv by our Building Official.
IS THIS GEOTHERMAL" ❑Yes �No
HEATING SYSTEMS
Quantity: � 1 � �.
IVlake: �t KJ�� +G.�f�^�C'rtlt (�"p(�'1�' C�p(11�•��
Model:
Fuel: � .�s�+ pe1 fr, SV!�, 1�3 fi�,
Flue Size:
�put,��s: �a� r�►a� �� � M� �a M�a �o� � �a��
ou�utBzvs: ���ta q�r+t3 H 3�r►�3� ��,Q�
c�`tvt: I 2�aa � fu� _�u 4� lO�v
COOLTNG SYSTEMS
Quant�ty: _ '2- l {
Make: __.___.v__._.� _.��1(t1V C.�fLfl.1 f,iJ4 _f�(�►R1L
Model;
Tons: �J 3�S 'Z,�j
H.Power
FQtEPLACES
❑ (ias Factory Fireplace Brand Natne:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ W ood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct t�ecirculating cfm
❑ No. Bath Exhaast(musE hQve duct outside) cfim
❑ No. Other Fans: Loc$tions cfm
FUEL STORAGE (Must be approved by Fire Marshal!lf proposing to abardon tank in pinc�)
❑ Installatian ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outsida
LP Ges: gallons
Other:
GAS LINE 4NLY
❑ Outdoor Griil ❑ Other/List What&Where:
2
, •
MECHANIt;AL SYSTEMS BEING INSTALLED
Note:All Geothemial Systetns will now require a Site Plan&Review by our Building Official.
IS TIiIS GEOTHERMAL? ❑Yes ❑No
HEATIlVG SYSTEMS
Quantity: ' t" �
Make: GA A•f���.h C,,,O(�,!�t(�
ModeL•
�`
Fuel:
Flue Size:
�p�B�rtrs: Q,� M$�3 �a �0!3
output aTvs: "?�,M��l �1 M��1
c�: I S�b� t v"7 5"�
COOLING SYSTEMS
Quantity: � 3 �
Make: _�p_�1.�,�f L"1 R.�` _ __"�N_t���'+f" .. '(„ARI�'�te�.. �--._.__—
Model:
Tons: � �- �� ��
H.Powex
FLRE�LA ES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILAT.iON
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Pans: Locations cfm
FTJEL STORAGE (Must be approved by Fire MarshaJl lf proposing to abandon tank in place.)
❑ InstaIlation ❑ Removal
Fuel Oii: gallons ❑ Underground ❑Inside ❑Outsidc
LP Gas: gallons
Other.
GAS LINE ONLY
❑ Outdoor Grill ❑ �ther/List What&Where:
2
PERNIIT FEE CALCUI.ATION(S)
BASED OFF-2002 STATE STATUE
❑ Yes,this section applies
The repiacement 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;excludine the cost of the fiacture or appliance:and
3. Is improved,installed or replaced by the homeowner or licensed coniractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ Z.00
Tota!Permit Fee $
PERMIT FEE CALCULATION S —JQBS QVER$500.UQ
If above does not apply;follow guidelines below:
1. CONTRACT PRICE *is�.25%of con�act price with a(Minimum Fee of$50.00)
��,��� x.0125$
(contract price) (mluimnm S50.00)
2. STATE SURCHARGE
x.0005 $ /��3�
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMTT FEE(Add Lines 1-3 Above) S
■ * CONTRAC'I' PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including malerials,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 fumished 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 contcact.
MEGHAIVICAL PERMIT APPLICATI�N 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: `�� �,�,�., - �L,�«, �7Y(�, Date: os-ie-2oia
3
, , �
Monica Fadness
From: Kristine DeBoer[kdeboer@minnetonkaplumbing.com)
Sent: Wednesday, September 03, 2014 4:41 PM
To: Monica Fadness
Subject: Orono Police Department Permit Valuations
The Valuations for the work at the Orono Police Department are:
Plumbing $103,555
Mechanical $222,700
Thank you.
Kristine �eBoer
Office Manager
Minnetonka Plumbing Inc.
763-972-9181
763-972-9209fax
kdeboerC�minnetonka�lumbing.com
�
�� 3�� �DATE TIME �
�/ I.ITY OF ORONCI`�� CALLED IN
INSPECTION NOTICE. scHEou�eo ? (� �
PERMIT NO. - COMPLETED
ADDRESS � � �-Q-L � � ` �
OWNER C"�EL�H ��(�(�.. -�Io7��7d
�
CONTRACTOR
� DESCRIPTION � � T I� �.!
l� ❑ FOOTING ❑ DEMO-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 ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4! ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ HARD COVER REMOVAL
_
J ❑ DEMO-SITE EPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO ME YES_NO
� COMMENTST
a � l� Lc�G��/'4w`/ �I'�O�/<be.s f��/
� �Ne z z•�t��e �rl����r.c�G c<K�� -
� � Ca ���c�ia� •� �'�-T ����va���
° ve�� r.vi�ness� .� G�I,P �� �
—
W r .
Q i" ��S�l �L�� ,�G �lit2 L'o it s -/`�.Odv� -�=�!G!/C�
�
2
W
�
W
�
J
� ❑WORK SATISFACTORY:PROCEED ,,�ROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFOREC01/ERING PEFIMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pf{OTOTAKEN
INSPECTOR W4LL REfURN ❑CITATION ISSUED
❑STOP OFDEFi POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advance. (g52) 249-4600
OwnerlContractor on site:
�
inspector.
White Copyllnspector's File Canary CopylSite Notice
DATE TIM
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMITNO.o�0�5r���t3 COMPLEfED ��T_
ADDRESS,�7 3� K GIIGr �,�tv�► _ � �a�f��.cO�
OWNER TELEPHONE NO.
CONTRACTOR �T/�r�l�/� �e`�•
� DESCRIPTION �e��� ����
W ❑ FOOTING ❑ PLUMBING FINAL O EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H
Q ❑ FRAMING �MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALI ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
� - s,��� ��.�,oa,. . aK
o �" /1"� �Ma,�J� G 4e-��Q.`l �a � r►•t cs27�•r.rr e
'' �ar rrto�h.. .�i� `'�
�
� �Kl�, e ..r �F' ! ,,�..s� ,I`� a��—
W � `
� ��i�<�D CO G�i O '� fC/l
Q
� �Qrt G�C��d��bi" �N 1�I�CQi �ir✓��C �
W
�
W
�
�
J
a
W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑ TOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�ECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (J52� 249-46��
OwnerfContractor on site: ���
Inspector.
White Copyllnspector's File Canary CopylSite Notice
���� DATE TIME��
CITY OF ORONO �' G/�LLED IN
INSPECTION yQT E SCHEDULED ,I=7--/.� __�, .-��
PERMIT NO. �� �C ��� COMPLETED
ADDRESS �7 � �?!LC��� ��<<���L�
OWNER TELEPHON NO.17�3��� �'�����
CONTRACTOR �� �-�
�; DESCRIPTION � ��� ` �
�
ly ❑ FOOTING ❑ PLUMBING FINAL � EXCA /GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPT INAL � FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
�
� COMMENTS:
�
� �,.,�¢ - � - S �1 k�'�- it.��t���_✓ C�
j !Y►d►� - i3 �1 c���� .-F,� -
0
�
o� _
° iNbr K �5� � vv�./Jl�e�� 1 �. ��r�,�� � �
W
�
Q
�
2
W
�
w
�
j
� ��JQ�ORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE
��O CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
C ion 24 hours in advance. (952) 249-4600
Ow rlContractor on site: �
Insp or_
1
ite Copyllnspector's File Canary CopylSite Notice