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Home My WebLink About2014-00608 - gas line only CITY OF ORONO * 2 0 1 4 - 0 0 6 0 B * 2750 KELLEY PARKWAY DATE 1SSUED: 06/16/2014 1 "` 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 : GAS LINE ONLY VALUATION : $ 600.00 NOTE: GAS LINES TO FUTURE WATER HEATER AND DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.30 CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 9320 EVERGREEN BLVD NW TOTAL 52.30 SUITE B COON RAPIDS,MN 55433 Payment(s) (763)757-6202 CHECK 18536 52.30 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 Ciry 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 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 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. ��' Y\--"""`' / / Applicant Permitee Signature Date Issued By Sign re ��9/ `-� �� ,� � FOR CITY USE ONLY City of Orono � �Q� P.O.Box 66 Date Received: Permit# �- �f � 2750 Kelley Pazkway � ' 1 Crystal Bay,MN 55323 Approved By: Amount$: � Phone(952)249-4600 Fac(952)249-4616 % �/ jqk�$H�FE.G CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) 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 UNTII,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: y OU S�v,.�pb� �c�•.�.� ��c� �O Owner: �'1'�c.�arcl S�u-b� Mailing Address: �� 5�� o►� � � city: ��o✓�o zip: � S 35�o Home Phone:q6a`��3' � �Cj� 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: I � Old Republic Insurance Co. Insurance-Current: Workers Compensation&Employers Liability 1 Policy#WLR C47875717 Policy Period O1/O1/2014 to O1/01/2015 � . �, MECHANICAL SYSTEMS BEING INSTALLED � 1lTote: All Geothermal Systems will now require a Site Plan &Review by our Building Official. � IS THIS GEOTHERMAL? ❑ Yes '�No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTLTs: 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 Exhaust(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: qu� �i�ncS �� u-��rC �+'�`G'' 2 �e��r a.r�c�. c�ry e r .- - ,� , 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCUL�TION(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) Lo� � C�� x.0125 $ 50 • �O (contract price) (minimum�50.00) 2. STATE SURCHARGE �9 O O • DU x.0005 $ � �S� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines i-3 Above) $ 5 0"� •3 � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materiais, 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. . Applicant's Signature: Date: �o / � � 3 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED —�— PERMIT NO. ��y� �� COMPLETED v –dv '� ADDRESS �'� ��s �� rG OWNER TELEPHONE NO. CONTRACTOR Ceh-�� /0�� . � DESCRIPTION ��5 �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FIAIAL ❑ WATER HOOK-UP �Q�LOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO v�i COMMENTS: � � � .� .-rn t �rt / �.r L`' '� -#� - �s - a - � 0 W � Q 2 � ✓,�. � �'•�.�<eJ W � J � ❑WORKSATISFACTORIFPROCEED PROJECTCOMPLETE W ❑CORRECT WOHK 8 PROCEED ❑IS CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaMERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 2a hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector: � r--- �� Whke Copyflnspecto�'s File Cenary CopylSite Notkx House heatin test record CenterPoint. Enerigy Owner��t� �cr�5 Controls Conversion p �� Address y� �c� p�j'�lptQ/� Thermostat � Heat plug l/ent Size 2 �U L City ��a l/alve Kindofliner/size �<<�� Hear loss Date htg.inst Limir ��`� Draft hooc�' Regulaior 3s Soldbv CenterPoint Energy �imirseniny Filiers:Size�(p1f��i/ Number � Insialled bv CenterPoint Energy Fan setting Chimney locations: S$Inside �Outside , Electrical work bv CenterPoint Enerqy Piloi type Chimney construciion M AZcf��.s�y/ Heat type �FA Q Space heater Pilot make Wiring � Test tag � Gas line by �C Pilot model �� Lighting/nsi � Date tested 7��'�� Unii heater Other Pilot iimin Com an testin Center'P int Ener �- Gas design Pressure:Hi fire/Lo fire �. Tester's name Make �{�Ul� Model(�(�AQ'� PerceniCOz �3 Serial no.�y��3)0l?�3� In ut CFH Percent 02 Input ��v Stack tem Perceni CO CNP 235(11-2008)