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HomeMy WebLinkAbout2018-00094 - mechanical CITY OF ORONO �I I� H lit Il * 2018 - 00094 * 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2018 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 795 OLD CRYSTAL BAY RD N PIN : 28-118-23-34-0003 LEGAL DESC : UNPLATTED 28 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : INSTITUTIONAL-SCHOOL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 663,300.00 NOTE: HYDRONIC PIPING,BOILERS,PUMPS,FINN TUBE AND CABINET INSTALL ONLY APPLICANT MECHANICAL 8,291.25 STATE SURCHARGE MECH(VALUATION) 331.65 R J MECHANICAL TOTAL 8,622.90 P 0 BOX 373 Payment(s) MORA,MN 55051- CHECK 32475 8,622.90 (320)679-0602 Minnesota State License#:mech-MB004174 OWNER 278,ORONO SCHOOL DIST NO. 795 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 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. �O cif Vtc-16 U / 1 7 Applicant Permitee Signature Date Issued Signature Date i ,F R CI Y USE ONLY �O�T City of Orono /� p� /�1 h� ` VO P.O.Bof 66 Date Receiv :�/l O, Permit# *ROI�—�/w 9)4/ 2750 Kelley Parkway �, oc.. Crystal Bay,MN 55323 Approved By •count$: Phone(952)249-4600 Fax(952)249-4616 y F `�kESHO��G 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 Iommercial(Approval Required) [Backflow Device: E AVB ❑PVB] slew dditional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: -1q (AA) CitutsYli C,kt.( Ikeet `611,( l.,A* , vnc) 5C-3`7(0 Owner:( (O( L7 `, YX� O\ :V Mailing Address: CiRS (1. veto 041.4sgQ etti 11Dat9 City: LoAce, NVQ. Zip: 455---3L-TL Home Phone: "l 75 L4 WI q360 Alternate Phone: Contractor Information: Contractor: `RS (, Contact Person: M\\LC ,\C Ae\ Address: VD ' 3--)3 State Bond#: M ROM ri LI City: , MO Zip: 9)S1 Expiration Date: I,;z/) -D-- t Phone: 3 ' 'VA-- C'(IZc` Alternate Phone: (Q(D' 3 )--r-rn a n 1nREC V Qnt: 1 JAN 262018 CITY OF ORONO `° Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes NtglitroC HEATING SYSTEMS (� n_� Quantity: -4604A S —�i)1'�c -( O\F\Y� e Qo6 d' d11-4 Make: 04e0-co Y- G —JAJ — ?o%LC Model: 6( '1--3000 e- 10 l.?— v© C JAM ct l `AMA Fuel: S k Flue Size: — lAVeAk,' Input BTUs: 3,( i Output BTUs: `a sS ,7O() CFM: COOLING SYSTEMS r Quantity: 1' OM\k , Lk`' (V — \*o -V )( Make: Model: v NA-O�33 Tons: H.Power FIREPLACES \N(,.(•Q 'J ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ✓ S ❑ No. Ki s 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 . 4 ` ' \ C G reg ❑ Outdoor Grill ❑ Other/List What&Where: 1'(\ CGVA(tSSIGO 2 STA(\(� i .C:. r `'e 1Fmst 1 .."f t. }et 14'4, 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) (-- t x.0125$ 61�• �� (contract price) (minimum$50.00) 2. STATE SURCHARGE 300 3-3k,(Q x.0005 $ (contract price) `/ 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,•\! 43 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ eal�6� v • * 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. 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 s ements made on this application are complete,true and correct. Applicant's Signature: :, Date: (—lo--1 • 3