HomeMy WebLinkAbout2017-00286 - mechanical ' ' ' CITY OF ORONO
* 2017 - PJPJ286 *
� 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017
j ORONO, MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3070 FARVIEW LA
PIN : 04-117-23-34-0013
LEGAL DESC : FARVIEW
: LOT 003 BLOCK 002
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 11,000.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
(2)DAIKIN NATURAL GAS FURNACES
(1)DAIKIN A/C UNIT
APPLICANT MECHANICAL 137.50
STATE SURCHARGE MECH(VALUATION) 5.50
CENTERPOiNT ENERGY MAIL-IN FEE 2.00
6161 GOLDEN VALLEY RD
BUILDING A TOTAL 145.00
GOLDEN VALLEY, MN 55422- Payment(s)
(763)512-2765 CHECK 20885 145.00
Minnesota State License#: mech-MB003503
OWNER
AMES&JUANJUAN WU, TODD
3070 FARVIEW LA
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[he work described and does
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 cons[ruction 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 [ssued By S' ture Date
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RECE��E R CI l USE ONLY
City of Orono f / /�f �C��
�-O�O P.O.Box 66 Date Receiv �/ / Permit#��`f
2750 Kelley Parkway � �U'�'
Crystal Bay,MN 55323 MAR 2 Approved By: Amount$: � .
Phone(952)249-4600 Fax(952)249-4616
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�qkFSH��E�' CITY ORONO—MECHANICAL PERMIT
(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 RECENE 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 nrovided.
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: 0 AVB ❑PVB]
❑ New ❑ Additional ❑ Repairs �Replace
Job Site/Owner Information:
Site Address: 3070 FARVIEW LANE
Owner: TODD AMES Mailing Address: 3070 FARVIEW LANE
City: LONG LAKE Z�p: 55356
Home Phone: 612-868-4084 Alternate Phone:
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 6161 GOLDEN VALLEY RD BLDG�ate Bond #: MB003503
City: GOLDEN VALLEY ZIp. 55422 Expiration Date: 8/20/2017
Phone: 763-512-2765 Alternate Phone:
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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: 1 1
Make: DAIKIN DAIKIN
Model: DM96HS060 DM97MC080
Fuel: NAT GAS NAT GAS
Flue Size:
Input BTUs: 60000 80000
Output BTUs: 96000 ��noo
CFM:
COOLING SYSTEMS
Quantity: 1
Make: DAI KI N
Model: DX16SA0421
Tons: 3.5
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) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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
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1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
11,000 x.0125$ 137.50
(conVact price) (minimum$50.00)
2. STATE SURCHARGE
11,000 x.0005 $ 5 50
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 145.00
■ * 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: %��Cl-Si� .c92it¢�t� Date: 3/21/2017
3
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House heating test record CenterPoint,
R�c������ Ener9Y
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owner�y �'C, (,� � C'�1Q,_`� Controls `(;J�!pgop,�pjQQ
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Address'�j 7''�� �:=�1_����v.:A�!y Thermostat(_��t �:� � Heatplug UentSize ', �
City �i-.'Ci,l U Ualve '����:`��l�v:, 1�`.,��. Kind of liner/size L.� ' � ;.y:��ti„�•;��,-.,� ;�;�
Heat loss Date htg. inst 7,\,�� �,`, ; Limit `�\' , /<� � Draft hood�. �<��,:� � c Regulator �; ;•
Sold bv CenterPoint Energy Limit setting `,"1�� Filters:Size,\; �j.i !� Number
Installed by CenterPoint Energy Fan setting �.,� ,, :,�_�, Chimney locations: �Inside �Outside
Electricalworkbv CenterPoint Energy Pilottype '�-._'_,:� Chimneyconstruction �`v: t ''� � -'',.
Heat type {�FA Q Space heater Pilot make Wiring �, - rest ta�... -.
Gas line by �,�' � Pilot mode/ Lighting Inst`L __ Date tested � `• ,j ' ,`�� )
Unii heater Other Pilot timing c2�.��i; ;,�:\��_
Companv testinQ CenterPoint Energy
Pressure:Hi fire Lo fire �
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Gas design � �,^r' "z-- `' �-�� Tester's name , ;� � `,'. � � ;
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Make�} '� ��_a` l Model\��'l��� }�'�_�~��ercent COz -..) , , �
Seria/no. �� �` C, �' '�v'�i Input CfH ��...; Percent 02 l . •��
��C �i�-��-l_—���_� �
Input �tj�.�,( i i; .� Stack temp ��� Percent COr`'�\ ,� '' �'�
CNP 235(11-2008)
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House heating test record RECE��E� C�CenterPoint.
Energy
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Owner �V�� �r�'J Controls C�T1����NO
AddresS'��;�'G ��� �`,1��.�, . �,,4pi L � Thermostat���,�;, r�, ; fieat plug Uent Size ����
City `�`. � �. ; �`,, Valve \-�•;�z -� �,,,ti'•.' Kindofliner/size �--;�' '��vrll,r..:-.
Heat loss Date htg. ins[� �� �� j Limit � �-.��:c ci Draft hood�,'\�.-u_;, Regulator�`y'`?
Soldby CenterPoint Energy Limitsetting � � ;� Filters:Size ��� r ��j;`�Number�
Installed by CenterPoint Energy Fan setting � ;��--�,.i Chimney locations: �Inside Q Outside
Electrical workbv CenterPoint Energy Pilot iype \�•_1.7� Chimneyconstruction�� ,�l ;`�;,c
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Heat type Q FA Q Space heater Pilot make Wiring i__-- Test tag �
Gas line by ( ;��_; Pilot model Lighting Inst �"��� Date tested�'�r�,�j( l�
Unit heater Other Pilot timing C,� lu,� .>;,-;; ,,,� Companv resrin4 CenterPoint Energy
Gas design Pressure:Hi fire/Lo fire�." ;��- � � 1�'`_'� Tester'sname . trL{- : . `_--�` , �` ).J
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Make ��� Modef` � ��;�,;; Percent COz `� .-� `
�j:�,, ,� ., , \ i 'ti`�v\'
Serial no. � ���r Input CFH ��`'- Percent 02 �£ ;,` ��-'
\'�'^�<<��'� 1 ���.:�
Input (�,���,� Stack temp ����.` Percent CO �� ( ��t�':�
CNP 235(11-2008)