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Home My WebLink About2016-00123 - mechanical . CITY OF ORONO * 2 0 1 6 - 0 0 1 Z 3 * 2750 KELLEY PARKWAY DATE ISSUED: 02/08/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1205 SHORELINE DR PIN : 02-117-23-43-0015 LEGAL DESC : REG. LAND SURVEY NO.0397 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,600.00 NOTE: REPLACE: 1 HEATING SYSTEM(CARRIER) APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.80 CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 53.80 COON RAPIDS, MN 55433 Payment(s) (763)757-6202 CHECK 20113 53.80 Minnesota State License#: mech-003503 OW NER JACKLEY ET AL,JAY M 1205 SHORF,LINE DR WAYZATA, MN 55391- 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 the work described and does not grant permission for additional or related work which requires separate permits. 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. n�C� i � �IW' J � � ��C�.� �-��` ��.�-�- �-,a� �`�� , � � Applicant Permitee Signature Date Issued By Signature Date � FOR CITY USE ONLY City of Orono f,� �,() )_��; i z �-�� P.O.Box 66 Date Received: 2 �Y� Permit# �yU ' � � 2750 Kelley Pazkway c� Crystal Bay,MN 55323 Approved By: _� Amount$: � d`� Phone(952)249-4600 Fax(952)249-4616 .; �„ �r`��.� ��.�'� CITY OF ORONO—MECHANICAL PERMIT ��$�� (All Commercial permits must be approved by the Building Official or Inspector ancUor 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 UNT1L 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 fmal. TYPE OF PERMIT (Check All That A 1 � Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ��Replace 1� Job Site/Owner Information: Site Address: � ��S� S�Or� l� ✓1 e ��'' , V� Owner: 1 r�.Ol.�ll �°�G��'e�p Mailing Address: 12-0� �O�I�Y�e ��, J City: ��O�O Zip: 5 S ��( � Home Phone: �5 a- • `17�' ��6� Alternate Phone: (o! Z—Q�o� - �O/,3 Contractor Information: Contractar: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BL NW State Bond#: MB003503 SUITE B City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/201�� Phone: 763-785-5404 Alternate Phone: � Insurance—Current: oid Rep"bi'�insU�ance co. 1 Workers Compensation&Employers Liability Policy WLRCC48597075 Policy Period 01/O1/2016-O1/01/2017 MECHANICAL SYSTEMS BEING INSTALLED , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: �0.'r f i �t/' Model: S�e1/ 1� a�U Fuel: ��_ Flue Size: Input BTUs: `C��d Output BTUs: �a�� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: 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 E�aust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must 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: 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 elech-ical 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 applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT 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$50.00) 3`oo . ov X.o�zs $ s 6 � �6 (contract price) (minimum$50.00) 2. STATE SURCHARGE ��.¢ad• �� x.0005 $ � � g� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S 3.�� ■ * 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. 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 t all statements made on this ap lication are complete, true and correct. Applicant's Signature: ` Date: � �� 3 �� ✓ �� TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED � .,�� ,� PERMIT NO. � —�� OMPLETED . . ADDRESS � � OWNER ELEPHO E NO.��yF��'�� CONTRACTOR `�-� � � DESCRIPTION �h��Z��'�-�" W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUM G FINAL ❑ TREE REMOVAI 2 ❑ RADON SLAB ❑ HANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEET YiOU:_YES_NO � COMMENTS: � W 4 J ' �O � O W � Q � � W OC j W ❑WORK SATISFACTOFlY`.PROCEED W ECT COMPLEfE � ❑CORRECT WORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY W � O CORRECTNIORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 urs in 2) 249-460� OwnerlContractor on site: Inspector: yyhite Copypnspector's Ffle Canary CopylSits Noties House heating test record �'�CE�� CenterPoint � � �-� �1ru�r� Energy f�� C�'TY OF ORONO Owner CU J e,�- Controls Conversion � >I Address/ QS / �� Thermostat �r��atp/ug UentSize City `C��O Ualve Q e Kindofliner/size A (1/�?, � l! Heat loss Date htg. inst Limit �l� Draft hood Regulator Soldbv CenterPoint Energy �imirsetting l Filters:SizeZOX�,Number r Installed bv CenterPoint Energy Fan serrin � g .�/✓Y!-� Chimney locations: �Inside Q Outside Electrical worAbv CenterPoint Energy PiloT type �� Sv,r�,� , Chimneyconstruction ��cl�-s , Heat type Q FA �Space heater Pilot make Wiring rest tag Gas line by Pilot model Lighting Inst Date tested� � L !� Unitheater Other Pilottiming Com an testin CenterPoint Ener Gas design Pressure:Hi fire/Lo fire �� S �c 7 Tester's name ,�E�-F�- C.� � Make�Q.�`I Mode/S�U�d� ercentCOz �� 7 �� 7� Serial no. Z� �2 7� Input CFH Percent Oz 7 � l�� Input �Q�0� Stack te �jC.Y�Percent CO�� 2 ? � CNP 235(11-2008)