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Home My WebLink About2012-01264 - mechanical � CITY OF ORONO * z 0 1 z - 0 1 Z 6 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/20/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4030 DAHL RD PIN : 07-117-23-11-0022 LEGAL DESC : PIRATES COVE : LOT Ol8 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,000.00 NOTE: 1 CARR[ER NAT GAS FURNACF, APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 2.00 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 TOTAL 54.00 (763)757-6202 OWNER GILBERT,JAMES& MARY 4030 DAHL RD MOUND, MN 55364 AGREEMENT AIVD SWORN STATEMENT "I�he�cork for��hich 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 fior 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 ifconstruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l80 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 cau�e. � /�'(� `�l� l l / / Applicant Permitee Signature Date Issued By ' nature at SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. ' s FOR CITY USE OVLY "" —� Ci of Orono i�4"��'� ty / P.O.Box 66 Date Received: Permit# �r��•. �\� 27�0 Kelley Park�vay {�+ �� ii 'Cp•stal Bay,MN»323 Approved By: Amount$: `�ti� a}73 ¢+u`,i'� Phone(952)249-4600 Fax(9�2)249-4616 ��. iaxo!:/� �<—=i� - C �v � ��n � All CommerCI p Y itO�sORO o e�d by tMBu di�ONI'Co LSPE rRaMorTire Marshall) 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 retum mail after a review is completed. PERMITS ARE NOT VALID LJNTIL YOU RECEIVE A PER��'IIT. WORK NIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED 0�1 THE JOB SITE. 3. Nlechanical Desions—Complete calculations.details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat eain calculation,desiQn temperatures,equipment ratings and identification as to type,manufacturer and modei. Data shall be presented on form provided. 4. W hen any new construction or remodeling is involved,a separate buildin�permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanica( Code/State Building Code requirements. 6. All work must be inspected(rou�h-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submired before final. TYPE OF PERMIT (Check All That A lv) �esidential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: f`��U �C�-h� t�c� Owner: `� \�r" � � �� ' ��'�'�" I�iailinQ Address: �v�C� �� v 'lrlo,.�,-, � � , � City: �.��►'�G Zip: _ � 55.3 Lc�� Home Phone: �5 0�' ��°Z' b�� Alternate Phone: Contractor Information: CENTERPOINT ENERGY 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 ❑ Insurance—Current: Policy#TC2K-UB_93498101 1 Policy Period Ol/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 SYSTEMS Quantity: 1 Make: �c�rr� �►� ModeL• ��Cv A �� U Fuel: �(L�L�QI Qj Flue Size: Input BTUs: � � b , �� output BTUs: $�� G C'C� CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Ivlodel No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�:haust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (_�Ylusi be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: �allons ❑ Underground ❑ Inside ❑ Outside LP Gas: �allons Other: V 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ FERMiT rEE CALCULATIOI�(S -JOBS OVER $SOG.00 If above does not apply;follow guidelines below: 1. CONTR4CT PRICE * is 1.2�%of contract price with a(Minemum Fee of��0.00) �')�C�'�i' ��`� x .0125 $ �� . �O (contract price) (minimum 550.00) 2. STATE SURCHARGE ��OC', OU x.0005 $ �� Q C� (contract price) 3. POSTAGE&HANDLING(Only on 1�Iai1-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ J /` �'� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charoed for the permitted work includine 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 fumished 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 disputz on the amount of the job cost, the City may request the submission of a signed copy of the actua] contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, aQrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies th 11 statements made on this application are complete, true and correct. � Applicant's Signature: r� ��ate: Z /3 �Z ; Reset Form 3 CenterPoint� House heating test record Energy Owner (�� ] �e,r�' Controls Conversion Address y�j�� c h� '� Apt rhermostat �� Heat plug Vent Size ,j 1� P � City .-/�{��,� �{�'_.�^ti%C� l/alve 1.��' Kindofliner/size �'�� Heat loss Date htg.inst Limit ��.X�.,� Draft hood '�� Regulator ,f}� SoldbV CenterPoint Energy Limitsetting )(,� Fi/ters:Size Zd��Lr(Number ( Installed by CenterPoint Energy Fan setting i med Chimney/ocations:�e'(nside �Outside Electrical work by CenterPoint Energy Pilot type �-{L Chimney construction � Heat type fZf FA 0 Space heater Pilot make � Wiring � rest tag `� Gas line by C��. Pilot model � Lighting Inst � Date tested t Z-��yZ / Unit heater Other Pilot timing Companv testinQ CenterPoint Energy � Gas design Pressure: fir /Lo fire �-j �c� Tester's name �;:,�-��,,,� v Percent CO2 S,/ Make Ct,,,.f�;�{ ModelSS�v-� I l o Input CFH i l g t�pQ Percent Oz �� Serial no. �-Lo 1� ]$�73z Input ��Q p p(� Stack temp ��(g Perceni CO (j,�,�{wl CNP 235(11-2008) � ('� `Q�� DA TIME �/ CITY OF ORONO CALLED IN �'� � INSPECTION NOTICE SCHEDULED /—da /� 1'Dt7 PERMIT NO. ��—�` COMPLETED ADDRESS � � OWNER �� TEL HONE N0�5a ��—�� CONTRACTOR � >; DESCRIPTION ��'�Z�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED C1�PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: � tnspector. `� White Copy/lnspector's File Canary CopylSite Notice