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Home My WebLink About2012-00371 - mechanical ,. CITY OF ORONO * z 0 1 z - 0 0 3 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: OS/07/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2650 COUNTRYSIDE DR W PIN : 04-117-23-12-0014 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 006 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : COOLING SYSTEMS VALUATION : $ 4,600.00 NOTE: 1 CARRIER 4 TON AC APPLICANT MECHANICAL 57.50 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 230 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 MISC FEE 0.00 (763)757-6202 TOTAL 61.80 OWNER JORGENSON, ROBERT 2650 COUNTRYSIDE DR W LONG LAKE, MN 55356 AGREEMEIYT AND SWORIV STATEMENT I'he work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permi[s. All provisions of laws and ordinances goveming 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 I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime 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 cause. ` I'►'��'� �' / / / / Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. , FOR CITY'USE OrLY ,i�".� City of Orono � 4 � �` P.O.Box 66 Date Recei�ed: Permit# J!�,: �`� "_'7�0 Kelley Par6�vay ;+ �y'� . ►�,� Cq�stal Bay,MN��323 ApProved By: Amount$: ,�� n�� ,'r o�;� Phone(952)249-d600 Fa.e(9�'_)249-46]6 �t�`�1 0*�, `�=� c� �I , CITY OF ORONO—MECHANICAL PERMIT �1�� J� (All Commercial permits must be approved by the Bu;ldinc Official or Inspector and/or Fire Marshall) 1� GENERAL INFORMATION 1. You may apply for mechanical permits by mai] 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?`OT VALID UNTIL YOU RECEIVE A PERMIT. WORK lY[UST 1�OT SEGIN UNTIL THE PE2VIIT CARD IS POSTED O�I THE JOB SITE. �. Mechanical Desiens—Complete calculations, details and specifications are required for each heatinQ,ventilation,humidification-dehumidification,and air�ondi:ioninQ installa�ion including heat lossiheat eain 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. A1]work must be done in accordance with the liniform Mechar,ical Code�State Building Code requirements. 6. All work must be inspected(rough-in ar,d fina]). Call(9�2)249-4600. (2=4-48 hour notice required) 7. House Heatin�Test Record must be submired before final. TYPE OF PERMIT (Check All That A 1 ) �,Residential ❑ Commercia] (A,�pro��al Required) ❑ ':�1ew ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: o��d �-.�o�-�� (SI�G �(Z.• �e ' Owner: � � �d��l'�5D11 Mailina Address: ^� � �� 2. c�ri: �"or�o z�P: 5 S 35� Home Phone: Q6�' ��S' ,3�00 Alternate Phone: Contractor Information: CENTERPOINTENERGY JOANN ZINKEN Contractor: Contact Person: 9320 EVERGREEN BL 5TE B 2201 3346 Address: State Bond#: City: COON RAPIDS Z1p.55433 Expiration Date: 08�2O/� 2 (763) 7$5-5404 Phone: Alternate Phone: Travelers Indemnity Company Workers Compensation&Employers Liability ❑ IriSUrariCe—CUI7erit: Policy#TC2K-UB_93496101 1 Policy Period 01/Ol/2012-01/01/2013 MECHANICAL SYSTEMS BEING 1NSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Buildin�Official. IS THIS GEOTHERNIAL? ❑ Yes �No HEATING SYSTEMS Quantih�: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CF\�: COOLING S�'STEMS Quantit;%: ` Make: `O�Y ��C1� Model: ,o-��-Cr�p�i� Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burnin�Fireplace ❑ Wood Stove A�Iode]No.: ❑ Wood Stcve with Flue!;vfasonry VE�iTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations cfm FUEL STOR_AGE (�Ylust be approved by�Fire Marshall if proposina to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Underground ❑Inside ❑Outside LP Gas: eallons Other: V GAS LINE ONLY ❑ Outdoor Grill ❑ Other/List What&Where: 2 PERMIT FEE CALCLTLAT�ON(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or oas service. 2. Has a total cost of$�00.00 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 $ 1�.00 State Surcharge $ 5.00 Mail-In Fee(If Applicablel $ Z.00 Total Permit Fee $ PERIvIIT FEE CALCtTLATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. COVTR4CT PRICE * is 1.?�°�o of contract price with a(Minimum �ee of��0.00) 'T�vO� •�� x .O1?� � J'� �.Sd (contrxt pricej (minimum S�O.UO) '_'. ST_4TE SL'RCHARGE O� �OU ��o X.000s � a •3(� (contract price) 3. POSTAGE&:Y.ANDLP.vG(On�y on�1ai1-In Applica:ions) � ?.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � V �•�� ■ * CONTR�ICT PRCE or JOB COST means :he ac,ual or estimated doliar amount charsed for the permitted work including materials, labor, profit, and other fxed costs. It is the amount to be charQed to the customer for the work done. If any material, equipment, labor or instaliations are furnished by the ow�ner, tenant or any other party, the reasonable market value of such items must be added to the es;imated cost or contract price for perr.iit fee pu:poses. 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 undersianed hereby applies �o the City for issuance of a Mechanical Permit, aarees 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: • Date: 0 /Z Reset Form 3 �� `� 9TE TIME ✓ CITY OF ORONO � CALLED IN ��/ �z INSPECTION NOTICE SCHEDULED `'� z- � PERMIT NO.,�1�1��--(�(�.�� 1 COMPLETE �� i ADDRESS �—� � �' OWNER TELEPHONE ��a ��C�'�� CONTRACTOR ��-�'� ��Zf �, �: DESCRIPTION / ,�� - � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W Sc W � � d W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED lJ IS UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR FEINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. - Whiie Copyllnspector's File Canary CopylSite Notice