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Home My WebLink About2010-00011 (mechanical- heating) CITY OF ORONO PERMIT NO.: 2010-00011 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUED: OU07/2010 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 2450 CARMAN ST PIN : 20-117-23-12-0059 LEGAL DESC : LEHMAN LAGOON : LOT 004 BLOCK 001 PERMIT TYPE : MECHAN[CAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,000.00 NOTB: 1 CARRIER NAT GAS FURNACE APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 2.00 9320 EVERGREEN BLVD- SUITE B COON RAPIDS, MN 55433 MAIL-IN FEE 1.50 (763)757-6202 TOTAL 53.50 OWNER PALMER, MARK&NANCY 2450 CARMAN ST WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT "The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the Statc[3uilding Code. This permit is for only the work described and docs not grant pennission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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. 'Che applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked at any time for due cause. \%��-� �ll. / / / / Applicant Permitee Signature Date Issued Bv S� ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . J i �3� FOR CITI'USE ONLY '��,�'` City of Orono /�� `�'\' P.O.Boa 66 Date Received: Pennit# ' '�� ;+ 2750 Kelley Parkway ��,a i�'�'x•� �.�� Crystal Bay,MN 55323 Approved By: Amount$: \'� � l i';'i ti�� A�. ..� ,Y tio;, (95_)_49-4600 `;ageesot`::,� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building O�cial or Inspector and/or Fire Marshall) GENERAL INFORI��ATION 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 t��o workin�days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UI�TTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,desi�n temperatures,equipment ratin;s 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. �. 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(9�2)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(Approva►Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: �S� (Gl,l/'MQ,n. ��7 Owner:�Y I � � Mailing Address: City: �iY�nU Zip: S S��'j / Home Phone: 7�a-��- � �D � Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY ContactPerson: JOANN 7TNKFN Address: 9320 EVERGREEN BLVD State Bond#: 22013346 City: COON RAPIDS Zip: 55433 ExpirationDate: 08/1Q/2007 Phone: 763--757-6202 Alternate Phone: � Insurance—Current: 1 A�r,erican Home Company Worker's compensation& Employers Liability 7�06951 Policy period Ol/O1/2008 -O1/O1/2009 MECHANICAL SYSTEMS BEING INSTALLED . HEATING SYSTEMS Quantity: � Make: �f�,f''�l�,Y' Model: 5�m�C O� Fuel: Flue Size: Input BTUs: �� 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.: VENTILATIO:�' ❑ 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 ❑ Llnderground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List��l�hat&Where: � . ' PERMIT FEE 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; 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 CALCUL.ATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1, COi�'TRACT PRICE * is 1.25%of contract price with a(A'Iinimum Fee of�3�.00) _ - - __ _ _ _ _ �o�� .vd X.o�2� � �a� vd (contract price) (minimum$3�.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(1vlinimum Fee of�.50) /�DOD .V C� X.000s $ o7.OD (contract price) (minimum$ .50) 3. POSTAGE&HAI�TDLII�rG(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� J� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work including materials, labor,profit, and other ftxed 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 .000� of the Building Department at(9�2)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. Applicant's Signature: "��4�'-'`� � ��`��'�'�"°"" Date: �S�D � Reset Form 3 House heating test record CenterPoint� Energy Owner ��(�� ,+'� Controls tt� Conversion -,� 2�,�nf�` �3` i� Address '�/\ dt rhermostat��J� .�`' Heat plug Vent Size � City ' � l/alve Kindofliner/size UV L� Heat/oss�;�:=�°Date hig.inst Limit �+'�!,�i' Draft hood l o�.,r�r� Regulator SoldbV CenterPoint Energy Limitsetting ��1c;:�� 5�;� Filters:Size �lo'�25 f {Jumber Installed bv CenterPoint Energy Fan setting 1� � ` Chimney locations: �Inside �Outside Electrica/workby CenterPoint Energy Pilottype ��1Lm�f1�^� �., �Si�w''{��f�tW Chimneyconsiruciion r�' `— '�"w'u�(,�'�"� Heat type �FA Q Space heater Pilot make �r.i�(�t�W Wiring � Test tag f Gas line by (��bVZ � Pilot model �� ✓ Lighting/nst `� Date tesied � �S��-�� Unitheater Other Pilottiming Com an testin Ce er'Poin ner Gasdesign Pressure:Hifire/Lofire�,��5/ �5 Tester'snam '�i � K� Mak N�u�'"�� PerceniCOz �„� Z-- �n� ^�3�'' Q 'i Input CFH �� Percent 02 ��S, / Seria/no. +-�Q ) �(� ��t� �y In ut ' Stacktemp 7�� PercentCO .�� P c��OE�t� -T CNP 235(11-2008) ( �1 C\' ��:� DATE TIME V �CITY OF ORONO CALLED IN i ��G" � � �' INSPECTION NOTICE SCHEDULED z- I 3 1 P PERMIT NO. 1�t(, -�l�'� I I COMPLETED ADDRESS 1-�� `�� C�' � c=� i�i'�n=��'� -�' OWNER CONTR. ��"1 � �1�_�SC_(� ,'�ll �-� "� TELEPHONE N0.Ck � �tr l� -5� I - �%'� � 1 }.{�� C��—� -��_��,� � DESCRIPTION � ��r t"�'��-- �, I�2 I � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FtREP�ACE 0 ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W 0. � � O � � O � ti � Q ti Z W � W � � d W� ❑WORKSAT{SFACTORY:PROCEED ROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTIONREQUIRED.CAL�TOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: ' Inspector. � . � �� 6 ► � White Copyllnspector's File Canary Copy/Site Notice