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Home My WebLink About2010-00058 - mechanical CITY OF ORONO PERMIT NO.: 2010-00058 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUED: 02/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 5 BROWN RD S PIN : 34-118-23-34-0009 LEGAL DESC : UNPLATTED 34 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COIVSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,800.00 NOTG: 1 RUUD NATURAL GAS APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUAT[ON) 1.40 9320 EVERGREEN BLVD-SUITE B COON RAPIDS, MN 55433 MAIL-IN FEE 2.00 (763)757-6202 MISC FEE 0.00 TOTAL 53.40 OWNER MATHISON, BRUCE 5 BROWN RD S LONG LAKE, MN 55356- AGREEMEIYT 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 pemiit 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 no[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 inspec[ions are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date [ssued By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 ' FOR CITY USE ONLY �,="<��..�� Cl�'Of�1'0�0 � . t�4��`�. P.O.Box 66 Date Received: Permit# � ��;,,.� �� 2750 Kelley Parkway ` ,�'��'�� Crystal Bay,MN 55323 Approved By: Amount$: �,� ��9*,4�j (952)249-4600 ��___.�% CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION L 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 Desiens—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,eGuipment 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 I ❑ Residential � Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: 5 Brown Road South Owner: Bruce Mathison Mailing Address: 5 Brown Road South City: Orono Zip: 55356 Home Phone: �952)475-6691 Alternate Phone: Contractor Information: Contractor: CenterPoint Enery Contact Person: JoAnn Zinken Address: 9320 Evergreen BI. Suite B State Bond#: 22013346 Coon Rapids 55433 08/20/10 City: Zip: Expiration Date: Phone: (763)757-6202 Alternate Phone: ✓0 Insurance—Current: 1 � 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: Ruud RGRL-04EMAES Model: Fuel: Natural Gas Flue Size: Input BTUs: 40,000 Output BTUs: 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E}chaust(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 a Removal Fuel Oil: gallons ❑ Underground a Inside � Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: 2 w :� PERMIT FEE CALCULATION(S) � � BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;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) $ 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) 2,800.00 x .0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bidg Code Div. Surcharge(Minimum Fee of$.50) 2,800.00 x.0005 $ 1.40 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.40 ■ * 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 aze 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. ln 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. � � �� 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. r..::. �,�r�_��,,, � Applicant's Signature: ��""' Date: 02/02/10 Reset Form 3 House heating test record CenterPoint� Energy Owner�rv� „�y1�i S c��1 Controls Conversion � 2 `` ¢'vc Address � �3 ro�,�� (� t.S Thermostat J � Heai p/ug Uent size City �n � Ualue ��r'y �'��'�� Kindofliner/size ,1'� �� i3 f/'�l.'� Heat loss Date htg. inst Limit �j �y P o�► Draft hood Regulator Sold by CenterPoint EnerQy Limit setting ,/7� Filters:Size��,rZSX�Number � Installed by Genteri'oint Eneray Fan setting J� ��E Chimney location: � Inside � Outside Electrical work by CenterPoint Enerqy Pilot type �Q(!V K Chimney construction (,�—t,/'li�,f— Heat type: � FA � Space heater Pilot make - Wiring Test tag Gas line by Pilot model '—' Lighting Inst Date tested Unit heater Other Pilot timing `'�S S'� Company testing CenterPoint Ener�� Pressure: Hi fire/Lo fire J�� Tester's name �p�,�� Gas design � �p D'J_/, Percent CO2 Y �' Make �y r v � Model l>►�(„ Q'1 ��,7b��Gt, � / G�� InputCFH �`� PerceniOz �0� � Serial no. 7]V 0� Percent CO-��-1�r� � Stack temp � 0� Input ��.�� d <02005 CenterPoint Energy Form 235 Rev.1/05 ID-42352 � DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION TICE `p SCHEDULED � � PERMIT NO. �l D �DODJ 0 COMPLETED ADDRESS .S ��O L1-�i �f7,�Wh �CL OWNER�(�GZ�, ,�I��D�Y� CONTR. �LN�Z`� TELEPHONE NO. ��Z �7d Z�S3 � DESCRIPTION ` Ur�IQC� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE � ❑CORRECT WORK&PROCEED �SUE CERTIFICATE OF OCCUPANCY W 0 G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. � � , White Copyllnspector's File Canary CopylSite Notice