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Home My WebLink About2017 - 00671 - mechanical 111 11111111111 1111111111111111111111 CITY OF ORONO * 20 1 7 - 0 P1 6 7 1 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2017 ORONO,MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 85 WEAR LA N PIN : 33-118-23-34-0005 LEGAL DESC : ROLLING MEADOWS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 5,200.00 NOTE: (1)DAIKIN COOLING SYSTEM-4 TONS APPLICANT MECHANICAL 65.00 STATE SURCHARGE MECH(VALUATION) 2.60 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILDING A TOTAL 69.60 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 21009 69.60 Minnesota State License#:mech-MB003503 OWNER SIEVERT, MICHEAL&GAYLE 85 WEAR LA N 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 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. ROa- 'e ct, / D 1 I7 Applicant Permitee Signature Date Issued BS gnature Date I c �- FOR CITY USE ONLY O�T City of Orono WP.O.Box 66 RECEIVED Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 553 qq n(� (�� Approved By: Amount$: Phone(952)249-46Q 1(99L)L2�t� 616 CLARK)—MECHANICAL PERMIT (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. 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 Designs—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: 85 WEAR LANE N Owner: MICHAEL SIEVERT Mailing Address: 85 WEAR LA NO City: LONG LAKE, MN Zip: 55356 Home Phone: 952-473-4433 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD State Bond#: MB003503 City: GOLDEN VALLEYZip55422 Expiration Date: 08/21/2018 Phone: 763-512-2765 Alternate Phone: OLD REPUBLIC INSURANCE CO X I WRLC49106257 Insurance—Current: 01/01/2017-01/01/2018 1 • 1 MECHANICAL SYSTEMS'-BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes g No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: 1 Make: DAI KI N Model: DX16SA048 Tons: 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 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 .. , . . PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 5200.00 x.0125 $ 65.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 5200.00 x.0005 $ 2.60 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 69.60 • * 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. CHANICAL PERMIT APPLICATION AGREEMENT 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: 260-,4frui. ,� �n; � Date: 06/12/2017 3 0E))) DATE TIME CITY OF ORONO CALLED IN _ �� ---�'-_— INSPECTION II99TI(: `ly,( -7 r SCHEDULED PERMIT NO.d�I Ill! l COMPLETED ADDRESS Oar \a'-. NJ • OWNER TELEPHONE NO.�� - ` i- CONTRACTOR 0-5‘.\-Ser-QX 5'\S, L r H DESCRIPTION Pr-C_ W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • 0 INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT Q FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:—YES_NO 2 COMMENTS: '/G ie,D Iw(2/1cc l% W Q CC o , e`GGere .,•C fe C.434ocee•� Ct b ,,H,e-v^-1avoc-1 ,9c act 1,K . 5_ _ 0 Ddolrit?d — 4.1 /" CC Q 2 — < (2)1i — 41W CC pl Nt-L` cid/(44d W ❑WORK SATISFACTORY:PROCEED ) PROJECT COMPLETE CCW Li CORRECT WORK&PROCEED ❑115SUE CERTIFICATE OF OCCUPANCY 0 LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. /nom $7 Whi Copy/Inspector's File Canary Copy/Site Notice