HomeMy WebLinkAbout2017-00291 - mechanical , _,+ CITY OF ORONO * 2 0 1 7 - 0 0 2 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3025 CASCO POINT RD
PIN : 20-117-23-34-0002
LEGAL DESC :, REG. LAND SURVEY NO.0394
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : HEATING SYSTEMS
VALUATION : $ 4,200.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(1)DAIKIN NATURAL GAS FURNACE
120,00a INPUT BTU'S
96,000 OUTPUT BTU'S
APPLICANT MECHANICAL 52.50
STATE SURCHARGE MECH(VALUATION) 2.10
CENTERPOINT ENERGY MAIL-IN FEE 2.00
6161 GOLDEN VALLEY RD
BUILDING A TOTAL 56.60
GOLDEN VALLEY,MN 55422- Payment(s)
(763)512-2765 CHECK 20884 56.60
Minnesota State License#:mech-MB003503
OWNER
STANDA,SCOTT&IRENE
3025 CASCO POINT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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.
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Applicant Permitee Signature Date Issued B i�ature Date
. ,
O USE ONLY ^
�O� City of Orono RECEI�iE �� ��jn i�� ���
O P.O.Box 66 ate Receiv Permit# Ti�i
2750 Kelley Pazkway
Crystal Bay,MV 55323 � �� �Q'� Approved By: Amount$:
Phone(952)249-4600 Fax 2 6
�`�� �.�'� CITY��PHA�ECHANICAL PERMIT
'�ESHO� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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 Desiens—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 Al�That A 1
�Residential ❑Commercial(Approval Required) [Backflow Device: �AVB ❑PVB]
❑New ❑Additional ❑Repairs �Replace
Job SiteJ Owner Information:
;
Site Address: 3025 CASCO POINT ROAD
Owner: �RENE STANDA Mailing Address: 3025 CASCO POINT ROAD
City: WAYZATA Zip. 55391
Home Phone: Alternate Phone:
Contractor Information: �
; ,
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 6161 GOLDEN VALLEY RD BLDGg�ate Bond#: M6003503
City: GOLDEN VALLEY Zlp: 55422 Expiration Date: 8/20/2017
Phone: 763-512-2765 Alternate Phone:
� Insurance—Current: �m�-�e-rnn�� �,�Cp
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Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes �No
HEATING SYSTEMS
Quantity: �
Make: DAIKIN
Model: DM96HS120
Fuel: NAT GAS
Flue Size:
Input BTLTs: 120000
Output BTUs: 96000
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
❑ Gas Factory Firepiace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
❑ No. Bath Eachaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in place.)
❑ Installation ❑ Removal
Fue]Oil: gallons ❑ Underground ❑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$50.00)
4200.00 x.0125$ 52.50
(contract price) (minimum$50.00)
2. STATE SURCHARGE
4200.00 x.0005 $ 2.10
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 56.60
■ * 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.
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: %�2Ct.�c� .c92�t�t� Date: 3/21/2017
3
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DATE TIME
CITY OF ORONO CALLED IN — �
INSPECTION OTICE SCHEDULED —� � � -�•�
PERMR NO. D � COMPLETED
ADDRESS '
OWNER � TELEP�iO�NO. �>��' ��l�U�,�
CONTRACTOR � ��� `��-�— �
�� DESCRIPTION
❑ 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
i� AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OMINENCOI�fTMCTOR TO MEET Y�U:_YES_NO
� COMMENTS:
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� ❑WORK SATiSFACTORY`.PROCEED ��N �glJ ECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFlCATE OF OCCUPANCY
0 �CORRECT NfORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERINQ PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑5TOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site;
Inspector. �,
White CcPYAnspector's File C�nary CoPyISIM Noties