The URL can be used to link to this page

Home My WebLink About2012-01066 - mechanical CITY OF ORONO * 2012 - 01066 * 2750 KELLEY PARKWAY DATE ISSUED: 10/ /2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 2485 THOROUGHBRED LA PIN : 04-117-23-11-0019 LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 002 BLOCK 002 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE MECHANICAL-MULTIPLE VALUATION : $ 8,500.00 NOTE: 1 CARRIER NAT GAS FURNACE 1 CARRIER 5 TON AC APPLICANT MECHANICAL 106.25 CENTER POINT ENERGY MINNEGASCO 9320 EVERGREEN BLVD NW STATE SURCHARGE MECH(VALUATION) 4.25 SUITE B MAIL-IN FEE00 COON RAPIDS,MN 55433 TOTAL 11.50 (763)757-6202 OWNER LUNDBERG,JAMES&CARRIE 2485 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! CIA Applicant Permitee Signature Date Is sued y S ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABIOVE. f FOR CITY USE ONLY � City of Orono 4 O ` P.O.Box 66 Date Received: Permit# .I�0 ,K. }} 2750 Kelley Parkway + '• �j, Crystal Bay,MN 55323 Approved By: Amount S: Phone(952)249-4600 Fax(952)249-4616 Z CITY OF ORONO—MECHANICAL PERMIT lip�1 (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 �eplace Job Site/Owner Information: / __ Site Address: a 4 gS Ti��ro (n�,r�� La►� Owner: U-- ,A60 J Mailing Address: 000 City: Oy-oy-\0 , VYAN Zip: 55 Home Phone: Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN 9320 EVERGREEN BL STE B 2201 3346 Address: State Bond 4. City: COON RAPIDS Zip.55433 Expiration Date: 08/20/12 Phone: (763) 785-5404 Alternate Phone: Travelers Indemnity Company Workers Compensation&Employers Liability Insurance—Current: Policy#TC2K-UB_9349B101 I Policy Period 01/01/2012-01/01/2013 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes JANo HEATING SYSTEMS Quantity: Make: Model: �J� `SPS ppIZV Fuel: Flue Size: Input BTUs: k ZA JCC6 Output BTUs: J \ —.X-Co CFM: COOLING SYSTEMS Quantity: (� Make: Model: P4-kv�g- gL op 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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 PERMITFEE'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;excluding 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 $ i PERMIT FEE CALCULATIONS -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of 550.00) IS 00. 0o x .0125$ 1 06 aS (contract price) (minimum 550.00) 2. STATE SURCHARGE L� '%5 QU . G G x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 JJ11 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ l Z"' �V ■ * 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 11 statements made on this application are complete, true and correct. Applicant's Signature: Date: / v/. s/i Z Reset Form 3 TE TIME V/ CITY OF ORONO CALLED IN /��3 / INSPECTION NOTICESCHEDULED — " PERMIT NOaa0� O&G COMPLETE 2A- T6 ADDRESS �j OWNER TELEPHONE N0672- r 2'7Z� CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O cc O W cc Q 2 W W O W ❑WORK SATISFACTORY:PROCEED OJECTCOMPLETE U W ❑CORRECT WORK&PROCEED 1:1ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. 61--1 '7=( White Copyllnspectoes File Canary CopylSite Notice House heating test record CenterPoint Energy Owner (1C 'bLcc y Controls �.� Conversion Address �(�+�V��hb'�O� 1a�mostatp 1r�5 Heat plug Vent Size �y City (>)C"p C-) Valve W Kind of liner/size Heat loss Date htg.Inst )O-r Limit Draft hood Regulator Sold by CenterPoint Energy Limit setting Filters:Size�Z Number"N n� i Installed by CenterPoint Energy Fan setting 1 �l J >�� Chimney locations: Inside 0 Outside Electrical work by CenterPoint Energy Pilot type nLp's^ Chimney construction p�-" Heat type,Q FA Q Space heater Pilot make Wiring Test tag Gas line by C-�7— Pilot model Lighting Inst I:=— Date tested Q� Unit heater Other Pilot timings ice: Company testiQq CenterPoint Ener Pressure:Hi fire/Lo fire �j,�`J tr '.��' Tester's name Gas design m Make(fQy cL- Model ''� percent CO2 Input CFH �� Percent 02OIr, Serial no. \�\�.�� Input ��'j,) Stack temp '>� Percent CJ,: � CNP 235(11-2008)