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Home My WebLink About2013-00067 - gas line only - � CITY OF ORONO * z 0 1 3 - 0 0 0 6 7 * 2750 KELLEY PARKWAY DATE ISSUED: OU28/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1320 REST POINT CIR PIN : 07-117-23-31-0018 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTL: GASLINE FOR KITCH}?N RANGL-CONVGR"f[NG TO NATURAL GAS APPLICANT MECHAN]CAL(<$500) 15.00 CENTER POINT ENERGY M[NNEGASCO STATE SURCHARGE MECH (<$500) 5.00 9320 EVERGREEN BLVD NW SU[TE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 TOTAL 22.00 (763)757-6202 OWNER CHRISTIAN, DAN 1320 REST POINT CIR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfornied according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission Yor additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commeneed within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Slate Building Code.This permit may be revoke�any time for due caus �-- / � a 8�� 3 C�u� / � �8� i3 Applicant Permitee Signature Date Issu �ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. OR TY USE ONLY "�'' Ci ofOrono � O��_ D �O� /,.40�� ty � Permit# �T /' � P.O.Box 66 Date Receic . f-��:,,,,, �� 27�0 Kelley Parkway �t+ ;f�1j�•• � �;� �rqstal Bay,MN 55323 Approved By: Amount$: aa . ��;��' Phone(952)249-4600 Far(9�2)249-4616 �,�,� CITY OF ORONO—MECHANICAL PERMIT �� ' (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. Applications w�C��/�'"� 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 �AN ?8 2 p13 VALID UNTIL YOU RECEIVE A PER��IIT. WORK NIUST NOT BEGIN UNTIL T PERMIT CARD IS POSTED ON THE JOB SITE. � 3. Mechanical Desi�ns—Complete calculations.details and specifications are required for each �� heatin�,ventilation,humidification-dehumidification,and air conditioninQ installation including heat loss/heat eain 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 buildin�permit must be obtained. �. 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. (2=4-48 hour notice required) 7. House Heating Test Record must be submiCed before final. TYPE OF PERMIT (Check All That A Iv) ��2esidential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs �Replace Job Site/Owner Information: Site Address: �3 oZ O ►�,.�� n,r��-�- ��,r� � Owner: �Y► C-h� � 5�-, a v� Mailina Address: 1 3�C= ��,�- I�v,k�� r'. City: 6 r'�O�iG� Zip: �>>3l��-1 Home Phone: 'LD�Z� � � V ��`'�' �' Alternate Phone: Contractor Information: CENTERPOINT ENERGY JOANN ZINKEN Contractor: Contact Person: 9320 EVERGREEN B�STE B 2201 3346 Address: State Bond#: COON RAPIDS 55433 08/20/12 City: Zip: Expiration Date: Phone: �7G3� 785-5404 Alternate Phone: ❑ Travelers Indemnity Company IriSUT'3riCe—CUt7erit: Workers Compensation&Employers Liability 1 Policy#TC2K-UB 93496101 Policy Period 01/O1/2013-O1/O1/2014 MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Buildin�Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Iviodel No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FUEL STORAGE (_�Ylust be approved by Fire Marshall if proposing 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: ��S �av�cr-� "k ,�c�h��n ��.�1'rr�" '�� 'r C=` '�lli.��`' c�-� �',_S 2 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE �.� Yes,this section appiies The replacement of a Residential fixture or appliance that meets all three of the followin�requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip neYt section,if this applies; Cost of Permit $ 1�.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ��_�� PERIVIIT FEE CALCULATION("S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTR4CT PRICE * is 1.2�%of contract price with a('.Vlinimum Fee of�50.00) x .0125 � (contract price) (minimum 5�0.00) 2. STATE StiRCH.4RGE x.0005 $ (convact price) 3. POSTAGE&HANDLING(Only on iv1ai1-In Applications) $ 2.00 4. TOTAL PER'�IIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the wor1: done. If any material, equipment, labor or instaliations 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 si�ned copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, aarees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Miruiesota, and certifies that a31 statements made on this application are complete, true and correct. ;- � � � ;� � �� . Applicant's Signature: � ..(.. G-�/I'Z jP�ate: � �:��"�3 ; . Reset Form �' ` 3 DATE TIME � CITY OF ORONO CALLED IN _� � INSPECTION NOTICE SCHEDULED ` PERMIT NO.�D I3- !'OD 67 COMPLETED ADDRESS I 3 7�0 �'f Pt ��1� OWNER �� ►�.� TELEPHONE NO�D�z 'S��-S 6 O-� CONTRACTOR �: DESCRIPTION l(�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SE INSTALL ❑ HARD COVE REMOVAL v LU ING RI ❑ . TI NAL ❑ FOUNDATION/ MOVAL OWNERI NTRACTOR TO MEET Y S_NO � M ENTS: W a � J O � �' �'�i � � �J S��/�� ,J�� 1I�i1 � < < `�- ��G.� W �i�}-S (Z/-1 � 3.� � Q � Z W � W � � � �ORK SATISFACTORY:PROCEED ROJECT COMPLETE ❑ RRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call torthe next inspection 24 hours in advance. (952� 249-4600 OwnerfContractor on site: Inspector. ��_ White Copyllnspector's File Canary Copy/Site Notice