HomeMy WebLinkAbout2017-01338 - heating system CITY OF ORONO 11111111 -1.1111.1111, 11.11 111 ff
2750 KELLEY PARKWAY DATE ISSUED: 10/24/2017
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
: LOT 001 BLOCK 007
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RELIGIOUS
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 54,146.00
NOTE: ANY NEW CURBS REQUIRE A FRAMING INSPECTION AND STRUCTURAL PLANS
APPLICANT MECHANICAL 676.83
STATE SURCHARGE MECH(VALUATION) 27.07
YALE MECHANICAL, INC. MAIL-IN FEE 2.00
220 WEST 81ST ST
BLOOMINGTON,MN 55420- TOTAL 705.90
(952)844-1661 Payment(s)
CHECK 096635 705.90
OWNER
Calvary Memorial Church
2420 DUNWOODY AVE
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.
_e_eitc0
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Applicant Permitee Signature Date Issued Signature Date
705. ‘11
TJJ 17-1115
FOR !TY USE ONLY �/�/3'3/�
6-.04/ POBox 66 Date Rei d:1 7 Permit# � ' t/
O 2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 Fax(952)249-4616
ghFsttO‘'Lk"c CITY OF ORONO—MECHANICAL PERMIT
(All 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
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE 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.
TYPE OF PERMIT
(Check All That Apply)
❑Residential ®Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additional ❑Repairs ®Replace
Job Site/Owner Information:
Site Address: 2420 Dunwoody Avenue,Wayzata MN RECEIVED
Owner: Calvary Memorial Church Mailing Address: OCT 1 7 2017
CITY OF ORONO
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: Yale Mechanical LLC Contact Person: Todd Jelle
Address: 220 West 81st Street State Bond#: MB004822
City: Bloomington Zip: MN Expiration Date:
Phone: 952-884-1661 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
HEATING SYSTEMS
Quantity: 3 1
Make: Bryant Bryant
Model: 582JP07A 582JP05A
Fuel: NG NG
Flue Size: N/A N/A
Input BTUs: 115 115
Output BTUs: 93 93
CFM: 2,400 1,600
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
El Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
El 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 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 CALCULATIONS
1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
54,146 x.0125$ 676.83
(contract price) (minimum$50.00)
2. STATE SURCHARGE
54,146 x.0005 $ 27.08
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 705.91
■ * 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 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: �( Date: 10/13/17
Todd Jelle
3
PLAN REVIEW CHECK ST FOR NEW STRUCTURES / ADDITIONS
Address: 0 I' OC)2� flc(/�a Permit No.: 240/7` / Jqe
Description of work: (/I MiceC,e 1/ eC%af7) Gic6 / Date Rec'd: OAT
Septic review by: Date Approved:
Zoning review by: Date Approved: /L q �/
Building review by: ���� Date Approved: /67/21
4l l
Grading review by: Date Approved:
Zoning District: Zoning File#:
Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA
Zoning: Lot Area: SFA• Width: Structural •verage: SF
Survey Submitted: D Yes • No Date of Survey: Revised date(?):
Landscape plan submitted? D Yes La dscaper: D No/ None proposed
Proposed Setbacks:
Front(Lake) Rear(Street) ( N E W ) ( N S W ) Other Buildings Wetland
ide S'.e
Building Height Analysis:
Distance Between First Floor and defined Top o Roof* (Se- "building height" (a)
definition):
First Floor Elevation (from building plans): (b)
Highest Existing ground level (per survey) or 10' abo - lowest ground level, (c)
whichever is lower:
Difference between (b) and (c)*: (d)
DEFINED HEIGHT
*If highest existing adjacent grade is above FFE- eight is(a)- .): (e)
*If highest existing adjacent grade is below FFE-Height is(a) +
Shoreland District MCWD •ermit verage Lakeshore Setback Bluff
Met?
D Yes D No Permit Number: D es D No D N/A D Yes D No
D N/A—see . ached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUR Required
(circle one) (% and sf) (% and sf)
Yes D No D Yes D No
1 2 3 4 5 Ty (s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
Fees to be Charged YES NO
Plan Review
Investigation Fee lr
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1st Floor X = $
2nd Floor X = $
Garage X //��� /1/-62
JL $
Estimated Construction Value: $ �%. /Z 62
Orono Inspections Required Work Requiring Separate Permits
O Footing 0 Site 0 Plumbing 0 Grading/Filling
O Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical 0 Fire
O Foundation Survey 0 Hardcover Removal 0 Fireplace 0 Water Connection
❑ Framing Other(specify) 0 Masonry 0 Sewer Connection
❑ Waterproofing/Drain tile ,4�]/G k 0 Mfg. 0 Lawn Irrigation
O Foundation Waterproofing /"/ ❑ Other(specify) 0 Landscaping
❑ Framing a s ll " ❑ Septic
❑ Insulation
❑ As-Built Survey
Final
❑ Lathe Required State Permits
❑ Other(specify)
0 Well ,, Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Any necy GU✓' dS r€ 7 1e6 105, Iv>,.51,4QCfldvl
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION N•TICE , SCHEDULED
PERMIT NO.
--33- I.^7-d 1 33# COMPLETED
ADDRESS 1 2-v 10 . tom) en/
F ` y 4tLe_
OWNER TELEPHONE NO.7/t3--(9391":241916.
CONTRACTOR L a1-e Pi 41 -3 PW'
DESCRIPTION 14i!` T 1—
i. ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
11.
❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL
❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
Z ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
v ❑ DEMO-SITE 0 SEPTIC INSTALL
2
OWN ERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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WWORK SATISFACTORY:PROCEED O PROJECT COMPLETE
W Dcc)!(1RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
u BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContrac
��''�`'site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
. RLE
MECHANICAL
HVAC•PIPING•SHEET METAL•MITI WRIGHT•PLUMBING
March 23, 2018 RECEIVED
City of Orono MAR 2 6 2018
2750 Kelley Parkway
Orono, MN 55356 CITY OF ORONO
Attention: Heating Inspector
Subject: Permit: 2017-01338
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 J17-1115.
Very truly yours,
C
Ronald M. Gundershaug
V.P. of Service Operations
/jel
Enclosure: Test Report
Making Buildings Work Better Since 1939
220 West 81st Street • Bloomington, MN 55420 • TEL 952.884.1661 • FAX 952.884.0295 • yalemech.com
Permit 2017-01338 City of Orono COMBUSTION ANALYSI S
DATE: 3/2/2018 JOB#: 17-1115
CUSTOMER: Calvary Memorial Church
ADDRESS: 2420 Dunwoody Avenue MUNICIPALITY: Wayzata, MN 55391
TYPE OF EQUIPMENT:
Tag# Repair: ANALYZER READINGS:
Make: Carrier New Install: High(Standard) Medium(if applicable) Low(if applicable)
Model#: 580jpo7a1152aoaaa 02 10 02 02
Serial#: 2617c82118 CO2 6.1 CO2 CO2
Input: 115000 Output: 93000 CO 3 CO CO
Type of Fuel: Nat Type of Draft: Id Stack Temp: 318 Temp: Temp:
Gas Pressure: Previous Unit Information:
(High)Standard 3.5 (Med) (Low) Tag#
Modulating Burner: Yes No Make:
Test Tag installed: Yes No Model#:
Serial#:
Quantity Size
Belt 1 Aa41
Filter 1 4 16-16-2
Filter 2
Filter 3
Location of Unit/Comments:
TYPE OF EQUIPMENT:
Tag# Repair: ANALYZER READINGS:
Make: Carrier New Install: High(Standard) Medium(if applicable) Low(if applicable)
Model#: 580jpo7a1152aoaaa 02 10 02 02
Serial#: 0517c86086 CO2 6.1 CO2 CO2
Input: 115000 Output: 93000 CO 8 CO CO
Type of Fuel: Nat Type of Draft: Id Stack Temp: 315 Temp: Temp:
Gas Pressure: Previous Unit Information:
(High)Standard 3.5 (Med) (Low) Tag#
Modulating Burner: Yes No Make:
Test Tag installed: Yes No Model#:
Serial#:
Quantity Size
Belt1 Ax41
Filter 1 4 16-16-2
Filter 2
Filter 3
Location of Unit/Comments:
Service Technician:
S.Evans
YALE MECHANICAL
220 West 81st Street
Minneapolis,MN 55420
Phone: 952-884-1661 Fax: 952-884-0295
Revised 2/18/2015
,. I
COMBUSTION ANALYST S
DATE: 3/2/2018 JOB#: 17-1115
CUSTOMER: Calvary Memorial Church
ADDRESS: 2420 Dunwoody Avenue MUNICIPALITY: Wayzata, MN 55391
TYPE OF EQUIPMENT:
Tag# Repair: ANALYZER READINGS:
Make: Carrier New Install: High(Standard) Medium(if applicable) Low(if applicable)
Model#: 582jp05a115a2aOaaa 02 8.8 02 02
Serial#: 0717c63674 CO2 6.7 CO2 CO2
Input: 115000 Output: 93000 CO 3 CO CO
Type of Fuel: Nat Type of Draft: Id Stack Temp: 376 Temp: Temp:
Gas Pressure: Previous Unit Information:
(High)Standard 3.5 (Med) (Low) Tag#
Modulating Burner: Yes No X Make:
Test Tag installed: Yes No Model 4:
Serial#:
Quantity Size
Belt 1 n.39
Filter 1 2 16-25-2
Filter 2
Filter 3
Location of Unit/Comments:
TYPE OF EQUIPMENT:
Tag# Repair: ANALYZER READINGS:
Make: Carrier New Install: High(Standard) Medium(if applicable) Low(if applicable)
Model#: 580jp07a1152aoaaa 02 10.1 02 02
Serial 4: 3017c84068 CO2 6.0 CO2 CO2
Input: 115000 Output: 93000 CO 4 CO CO
Type of Fuel: Nat Type of Draft: Id Stack Temp: 333 Temp: Temp:
Gas Pressure: Previous Unit Information:
(High)Standard 3.5 (Med) (Low) Tag#
Modulating Burner: Yes No Make:
Test Tag installed: Yes No Model 4:
Serial 4:
Quantity Size
Belt 1 Ax41
Filter 1 4 16-16-2
Filter 2
Filter 3
Location of Unit/Comments:
Service Technician: S.Evans
YALE MECHANICAL
220 West 81st Street
Minneapolis,MN 55420
Phone: 952-884-1661 Fax: 952-884-0295
Revised 2/18/2015