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Home My WebLink About2017-00324 � � CITY OF ORONO * Z 0 1 7 - 0 0 3 2 4 * 2750 KELLEY PARKWAY DATE ISSUED: 04/05/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2010 SUGARWOOD DR P[N : 34-118-23-21-0007 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 001 PERMiT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT F[NAL INSPECTION. (2)RUUD NATURAL GAS FURNACE (1)RUUD A/C UNIT-2.5 TONS (1)RUUD A/C UNIT-3 TONS APPLICANT MECHANICAL 172.50 STATE SURCHARGE MECH(VALUATION) 6.90 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILDING A TOTAL 181.40 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 20897 181.40 Minnesota State License#: mech-MB003503 OWNER MESHBESHER, RONALD&KIMBERLY 2010 SUGARWOOD DR 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 l80 days of the date of issuance,or if construction is suspended for a period of l80 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. . C - � �� / _ Applicant Permitee Signature Date Issued By ' ature Date �F R ITY USE ONLY City of Orono 1� �O�O P.O.Box 66 ��1v�D Date Receive � Permit#� v3 2750 Kelley YarkwayR, � p Crystal Bay,MN 55323 Approved By: Amount$: � O�� Phone(952)249-4600 ��(�2�2�6�6 y� � � �' � `�kESH��G CI'�'Y OF,�y� ��b--MECHANICAL PERMIT (All Commercial p�{i,s�n4�lb� proved by the Building Official or[nspector and/or Fire Marshall) i - 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 RECEIVE 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/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 wark 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 fmal. 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: 2010 SUGARWOOD DRIVE Owner: KIM MESHBESHER Mailing Address: 2010 SUGARWOOD DR city: ORONO Zip. 55356 Home Phone: 952-4498700 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD State Bond#: MB003503 City: ORONO Zip55356 Expiration Date: 08/20/2018 Phone: 763-512-2765 Alternate Phone: INDEMNITY INSURANCE CO of NORTH AMERICA � IriSUT'ariCe—CUlTerit: POLICY#WLRC49106257 1 COVE RAG E-01/01/17-01/01/18 F L' � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes X❑No HEATING SYSTEMS Quantity: 2 Make: RUUD Model: R802PA100�17MSA Fuel: NATURAL GAS Flue Size: Input BTUs: 100,000 Outpuf BTUs: so,000 CFM: COOLING SYSTEMS Quantity: 1 1 Make: RUUD RUUD Model: RA1330AJ1NA RA1336AJ1NB Tons: 2.5 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 cfin ❑ No. Bath Exhaust(must have duct outside) 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 �. - � . 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) $13800.00 x.0125$ 172.50 (contract price) (minimum 550.00) 2. STATE SURCHARGE $13800.00 x.0005 $ 6.90 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 181.40 ■ * 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: .cQI'f./�L L ��t,��Q-yL Date: 03/29/2017 3 � DATE TIME CffY OF ORONO cnLLED IN � � INSPECTION TICE „ Rr scHEouLED PERMfT NO - �COMPLETED ADINiESS � �NNER TELEPHONE NO. �� 7� CONTRACTOR �� C- .� r 1 I �� DESCRIPTION � � `� � ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dWNERlI'AIfiRACTOR TO MEET YOU:_YES_NO � COMMENT'� � -��'��rnQGP..� r'P�/n � �4�' �✓'Ei � ' o Or.t�:�t.., '� - b r-��- �.�m�!-�fed ��.,� o �—;-� Q — ,s S /� /' ; /^ ? �'��,('��C)� "�' b�-s' d�l�.ei, - � ` .+Q�� 1/J0 r'�' /.1 n�p r].�S /'�N117�I G1 n � �in(i/ /J�/'/hi � i, � WORKSATISFACTORY:PF�CEED JCI PROJECT COMPLETE � � CORRECT WORK�PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY � ❑WRRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE COND�TION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR VYILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 �ontractor on site: �i� Inspector: ��'r � WhiM CuPYAnap�ctor's Flk Canary CopyISIN Notia �� House heatin� tc��t r�c��l RECEIVEC� Celltel'POl►it, Energy �P� 13 20i I CITY OF ORONO Owner �� c11��1��>1`=.c ' Controls Conversion Address' ^, r� (- �e � 1 4 r~- � ! � _�L,� �; J-�'�-��-.Ap�Z Thermostat�Lj;�.��i��, .;Heat p/ug Uent Size � City -- - ,� ,� �p1�1 O Valve ��,�z--��,. \ Kind ofliner/size '��' '1�T:,_ . Heat loss Date htg.inst�-� �,�\ \ � Limit ��'�� Draft hood',,.`,�;�•:' Regulator �j,?L, Soldbv CenterPointEnergy Limitsetting ��`� Filters:SizEr}.��T�)`j��'i(Vumber � ;�3: :� Installed by CenterPoint Energy Fan seiting '�, •�s�l � Chimney locations: �.(nside�I�ritside Electrical work bv CenterPoint Energy Pilot type �� .�� Chimney construction '�--�-j�� j'k----_ Heat typ�jQ FA �Space heater Piloi make Wiring � � Test ta�-! 6as line by (, �� Pilot mode/ Lighting Inst�'� Date tested��•�� Unit heater Other Pilot timing ��C (��::>, L Companv test�n4 CenterPoint Enerav Pressure:Hi fire/Lo fire �' , ��' � �' � Gas design ��`� �•,, � o,._,rester's name ��` \,�- . � ' �� Percent COz l�, �;� �.-� Make�\�1� `s,�� , Mode/��`� ��`�\�:�,�� _ �� Serial no. ��C`� ��4,�. ��'��, Input CFH \C�:. Percent 02�'\ ,� >�` � Stack temp " �1�� Percent CO ` ��;"'ll Input 1 �y'l.• ��.�t„- —•� a CNP 235(11-2008) �' ~ CenterPoint House heating test record �RECEIVEC�� Energy 1j�� :� l�k�: � � Owner��C.`��C�,��C�� ' t CITY OF ORONO � � �k - Controls Conversion � _ �ZrC��, �, '. Address��y\� C�,,k��(;Z�(�Y,�pt\�Z, rhermostat `�--��`�j..�;Meat plug Vent Size � J City �` . J� N�. Oro�v Valve \��; t�-;.i�.- _ �l Kindofliner/size �,' V>_._ 1 � Heat loss Date htg. insti'-�. ,� 1,1 ) � Limit � ,��,;, Drafthood`� .`� . t, Regulator�i�l'� Soldby CenterPoint Energy Limitseiting � �L►�� Filters:Size,�t,��`>xl�Number � �� - �. � Installed by CenterPoint Energy Fan setting "�� ; �'�-��; Chimney locations: �Inside �Outside E/ectrica/workby CenterPoint Energy Pilotrype �-`��_. Chimneyconstruction `�J.�'�'� � ��-- Heat type Q.FA Q Space heater Pilot make Wiring �, Test tag L Gas line by C �1� Pilot model Lighting Inst j Date tested`�� Unit heater Other Pilot timing � �,+ c' �:C� >-�: Companv tesrinq CenterPoint Energy Gas design Pressure:Hi fire/Lo fire`� ;��'�,.. 1 L-�", Tester's name `J� �G�� 1 � �. � Percenr Oz � ,�' Make\�� , �� ,�� ModeA��\ ��(,��]��(�� ( ��C �� ( _ Input CFH ��C� Percent Oz 1 � � r Serial no. ��,C T-�!�[, e," � �C` . ,: � �j�; Stack remp �j.�`� Percent CO '��',��,� Input � Cj`' ►L� CNP 235(11-2008)