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Home My WebLink About2017-01333 - heating systems t CITY OF ORONO 2750 KELLEY PARKWAY * 2 17 - 01 3 DAT0 E ISSUED: 10/11 7/22 017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1350 VINE PL PIN : 07-117-23-42-0030 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 017 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)DAIKIN NATURAL GAS HEATING SYSTEM APPLICANT MECHANICAL 50.00 CENTERPOINT ENERGY STATE SURCHARGE MECH(VALUATION) 1.25 6161 GOLDEN VALLEY RD MAIL-IN FEE 2.00 BUILDING A TOTAL 53.25 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 21252 53.25 Minnesota State License#:meth-MB003503 OWNER CHERBA,RICHARD 1340 VINE PL MOUND,MN 55364- 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 61d,z jn'�d ) /0 / 17/ / 7. Applicant Pormitee Signature XDate Issued By&nature Date O C TY USE ONLY �O�r City of Orono 1 /7_ 1 VO P.O.Box 66 Date Receive :/ / Permit# / / ✓ � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: _ Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT F.F C E IV E`�" kfSH�Q' (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION .� ` 1. You may apply for mechanical permits by mail or in person at the City offices. ApplicatioQWIlOF ORONO 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 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. TYPE OF PERMIT Check All That Apply) ®Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑New ❑Additional ❑Repairs ®Replace Job Site/Owner Information:' Site Address: 1350 VINE PLACE Owner: JOHN CHERBA Mailing Address: 1350 VINE PLACE City: ORONO Zip: 55364 Home Phone: 612-269-9555 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD State Bond#: MB003503 city. GOLDEN VALLEY Zip: MN Expiration Date: 08/20/2018 Phone: 763-512-2765 Alternate Phone: 0 Insurance—Current: OLD REPUBLIC INSURANCE CO. 1 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 ®No HEATING SYSTEMS Quantity: 1 Make: DAI KI N Model: DC96HS0603BN Fuel: NATURAL GAS Flue Size: Input BTUs: 60,000 Output BTUs: 57,600 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 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 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$50.00) 2500.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 2500.00 _x.0005 $ 1 25 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.25 ■ * 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: 10/10/2017 3 CenterPoint House heating test record -Energy � / NOV U 6 i:'U r i Owner �t er�`� Controls _ CMIDOiiie 06NO Address3 5 d V t (rr� P�, Apt Thermostat T — / Heat plug Vent Size a "p V / City / r—O r o Valve �-/—, ` Kind of liner/size /— Heat loss --- Date htg.inst IO-(`j —) 7 Limit ry( Draft hood T7W/5 Regulator Soldby CenterPoint Energy Limit setting ! 6� Filters:Size i6< (Number Installed by CenterPoint Energy Fan setting Chimney locations. (2)Inside 0 Outside Electrical work by CenterPoint Energy Pilot type Chimney construction f0L L Heat type Z FA O Space heater Pilot make Wiring Test tag Gas line by r--- Pilot model Lighting Inst Date tested/6—e,5"— 7 Unit heater --other Pilot timing Company testing Cent rPoint Energy Gas design Pressure:Hi fire/Lo fire �• .S � 5� Tester's name 6—FJ 3 Z3 Make �� Model llC-76 Ej S 060 Percent CO2 eP Q Input CFH Percent 02 g Serial no. /�O /01 l O 5 C�/ � Input 6 e.,o 0 Stack temp V .7 Percent CO CNP 235(11-2008)