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HomeMy WebLinkAbout2018-00130 - mechanical CITY OF ORONO * 2 0 1 8 - 0 0 1 3 0 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2018 ORONO,MN 55356- 952 2494600 FAX: 952 249-4616 ADDRESS : 685 OLD CRYSTAL BAY RD N PIN : 33-118-23-21-0002 LEGAL DESC : UNPLATTED 33 118 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 9,200.00 NOTE: (1)PAYNE-NATURAL GAS-2"FLUE (2)MODINE-NATURAL GAS-5"FLUE (1)PAYNE COOLING SYSTEM 1-1/2 TON (1)BATH EXHAUST-80 CFM APPLICANT MECHANICAL 115.00 STATE SURCHARGE MECH(VALUATION) 4.60 EASCO PLUMBING&HEATING INC. TOTAL 119.60 7965 PIONEER TR Payment(s) LORETTO,MN 55357 CREDIT CARD 3448 119.60 (612)369-5486 Minnesota State License#:BUIL-MB003391 OWNER SCHOOLS,ORONO PUBLIC 765 OLD CRYSTAL BAY RD N LONG LAKE,MN 55356- 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 s a time after work has commenced. The applicant is res sable for assuring 1 required inspections are requested in mance with the State uilding Code.This permit may be revoke ime for due cause. / q I ermitee Signature Date lssu&fBy Signature Date F R CftY USE ONLY City of Orono \Lb 7 D 1 I P.O.Box 66h(9KI49-4616 Date Receiv . VPermit#2750 Kelley Parkway Crystal Bay,MN 5532Approved By: Amount$: Phone(952)249-4600 CITY OF ORONO—MECHANICAL PERMIT kESH04 (All Commercial permits must be approved b the Building Official or p pp y g 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 UNTEL 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 ❑Residential f .`Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] 9!(New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 6 D 15�— d - S Gt Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: SC.6 Contact Person: RL Address: `19���1 G✓1-efle 4-Pe State Bond#: M S G6 33 ? City: L 6 VP--HO- Zip: 04P Expiration Date: Phone: 3( -�8 Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED r Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes kgNo HEATING SYSTEMS Quantity: C Make: n VuZ 1"1 U j l n e Model: Fuel: Au ret I /V p4u r C Flue Size: U'tl 5 tI Input BTUs: H 6 (xjy a Wj 0D Output BTUs: ) CFM: COOLING SYSTEMS y Quantity: 1 Make: G+ Model: TA J-3 �lt4d U b Tons: ` H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Bunning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin No. Bath Exhaust(must have duct outside) 90 cfin ❑ No. Other Fans: Locations cfin 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$50.00) 9o(5 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * 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 tements made on this application are complete,true and correct. Applicant's Signature: Date: o` 3 PLAN REVIEW //CHEC //IKLIST FOR NEW STRUCTURES / ADDITIONS Address: �0 �Co �/'V ,A y zeoe Permit No.: Description of work: Date Rec'd: Septic review by: Date Approved: Zoning review by: Date Approved: Building review by: Date Approved: Z- Grading review by: Date Approved: Zoning District: Zoning File M Resolution? Yes Reso#: Reso Date: Signed: es No Resolution/NA Zoning: Lot Area: S /AC Width: Struct al Coverage: SF % Survey Submitted: 0 Yes 0 No Date of Survey: Revised dateM: : Landscape plan submitted? 0 Y s Landscaper: 0 No/ None proposed Proposed Setbacks: Front(Lake) Rear(Street) \( N S E W ) ( S E W ) Other Buildings Wetland Side Side Buildina Hei ht Analysis: Distance Between First Floor and defined Top fR f* (See "building height" (a) definition First Floor Elevation from building plans): A (b) Highest Existing ground level (per survey) or 0' ab ve lowest ground level, (c) whichever is lower: Difference between b and (c)*: (d) DEFINED HEIGHT *If highest existing adjacent grade is ab ve FFE-Height is(a)- d): (e) *If highest existingadjacent rade is b low FFE-Height is a + Shoreland District CWD Permit verage Lakeshore Setback Bluff Met? 0 Yes 0 No Permit N tuber: Yes 0 No 0 N/A 0 Yes 0 No 17 N/y—see attached Setback: Stormwater Quality Existing Proposed Overlay District Tier Hardcover Hardcover Variance Required CUP Required circle one % and sf (% an sf) \ 0 Yes 0 No 0 Yes 0 No 1 2 3 4 5 Type(s): Type(s): Updated: June 2017 z:\forms\plan review checklist 06-2017.docx Fees to be Charged YES NO Permit GJ Plan Review �/- State Surcharge (/ Investigation Fee SAC-Number of SAC Units ✓� Other(specify) c/ Square Footage $ per Square Footage Basement X = $ 1 s' Floor X = $ 2nd Floor X = $ Garage o�X = $ Estimated Construction Value: $ Orono Inspections Required Work Requiring Separate Permits ❑ Footing ❑ Site ❑ Plumbing ❑ Grading/Filling ❑ Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical ❑ Fire ❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection ❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection ❑ Waterproofing/Drain tile /�� ❑ Mfg. ❑ Lawn Irrigation ❑ Foundation Waterproofing a'� ❑ Other(specify) ❑ Landscaping ❑ Framing 6C(5 lllct4 ymcC K ❑ Septic ❑ Insulation / ❑ As-Built Survey ! Q ❑ Final ❑ Lathe Required State Permits ❑ Other(specify) ❑ 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. Updated: June 2017 z:\forms\plan review checklist 06-2017.docx CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTISCHEDULED PERMIT NO. cAQ '60! C P ED ADDRESS OWNER TELEPHONE NO CONTRACTOR SCCA Arx.P� DESCRIPTION / W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL [3WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC e sts- O W CC Q W W d W 0 WORK SATISFACTORY PROCEED 0 PROJECT COMPLETE W •CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED •INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next lnspw*m 24 hours In advance. (952) 249-4600 r on site: Inspect White Copylinspector's File Canary Copy/Site Notice DATE TIME f CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 3-.20-1T 9•Q� PERMITNO.(2-0 ��� COMPLETED ADDRESS //5-c- C-/)/S 7 y ' OWNER TELEPHONE NO. !l/.� 3b?'5 71 CONTRACTOR Q SCA 8/.‘etA A DESCRIPTIONI� 11;ibti W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING C0 FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL - OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc a. , • a Id i /4 l rl /9/C1 G.e cc may Alma i e.kie -- 47 t 4‘. ed ePt4iese LL 9(9 dem W CC CC W 0 WORK SATISFACTORY:PROCEED OJECT COMPLETE cCW 0 CORRECT WORK&PROCEED 0 ISS RTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COHERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner • , on site: Inspector: i 1511ri White Copyllnspectors File Canary CopylSite Notice