HomeMy WebLinkAbout2007-P11427 (Mechanical) PERMIT
CITY OF ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: p11427
Crys�al Bay, Minnesota 55323 Permit Type: Mechanical Pernuts
� (952) 249-4600 Date Issued:
9/10/2007
SITE ADDRESS: 1365 Arbor St unit#
Wayzata,MN 55391
P��� 10-117-23-31-0054
DESCRIPTION: '
I
�
Proposed Use: Residential
Pernut Class: General
Permit Type: Mechanical Permits Permit Sub-type(s): Heating Systems
DETAILS:
Approved per resolurion#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation: $ 2,400.00
State Surcharge Fee: $ 1.20
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.70
APPLICANT: Center Point Energy Minnegasco OWNER: Melanie Gustafson
9320 Evergreen Blvd-Suite B 1365 Arbor St
Coon Rapids,MN 55433 Wayzata.,MN 55391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IlVIPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PERMITEE SIGNATURE IS D BY SIGNATURE
Copies: 1-File(SignaturesRequired), 1-Applicant, 1-MonthlyReports, 1-Assessing,(If Sepric, 1-Septic) Page 1
[ T , �'qR CITY USE ONLY
T O���O City of Orono 'I
P.O.Box 66 Date Received: Pertnit#
, 2750 Kelley Pazkway
� t ;_ � Crystal Bay,MN 55323 Approved By: Amount$:
��' ,' yo (952)249-4600
I
n��� CITY OF ORONO-MECHANICAL PERMIT
/1�_1 (All Commercial permits must be approved by the Building Officiaf or Inspector and/or Fire Marshall)
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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 retum mail after a review is completed. PERMITS ARE NOT
� VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—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.
(2448 hour notice required)
7. House Heating Test Record must be submitted before final.
' '� °T'YP���l7�P��'�'.; .-0: . �
„ ' Check�A�l1 Th,at,A� '1 '
[�]Residential ❑Commercial(Approval Required)
❑New ❑Additional ❑Repairs �'Replace
,JQb Site/Own�r Information:
Site Address: ���s �r�� S�r'���
Owner:�E?��.`n�� St.�.`t''�Er l(�d.Mailing Address: 1�sS 1���r �- �
City: �rV�G � �ti Zip: �S� 3C1 (
Home Phone:�5 0�l-"1�' � `� o� Alternate Phone:
``Cqntr�cto�-Tn�ormation:� � �°�' . °
„
Contractor: CENTERPOINT ENERGY Contact Person: JOANN 7TNKFN
Address: 9320 EVERGREEN BLVD ':�-�State Bond#: 22013346
City: COON RAPIDS Zip: 55433 Expiration Date: OS/19 2007
Phone: 763-757-6202 Alternate Phone:
� Insurance-Current:
1 American Home Company
Worker's Compensation&Employers Liability 7206951
policy period O1/O1/2007-O1/O1/2008 ,
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HEATING SYSTEMS
Quantity: �
Make: 1�-.
Model: �l���P'N'��
Fuel: � (�r,.�S
Flue Size: �
Input BTiJs: �� ���b
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.:
� VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfin
O No. Bath Exhaust(must have duct outside) cfin
No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL)
❑ Installation ❑ Removal I
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets a11 three of the following requirements:
i
1. Does not require modification to electrical or gas service. ,
2. Has a total cost of$500.00 or less;excludine 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 $
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If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) ,
O� �� �� �
X.oias$ 3 d
(contract pnce) (mini $35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) ,
��DD °� I . �.�
X.000s $
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
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.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
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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: �'�`� �
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House heating test record CenterPoint�
Energy
owner s�l�C��'iv� Controls Conversion
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Address `�b`� ��� �'l APt Thermostat Heat plug 1/ent size I
City ��J�� Ualue Kind of liner/size s" �`��i�
Heat loss � Date htg.inst �'�� �U� L�mit Draft hood I���L� Regulator
Sold by CenterPoint Ener�� Limit setting Filters:Size j b�e��� Number �
Insialled by GenterPoint Enerqy Fan setting Chimney location: ,�°Jnside � Outside
Electrical work by CenterPoint Energy Pilot rype Chimney construction
.�''° a v�a,�
Heat type: �FA � Space heater Pilot make Wiring Test tag
Gas line by �IP^^ Pilot model Lighting Inst � Date tested /�����
Unit heater Oiher Pilot timing Company testing CenterPoint Ener�
r �Pressure: Hi f�re/Lo fire �•5' Tester's name
Gas design � �
,p Percent COZ �
Make ��� Model �r/J1i��_�� ''7�
Serial no.��SN����3��0f �J(, �nput CFH /� Percent Oz ��1
��,�� ' Stack temp 3 Perceni CO �.�
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002005 CenterPoint Energy Form 235 Rev.1/05 ID�2352