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Home My WebLink About2009-00118 (mechanical- heating system) CITY OF ORONO PERMIT NO.: 2009-00118 • 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE IssuEv: 03/30/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3247 CASCO CIR PIN : 20-1 17-23-43-0009 LEGAL DESC : SPR[NG PARK : LOT 013 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,800.00 NOTE: 1 CARRIER�IEA7'ING SYSTGM-NATURAL GAS APPLICANT MECHAMCAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 1.40 9320 EVERGREEN BLVD- SUITE B COON RAPIDS, MN 55433 MAIL-IN FEE 2.00 (763)757-6202 TOTAL 53.40 OWNER CARLSON, KURT& LUCILLE 3247 CASCO CIR WAYZATA, MN 55391 AGREEMEIVT AND SWORN STATEMENT The work for which this pem�it 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 rclated work which requires separate pennits. 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with ttj,e State Building Code.This permit may be revoked at any time for�due cause. ��,�.� � / / / / Applicant Permitee Signature Date ]ssued By i ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE. FOR CITY USE ONLY �i p-',�\` City of Orono �4 `Y �� P.O.Box 66 Date Received: Permit# t��' �� 2750Kelle Parkwa � '�:.,. . �i Y Y � )j�'�'�J_� iI Crystal Bay,MN 55323 Approved By: Amount$: `+y��,%a�bo�!f (952)249-4600 lvx�or.; � � CITY OF ORONO—MECHANICAL PERMIT C�� (All Commercial pennits must be approved by the Building Official or 6lspector 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 Desi�ns—Complete calculations,details and specifications are required for each heating,ventilation, humidification-dehumidification,and air conditioning installation including hea;loss/heat gau�ca.culation,cesign temperatures,eyuip;nent ra�tinbs ai�d 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: 3 0?�� C�Sc o C�re�� Owner: �-.�c, I�t C.�,f�5�� Mailing Address: 3o1��j �.SL►z�e-tr�?�e City: ��O� � YY�1� Lip: S"S 3al I Home Phone: q�a- ��11 • ��a�(o Alternate Phone: — Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN 7TNKFN Address: 9320 EVERGREEN BLVD State Bond #: 22013346 City: COON RAPIDS Zip: 55433 Expiration Date: 08/19/2007 Phone: 763--757--6202 Alternate Phone: SO ��. � Insurance–Current: � American Home Company Worker's compensation& Employers Liability 7206951 Yolicy period Ol/O1/2008 -O1/O1/2009 - MECHANICAL SYSTEMS BE1NG INSTALLED ' HEATING SYSTEMS Quantity: � Make: ��e�' Model: ��p�,.�t b�10 Fuel: _�V c�.�. Cp� Flue Size: Input BTUs: � v,O O� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: vENTILATI�N ❑ 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) ❑ 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 ❑ Yes,this section applies The replacement of a Residential fiYture 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 ar 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 $ .50 Mail-In Fee(If Applicable) $ 1.50 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$35.00) a g�O • 00 x.0125 $ �S` U� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 02 g�� ' �� x.0005 $ 1 • `l � (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J � ,� U ■ * CONTRACT PRICE or JOB COST means the actual or estimated dolla[ amount charged for the permitted work including materials, labor, profit, and other fixed c�sts. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished 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 zmount of the iob cost, the Cit;� may request the submission of a siRned copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. 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 state�nents made on this application are complete, true and correct. Applicant's Signature:��'4� � � � Date: 3-�/�-D 4' �- Reset Form 3 R�� ,. � - House heating test record CenterPo�nto APR " k`' �� Q;�� Energy C�TY�F�R owner�'j�CZ�`�L� Controls Conversion Address � �� '�� `�� t Thermostat�`3�cC' Heat plug Uent size y City �.(Z �� Ualve Kind of liner/size �� C� � ��,�' Heat loss Date htg. inst �j-1�� d�l Limit Draft hood �C�J(,�, Regulator Sold by Centerf'oint Ener� Limit setting Filters:Size��p�� Number Installed by GenterPoint Ener�y Fan setting ` ji�c.� Chimney location: Inside Outside Electrical work by Genterl'oint Energy Pilot type '�� Chimney consiruciion ��A�0�\�'�,�� Heai type: FA. Space heater Pilot make Wiring LJ Test tag6� Gas line by �� Pilot model Lighting Inst �`Date tested�'�X�-�:�f Unit heater Other Pilot timing Company testing Centerl�oint Ener�v Pressure: Hi fire/Lo fire ,� �� Gas d sign �`� � Tester's name 4-��- v J �� Ln�� n Percent COz�.� �� Make��,��{� —��Model S�u��.��"�i�" �Z Uf O�`�� InputCFH �7) PercentOz ��.� IO Serial no. e�� V p �� t.�`�\� Stack temp 3q� Percent CO�(�� In ui �� 002006 CenterPoint Energy Form 235 Rev.4/06 ID-61463 �O� TIME CITY OF ORONO CALLED IN INSPECTION NO ICE SCHEDULED /. lX� _ PERMIT NO. — ��OMPLETED ADDRESS �� OWNER CONTR. TELEPHONE NOq�� O Z`t� �� DESCRIPTION ��i( /ryjCL C�C_ ��,� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINA� ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL � SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � ��A �� A�-t� ( S t� 0 � � 0 � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE W ❑ CORRECT WORK&PROCEED �:, ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on ite: � Inspector. � White Copyllnspector's File Canary CopylSite Notice