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Home My WebLink About2014-01387 - mechanical " ~ CITY OF ORONO * 2 0 1 4 - 0 1 3 8 7 * 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2014 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 2085 SIXTH AVE N PIN : 27-118-23-31-0025 LEGAL DESC : EVERGREEN RIDGE : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 14,000.00 NOTE: (2)CARRIER FURNAC�S (2)CARRIER A/C 1 APPLICANT MECHANICAL 175.00 STATE SURCHARGE MECH(VALUATION) 7.00 CENTER POINT ENERGY MINNEGASCO MA1L-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 184.00 COON RAPIDS, MN 55433 Payment(s) (763)757-6202 CHECK 19054 184.00 Minnesota State License#: mech-003503 OWNER PANKONIN, BRADLEY& MARCIA 2085 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which[his permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work describcd and does no[grant permission for additional or related work which requires separate permits. All 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 null and void if construction authorized is not commenced within 180 days of[he 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 conYormance with the State Building Code.This permit may be revoked at any time for due cause. � � � ��%� �Z, � � �� Applicant Permitee Signature Date Issue y Signature Date � -� 1 —� FOR CITY USE ONLY � City of Orono �+-�� P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway r Crystal Bay,MN 55323 � �Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � � .�y /. F � �.`' �ITY OF ORONO —MECHANICAL PERMIT ��4� (All Comynercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL 1NFORMATION 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 ar 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 fmal). 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: a��5 �� v N� Owner:�� l V�-on� ►'1 Mailing Address: o-t0�5 �o`�" Qv �� City: O r o�O Zip: SS 3 S�P Home Phone: ��el• U�3' C�D� Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BL NW :: ' State Bond#: MB003503 SUITE B City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/2014 Phone: 763-785-5404 Alternate Phone: � Old Republic Insurance Co. Insurance—Current: Workers Compensation&Employers Liability 1 Policy#WLR C47875717 Policy Period O1/01/2014 to 01/01/2015 .. . r.., - t 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: �C,�rr i �Y �.l�r�� 1v1odel: b�`ps� 61Q0 sa;P 5 Ac� Fuel: Na..��ra.��e�.S ,Uc�� Flue Size: �put B�rus: �ob�o 0 o g b, o o� Output BTUs: �-1 � too0 �v,�b6 CFM: COOLING SYSTEMS Quantity: ' 1 Make: ��r f� e� ��r�� r Model: au ��3d au�-ee t�� Tons: a- � �2 3 H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust 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 CALCLTLATION(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;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 —JOt3S 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$50.00) Iy, 00O, o� X.o12s$ l-t� . oC� (contract price) (minimum$50.00) 2. STATE SURCHARGE I�OOC7 . 00 x.0005 $ � • �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ` �� ' U� ■ * 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 that all statements made on this application are complete, true and correct. r Applicant's Signature: 1�1 Date: /�'7 � 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �- O/3 g2 COMPLETED 3 a / � ADDRESS a?O �'� vrwt� �El�- /�l- OWNER TELEPHONE NO. CONTRACTOR C�•2f�r �� l��y � DESCRIPTION � � ❑ FOOTiNG ❑ PLUMBING FINAL p EXCAV/GRADING/FIWNG Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP O COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTNACTOR TO MEET YOU:_YES_NO � COMMENTS: � �B✓'�+e.� �ia/�� .v�'!� � Gt �/ �o-� •t o �rt.eG i�s��. �. o� ° l� b rti� 1i o r•sL - W '— � Q � ��P,�c s� L� /! o�o Kd c�� l � a W ��,�� r,..�� Ks�� o r °� �,c1 i�� .� �� _ j W ❑4VORKSATISFACTORY:PROCEED ❑PRWECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �$PECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/CoMractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice 1`� Sr- ATE TIW� CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �S !v.'3D PERMIT NO. �vl�,F-t�l3�I COMPLETED ADDRESS ��5 � � - � OWNER �� -��EPHONE NO.��- -��G CONTRACTOR � DESCRIPTION 'yn� . ''` � -" - - - t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING v3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINA� ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOILOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: o� � G � /��s.�vnfs ^ a� � C _��CC� '�� G�[G /'�L��rLtc�L � � � �O � � a2 �u✓✓J�EC G r'+��fCs.�s�tc.�s�� _ � — 'C�-S'E� .-i� LC✓l�io�i. -��9►��., /�•f�,s - W � Q ? /�<! ltJ v/� �'o r,c d�i�{ d-�/��v3 W �� J W O WORKSATISFACTOR�F PROCEED /�ROJECT COMPLEfE W ❑CORRECT 1NORK 8 PROCEED ��O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PEHMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 11 for the next inspection 24 hours in advance. (g52) 249-4600 ctor on site: �� '� Inspector:��_� - White Copyllnspecto�'s File Canary CopylSke Notiee �` CenterPoint�. House heating test record � -� Energy f� r�.'� ;�� r��C � � ' _ . r,� ,-, _,,,,-, p , �,a�`; `.; Owner �"a n��n'n Controls Conversion � T ,I Z � C� Address�0$� � t1'� Apt Thermostat g�4�'� Heat plug Veni Size P� _ y (� �d h� ValveW k�T� R��'s� Kindof/iner/size Cii Heat loss Date htg.inst ��`��'�4 Limit ��►� Draft hood� � Regulator Sold by CenterPoint Energy Limit setting �6 d Filters:Size�� Number � Installed bv CenterPoint Energy Fan setting "T� n� Chimney/ocations: �Inside Q Outside Electricalworkbv Ceni�erPoint Energy Pilorrype HOT��'v/I�'' Chimneyconstruction � Heat type Qf FA Q Space heater Pilot make � Wiring v Tesi tag � Gas line by C P4 Pilot model � Lighting Inst'� Date tesied ��`2�� Uniiheater Other Pilottimin �/�S� Com an tesiin CenterPoint Ener " 'Gas design Pressure:Hi fire/Lo frre 3� �� Tester's name p Make C a�� ModelS�7'��f}'06d Percent CO2 7•� �•� Serial no. 7��`l A'S"37oa Input CFH Percent 0�� •r�'g Input 6�,o o a Stack ter}�p' 7 7 Percen�t�0�� CNP 235(11-2008) � . CenterPoint. House heating test record Energy Owner P an kd�`� Controls Conversion .� n Address�Zo 6s �r g° � Apt ThermostatQrPa{�w�' Heat p/ug Vent Size 3 1�µv City U� ��nD Va/ve G/�1'�� F-�� Kind of liner/size Heat loss Date htg.inst��`.Z� V�U Limit ��xbb' Draft hood�� Regu/ator So/d by CenterPoint Energy Limitsetting � �a Filters:Size�� Number � Installed by CenterPoint Energy Fan setting �� Chimney locations: ,8lnside �Outside Electricalworkby CenterPointEnergy Pilottype �'07��vfp Chimneyconstruction � Heat type �FA Q Space heater Pilot make " Wiring V Test tag � Gas line by G�� Pilot model ✓ Lighting Inst v Date tested�1"2�� Unit heater Other Pilot timing G/� r.(, Company testin.Q CenterPoint Energy Gas design Pressure.�Hi fire/Lo fire �'�_ �.5� Tester's name �� MakeC Q t�'� Model��Y�� Percent COz 7'� 6� 1 /�, In ui CFH Percent Oz �'9 I 1•Y Seria/no. y 3��!� �'� �Q•`N p Input �0�Q p�7 ` Stack temp� 7� Percent C� � CNP 235(11-2008)