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Home My WebLink About2012-00033 - cooling system CITY OF ORONO PERMIT NO.: 2012-00033 � 2750 KELLEY PARKWAY , ORONO, MN 55356- �ATE ISSUE�: OU13/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 2180 NORTH SHORE DR PIN : 10-117-23-31-0098 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 003 PERMIT TYPE : MECHAMCAL(>$S00) PROPERTY TYPE : INSTITUTIONAL-SCHOOL COIVSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 25,000.00 NOTE: 6 COOLING SYSTEMS APPLICANT MECHANICAL 312.50 UMR GEOTHERMAL 51 15 INDUSTRIAL STREET STATE SURCHARGE MECH(VALUATION) 12.50 MAPLE PLAIN,MN 55359 TOTAL 325.00 (763)479-6325 OWNER Creative Kids Academy Orono 2180 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved pians and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pemiission 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 atany 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 a;any time�for due cause. - .f''", -, -> ; ,, 1�-.:, =�.:� / � /3 ��ai� 6,� �, L �_ � �_,.��, t_,.; , ;%,� � �.� - �_. �-'A�plicani'3'ermitee ignature Date � � � Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CTI'Y USE ONLY , � O,¢��O City of Orono P.O.Box 66 Daie Received: Permit# 2750 Kelley Pazkway �� Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (AII 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 VALtD UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desig.�►s—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: s�te aaaress: 2� 80 North Shore Drive Creative Kids Academy Attn:Rajiv Garg,2180 N Shore Dr Owner: Mailing Address: city: Orono 55391 Zip: Home Phone: �612� 237-3769 Alternate Phone: Contractar Information: UMR Geothermal, �n�. Sara Pippel Contractor: Contact Person: Address: 5115 Industrial Street s�te Bond#: 929398775 55359 City: Zip: Expiration Date: 9�� 7��2 Phone: (763� 479-6325 Alternate Phone: ❑ Insurance—Current: 8��/� 2 1 Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ■❑No HEATING SYSTEMS Quantity: Make: Model: FueL• Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � 2 2 � Make: Carrier Carrier Fujitsu Fujitsu Model: 24ACC624A003 24ACC636A003 FAOU36RLXFZ FAOU36CLX1 Tons: 2 3 3 Ton 3 Ton H. Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculating cfin No. Bath E�chaust(must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marsha!!if proposing to abandon tank in place.) � [nstallation � Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 � 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-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 25,000.00 X.o12s $ 312.50 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) 25,000.00 X.000s $ 12.50 (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $325.�� ■ * 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. [t is the amount to be charged to the customer for the wark 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 times the Contract Price or a minimum of$5.00. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ord' ces of the City and the regulations of the State of Minnesota, and certifies that all em ts made on t ' pp 'cation are complete, true and correct. L� Q c,� Applicant's Signature: Date: �"J� �� ;�' �,r�� ' . 3 :# ""�"�°T"°�p'"�""�"'"`'°� Mechani�al Bond Certificate L�BOR 8c [NC1EJvTh�X ,, _ _ Construction Codes and Licensing Division �fcensinq and Certlfication Services 443 Lafayette Road N Sl Paul,MN 55155 4ltebsi3e; www.dll.mn:aav E-mallc DLI.Licenae�s#ate.mn:us TNephone: 651 284�8896 This is to certify that fhe cedifiCate hcrlder#s in cbmpliance with Minnesota$tatu#es§3268.197 for the period 09/17l2011 through 09/17/2012 and may engage in mechanical contracting in all areas of the state of MinnesoEa. UMR GEOTHERMAL iNC # Certificate lD: MB 3275 �115>INDUSTRIAL ST MAPLE PI�AI�I, IIAN 55359 Bond ID: 929398775 Effective Date: 9/17/2011 WESTERN SURETY CO Expiration Date: 09/17/2012 �ATE,� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE n SCHEDULED �v" �� PERMIT NO.��1�—DCJO�� COMPLETED ADDRESS ��8o N�� OWNER TELEPHONE NO. 63 3�� CONTRACTOR ��/�- � �o7L�� : DESCRIPTION �� 1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 INSTA�L ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W k Q ti Z W � W � j a W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. ,�� o � White Copyllnspector's File Canary CopylSite Notice