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Home My WebLink About2016-00385 - mechanical .�� CITY OF ORONO * 2 0 1 6 - 0 0 3 8 5 * 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 755 DICKEY LAKE DR PIN : 34-118-23-22-0009 LEGAL DESC : RINGERSWOOD : LOT 005 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,200.00 NOTE: REPLACE: 1 HEATING SYSTEM(RUUD)& 1 COOLING SYSTEM(RUUD) APPLICANT MECHANICAL 102.50 STATE SURCHARGE MECH(VALUATION) 4.10 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILDING A TOTAL 108.60 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 20221 108.60 Minnesota State License#:mech-MB003503 O W NER ESAU,TERRANCE&MARY 755 DICKEY LAKE 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 1 SO days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer 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�-i � � �� :�o � l'��-� �- y � r �� 1 � i V �,. Applicant Permitee Signature Date Issued By Signature Date 4 � FOR CITY USE ONLY City of Orono �O�O P.O.Box 66 Date Received: �/�� lpPermit# z(?z(>�(c 3 ��j 2750 Kelley Parkway ��/� � Crystal Bay,MN 55323 Approved By: "Y� Amount$:� U Phone(952)249-4600 Fax(952)249-4616 � � ti � F � t9k£SH��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building OfYicial or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 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 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 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 A l ) x❑ Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �55 DICKEY LAKE DRIVE Owner: TERRY ESAU Mailing Address: 755 DICKEY LAKE DR Clty: ORONO Zjp; 55356 Home Phone: 952-457-4853 Alternate Phone: 952-457-4858 Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD, BLDG A State Bond #: MB003503 City: GOLDEN VALLEY Z�p; 55422 Expiration Date: osi2o�2o�s Phone: 763-512-2765 Alternate Phone: �X II1SUPaI1Ce—CUCC211t: Old Republic insurance Co. yer i i i y 1 Policy#WLRCC48597075 Policy Period-01/01/2016-01/01/20�7 � . MECHANICAL SYSTEMS BEING INSTALLED 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: Ruu� MOde�: R95TA070-1317MSA Fl1eI: NATURAL GAS Flue Size: Input BTUs: �o,000 �UtpUt BTUS: 66,500 CFM: COOLING SYSTEMS Quantity: � Make: Ruu� NfOde�: RA1630AJ1NB 7'Ol]S: 2 1/2 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 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) 8200.00 x.0125 $ 102.50 (contract price) (minimum�50.00) 2. STATE SURCHARGE 8200.00 x .0005 $ 4.10 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. T'OTAL PERMIT FEE(Add Lines 1-3 Above) $ 108.60 ■ * 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. MECHANICAL 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: �d,cQ�L�L ��e¢yL Date: 04/11/2016 3 �� 5e-� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ��c PERMIT NO. �l%'lLn`(�2 3�� COMPLETED ADDRESS � � � � i C IC.� �I � iL � � OWNER TELEPHONE NO. ��'-3_S/Z��Z7� CONTRACTOR C e n�C-r �f �C':�a"q " � � � � �� J � DESCRIPTION � I �a I � �� Q �� l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SkAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS �IL -SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J MO- ITE ❑ S PTIC INSTALL 2 NERf�6NTFiACTOR TO M�U:�YES_NO y MMENTS: � �- . a 1�U✓Yl � �' I• ' � `� ` � o - ��C�� Vsrc� " ,de� vY�4rta •c��f�s - � �'�rn Lj�t �'�i.s�., 4�r b r�li I 6Os/9 O � W Q ��r� - �l�r«� r��r��a��— � z � u/c�lL Co v��-�c - � � ,�x r�� t�� , - W ❑WORK SATISFACTORY:PROCEED �[iOJECT COMPLEfE � ❑COHRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS_ Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector: � White Copylinspector's Ffle Canary CopylSite Notice . � CenterPoint, Holicc� h��tln� tc�t rec��c� - � ; E'�'l3 Ener gy � �J �� ,,_ _ ,�_ _ � � . � � � ��6 �� :]Ty�F �I Owner � �Cp Controls �{ (N, OR�C3�ersion `� � Address �S ,� � , Apt rhermostat.�� Neatplug UentSize p2 �� City /' Ua/ve � � • Kind of liner/size �— Heat loss Date htg. inst Y—�Y"l� Limit '�x Draft hood �'�.1 p Regulator Soldbv CenterPoint Energy Limitsetting � Filters:Size/�2�c YNumber � Installed bv CenterPoint Energy Fan setting l��.( Chimney loca[ions: (�l� �Outside Electrical workbv CenterPoint Energy Pilottype ��iC✓� Chimneyconstruction �!� � Heat type FA Q Space heater Piloi make --� Wiring .� Test tag � Gas line by � Pilot model —_ Lighting InsT �6ate tested �(— ��'�� _ Unitheater Other �_ Pilot timing CompanV testin Ce rPoint Ener Gas design Pressure:Hi fire/Lo-fire � S Tester's name �,� �/�--��,�Z�� Make �N�� Model �g S��/7d Percent CO2 . � Input CFH �� Percent 02 !�� Serial no.li(/.� 3 � S� 9� � 7 `_ � � ao, � _ � ��5 Input 70 �G d Stack temp�� Percent CO �p�� CNP 235(11-2008)