HomeMy WebLinkAbout2008-P12176 - mechanical �. PERMIT
CIT�' OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p12176
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Permits
(952) 249-4600 Date Issued:
6/18/2008
SITE ADDRESS: 1410 Rest Point Rd Unit#
Mound,MN 55364
PID: 07-117-23-33-0001
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Mulriple Mechanical Items
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 65.00 Valuation: $ 5,200.00
State Surcharge Fee: $ 2.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 69.10
APPLICANT: Center Point Energy Minnegasco OWNER: Robert Bredeson
9320 Evergreen Blvd-Suite B 1410 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 S�TURE /%�
D BY SIGNATURE
Copies: 1-File(Signatures Required), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� �� FOR CITY USE ONLl'
\�� /,��, City of Orono
�� ��O j O\\ P.O.Box 66 Date Received: Permit#
n, 1, ���i 27�0 Kelley Parkway
U �� ,�iy�,��=- ��� Crystal Bay,MN 55323 Approved By: Amount$�
�\A����¢yo�. (952)249-4600
CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pennits must be approved by Ihe Building Official or lnspector 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 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 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: ��(O �S� �n',,,��}' �o.d
Owner:� •�- ��rc�,�S 0�1 Mailing Address: �y�� I�ieS��o�,v�� ��.
City: ��f'O�C� Zip: 5`531e�
Home Phone: q�a'- ��a '3S�ot� Alternate Phone: (�I'a..`S��- I O�Q
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZTNKFN
Address: 9320 EVERGREEN BLVD State Bond #: 22013346
City: �OON RAPIDS Zip: 55433 Expiration Date: 08/l�/2007
Phone: 763--757-6202 Alternate Phone:
� Insurance-Current:
1 An�erican Home�Company
Worker's compensation& Etnployers L.iability 7206951
Policy period Ol/01/2008-O1/Ol/2009
MECHANICAL SYSTEIVIS BEING INSTALLED
HEATING SYSTEMS
Quantity: �
Make: ��,�,�
Model: � ��-Q�'��
Fuel: N0.�• lpa.S
Flue Size:
Input BTUs: ��C��O OU
Output BTUs:
r'FI�4:
COOLING SYSTEMS
Quantity: �
Make: �k�,�,�
Model: �11�N�.,' 6�
Tons: �
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 Exhaust(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 a�pliance 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; excludin�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 appiies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee �
PERMIT FEE CALCULATION(S)-JOBS OVER$SOOAO
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
`Jo���� O� x.0125 $ LOS.6C�
(contract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50)
SaoU. � o X.000s $ a •��
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �D 1'l O
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
pennitted work including materials, labor, profit, and other fixed ao�ts. It 'ss the amount to be�harged
to the customer for the work done. If any material, eyuipment, 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.
'�` MECHANICAL PERMIT APPLICATION AGREEMENT -
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: � /0 D�
�-
Reset Form
3
� � (G!� --7 E /� TIME
CITY OF ORONO CALLED IN l ��`�` � __�
INSPECTION NOTIC ! a��(� SCHEDULED �
PERMIT NO. COMPLETED
ADDRESS I�"I [,� P S� l�c� i �'1� �
OWNER CONTR. �,P�.�,�_�
TELEPHONENO. / c� �`�`7'"� �' � c��J � LU
� DESCRIPTION `�`t � � � -/�''�2.�
� ❑ FOOTING � MECHANIC L RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULAT�ON ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOFiTOMEETYO�I�YES_NO
� COMMENTS:
�
W
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0
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W
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W
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W
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W� ❑WORK SATISFACTORY:PROCEED PROJECT COMP�ETE
W ❑CORRECT WORK&PROCEED � SUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WlLL RETURN
❑STOP OFDER POSTED.CAIL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. �� ������
White Copyllnspector's File Canary CopylSite Notice
House heating test record �������� CenterPointo
U��;I_ � � ZUi3�;
Energy
owner�r�1��G�'�� Controls C�TY�F OROi1��Conversion
�f t � r� �{��
Address � � �L � Thermostat � �� Heat plug Uent si'ze
City ���� Ualve ,� Kind of liner/size � M
Heat loss Date htg. inst � �"iG � Limit Draft hood r��p�iegulator LCJl..,
Sold by CenterPoint Ener�v Limit setting ��� �� Filters:Size i�v r.�-�j�'�Number (
Installed by Centerf oint Ener�v Fan setting Chimney location: � Inside � Outside
Electrical work by Genteri'oint Energv Pilot type ` Chimney construciion
Heat type: �1i�-A U' Space heater Pilot make Wiring Test tag
Gas line by r�� Pilot model Lighting Inst � Date tested 7 / [ "V
Unit heater Other Pilot timing ��j��C{_. Company testing GenterPoint Ener�y
Pressure: Hi fire f�cfr�s ��7 ��G Tester's name ��
Gas design c�
Make �l.(,(..� ModelU6l,./v`'��E����nt COz �+�/�
Fcrs�3��Frq�o�.3�s� Input CFH Percent Oz �d�
Serial no. p 3�,��, ���
p ��''�� Stack tem Percent CO a�
In ut �r
002006 CenterPoint Energy Form 235 Rev.4/O6 ID-61463