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