HomeMy WebLinkAbout2013-00035 (mechanical) , CITY OF ORONO * z 0 1 3 - 0 0 PJ 3 5 *
2750 KELLEY PARKWAY DATE ISSUED: OU15/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3231 CASCO CIR
PIN : 20-117-23-43-0016
LEGAL DESC : SPRING PARK
: LOT 021 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
COIVSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 5,700.00
NO'rE: 1 RUUD NATURAL GAS FURNACE
1 RUUD 2.5 TON AC
APPLICANT MECHANICAL 71.25
CENTER PO[NT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 2.85
9320 EVERGREEN BLVD NW
SUITE B MAIL-IN FEE 2.00
COON RAPIDS, MN 55433 TOTAL 76.10
(763)757-6202
OWNER
COOPER, MR.& MRS.
3231 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Che work for which this permit is issucd 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 related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified hercin.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 inspections are
requestcd in conformance with the State I3uilding Code.This permit may be
rcvoked at any time for duCZause.
`�-� �v�, i i ���-/L% i i
Applicant Permitee Signature Date Issued By nature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED AB E.
FOR CITY USE OVLY
, �%'�p�'�'� City of Orono
/i' 4 �'� P.O.Box 66 Date Receiced: Permit#
�
�l�%. �','I 27j0 Kelley Parlavay
1���+ .j�{'�k•� +�;� Cr��sial Bay,MN�5323 Approved By: Amount$:
\'•9 s}A:-.' F;�
���y�,t4•.i�#�u� Phone(952)249-4600 Far(9�2)249-4616
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\� CITY OF ORONO—MECHANICAL PERMIT
(All Commercial permits must be approved by the Buiidine Official or Inspector and/or Fire Mazshall)
�
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 conditionin�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. VJhen any new construction or remodeling is involved,a separate buiidin�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 submit�ed before final.
TYPE OF PERMIT
(Check All That A 1 )
�Residential ❑ Commercial (Approval Required)
❑ New ❑Additional ❑ Repairs �eplace
Job Site/Owner Information:
� (r
Site Address: ��3 � �SCC l� ��'C. t�-
1 �y ��, �
Owner: '�E rCr'Y\e 7�u MailinQ Address: 3 oZ31 ��C-� .
City: �'Cv'1 G �!'1�1 �i Zip: `�`S 3C� �
Home Phone: l��Z--1�-E 3• �q�t I Alternate Phone:
Contractor Information:
CENTERPOINTENERGY JOANN ZINKEN
Contractor: Contact Person:
9320 EVERGREEN BL STE B 2201 3346
Address: State Bond #:
COON RAPIDS 55433 08/20/12
City: Zip: Expiration Date:
Phone: �763� 785-5404 Alternate Phone:
Travelers Indemnity Company
Workers Compensation&Employers Liability
❑ II]SUt'ariCe—CU1Terit: Policy#TC2K-UB_9349B101
1 Policy Period O1/O1/2012-01/O1/2013
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$YSTEMS
Quantity: �
Make: �u�
ModeL• � {�� � ��
Fuel: �1C�.�f'Q.� �
Flue Size:
Input BTUs: ,UO, CC%O
Output BTUs: SL�,�'C`C-
CFM:
COOLING SYSTEMS
Quantity: �
Make: ` u.�.c�
Model: �`H���I
Tons: �t�Z
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Ivlodel No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfm
FUEL STORAGE (_�Ius1 be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: �allons ❑ 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 firture or aopliance 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;excludinQ the cost of the fixture or appliance: and
3. Is improved,installed or reglaced by the homeo�vner or licensed contractor.
Skip next section, if this applies; Cost of Permit $ 1�.00
State Surcharge $ 5.00
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. CONTR4CT PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00)
S �GC%. C%� x.0125 $ � � . �.�
(contr�ct price) (minimum 5�0.00)
2. STATE SL'RCHARGE
<� ��U, C � x.0005 � � � J
(contract price)
3. POSTAGE&HANDLING(Only on Nlail-In Applications) $ 2.00
4. TOTAL PER,'�IIT FEE(Add Lines 1-3 Above) $ ��' I ��
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the
permitted work includine materials, labor,profit, and other fixed costs. It is the amount to be charaed
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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby applies to the City for issuance of a Mechanical Permit, aorees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies , t all statements made on this application are complete, true and
correct.
� p.-
Applicant's Signature: r Date: � - 0 '�J
� '-
Reset Form`
3
DATE TIM�
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �Gl�-G�.3.5� COMPLETED -/o/
ADDRESS����3! C4c5cv Gi �
OWNER TELEPHONE NO.
CONTRACTOR - CertiLL�r /�� Eilpr4i�
�: DESCRIPTION
�
� � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ECHANICAL FINAL
�, ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL �ARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPIEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � ��-- ��
White Copyllnspector's File Canary CopylSite Notice
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+�D TE� E
CITY OF ORONO CALLED IN
INSPECTION N TIC CHEDULED -' �! �
PERMIT NO. dd� OMPLETED
ADDRESS �
OWNER T�LE HONE N -` w� /
CONTRACTOR ��
� DESCRIPTION � � " `
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� `�FINAL ❑ SEWER HOOK-UP � COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. �EQLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL �❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
�TRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
W ,Y�ORRECT WORK 8 PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY
� �❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. ❑ pHOTO TAKEN
�NSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
forthe next inspection 24 hours in advance. (952) 249-46��
Ow ctor on site:
cr �
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Inspector �
White Copyllnspector's File Canary CopyfSite Notice
CenterPoint, �
House heating test record Energy
Owner('����' Controls Conversion
� � 1�
Address ��3 f C�$'G d C:� Apt Thermostat}�l�`a t1;�c Heat plug Uent Size �
k
City �(la/1Z Ualve�C"��/�t'N� Kind of liner/size �� 'S
Heat loss Date htg.inst f�-1 C"—�',� Limit �--k� Draft hood��� Regulator �
Soldby CenterPoint Energy Limitsetting ��U Filters:Size-�OlC�X(�e Number l
Installed b� CenterPoint Energy Fan setting �t ���� Chimney locations: Inside 0 Outside
Electrical workby CenterPoint Energy Pilottype J`~j���P K�' Chimneyconstruction l�
Heat type _� 0 Space heater Pilot make '� Wiring V" Test tag G��
Gas line by �-'•�`��� Pilot model f� Lighting Inst(__� Date testedl�1�-/��
Unitheater Other Pilot timing �l���G. Companv restinq CenterPoint Energy
Gas design Pressure:Hi fire/Lo fire �g .S Tester's name �u-�
,r � � Percent CO2 � ��
Make ��U C�� Model�u'I 4 � c
Serial no.��S�.��21— r��l�0."��.3 �nput CFH Percent 02 �, Z ,
Input C6�1���c
Stack temp � � Percent CO �5 fl
CNP 235(11-2008)