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Home My WebLink About2016-01571 - replace heating system � CITY OF ORONO * 2 0 1 6 — 0 1 5 7 1 * . 2750 KELLEY PARKWAY DATE [SSUED: 12/27/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 930 DAKOTA AVE PIN : 26-118-23-33-0024 LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE : LOT 009 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEAT[NG SYSTEMS VALUATION : $ 3,000.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FfNAL INSPECTION. REPLACE HEAT[NG SYSTEM(RUUD) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.50 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILD[NG A TOTAL 53.50 GOLDEN VALLEY, MN 55422- Payment(s) (763)512-2765 CHECK 20742 53.50 Minnesota State License#:mech-MB003503 OWNER ODEAN ET AL,THOMAS 930 DAKOTA AVE 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 approva►s,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. �,i� , > � � ��'��C'tf ��c � � � i `�r ��`_ _�� ,, f �_ c � (� �-� I . � �� i � /(� Applicant Permitee Signature Date Issued By Signature Date 4 �� rox ciTv USF orri�v City of Orono � L � �� - �� P.O.Box 66 Date Received: �� 7��ermit# �� 2750 Kelley Parkway �C'- �> Crystal Bay,MN 55323 Approved By: _�2� Amount$: �5� Phone(952)249-4600 l�ax(952)249-4616 -� >, y � F � �qkE o�F�' CITY OF ORONO—MECHANICAL PERIVIIT 5 H (All Commercial permits must be approved by the Building Official or Inspector and/or I�ire Marshall) GENERAL INFORMATION l. 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 UN'['IL 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 1 ) � Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: g30 DAKOTA AVE Owner: THOMAS O'DEAN Mailing Address: 930 DAKOTA AVE City: ORONO Z�p: 55356 Home Phone: 952-513-8879 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN ACICICeSS: 6161 GOLDEN VALLEY RD,BLDG A State �Orid #: M8003503 Clty: GOLDEN VALLEY Zjp; MN Expiration Date: oaizoi2o�s P}lOrie: 763-512-2765 Alternate Phone: OLD REPUBLIC INSURANCE CO. ❑ WORKERS COMP&EMPLOYERS LIABILITY InSuranCe—L''urrent. POLICY#WLRCC48597075 oni irv oGoinn_n�in�nn�a_n�imnp�7 1 / T ` � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes � No HEA'CING SYSTEMS Quantity: _ � Make: RUUD Model: R801 PA075-317MSA Fuel: NATURAL GAS Flue Size: Input BTUs: 75,000 Output BTUs: 60,000 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 ❑ 1�'a 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: CAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 ; . PERMIT FEE CALCULATIONS l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 3000. x .0125 $ 50.00 (contract price) (minimum$�0.00) 2. STATE SURCHARGE _ 3000. x .0005 $ 1_50 (contract price) 3. POSTAGE&HANDL[NG (Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.50 ■ * 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 ar contract price for permit fee purposes. Jn 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 tha 11 statements made on this application are complete,true and correct. ! /Z�Z/� Applicant's Signature: Date: �� 3 _.f� � � �'�� . DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � PERMR NO..��:l�. �'C l S 1� COMPLETED ADDRESS ��'��r'=��'��x � %`�l�f ;�'// `F-__. OWNER �Z�/�1 L - � TELEPHONE NO. �J��_S/.� ��7� CONTRACTOR �� f-C "�-�� `' DESCRIPTION ! ti� `_ .T/�-�'�• �_ C t i ��Gt �S' 4�j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ f�Nf�-SITE ❑ S��TIC INSTALL ? OW�IENCONfTiiACTOR TO MEEf YOU:�YES_NO � COMMENTS: ` , � CD w6�j�,� '�Ib n, a �r � /'o v /f_'��1 oj/ f a �T l�JT C t� `O U vc✓�' � �. ¢ ° �,c�a t � (�j�►�t�rJl� �� a-/✓,��a /5 �3,� W � Q � W � " j /�G/ I�'L�L` //I��GO �� ❑WORK SATISFACTORY:PROCEED %�,OJECT COMPLETE W ❑CORRECT WORK 3 PROCEEO ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WIIL RETURN ❑STOP OROER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call br the next inspection 2a hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector:_� �T� � � White CopyAnspactor'a Ffle Cmary CopylSite Notke t � ,... - �� DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED C�' ' ___��"� PERMIT NO.��- (i;;` � � r' 1/ COMPLETED ADDRESS �, '� �,. � � , -� -, ,�, OWNER C � TELEPHONE NO.�'"?S7��d 2' CONTRACTOR � �� t �' c�-=� �-t-r�-4'i_�r, �6�f �e'7 ��c � DESCRIPTION � I l-Z�� ( �� (�C' �.� � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ jNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v '�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � �❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YiO�YES_NO p - � ' ' � �"�'�-r-- =� <j � COMMENTS: ;�;`�1�1 t � "' ��i i� :� _ �l _� � �"��7 � � bia - 9�8 -�s� � �� u�,�,�� Q� ��,� � �pr. � � �L/l�,�E'<< 1 rt�� /I'ti c5/�i(� / l�� °� /?a�V��L �i't{� Qs f I.Jf,�c v ��ir . Q 2 - La �/�� Lol�t�bc dp6 s•�� 7�s v�•� r�C, 1? P �� j r O ts�S��C Lb/+✓/e$��O� .6c r � -G�/��✓/J o o.�t L ?�3r G.�. ""� �o,.1��c� � t� I'O n O +- , � �VMORKSATISFACTORY:PROCEED �G��,�5 O PRWECTCOMPLEfE W ❑CORRECT NfORK 3 PROCEED jR f /�� ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑WRRECT WORK,CALL FOR REINSPEC ION�/2�sfiL��'��_TEMPORARY V BEFORE COWERING �/�� /�'ij t-f yL�pERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: ' •-� ��►�•-"�. ._.._ ; � Whits CopyAnspeetor's File Cenary CopylSite Notfcs House heating test record RECEIVED CenterPoint. Energy JAN 10 �i�a,` Owner`T�t-tip�/lp;� �1`1 Controls CITY OF OR�IOersion Address R�C.i i�. C�',�.�-� Thermostat �� Heat plug Vent Size � City (")��Ej l/alve (�� Kind ofliner/size [\p`� 1�y�U�r"V� Heai loss Date htg.inst�Z�i�Z(j f(p Limit Draft hood Regulator Soldbv CenterPoint Energy Limitsetting �(.1� Filters:Size�(,t�-S � Number � Installed bv CenterPoint Energy Fan setting Chimney locations: ($�Inside Q Outside Electrical work bv CenterPoint Energy Pilot type � � Chimney construction �r��riv� Heat type �'FA Q Space heaier Pilot make Wiring X Test tag �C Gas line by CQ� Pilot model Lighting Inst y- Date tes[ed("L/��/�� Unit heater Other Pilot timing com,oanv tesnna CenterPoint Energy Gas design Pressure:Hi fire/Lo fire 3-S Tester'sname �Jd� � �7� �, � Percent COz � j, Make ��-t�v� ModeIR.BG�Pi� -�� C-�,� �� Serial no. -�W�}Z I�p ll2�'� Input CFH��(� Percent Oz �1�� Input �"�� D�� Siack temp'�.,�,� Percent CO`j� CNP 235(11-2008)