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Home My WebLink About2009-00040 - mechanical CITY OF ORONO PERMIT NO.: 2009-00040 ` 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE [Sst1ED: 02/04/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 475 DEBORAH DR PIN : 31-118-23-23-0004 LEGAL DESC : MCCULLEY FARM : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRiJCTION TYPE : MECHANICAL- MULTIPLE VALUATION : $ 9,800.00 NOTE: 1 CARRIER GAS FURNACE I CARRIER AC APPLICANT MECHANICAL 122.50 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 4.90 9320 EVERGREEN BLVD- SUITE B COON RAPIDS, MN 55433 MAIL-IN FEE 1.50 (763)757-6202 TOTAL 128.90 OWNER WAIGHT, MR. & MRS. JAMES 475 DEBORAH DR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc perfonned according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pennit 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 Buildine Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued By gnaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE A VE. {,�� FOR CITY USE ONLY C1',� i—"`�� City of Orono w �¢��' P.O.Box 66 Date Received: Permit# � '��yr _ �� 2750 Kelley Parkway I! :�!S � � t�;j Crystal Bay,MN 55323 Approved By: Amount$: ��a• ;,r+h',��,�0�4� (952)249-4600 .ir��ae,- CITY OF ORONO-MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufac±urer and modeL Data shall be presented on form pmvided. 4. When any new construction or remodeling is involved,a separate building 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 submitted before final. TYPE OF PERMIT (Check All That A 1 ) �]Residential ❑ Commercial(Approval Required) ❑ New ❑Additionai ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: ��`S �-e�or-a--h ��.�v �e- Owner:_�.4,�,u �e..e�Mq,h Mailing Address: 7 �S ��D� �l�v'— ��ty: 0 ro r�c� Z;p. s �-3s 9 Home Phone: �Sa ' u13' ��y� Alternate Phone: -- Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: ,]OANN 7iNKFN Address: 9320 EVERGREEN BLVD State Bond #: 22013346 City: COON RAP DS Zip: 55433 Expiration Date: 08/19/2007 Phone: 763--757-6202 Alternate Phone: � Insurance-Current: 1 American Home Company � Worker's compensation& Employers LiabiliCy 7206951 Policy period O1/Ol/2008-Ol/Ol/2009 • MECHANICAL SYSTEIVIS BE1NG INSTALLED HEATING SYSTEMS Quantity: � Make: t=Ci.f r�EY' Model: `j$ m�e-10� Fuel: _NG..`t-. �pp�S Flue Size: Input BTUs: �� Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: e arr��r Model: au �(�(��(� Tons: � H.Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Vl%ood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel OiL• gallons ❑ 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(icensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee � _PERMIT FEE CALCULATION(S)_JOBS OVER$500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) q�� - � X.o�zs $ � aa .so � (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$SO) � ��d' �� x .0005 $ `� .�� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � oZ �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pennitted work including materials, la�or, profit, and other fixid costs. It is the amount tc bP 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 City 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 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 state►nents made on this application are complete, true and correct. Applicant's Signature:��-�- �` � Date: � "07 Q'�9 �- Reset Form 3 House heating test record C terPoint� ��a� �l�,`i' 0��9 C/Ty Owner `vll�„uy,Y Controls 2�� Conversion r� �F%'0/�O Address �{"��j �� ye� �� / Thermostat j�y�.�,y;, Heat plug Vent Size � City r �h Valve �r1!►1�( Kind of liner/size Heat loss t/ Date htg.inst �-� 10'�� Limit �� Drafi hood h(�VC�1i Regulator (� Soldby CenterPoint Energy Limitsetting Filters:Size f��7/' umber � Installed bV CenterPoint Energy Fan setting Chimney locations: �Inside �Outside Electrica/work bv CenterPoi nt Energy Piloi rype �-}d� �c�ii� � Chimney construction Heai iype Q3 FA Q Space heater Pilot make Wiring �, rest tag �/ Gas line by 6�+.�./ Pi/ot model Lighting Inst Date tested a`�b �� Unitheater Other Pilottiming Com an testin Cet1t rPoint Eneray Gas design Pressure:Hi fire/Lo fire 7j S , ,�} rester's name �'{� ljj Make ' v�,'�f Model �l�l�� Percent COz Serial no. f7 a- (� �.�(� 3 � Cf �nput CFH Percent 02 Input i a�' �� Stack temp Percent CO CNP 235(11-2008)