HomeMy WebLinkAbout2016 - 01082 - mechanical CITY OF ORONO 1 1 1 1 1 1 111 1 1 11. 1 1 1 1 111 11
*
2750 KELLEY PARKWAY * 20 1 6 0 1 0 2
DATE ISSUED: 09/06/22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 830 WILLOW VIEW DR
PIN : 28-118-23-44-0013
LEGAL DESC : WILLOW VIEW
: LOT 002 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,300.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)DAIKIN FURNACE AND A/C
APPLICANT MECHANICAL 141.25
STATE SURCHARGE MECH(VALUATION) 5.65
CENTERPOINT ENERGY MAIL-IN FEE 2.00
6161 GOLDEN VALLEY RD
BUILDING A TOTAL 148.90
GOLDEN VALLEY,MN 55422- Payment(s)
(763)512-2765 CHECK 20531 148.90
Minnesota State License#:mech-MB003503
OWNER
GREIBER,TAMALA
830 WILLOW VIEW 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 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.
ref / / ��
Applicant ermitee Signature Date Issued it,•ignature Date
RECEIVED
FO CITY USE ONLY
�O� City of Orono / /„ a0 /� 0
WP.O.Box 66 SEP 6 6 2019Date ! 5ePermit# V l�p'V/lJ
2750 Kelley Parkway
Crystal Bay,MN 55323 Approved By: Amount$:
Phone(952)249-4600 FGk S )OEl--ORONO
CITY OF ORONO—MECHANICAL PERMIT
XES I-I (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: 830 WILLOW VIEW DR
Owner: JOHN GREIBER Mailing Address: 830 WILLOW VIEW DR
City: ORONO Zip: 55356
Home Phone: 763-227-9642 Alternate Phone:
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 6161 GOLDEN VALLEY RD,BLDG A State Bond#: MB003503
City: GOLDEN VALLEY Zip: MN Expiration Date: 08/20/2016
Phone: 763-512-2765 Alternate Phone:
OLD REPUBLIC INSURANCE CO.
WORKERS COMP&EMPLOYERS LIABILITY
Insurance—Current: POLICY#WLRCC48597075
POI iCv PER,OD 01/010 MR n1/n1'O17
1
s i
MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes n No
HEATING SYSTEMS
Quantity: 1
Make: DAIKIN
Model: DM96VE1205DN
Fuel: NATURAL GAS
Flue Size:
Input BTUs: 120,000
Output BTUs: 115,600
CFM:
COOLING SYSTEMS
Quantity: 1
Make: DAIKIN
Model: DX16SA0601
Tons: 5
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 cfm
FUEL STORAGE (Must be approved by Fire Marshall ifproposing 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)
$11,300.00 x.0125 $ 141.25
(contract price) (minimum$50.00)
2. STATE SURCHARGE
$11,300.00 x.0005 $ 5.65
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 148.90
• * 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.
r AL 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: A'friAt, `_ Jz,�e.. Date: 08/30/16
3
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7
DATE
TIME
CITY OF ORONO CALLED IN 9°7_, _
`�oh
�I
INSPECTION NOTICE J�('� SCHEDULED f/ lei
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PERMIT NO. ( I(Q 1 J'v COMPLETED
ADDRESS S f &.-) -. ( e'
OWNER TELEPHONE NO. 1 c r-.3- •a i-`74&
CONTRACTOR f CO ir(12.A PDLi.t
DESCRIPTION . 71..X"--------
�` ` /0-: g.Cr-net h ,
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
g ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 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 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J
❑ DEMO-SITE 0 TIC INSTALL
2 OWNER/CONTRACTOR TO MEET YOU: YES_NO
co)• COMMENTS: s-
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Lu0 WORK SATISFACTORY:PROCEED AIROJECT COMPLETE
W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN
INSPECTOR WILL RETURN
ID CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. �3 v L
White Copy/Inspector's File denary CopyISite Notice
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