The URL can be used to link to this page

Home My WebLink About2011-00013 - mechanical CITY OF ORONO PERMIT NO.: 2011-00013 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OU05/2011 952 249-4600 FAX: 952 249-4616 ADDRfiSS : 245 FERNDALE RD N PI N : 36-1 18-23-41-0004 LECAL DESC : UNPLATTED 36 1 18 23 : LOT 000 BLOCI< 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,900.00 NO"I�G: I CARRILR NAT GAS FURNACG APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 5.00 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS, MN 55433 MISC FEE 0.00 (763)757-6202 TOTAL 57.00 OWNER BECKSTROM, DARRELL& KENWYN 245 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The�vork for which this permit is issued shall be performed according to the approved plans and specifications,applicabic Cit��approvals,and the State Building Code. 'I�his pennit is for only the work dcscribed and does not grant permission for additional or related��ork��hich requires scparate permits. All provisions of laws and ordinanccs govcrning this typc of work � shall be compied with whether or not specificd hcrcin.This permit will e�pire and becomc null and void if construction authorized is not commenced within 180 days ot�the date of issuance,or if construction is suspended for a period of I 80 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance with�the Statc f3uilding Code.This pennit may be revoked at any time for due cause. `/�� / / Applicant Nermitec Signature Date Issucd l3y." a�ure ate SEPARA"I�E PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO J� 1 �� '11 FOR CITY USE ONLY . f4'p�, City of Orono P.O.Box 66 Date Received: Permit# ��,., �� 2750 Kelley Parkway `� 4,'�''� `�;? Crystal Bay,MN�5323 �pproved By: Amount$: ��,�yo,� Phone(952)249-4600 Fax(9�2)249-4616 � os;;� �_�.�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL 1NFORMATION 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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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,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. 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 l � Q Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs 0 Replace Job Site /Owner Information: s�te aaaress: 245 Ferndale Road N Kay Beckstrom 245 Ferndale Road N Owner: Mailing Address: city: Wayzata Z;p: 55391 Home Phone: �952� 473-2477 Alternate Phone: Contractor Information: CenterPointEnergy Joann Zinken Contractor: Contact Person: 9320 Evergreen Bivd NW Ste B Address: State Bond #: City: Coon Rapids zfp.55433 Expiration Date: Phone: (763� 757-C202 Alternate Phone: ❑ Insurance—Current: 1 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: Ca Cr121" Model: 58 UVB080 Fue�: natural gas Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTENIS Quantity: Make: ModeL• Tons: H. Power FIREPLACES Gas Factory Fireplace Brand Name: Wood Burning Fireplace Wood Stove Model No.: Wood Stove With Flue 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�farshn!!if proposing to abrrndon tank in pince.) � Installation � Removal Fuel Oil: �allons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE OtiLY � 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 a�pliance 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; excludine 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 $ PERMIT FEE CALCULATION S -JOBS OVER $500.00 If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of$50.00) 3900.00 X .o1,s � 50.00 (contract price) (minimum$50 00) 2. STATE SURCHARGE ** Add the State Bldj Code Div. Surcharge(�iinimum Fee of 55.00) 3,900.00 X.000s $5.00 (contract price) (minimum$5.00) 3. POSTAGE&HA�IDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines I-3 Above) $��.�� ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for the permitted 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 City may request the submission of a signed copy of the actual contract. ■ ** The ST,ATE SURCHARGE is .000� times the Contract Price or a minimum of$5.00. 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. .---f �. 1 � �r ''.'w��1�.. � � 'tl� �:,Ta�,: _... G� Applicant's Signature: � � � +� �Date: ( -1 (� Reset Form 3 �1 AT TIME " CITY OF ORONO CALLED IN �� INSPECTION OTICE SCHEDULED ' —�� PERMIT NO.��""�� COMPLETED ADDRESS oLT�� OWNER �/��YdY►�'��EPHONE NO.QSZ T73 Z�7/ CONTRACTOR ��G�� >; DESCRIPTION �'�� '�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 STALL ❑ HARD COVER REMOVAL J ING RI ❑ SE FIN ❑ FOUNDATION/REMOVAL � WNERICO TRACTOR OME TYOU: YES NO � ENTS: � W a � J O � � O � W � Q � Z W � W � � d ' W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952� 249-4600 OwneriContractor on ite: ti Inspector. White Copy/lnspector's File Canary CopylSite Notice