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Home My WebLink About2009-00853 - mechanical , CITY OF ORONO PERMIT NO.: 20o9-ooss3 . 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUEn: 12/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4305 CHIPPEWA LA PIN : 31-118-23-42-0011 LEGAL DESC : CHIPPEWA : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 1,700.00 NOTE: 1 2.5 TON AIR CONDITIONER APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 0.85 9320 EVERGREEN BLVD- SUITE B COON RAPIDS, MN 55433 MAIL-IN FEE 2.00 (763)757-6202 TOTAL 52.85 PAID WITH CC# 3676 OWNER CORNICK,JAMES&DEBRA 4305 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o 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[ime for due cause.� �7'l�t�� / / l l Applicant Permitee Signature Date [ssued By nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO � FOR CITY USE ONLY 0�, ' -�` City of Orono � ��O`�'`' P.O Box 66 Date Received: Pcnnit# �� `�` 2750 Kelley Parkway �i �� II, A roved B . Amount$: ��,� 'p ,'•=• � �.;� Crystal Bay,MN 5�323 PP Y� ��e� '�'��'�,�>�y,c`;� (952)249-4600 ��k�so!`�%,, CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Buildin�OYficial or Inspector and/or Fire Marshall) GENERAL 1NFORl��ATION l. You may apply for mechanical pennits by mail or in person at the City offices. .Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII,YOU RECENE A PERMIT. WORK'.1'1UST NOT BEGIN UNTIL THE PERMIT CARP, 1S POSTED ON THE JOB SITE. 3. Mechanical Desi�ais—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat ioss/heat�ai caleulation,design tempera��res,cr�uipment:a:ir.gs ar.d identification as to type,manufacturzr and model. Data shall be presented on form provided. 4. When any new cunstruction or remodeling is involved,a separate building permit must be obtained. �. All work must be done in accordance with the Uniform?�'Iechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(9�2)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) � �Residential ❑Commercial(Approval Required) ❑ New ❑ Additional ❑Repairs ❑Replace Job Site/ Owner Information: Site Address: y3� C�l��np-e�� ^�'-''l '� Owner: �� rn ��n'`�-� Mailing Address: �305 �,�d��c �-w� City: �ro�no Zip: '�S3S9 Home Phone: �sa• �� q-U1�1 D Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: �I�ANN 7TNKFN Address: 9320 EVERGREEN BLVD State Bond�: �5 v3- rn 4 City: COON RAPIDS Zip: 55 3 Expiration Date: __a$ � ��a010 _ �_�... Phone: 763--757-6202 Alternate Phone: � Insurance-Current: -(ra-v e(�er� �n�-e�w��y �� 1 � � MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: _.. _ __ CFM: COOLING SYSTEAZS Quantity: � _ Make: Model: o�� C�'-�� Tons: o�� Z H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: Vr,NTILATiON ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(M[JST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: jallons ❑ 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 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;excludinQ 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 Per•mit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$�00.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�3�.00) ____ _ __ _ . __ _ �"�1Q0.00 x .0125 � .3S�d � (contract price) (minimum$35.00) 2. STaTE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) �� '�� x.0005 $ , �S (contract price) (minimum$ .50) 3. POSTAGE&HAI�TDLING(Only on Mail-In Applications) $ 1.�0 4. TOTAL PERA'IIT FEE(Add Lines 1-3 Above) $ �J� -3S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted 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 ('ity 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 Mechanica] Permit, agrees to do all wark 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:�'��ti-� �` ,�" �� Date: � � a S � �`�� Reset Form , � �� C\� ATE TIME CITY OF ORONO � CALLED IN j�� INSPECTION NOTICE p SCHEDULED j �� :.-�(�� PERMIT NO. �,�!C�Q"-UQ/1��7�COMPLETED ADDRESS `, � C�% � G� 1 �i'�E-': t"�� L�_ OWNER�b�Vl , I�i f�� CONTR. TELEPHONE NO. t_�O' ��c� � �-f �C��- � DESCRIPTION �� i— I{'�K�-�-I ��/4 � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO :_YES_NO � COMMENTS: , �n ( I � �� W 0. � J O � � O � W � Q � Z W � W � j d W� CI�WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � ' � ..�� C� (�� White Copyllnspector's File Canary CopylSite Notice