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Home My WebLink About2016-01395 - mechanical r,_ � CITY OF ORONO * Z 0 1 6 - fD 1 3 9 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 1 UO?J2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2660 MAPLERIDGE LA PIN : 21-11'1-23-24-0051 LEGAL DESC : SHORE HILLS : LOT 020 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 6,800.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. (1)DAIKIN FURNACE AND A/C APPLICANT MECHANICAL 85.00 STATE SURCHARGE MECH(VALUATION) 3.40 CENTERPOINT ENERGY MAIL-IN FEE 2.00 6161 GOLDEN VALLEY RD BUILDING A TOTAL 90.40 GOLDEN VALLEY,MN 55422- Payment(s) (763)512-2765 CHECK 20650 90.40 Minnesota State License#:mech-MB003503 OWNER YEAGER,KARL&JtJLIE 2660 MAPLERIDGE LA EXCELSIOR,MN 55331- AGREEMENT AIVD SWORN STATEMENT The work for which this permit is issued shall be perFormed acwrding to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. Ail 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 nuli 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. . v�,�� D � 11 � �� 1� Applicant Permitee Signature Date Issued y i ature Date ' . �, - RECEIVED , 2Q�6 ,FO IT USE ONLY City of Orono NOu 4 2 �j n,, � y� �O�O P.O.Box 66 Date Received: j�Permit# 6C��fP—'iJ� 2750 Kelley Pazkwa Q Crystal Bay,Mrr��f�F ORONO Approved By: Amount$: L�' Phone(952)249-4600 Fax(952)249-4616 � � `� ��,� CITY OF ORONO—MECHANICAL PERMIT `1 KFSH� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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 PERNIIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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 modei. 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: 2660 MAPLE RIDGE LANE Owner: �RL YEAGER Mailing Address: 2660 MAPLE RIDGE LA City: EXCELSIOR, MN Zip; 55331 Home Phone: 952-471-3430 Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN AC1dT'eSS: 6161 GOLDEN VALLEY RD,BLDG A State BOriC�#: MB003503 C1Ty: GOLDEN VALLEY Zl]�: MN Expiration Date: oaizoizo�s PllOrie: 763-512-2765 Alternate Phone: OLD REPUBLIC INSURANCE CO. ❑ WORKERS COMP&EMPLOYERS LIABILITY II1SUra.I1Ce—CUTrellt: POLICY#WLRCC48597075 oni irv ocainn_n�in�ion�as�m�np�] 1 r , 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: DM96VE08036N Fuel: NATURAL GAS Flue Size: Input BTUs: 80,000 _ Output BTUs: 76,800 CFM: COOLING SYSTEMS Quantity: � Make: DAIKIN Model: DX16SA0311 Tons: 2•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 cfin ❑ 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 p[ace.) ❑ Installation ❑ Removal Fuel 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) 6800.00 x.0125 $ $5.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 6800.00 x.0005 $ 3.40 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 90.40 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dotlar 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: , Date: 10/27/16 3 `� �.� � � DATE TIME C i OF GRONO CALLED IN INSPECTION NOTICE �j SCHEDULED PERMIT NO. � `� COMPLETED ADDRESS 0 �� OWNER .�gi.�� TELEPHO�. S� - ��Q CONTRACTOR � � � DESCRIPTION ��-�� t r � ly ❑ FOOTING DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNOATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FI�,A�, ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑AS BUIL�-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL 2 DEMO- ITE ��IC INSTALL Q dWN NTRACTOR TO MEET Y�U: YES_NO y COMMENTS: � , � " 1/�.n. ��. �� 1�'J✓. � � � �, /c� O — Ci (/� _� r;�� t`�' � '' - ,; -t � �-� (e � � - / ° '- lJ�4. �... ` �.n c�G: � -�� -�" =',..?� � � Q � �`:. ' ^ Z ' �C � ��.('.s'� C-��,�-��, � � � � -„v� 1—�%�i�� ,i- � ❑IMORK SATISFACTORY:PROCEED q,PROJECT COMPLETE W ❑CORRECT W'ORK 3 PROCEED 'o`ISSUE CERTIFlCATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERIN(i PERMANENT ❑CORRECT UNSAFE CONDITiON WRHIN H��• ❑pHpTO TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (g52) 249-4600 OvvnerlContractor�s�. Inspector: � c�? VYhite CopyAnspsctor's Fil� C�nary CopylSN�Notfes Center�int. House heatin test record Energy Owner ` G@,�`� Controls Conversion �/ Address � �Thermostat 41 f� Heat plug I/ent Size � City Y'Q yl() l/alve E../ Kind of liner/size Heat loss Date htg.inst Limit ` e Diaft hood �c�G Regulator Sold bv CenterPoint Energy Limit setting .x�� Filters:Size /�11��Y�Number f Installed bv CenterPoint Energy Fan setting ��`�� Chimney locations: .8'Inside Q Outside E/ecirica/work bv CenterPoint Enerqy Pilot type � � Chimney construction ..p��y� Heat type FA Q Space heater Pilot make ,n Wiring Test tag Gas line by �� Pilot model v Lighting Inst c� Date tesied Unitheater Other Pilottiming t Com an testin CenterPoint Ener Gas design Pressure:Hi fire/Lo fire � � l. Tester's name �y,� �� E,� � � Make �� h, Model ��j'f��j��D�� ercent COz � y� Ser�al no. �� G�� T� [�� Input CFH ��' Percent O2 y y/ Percent CO RECE��ED ��7 �� Stack iemp /J � ° C`,'�-�1 lnput , � NOV 1 S 201� ��Oa,/�NP 235(11-2008) ` /�►M1/ I�v V11�