HomeMy WebLinkAbout2013-00682 - mechanical CITY OF ORONO * 2 0 1 3 — 0 Pl 6 8 2 *
` 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 35 GOLDEN VIEW DR
PIN : 33-118-23-43-0010
LEGAL DESC : PETERMAN 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL- MULTIPLE
VALUATION : $ 6,300.00
NO'I�E: 1 CARRIER NAT GAS FURNACG
I CnRR[ER 3.5 TON nC
APPLICANT MECHANICAL 78.75
CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH (VALUATION) 3.15
9320 EVERGREEN BLVD NW
SUITE B MA[L-IN FEE 2.00
COON RAPIDS, MN 55433 TOTAL 83.90
(763) 757-6202
OWNER
ANDERSON, M & K
35 GOLDEN VIEW DR
LONG LAKE, MN 55356
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. 'I�his permit is for only the work described and does
not grant permission for additional or related work which requires separate
pennits. All provisions oC 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 ifconstruction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of I 80 days at an��time after work has commenced.
The applicant is responsible(or assuring all required inspections are
requested in conlormance with the State E3uilding Code.'l�his permit may bc
revoked at an}'time for due cause-�
���2-G[�c.��/VL i � i i
Applicant Permilec Signature Date Issued y Si ture ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO E
, FOR CITY USE OVLY
�%�'p'��, City of Orono
+ /' 4 � � P.O.Box 66 Date Recei�ed: Permit#
���3::;-,�,. �\��'� 27�0 Kelley Parkway
`��`y' .��y.,�;,` +�j,� Cr��stal Bay,MN�5323 Approved By: Amount S:
a.,
\ �;ty',:�5'��,`i% Phone(952)249-4600 Far(9�2)249-4616
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CITY OF ORONO—MECHANICAL PERMIT
(All Commercial pzrmits must be approved by the Buildine Official or Inspector and/or Fire Marshall)
GENERAL 1'NFORMATION
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 tw�o 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�ti4IT. WORK NIUST NOT SEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each
heatin�,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/hest gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. Data shall be presented on form provided.
4, �1%hen any new construction or remodeling is involved,a separate building permit must be
obtained.
�. 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)?49-4600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That A Iv)
'�Residential ❑ Commercial (Approval Required)
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site /Owner Information:
Site Address: J� � lcX��d-c�✓� �i�t.,v �r'�V�
Owner: ��r� �YY���°x��'� MailinQ Address: scw,��
City: _�'�O rl� Zip: 5��S�
Home Phone: _�5� � ��S' �3�-�' Alternate Phone:
Contractor Information:
CENTERPOINTENERGY JOANN ZINKEN
Contractor: Contact Person:
9320 EVERGREEN BL STE B 2201 3346
Address: State Bond#:
City: COON RAPIDS Zlp,55433 Expiration Date: OHI2O/� 2
Phone: (763� 785-5404 Alternate Phone:
Travelers Indemnity Company
Workers Compensation&Employers Liability
❑ IriSUrariCe—CUrrerit: PoliCy#TC2K-UB_93498101
1 Policy Period -
c,�f�;�.�r'r 3 - c i�v���ciY
,
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: �
Make: CC�-f r� �('
Model: �'j`6��..� ��(�� � � � L"
Fuel: ��l.�u'(�V�'��
Flue Size:
Input BTUs: _�l�%,G��\
�;-�.,
Output BTUs: ���� � ��:��
CFM:
COOLING SYSTEMS
Quantity: '
Make: �'C�f ►�i E�`
Model: ���Q���
Tons:
T�'I r
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood BurninQ Fireplace
❑ Wood Stove � Ivtodel No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
❑ No. Bath E�chaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE (_�Ylust be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill ❑ Other/List What&Where:
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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 followin�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 homeo�vner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mai]-In Fee(If Applicable) $ 2.00
Total Permit Fee $
PERIv1IT FEE CALCULATION(S -JOBS OVER $SOC.00
If above does not apply;fol]ow guidelines below:
1. CO\'TRA�T PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00)
LoJ�C` �C��C' x .0125 $ �`J -�5
(concrsct pnce) (minimum�50.00)
2. STATE SI:RCHARGE
�c3 C���.r C X.000s � 3 : 1 s
(contract price)
3. POSTAGE&HANDLP.�IG(On?y on NSail-In Applications) $ 2.00
4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ O� �j C'
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chareed 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.
MECHANICAL PERMIT APPLICATION AGREEMENT
The undersigned hereby appli to the City for issuance of a Mechanical Permit, aQrees to do all
work in strict accordance wit the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this a plication are complete, true and
correct.
� '
Applicant's Signature: � �Date: �7 �� �J
i,
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