HomeMy WebLinkAbout2018-00251 - mechanical � . .
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CITY OF ORONO * z 0 1 e - 0 0 z 5 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/07/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2012 SUGARWOOD DR
PIN : 34-118-23-21-0008
LEGAL DESC : SUGAR WOODS
: LOT 006 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 14,100.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)DAIKIN HEATING SYSTEMS
(2)DAIKIN COOLING SYSTEMS
APPLICANT MECHANICAL 176.25
STATE SURCHARGE MECH(VALUATION) 7.05
CENTERPOINT ENERGY MAIL-IN FEE 2.00
6161 GOLDEN VALLEY RD
BUILDING A TOTAL 185.30
GOLDEN VALLEY,MN 55422- Payment(s)
(763)512-2765 CHECK 21491 185.30
Minnesota State License#:mech-MB003503
OWNER
NYGAARD,MARK
2012 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 dces
not grant permission for additional or related work which requires sepazate
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 aze
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 By a ure Date
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' FOR CITY USE ONLI� � �
�OA?O City of Orono � � � �u� ,
<y P.O.Box 66 Date Rece�Yed � $ �'emut#� �� �rs �vE�
2750 Kelley Parkway � � �'�" ��'` '� "
Crystal Bay,MN 55323 ApprovedBy �' Amount$ '' � ` �7�1�
Phone(952)249-4600 Fax(952)249-4616 ` � -�� - ' �'
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`� �.� CITY OF ORONO—MECHANICAL PERMITCITY OF ORONO
t�'�ESHO�' (All Commercial permits must be approved by the Building Official or Inspector and/or Fue Mazshall)
.GEN�R�Is�'ORMA`TION, P. , � r, a� �
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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. PERNIITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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.
�'`� � �� k � TYPE OF PER�VIIT - �,
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❑x Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB]
❑New ❑Additional ❑Repairs �Replace
�ob.��S�te l Owner�Inform�tion,�� ., �
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Site Address: 2012 SUGARWOOD DR
Owner: MARK NYGAARD Mailing Address: 2012 SUGARWOOD DR
City: ORONO Zlp; 55356
Home Phone: 952-239-8226 Alternate Phone:
Coritract�ir Inforination
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 6161 GOLDEN VALLEY RD State Bond#: MB003503
City: GOLDEN VALLEY Zlp: MN Expiration Date: 08/20/2018
Phone: 763-512-2765 Alternate Phone:
Q 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 0 No
HEATING SYSTEMS
Quantity: 2
Make: DAIKIN
Model: DM96VC0803BN
Fuel: NATURAL GAS
Flue Size:
Input BTUs: 80000
Output BTUs: 76800
CFM:
COOLING SYSTEMS
Quantity: 1 1
Make: DAIKIN DAIKIN
Model: DX13SA0301 DX13SA0361
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ 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:
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1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00)
14,100.00 x.0125 $ 176.25
(contract price) (minimum$50.00)
2. STATESURCHARGE
14,100.00 x.0005 $ 7.05
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 185.30
■ * 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 mazket 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: 02/28/2018
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