HomeMy WebLinkAbout2017-01152 - mechanical � ,
CITY OF ORONO * z 0 1 7 - 0 1 1 5 z *
2750 KELLEY PARKWAY DATE ISSUED: 09/19/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2685 RAINEY RD
PIN : 04-117-23-43-0013
LEGAL DESC : TREES TO BE
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 21,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)DAIKIN HEATING SYSTEMS
(1)HRV LIFEBREATH HEATING SYSTEM
(2)DAIKIN COOLING SYSTEMS
APPLICANT MECHANICAL 262.50
CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 10.50
6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00
BUILDING A TOTAL 275.00
GOLDEN VALLEY,MN 55422- Payment(s)
(763)512-2765 CHECK 21210 275.00
Minnesota State License#:mech-MB003503
OWNER
VICKERMAN, SCOTT&SUSAN
2685 RAINEY RD
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEME1vT
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 speci6ed herein.This permit will
expire and become null and void if construction authorized is not
commenced within l80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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.
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Applicant Permitee Signature Date Issued y Si ature Date
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r FOR CITY USE ONLY
I �O�O City of Orono ,
P.O.Box 66 Date Received: Permit#
2750 Kelley Parkway '
Crystal Bay,MN 55323 Approyed By: ' :Amount$:
� Phone(952)249-4600 Fax(952)249-4616
y`��.� �.�'fi CITY OF ORONO—MECHANICAL PERMIT
KFSH�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
GENERAL ORMATION; '=
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� 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 DesiQns—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
X❑Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑New ❑Additional ❑Repairs �Replace
� Job Site f Owner ormation:,:
Site Address: 2��5 RAINFY Rn
Owner: SCOTT VIKERMAN Mailing Address: 2685 RAINEY RD
�City: ORONO Zip; 55391
I�Home Phone: 952-449-8866 Alternate Phone:
Contractor Inform 'tion`.<
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 6161 GOLDEN VALLEY RD State Bond#: M6003503
City: GOLDEN VALLEY Zip: MN Expiration Date: 08l20/2018
Phone: 763-512-2765 Alternate Phone:
❑X Insurance—Current: OLD REPUBLIC INSURANCE CO.
1 01/01/2017 - 01/01/2018
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: 1 1 1 HRV
Make: DAIKIN DAIKIN LIFEBREATH
Model: DM96VC0603BN DM96VC1005CN RNC155
Fuel: NATURAL GAS NATURAL GAS
Flue Size:
Input BTUs: 60,000 100,000
Output BTUs: 57,600 96,000
CFM:
COOLING SYSTEMS
Quantity: 1 �
Make: DAIKIN Q.�IKIN
Model: DX16SA0241 DX16SA0481
Tons: 2 4
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ 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
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
21,000.00 x.0125$ 262.50
(contract price) (minimum$50.00)
� 2. STATE SURCHARGE
21,000.00 x.0005 $ 10.50
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 275.00
, ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
i 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 statements made on this application are complete,true and correct.
I � 09/08/2017
Applicant s Signature: Date:
�
3
House heatin test record �e�ferPoint
Energy
Owner �� � Controls Conversion
Address �,� pi Thermostat ���
�(�� Hear plug l/enr Size � V G.
City �.a� Va/ve (it/��� Kindofliner/size `�—
Heat loss Daie h[g.inst Limit Draft hood���egulafor'3��,,i�,
Soldbv CenterPoint Eneray Limiisetting �lj('j Filters:Size f�p��y�umber �
Installed bv CenterPoint Energy Fan setting Chimney 1
E/ecirica/workbv CenterPoint Energy Pilof type Chimney
Heat type FA Q Space heater Pilot make ��� Wiring � Test tag �
Gas line by Piloi model Lighring Inst � Date tesied 9���/ �
Unii heater Other Pilot timing Com an testin Centet'P i EneP
Gas design Pressure:Hi fire/Lo fire �.� �� Tester's name
�`�`� Percent CO2 /
Make Model ,,� �;,��;,p
Serial no. '�(11'��j Input CFH (p(� Percent Oz �,'�
Inpui �� �� Stack temp � Percent CO
r
CNP 235(11-2008)
CenterPoint
House heating test record �—ERe�gy
Owner�J ��[r�,��� Controls Conversion
Address a2�$S �}��y A �_ Thermosiai �-�� Heat plug �ent Size ,3`�/�U L
��h' �/Vlti+�-�6 l/a/ve ���, Kind of liner/size "—'�—
Heat loss Daie hig.inst Limit Draft hood— , ,.�Regu/ator 3.,,j r..t�
Soldbv CenterPoint Energy Limitsetting / 70 Filters:Sizezo•F�f�dumber �
Insialled bv CenterPoint Energy Fan setting Chimney locai'
E/ecirica/workbv CenterPoint Energy Piloitype Chimneyconstrucrion
Heai type �fA Q Space heaier Pilot make
_���/ Wiring `�- Tesi tag
Gas line by �P� Pilot mode/ Lighiing/nst lC� Date rested g-9 7 �
Unii heaier Oiher Pilot timing Com an testin CenterPoint Ene
Gas design Pressure:Hi fire/Lo fire Tester's name
I
Mak�e�.��(�,..� Mode PercentCO2 ��t/
Seria/no. /76'',�J�qj�11'3 Input CFH �p{j Percenr 02 S/, �
Inpui �,�Xj Stack temp /�l.� Perceni CO ���_
CNP 235(11-2008)
/� /
DATE TiME
CITY OF ORONO cnLLED IN �
INSPECTION NOTICE SCHEDULED ��
PERMIT NO. � ���� COMPL�ffjD e
ADORE..SS
A��Z �`���
OWNER TELEPHONE NO. � � '��
CONrRACTOR �n
�� DESCRIPTiON �^ �I
❑ FOOTINC, ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
�Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING �t1ECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z OMMENCONTRACTOR Ti0 MEET YWl:_YES_NO
� COMM'ENTS:
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';� O WORK SATiSFACTORY:PROCEED �ECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ISSUE CEFiTIFlCATE OF OCCUPANCY
0 p CORRECT WORK�LL FOR REtNSPECTION TEMPORARY
V BEFORE GdVERINa PERMANENT
❑CORRECt UNSAFE CONDITION WITHIN HOURS. ❑pHpTO TAKEN
1 OR WFLL RETURN
❑qTATION ISSUED
❑STOP O ER POSTED.CALL INSPEC70R
❑INS REOUIRED.CALL TO AFiiAN(�E ACCESS.
C�a for the next inspeetion 24 hours in advance. (952) 249-4600
OwnerlCo�ntractor on site:
I�spa�tor: ��}/`w
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