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HomeMy WebLinkAbout2017-00404 - mechanical . CITY OF ORONO * Z 0 1 7 - 0 0 4 PJ 4 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/24/2017 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2050 SHORELINE DR PIN : 10-117-23-34-0014 LEGAL DESC : HARTWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 4,800.00 NOTE: REPLACE:AIR CONDITIONER(DALKIN) APPLICANT MECHANICAL 60.00 CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 2.40 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 BUILDING A TOTAL 64.40 GOLDEN VALLEY, MN 55422- Payment(s) (763)512-2765 CHECK 20912 64.40 Minnesota State License#:mech-MB003503 OWNER BERTA KVAMME TRUST(TOM BROSTROM) 2050 SHORELINE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT 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 I 80 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. �,��' 7 , I\ C �.� > ���_i �� �� ��� � ���j� / 7 � 2�'1�i �a �� c�r._ f Applicant Permitee Si ature Date Issued By Signature Date ' y ' . FOR CITY U5E ONLY s City of Orono ,[ �O�O P.O.Box 66 Date Received: '7�2�/�/? Permit# ZU���'� <,G� 2750 Kelley Parkway U Crys[al Bay,MN 55323 Approved By: � Amount$:_�� !G Phone(952)249-4600 Fax(952)249-4616 � � y � F � !9'rESH���G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/l�eat 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 constniction 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 ) � Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs � Replace Job Site/ Owner Information: Site Address: 2050 SHORELINE DRIVE Owner: TOM BROSTROM Mailing Address: 2050 SHORELINE DR city: ORONO z�p; 55091 Home Phone: 763-893-0286 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD State Bond #: MB003503 City: GOLDEN VALLEYZip: 55422 Expiration Date: 08/20/2018 Phone: 763-512-2765 Alternate Phone: � Insurance —Current: Indemnity Insurance Co. Of 1 North America. Policy#WLRC49106257 01/01/2017-01/01/2018 - � ' � Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes x❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: Daikin Model: DX16SA0371 Tons: 3 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 cfrn ❑ No. Bath E�chaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshal!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 - ' � - 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 4800.00 x.0125$ 60.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 4800.00 x.0005 $ 2.40 (conVact price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 64.40 ■ * 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 statements made on this application are complete,true and correct. Applicant's Signature: Date: 04/17/2017 3 � ���r'�''� � TE TIME � CITY OF ORONO CALLED IN " � �_ INSPECTION N E HEDULED �' -- PERMIT NO. COMPLETED ADDRESS -� owN� oN o.9.5�- s�'93 D 2�b CONTRACTOR �� � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB �ECHANICAL R ❑ SITE INSPECTION Q ❑ FRAMING MECHANICA INA ❑ RATED WALLS � ❑ INSULATION WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC IN TALL , Q NTRACTO MEET YES NO � 2 y � MEN Qu � - �s � o �,c�1�.c� . �.., � � ° ,�� — L X�G�i O�''" i r,$,t7Gr+7 e n o�/qG !/y►� OGZrJN P�a,r'S C�,,✓1�/:�,�,.�,,c�/�/J�.^�/i�Ti o+� W / � ����6�' Q � 2 ` � �' .rf a-n y c�i1GG?i'iGc�-� wt�� L✓A.S' G7�nP�.fl„T �8�a.�� W �' / / / �^ / j �c1,v+P� v�'�'A�7'?� ���GTi�.�C/N 1 n 51�C^�r .S'�Al►-O 1� � WOIiK SATISFACTORY:PF�CEED �PROJECT COMPLETE CORRECT WORK 3 PROCEED ISSUE CERTIFICATE OF OCCUPANCY O O COFiRECT W'ORK�LL FOR REtNSPECTION TEMPORARY V BEFORECONERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advanoe. (952) 249-4600 OwnerlCoMractor on site• Inspector: . /�a►✓'/2- �. Whits CopyMspector's Fil� Cenary Cop�rlSit�Notia