HomeMy WebLinkAbout2006-P10364 (mech. - A/C) PERMIT
CITY�OF ORONO
Permit Number:
2750 Kelley Parkway- PO Box 66 P10364
Crystal Bay, Minnesota 55323 Permit Type:
Mechanical Pernuts
(952) 249-4600 Date Issued:
9/25/2006
SITE ADDRESS: 3300 Carman Rd Unit#
Excelsior,MN 55331
PID: 20-117-23-14-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type:
Mechanical Pernuts Permit Sub-type(s): Air Conditioning
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 40.00 valuation: $ 3,200.00
State Surcharge Fee: $ 1.60
Misc.Fee: $ 1.50
TOTAL FEE: $ 43.10
APPLICANT: Centerpoint Energy Minnegasco OWNER: Joan Nielsen
1111 Louisiana 3300 Carman Rd
Houston,MN 77002 Excelsior MN 55331
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIF(ED
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 PER!�IITEE SIGNATURE ISSUED BY S[GNA'IURE
Copies: 1-File(Signatures Reguired), 1-Applicant, ]-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1
� ,' FOR CITY USE ONLY
O,¢��,� City of Orono
� P.O.Box 66 Date Received_ Pennit#
�?„ ,_ 2750 Kelley Parkway
�� �}��`����-. ��� Crystal Bay,MN 55323 Ap}�roved By: Amoant$:
�t-��,��Ft������ (952)249-4600 �
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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 PERNIIT. 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
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 O�PERMIT
�� � Check All That A 1 �
��Residential
❑Commercial(Approval Required)
❑ New ❑Additional ❑Repairs �Replace
Job:�xt�1(�''�ier Information: ` �_
Site Address: ����C' ( ��x r� r"y1 rr �„ �\�'`c��
Owner: ��F���I e �t C_.,�SU 1rl Mailing Address: ��v� �y � �
city: �t O ti'1 C1 zip: 55.�3 i
Home Phone:���` � � � � �3�� Alternate Phone: `�5 � ' y� � � ��'�"�
Co�tractor Tnforn;�et��n
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 13562 CENTRAL AVE NE State Bond#:
City: ANOKA Zip:55304 Expiration Date:
Phone: 763-757-6202 Alternate Phone:
❑ Insurance—Current:
1
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HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input B'I`Us:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �l�`��
Model: �,�4���--- ���
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 cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ 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
.
• � � P�RMIT�FEE CALCULATION(S}
B�SED 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;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 $
_ : � �
�-__ �'�RM,. ���,. .._., . �� .� ,..�. � . �)''—JOB�S OVER $SG0.00 ' �;;
If above does not apply; follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
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'3�b� �c`�-� X .oi2s$ C�, D
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
���' C� x.0005 $ I-•��
(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: �(YQ„P✓�, �� ��Q,� Date: ���� QL'%
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t i MINNESOTADEPARTMEN7aF MINNESOTA�EPARTMENTOF
�LABOR& fIVDUSTRY �LABOR&1NDUSTRY
, Construction Codes and Licensing Division Construcrion Codes and Licensing Division
Commissioner of Labor and Industry
_ Commissioner of Labor and Industry Has Received and Filed a$25,000 Surety Bond,
Has Received and Filed a $25,000 Surety B.�nd� As Required by MS 326.992,for Work Regulated
by the State Mechanical Code
As Required by MS 326.992, for Work Regulated To� Marc Kilbride Bond No: 22013346
by the State Mechanical Code CenterPoint Energy MB ID: 00273
Minnegasco div.CenterPoint
Marc Kilbride Bond No: 22013346 Energy Res.
T0: CenterPoint Energy Minnegasco div. MB ID: 00273 Effective Date Expiration Date
CenterPoint Energy Res. 8/20/2Uo6 8/19/2007
1240 W.River Parkwa.y
Minneapolis MN 55454
Effective Date Egpiration Date
8/20/2006 8/19/2007
MBFormRC
� � � DATE � TIME ��
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED `-� � � -��-�
PERMIT NO. i COMPLETED
ADDRESS �e� �� � C �,''f Y�t't;t �--�� �
OWNER 5'(�C�t/-f_�il ,���G ��S �`�1, CONTR. (��. ,._��, � , f�r
TELEPHONE NO. ���5,� �'I 7 I �� o�LI
� DESCRIPTION �� _
� 01 FOOTING 11� 18 EXCAV/GRADING/FILLING
Q 02 FR,4MING 3 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION `Z4% D BURNER/FIREPLACE 34 TREE REMOVAL
� 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Z
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FO�LOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR J CITATION ISSUED
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the ne inspection 24 hours in advance. (952� 249-4600
OwnerlContra n e:
Inspector. �
White Copyllnspector's File Canary CopylSite Notice