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HomeMy WebLinkAbout2014-00546 - mechanical CITY OF ORONO * Z 0 1 4 - 0 0 5 4 6 * � �A 2750 KELLEY PARKWAY DATE ISSUED: 06/02/2014 ORONO,MN 55356- 952)249-4600 FAX: 952 249-4616 ADDRESS : 400 STUBBS BAY RD N PIN : 32-118-23-42-0001 LEGAL DESC : LJNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,800.00 NOTE: 1 RUUD NAT GAS FURNACE 1 RUUD 2 TON AC APPLICANT MECHANICAL 110.00 STATE SURCHARGE MECH(VALUATION) 4.40 CENTER POINT ENERGY MINNEGASCO MpIL-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 116.40 COON RAPIDS,MN 55433 Payment(s) (763)757-6202 CHECK 18473 116.40 OWNER STUBBS,RICHARD 400 STUBBS BAY RD N LONG LAKE,MN 55356- 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. T'his permit is for only the work described and dces 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. 7'he applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This pertnit may be revoked at any time for due cause. 1" Yl!�[�t/L.� 1��� l l Applicant Permitee Signature Date Issued By Si ature Date FOR CITY USE ONLY � ' City of Orono , � �—�� P.O.Box 66 Date Received: Permit# , 0 2750 Kelley Parkway � Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 � a .r�,� � �qkESH�FE.� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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. PERIvIITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications aze 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: �VU S��"�b�s Qc�-�,� �c� . �1 p Owner: l��C►��c.r� N� �� Mailing Address: `-�OU S��-blos �u.,.�� • �• City: ��O 1'l O Zip: �5 3�� Home Phone: q5 a-- y^l3` �Ci y� 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: � Insurance—Current: 1 MECHANICAL SYSTEMS BEING 1NSTALLED • � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. ' IS THIS GEOTHERMAL? ❑ Yes �No HEATING SYSTEMS Quantity: � Make: Model: �9(, p�(�4 Fuel: Na-� • �ous Flue Size: Input BTUs: 1e0,0 0 C� OutputBTUs: S�l, loOU CFM: COOLING SYSTEMS Quantity: � Make: Model: V►A��(1�1 6 a(.� Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfrn 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: US �� �ir'O rt� TY1e'�'�r' �-o �',�.r �c.. �pp�'au. 3��ee-�- 2 � . � PERNIIT 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 $ 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$50.00) ��$b0� Gv x.0125 $ % �O • DO (contract price) (minimum$50.00) 2. STATE SURCHARGE �'� Q,{� . 00 x.0005 $ �'I •�I� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � (o .�� ■ * 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 o2 a signed copy oi 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. . Applicant's Signature: Date: � � 3 C✓ C�� TE TIME ✓ CITY OF ORONO CALLED IN �— � _ � INSPECTIOf�J�T SCHEDULED " PERMIT NO o< < COMP D � ADDRESS OWNER •TE HONE NO. ' �•S CONTRACTO 0� � DESCRIPTION � � ❑ FOOTING P BING FINAL ❑ EXCAV/GRADING/FILUNG � ❑ POURED WALL MECHANICAL RI ❑ LAKESHORFJWETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a j �O � O � W � Q � Z � W � j O W RK SATISFACTORY:PROCEED O PROJECT COMPLE?E � � RECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52 9-46�0 OwnedContractor on site: Inspector: White Copyllnspector's Flle Canary CopylSite Notke �'> ;� D ,S�TI `� CITY OF ORONO CALLED IN ��� v��� INSPECTIO .r ��{ �SCHEDULED PERMIT NO. ���`�"��-�'YxOMPLETED � � b ADDRESS �� � s�� � ��, OWNER �� 0 � �� ' ��-F�TELEPHONE NO. ��`� ?3 �C``�� CONTRACTOR ��-�� ,��-`�� � DESCRIPTION ��-����-� � W ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORFJWEfLANDS y O ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � �FtNAL ❑ SEWER HOOK-UP ❑ COMPIAINT r V❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTFiACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � �tlrv�,aG� rcp(, �raw� �4�.f �G �� o —� �4r� �S � � 9�c5 � l��te 4� ►- �LeS� — ��' `�J � �u -o?� �f. ° 3 �f3 li�ts " �v�H,� ��fc��� r.�4�ei.�et�•;d�_ W 1 • , Q �ul�Ge✓� � `��� ., MCh�r•r, �r�w.c�Nc.�,�ikb � Fu✓ n� p - va.c�ri,c 5 - lj,(� _ W � .�1 1 � � �t/v� �JGt,GG wC�t � l( �O/'l� �O/rt ! �C J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISS E CERT�FICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiTION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for th �t inspection 24 hours in advance. (952) 249-4600 Ownerl ntractoron it • /`�c�s r� Inspector. White Copyflnspector's File Canary CopyfSite Notice