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Home My WebLink About2017-00160 - mechanical � CITY OF ORONO * z 0 1 7 - 0 0 1 6 0 * 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2995 DEER RUN TR PIN : 04-117-23-23-0030 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 000 BLOCK 000 PERM[T TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIV TYPE : MECHANICAL-MULTIPLE VALUATION : $ 9,100.00 NOTF,: ALL TESTING REPORTS SIiALL BE ON SITE AT FINAL INSPECTION. (1)DAIKIN FURNACE AND(I)DAIKIN A/C APPLICANT MECHANICAL 113.75 STATE SURCHARGE MECH(VALUATION) 4.55 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILDING A TOTAL 120.30 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 20839 120.30 Minnesota State License#: mech-MB003503 OWNER LEISCHOW, KELLY 2995 DEER RUN TR LONG LAKE, MN 55356- AGREEMENT AIYD SWORIY 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 bc compied with whether or not specified herein.This permit will expirc and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period oY l80 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��) _ �" ��/] Applicant Permitee Signa e Date Issued Signature Date � � ' �l' C 'Y USG ONLY �� O� City of Orono o � Q�O/ � O P.O.Box 66 Date Receive : Permit# _� ��D 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$:��-� Phone(952)249-4600 P ax(952)249-4616 �� y � � F�q'�ES H�4'�,�' CITY OF ORONO—MECHANICAL PERMIT C�OF ORONp (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 BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calculations,details and specifrcations 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,rnanufactu�er and model. Data shall be pre�ented 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 ly) � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 2995 DEER RUN TRAIL Owner: DEAN LIESCHOW Mailing Address: 2995 DEER RUN TR City: LONG LAKE Zlp: 55356 Home Phone: 612-810-7003 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 6161 GOLDEN VALLEY RD State Bond #: MB003503 City: GOLDEN VALLEYZip: MN Expiration Date: 08/20/2017 Phone: 763-512-2765 Alternate Phone: � II1SUr2I1Ce—CU1TeIlt: ��ynFMNITY INSIIRANCF Cn nF NORTH AMERICA 1 WLRC49106257 01I01/2017 TO 01/01/2018 1 � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes x❑No HEATING SYSTEMS Quantity: � Make: DAIKIN Model: DM96VE1004CN Fuel: NATURAL GAS Flue Size: Input BTUs: 100,000 Output BTUs: 96,000 CFM: COOLING SYSTEMS Quantity: � Make: DAIKIN Model: DX13SA611 Tons: 5 H. Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ 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 ❑ Undergound ❑ 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$50.00) 9100.00 x.0125$ 113.75 (contract price) (minimum$50.00) 2. STATE SURCHARGE 9100.00 x.0005 $ 4.55 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 120.30 ■ * 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 parly, 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: 02/09/2017 3 CenterPoint House heating test record Energy Owner�9•n �C�. `t��4Ui Controls �� Conversion � 3�' Address �,� �,�,c(Z`yQ�'�C�;1 7hermostat Heat plug Vent Size City � ^ �-- n �✓v�o Ualve �� ,,�,�,`;` Kindofliner/size �.I�e^ Heat loss Date hig. inst�^� '�r0 � `'1 Limit '�1� Draft hood�C1�1 � Regulator�� Soldbv CenterPoint Energy Limitsetting ��U Filters:Size(�K�C� ^ Number � Installed bv CenterPoint EnergX Fan setting �'� �� Chimney locations: �Inside Q Outside E/ectrical work bv CenterPoint Energy Pilot type \a �, Chimney construction ��--- Heat type �A �Space heater Pilot make Wiring ��• Test tag� Gas line by (�� Pilot model Lighting Inst L� Date tested 2'��1�� Unit heater Other Pilot timing � 15�.C.�r�g(�'� L Companv resrin4 CenterPoint Energy � � Gas design Pressure:Hi fire/Lo fire _��,';R i,�� rester's name��q,,��.,u�7'�� 0 Make�-,'�,(\ Mod��l��p��1'�}Pe�r_cQntd,I'Oz ��l O E-t _ 1 �� 1� �� S e ri a/no. L D'� In putCFH��'� Percent 0� ,'l I� � ��`t�v�� +� � r_ p �O � Q� � Stack temp l �� Percent CO �lJ�� In ut �CB 2 � �� . C C�N�F�R0�235(11-2008)