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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. I' r � / / Applicant Permitee Signature Date Issued y Si ature Date r � ,. �, 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; '= �I � 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 ./ r' y � 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 r . � , � 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: � ��✓✓�� ✓�Dl� - eec��t��� o /�e�,��.i s .E- ��c�s��n� �.r� l���c — � I � . � -�/T�.����� - �/�,�«� r���.,�� � Q a�l h��� — Da� �v�� c•tiot � drv t/�.d�� 1 � a � -- -- � /LJD✓� �T�'ll�e — , r� , . �Je%•�r •� ��rl� ';� 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 WMte CopyAnapecta's Flle Camry Cop�dSit�Notic�