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Home My WebLink About2013-00206 - nat gas furnace r CITY OF ORONO * Z 0 1 3 - P1 0 2 0 6 * 2750 KELLEY PARKWAY DATE [SSUED: 03/29/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRES� : 3464 EASTLAKE ST PIN : OS-117-23-13-0042 LEGAL DESC : BAYSIDE BEACH : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 4,500.00 NOTE: 1 CARRIF,R NAT GAS FURNACE APPLICANT MECHANICAL 56.25 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 2.25 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 TOTAL 60.50 (763)757-6202 OWNER HUNSLEY, MR. & MRS. MARK 3464 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which Ihis 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 no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance w�ih the State Building Code.This permit may be revoked at any time�or due cause. `'r�'�--Q �- l l l i Applicant Permitee Signature Date Issued By S nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . � /L FOR CITY USE OrLY ,a>> �� City of Orono G r '�� !' ¢ � �'\ P.O.Box 66 Date Recei�ed: Permit# I \� ��;,: . �'�'I 27i0 Kelley Parkway �� + ��` � +�� Cr}stal Bay,MN»323 Approved By: Amount$: �ry� `'� '� ,}, o`` Phone(952)249-4600 Fax(9�2)249-4616 ��a}�i \.._=:i CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Buildine Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. 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 PER�41T. WORK NIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations, details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditionino installation including heat loss/heat gain 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 buildinQ 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(rou�h-in and final). Call(952)249-4600. (2=1-48 hour notice required) 7. House Heating Test Record must be submit�ed before final. TYPE OF PERMIT (Check All That A lv) � Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs � Replace Job Site /Owner Information: Site Address: ��(.o� CGtS,� .,,(LQQ� �/ O�vner: / / �� f�� I�lailina Address: �7� � �GC 5� v� �� City: n 17 b zip: ��c�� Home Phone: ��'7`/�r ��,Alternate Phone: Contractor Information: CENTERPOINTENERGY JOANN ZINKEN Contractor: Contact Person: 9320 EVERGREEN BL STE 8 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 ❑ IriSUT'1riCe—CUITerit: Policy#TC2K-UB_9349B101 1 Policy Period O1/Ol/2012-01/01/2013 , � MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Buildin�Official. IS THIS GEOTHERMAL? ❑ Yes [✓�'No HEATING SYSTEMS Quantity: � Make: ��}�'rl•�ir' Model: .��J rn��1G� Fuel: /l.�t�GJGt.SJ Flue Size: Input BTUs: �OD�ODU Output BTUs: 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 Exhaust duct recirculating cfin ❑❑ No. Bath Exhaust(must have duct outside) �� No. Other Fans: Locations cfm FUEL STORAGE (_�11ust be approved by Fire Marshall if proposing to abandon tank in p[ace.) ❑ Installation ❑ Removal Fuel Oil: �allons ❑ 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 firture 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;eYcludine the cost of the fisture 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 $ PERMIT FEE CALCULATION(S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTR4CT PRICE * is 1.2�%of contract price with a(Minimum Fee of��0.00) ��'��d i QV x .0125 $ �i (conrract price) (minimum Sa .00) 2. STATE StiRCH.4RGE ��OD�av X .000s � o� 07� (conVact price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 4. TOTAL PERII�IIT FEE(Add Lines 1-3 Above) $ �p� � �u ■ * CONTRACT PRICE or JOB COST means the actual or estimated doilar amount chartred for the permitted work includine materials, labor,profit, and other fixed costs. It is the amount to be charQed to the customer for the work done. If any material, equipment, labor or instailations 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, tne City may request the submission oi a signed cupy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersi�ned 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 statements made on this application are complete, true and correct. Applicant's Signat e• Date: O� pT�l Reset Form 3 House heating test record CenterPoint. Energy Owner � Controls Conversion �� . Address 3 �/ �� rhermostat �� eat plug Vent Size / City �j'pj✓Q Ualve Kind of liner/size � Heat loss Date htg inst .�^��'�/� Limit `i�� Draft hood�/��t/ Regulator J Soldby CenterPoint Energy Limitsetting J� Filters:Size�61�ZS��Number Installed by CenterPoint Energy Fan setting Chimney locations: �Inside �Outside Electrical work bv CenterPoi nt Energy Pilot type �'�,s� Chimney construction Heat type (Qf FA �Space heater Pilot make Wiring �/ Test tag y Gas line by �{/� L � Pilot model Lighting Inst � Date tested 3��Q'...J� Unitheater Other Pilottiming Com an testin CenterPoint Ener Pressure:Hi fire/Lo fire � Gas design S�r,�6,�,ao • S Tester's name Make� � Percent CO2 !'� Q /'/x'/� Model (/2�^a 2 � Serial no. ,3 L�/�y�� Put CFH �� Percent Oz � 7 Input �/��.��(� Stack temp . ' PercentCO ��` y..� `R7 CNP 235(11-2008) � �L �- �p��' p T TIME � CITY OF ORONO -�"' CALLED w �a/� �� INSPECTION NOTICE SCHEDULED � ��1�'LY' PERMIT NO. - '� %�'coMP�ETEo � �l ADDRESS —� ��r' �l � . ( � �-� Sf . OWNER /7 TJ,��TELEPHONE NO.�� `� ��- �lG� CONTRACTOR l"/'��L��J� � �: DESCRIPTION ��/Gf--'C1 `) � ��7�� ` C( a�'lQ�'f' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 ❑ PLUMBING RI �FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTORTOMEETYOU: YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W� �/VORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALlTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-4600 OwnerlContracto Inspector. White Copyllnspector's File Canary CopylSite Notice