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HomeMy WebLinkAbout2016-00263 - mechanical ,* CITY OF ORONO * 2 0 1 6 - 0 0 2 6 3 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 2460 THOROUGHBRED LA PIN 04-117-23-11-0014 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION $ 8,500.00 NOTE: REPLACE: I HEATING SYSTEM(CARRIER)& I COOLING SYSTEM(CARRIER) APPLICANT MECHANICAL 106.25 STATE SURCHARGE MECH(VALUATION) 4.25 CENTER POINT ENERGY MINNEGASCO MAIL-IN FEE 2.00 9320 EVERGREEN BLVD NW SUITE B TOTAL 112.50 COON RAPIDS,MN 55433 Payment(s) (763)757-6202 CHECK 20186 112.50 Minnesota State License#:mech-003503 OWNER COLIANNI,JOSEPH&TAMMI 2460 THOROUGHBRED LA 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. 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. , v 'D c) all Applicant Petmitee Signature Date Issued By Signature Date FOR CITY USE ONLY City of Orono Y P.O.Box 66 Date Received: Z �ermit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: n�tJ Amount$: Z 6 Phone(952)249-4600 Fax(952)249-4616 fi 1 l�krsr�oF�`� CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 Designs—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 Apply) ® Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs Replace Job Site/ Owner Information: ,,,,/ Site Address: dad � A0rO A rL-tf Owner: L 41//xA11/' Mailing Address: 'n'o City: f_')re� Zip: Home Phone: - 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: 08/20/201," Phone: 763-785-5404 Alternate Phone: ® Old Republic Insurance Co. Insurance—Current: _ Workers Compensation&Employers Liability I Policy WLRCC48597075 Policy Period 01/01/2016-01/01/2017 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: L ! Model: f Fuel: T Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: p`L 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: 2 PERMIT FEE CALCULATION(S) BASED OFF=2002 STATE STATUE I ❑ 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;excludins 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$50.00) dsao ,DO x.0125$ 10 .0, a5 (contract price) (minimum$50.00) 2. STATE SURCHARGE p +� d,5OD+ dy x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ (� ■ * 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. Applicant's Signature: Date: 3 IG civEp CenterPoint. House heating test record APR 1 u2016 Energy CITY OF ORONO P Owner�pS l� 1 j 1A" Controls Conversion Address 2y(k -7-� o f �b It Thermostat ,� � Heatplug Vent Size j C),,,SS City VZOuG' Valve Kind of liner/size Heat loss Date htg. inst Limit Draft hood /,. Wc-j Regulator �wL Soldby CenterPoint Energy Limit setting LA0 Filters:Size /Number Installed by CenterPoint Energy Fan setting Chimney locations: t(Jnside Q Outside Electrical work by CenterPoint Energy Pilot type Chimney construction Heat type--QFA Q Space heater Pilot make Wiring / Test tag Gas line by c©L Pilot model Lighting Inst Date tested Unit heater Other Pilot timing Company testing CenterPoint Energy Gas design Pressure:Hi fire/Lo fire �S ' Tester's namL Make Model�� Percent COz . Serial no. Input CFH d Percent Oz 6,q Input Stack temp L I Percent CO 2R CNP 235(11-2008)