HomeMy WebLinkAbout2007-P11428 - mechanical PERMIT
CITY "�F ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P11428
Crystal Bay, Minnesota 55323 Permit Type: Mechanical Permits
• (952) 249-4600 Date Issued: 9/10/2007
SITE ADDRESS: 1406 Rest Point Rd Unit#
Mound,MN 55364
P��� 07-117-23-33-0003
DESCRIPTION:
Proposed Use: Residential
Pernut Class: General
Pernut Type: Mechanical Permits Pemvt Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 80.00 valuation: $ 6,400.00
State Surcharge Fee: $ 3.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 84.70
APPLICANT: Center Point Energy Minnegasco OWNER: Lester&Merytle Hom
9320 Evergreen Blvd-Suite B 1406 Rest Point Rd
Coon Rapids,MN 55433 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE
Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
FOR CITY USE ONLY
4�� City of Orono
' O a O\ P.O.Box 66 Date Received: Permit#
( �,,,,� 1 2750 Kelley Parkway
r� '�� C stal Ba MN 55323 A roved B Amount$:
1) �'�� p.� rY Y, PP Y
f����.y�,y� (952)249-4600
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CITY OF 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 RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical DesiQns—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 All That A 1 )
�]Residential ❑ Commercial(Approval Required)
❑New ❑Additional ❑Repairs [�Replace
Job Site/Owner Information:
Site Address: 6�O lo ►`�eS�- �O i�(l� �pc�l
Owner: �e-S�.�r ac�r ,� Mailing Address: ��} O(o �es��0��rl� �
City: O ro�o zip: S S 3(oy
Home Phone: Q S�-� �� • �� l �Alternate Phone:
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN 7TNKFN
Address: 9320 EVERGREEN BLVD State Bond#: 22013346
City: COON RAPIDS Zip: 55433 Expiration Date: 08/19/2007
Phone: 763--757-6202 Alternate Phone:
� Insurance—Current:
1 American Home Company
Worker's Compensation&Employers Liability 7206951
policy period O1/O1/2007-O1/O1/2008
' ` � MECHANICAL SYSTENfS'BE1NG INSTALLED
HEATING SYSTEMS
Quantity: �
Make: ,,1a,�a c�
Model: t.l(�o(L�.• U�
Fuel: N0.'tu�c�Y l�,S
Flue Size:
Input BTUs: l.p(���U
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: ���
ModeL• uAN�-'�o��
Tons: oZ
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
❑ Wood Stove
❑ Wood Stove With Flue
Brand Name: Model No.:
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�aust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
2
" PERMIT FEE CALCULATION(S)
BASED OFF- 2002 STATE STATUE
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
` PERI�IIT FEE CALCULATION(S)-JOBS OVER$500:00
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
(� ��• O� x.0125 $ �'(� • O�
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
��0�� 0o X.000s $ 3 .ao
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �y.��
■ * 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 STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price.
;� ��`'r'' �� ���°. MECHANICAL'PERIVIIT APPLICATION AGREEMENT,°k,,{�y�°���.,,,,x:# : +" `
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: � —LI'a�
, «—
Reset Form
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�� � � TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �
PERMIT NO. CO;M�PLE�TED
ADDRESS I�L��D ��–e-�� �� - �
OWNER CONTR. C���r�f�
TELEPHONE NO. ��" `t"�� �(l���
� /' .
� DESCRIPTION I-1 VIC�.I � �Y�G(�x� � �r� ��_
lV 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILIING
� 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
h
O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
� 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:; YES_NO
� COMMENTS:
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GW WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next'nspection 24 hours in advance. (J52� 249-46��
OwnerlContrac 't : _
Inspector.
White Copyllnspector's File Canary CopylSite Notice
House heating test record CenterPoint�
Enerqy
Owner /�'r(�+2� Controls Conversion
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Address �'7 bb F.(;ST �l Apt. Thermostat Heat plug Uent size �(
City Q /v Ualue Kind of liner/size �" r LVl✓�. �l.Cc�,�
Heat loss �/ Date htg. inst '�� V� Limit Draft hood(�1�W�.pS Regulator
Sold by CenterPoint Ener�v Limit setting Filters:Size �����Number f
fnstalled by CenterPoint Enerqy Fan setting Chimney location: �nside � Outside
E/ectrical work by CenterPoint Enerqy Pilot type Chimney construction ��� ��L''�
Neat type: �(FA � Space heater Pilot make Wiring � Test tag `�
Gas line by �w� Pilot model Lighting Inst � Date tested p"�0"d�
Unit heater Other Pilot timing Company testing CenterPoint EnerAy
Pressure: Hi fire/Lo fire '_ [ �� Tester's name �c7�"'L-
Gas design � �
/1 ��� �Percent COz
Make Y�'� Model U�.'6�� �,,^
¢ Input CFH � v Percent Oz �l!
Serial no. ��'j���o1�Q�D��� . Stack temp �V� Percent CO ���
lnput �p�Q ()(�
002005 CenterPoint Energy Form 235 Rev.1/05 ID-42352