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Home My WebLink About2011-00781 - mechanical CITY OF ORONO PERMIT NO.: 2011-00781 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 08/02/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 2715 CASCO POINT RD PIN : 20-117-23-23-0005 LEGAL DESC : AUDITOR'S SUBD.NO. 265 : LOT 005 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATTON : $ 6,200.00 NOTE: 1 CARRIER NA1'GAS FUKNACF, 1 CARRIER 2.5 TON AC APPLICANT MECHANICAL 77.50 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 3.10 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 MISC FEE 0.00 (763)757-6202 TOTAL 82.60 OWNER JUNGELS, KE[TH 4612 DEXTER AVE EDINA,MN 55424 AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued 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 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 inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cmuse. �/�j(� (�y�. � � `[}//i-�"-�'� l l Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � roa c�11 �sE o�LY , �d� City of Orono P O Bo�66 Date Received: Permit# �. � � �7�0 Kellev Park��av -� ` ' �" Crystal Ba�,N1N»��3 Approved By: Amount$. e "` •o�� Phone(9��)2d9-4600 Fax(9�'_)249-�1516 �br'�raico',`'' CITY OF ORONO—MECHANICAL PERNIIT (All Commercial permits must be approved'o��tlte Buildins OYfieial or Inspector and/or Fire N(arshall) GEI�,�ERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications��ill be reviewed and a permit will be issued within two workin�days. 2. Permit cards w�ill be sent by return mail after a review is completed. PER.tiIITS ARE NOT VALID U1�TIL YOU RECEIVE A PERMIT. �VORK NIt'ST NOT BEGIN UNTIL THE PERVIIT CARD IS POSTED ON THE JOB SITE. 3. I�Iechanical DesiQns—Complete calculations,details and specifications are required for each heatin�,ventilation,humidification-dehumidification, and air conditionin� installation including heat]oss/heat�ain calculation,design temperatures, equipment ratinss and identification as to n�pe,manufacturer and model. Data shall be presented on form provided. 4. w'hzn any new construction or remodelinQ is involved,a separate buildinQ permit must be obtained. �. All work must be done in accordance with the CJniform Ivlechanical Code/State Buildin�Code requirements. 6. All work must be inspected(rou�h-in and final). Call (952)249-4600. (24-=t3 hour notice required) 7. House HeatinQ Test Record must be submitted before final. �� TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site ;0«ner Information: Site Address: �� 5 L1bSCl� �C��,�' `� Owner: ��Y` '�5 Mailin� Address: �1 �� sCo '�1V�,{' � c��y: �or�o z�p: S� 3°� 1 Home Phone: �5a��`� ° a'�� Alternate Phone: as�-�'a-`1-u5a3 Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: �OANN ZINKEN Address: 9320 EVERGREEN BLVD NW State Bond #: 22013346 SUITE B City: COON RAPIDS Zip: 55433 EYpiration Date: (1R/�0/2011 Phone: 763-757-6202 Alternate Phone: � InSut'anCe— Cui'T'ent: Travelers Indemnity Company 1 Workers Compensation&Employers Liability Policy#TC2K-UB_9349B101 Policy Period Ol/O1/2011-O1/O1/2012 . MECHANICAL SYSTEMS BEING INSTALLED � Note: All Geothennal S��stems will now require a Site Plan� Review by our Buildina Official. IS TI3IS GECT�-IERll�I�L? ❑ Yes � No HEATING SY"STENIS Quantity: , Iviake: G,rr i �Gr Model: �B(JlV 6b(o p` �y Fuel: Np•�1,�,1rdX �j�.Q Flue Size: Input BTUs: � (��d Output BTUs: CFlvi: COOLING SYSTENIS Quantity: � 1�Iake: �,W�'�' � 'C1r 1�iodel: O"�� ec�� Tons: O�� Z H.Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue VENTILATION No. Kitchen Exhaust duct recirculatin� cfm No. Bath E�chaust(must have duct outside) cfin No. Other Fans: Locations cfm FUEL STORaGE (_�tilust be approved by Fire Nlarshall if proposing to a6anrlon tanh in pince.) � Installation � Removal Fuel Oil: gallons ❑ Under�round ❑ Inside ❑ Outside LP Gas: Qallons Other: V GAS LINE ONLY � Outdoor Grill � Other/List What c4�Where: � . PERiVIIT 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 followintr requirements: 1. Does not require modification to electrical or gas service. ?. Has a total cost of$500.00 or less; etcludin�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 � 1�.00 State Surcharee $ �.00 � � Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee $ PERMIT FEE CALCU'LATION(S)-JOBS OVER$500.00 If above does not apply;follow ouidelines below: 1. CONTR�CT PRICE * is 1?�%of contract price with a(NIinirnum Fee of��0.00) �O oZ�d. �� x .0125 � � � • �� (contract price j (minimum$�0.00) 2, STATE SL�RCH_ARGE �* Add the State Blda Code Div. Surchar�e(vlinimum Fee of 55.00) �a D a. �o X .000s � 3 , 1 0 (contract pnce) (minimum$5 00) � 3. POSTAGE&HANDLI?vG(Only on Niail-In Applications) $ 2.00 �. TOTAL PERMIT FEE(Add Lines l-3 Above) $ �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work includin� materials, labor, profit, and other fiYed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished bv the owner, tenant or any other pam�, 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 sitrned copy of the actual contract. ■ ** The ST�TE SLTRCHARGE is .0005 times the Contract Price or a minimum of�5.00. MECHAI��ICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance oi 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. • Q -l� Applicant's Sianature: Date: �' � Reset Form ; �^ ! V � �,� D E TIME � CITY OF ORONO �� INSPECTION NOTICE 0�� SCHEDULED � PERMIT NO. �l COMPLETED ADDRESS � �� OWNER EpHONE NO. CONTRACTOR �� >: DESCRIPTION �/� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ HARD COVER REMOVAL J ❑ BING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL NTRACTOR TO MEET YOU:_YES_NO v, OMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �P80JECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice