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Home My WebLink About2004-P07199 - heating system ('ITY �JF ORON PERMIT _ � Permit Number: 275N Kelley Parkway- PO Box 66 P07199 Crystal Bay, Minnesota 55323 Permit Type: Mechanical Peimits (952) 249-4600 Date Issued: ii3oi2oo4 SITE ADDRESS: 2740 Kelly Ave EXCEISIOR,MN 55331 PID: 21-117-23-23-0037 DESCRIPTION: Proposed Use: Residential Perxnit Class: General Permit Type: Mechanical Pernuts Pernut Sub-type(s): Heating Systems DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Pernut Fee: $ 35.00 Valuation• $ 2,300.00 State Surcharge Fee: $ 1.15 Misc.Fee: $ 1.50 TOTAL FEE: $ 37.65 APPLICANT: Center Point Energy Minnegasco OWNER: JOHN G MUIR ETAL 13562 Central Avenue NE 2740 KELLY AVE Anoka,MN 55304 EXCELSIOR MN 55331 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. �� , APPLICANT PERMITEE SIGNATURE SUED BY SIGNATURE Conies: 1-File(SiQnitures Required), 1-Atmlicant, 1-Monthlv Renorts, 1-Assessing, 1-Finance Page 1 C �� ,� � � � CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 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 PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs ❑ 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. Identification of and specifications for water heating equipment shall also be 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❑hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249�4600. �- Please check one: New Addition Repa�x Repla�e 1Zesidential' Commercial ,, JOB SITE: �'l�C' �� ...� 1-ivN t1�.; � Zip: 5 S 3 3 � Owner's Name�� \ ,� �'�`�11��.E=J Phone Number:�S � �� -`� ��C3 Mailing Address: ��1u� �C.��.� �,vE. City: (��D�'lo Zip: 5�33 � Contractor's Name:CenterPoint Ener�y Phone Number: 763-757-6202 Minnegasco Mailing Address: 13562 Central Ave NE Clty: Anoka Z1p:55304 � � 4 SYSTEM DESCRIPTION . HEATING SYSTEMS Quantity: � Make: CO�f',r �e r Model: ��p�-�C�qO-�'�y Fuel: �c��<<� �5 Flue Size: Input BTUs: �T L,C�� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES Gas factory fireplace Wood burning factory fireplace with flue Wood Stove Wood stove with flue Brand Name Model No. . �' �. �VENTILATION No. Kitchen Exhaust duct recalculating cfin No. Bath Exhaust (must have duct outside) cfin No. Other Fans: Locations cfin FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation or Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION(S) 2002 State Statute 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; excluding the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge$ .50 Mail-In Fee $ 1.50 � {� � If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) �3C'�•�o X .o12s $ 3`��00 (contract price) (minimum $35.00) 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) �3Oc::c�C x .0005 $ J �5� (contract price) (minimum $ .50) 3. Postage and Handling (Only mail❑in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1❑3 above) $ �� '�� * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labar, 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 installation is 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 contract price under$1,000,000 or$.50 ❑ whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. 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 Minnesota State Building Code, and certifies that all statements made on this application are complete, true and correct. ' . / � ��1ifr) . � L/,` Applicant's Signature: � `�`y" `' �� ': �J �� Date: /��, 7 Approved By: Date: / DAFE TIME CITY OF ORONO CALLED w �� 0`� INSPECTION NOT E SCHEDULED " '(� .�' ��' ��/ PERMIT NO. � �`l" COMPLETED ADDRESS .� 7�-I�� Ce��-1 � ��E=� � � OWNER �}�..r�,, �!�`�"�'��",��CONTR. ; � �L' � �� , _ (u:��i�;,� TELEPHONE NO. �S� `��I �1 aG5 3 �, �t . � � DESCRIPTION ��U.L'l 1-_ ��_.-c�Q ,��i� � 01 FOOTING , 11 MECHANICAL RI'�� 18 EXCAV/GRADING/FILLING Q 02 FRAMING � 13 MECHlKNICAL FINjAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOO FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � J 0 a � 0 � W � Q � Z W � W � � O W� ORKSATISFACTORY:PROCEED PROJECTCOMPLETE W �CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 for the nex 'nspection 24 hours in advance. (952� 249-4600 OwnerlContr n i�e: Inspector. \ � �� Whiie Copyllnspector's File Canary CopylSite Notice ` ��CEIVED �cen�� F r{. n '0� � HOUSE HEATING TEST R�C�RD Minnegasco �►� � .�r oRONo ADDRESS_ rJ��I ��4.�,�1.� � APT. FLOOR�� _ 7�-- CITY D!'eM[4 OCCUPANT �_ OWNER ��,�� (�YYk�,��„ ' HEAT LOSS Yes DATE HTG.INST. SOLD BY CenterPoint Eneryy Minne�asco , INSTALLED BY CenterPoint EnerQv Minneaasco Electrical Work By y� Gas Line By TYPE OF HEAT FA � SPACE HTR. UNIT HTR. OTHER GAS DESIGiN CONVERSION MAKE � Model � l� Vent Size_ � Serial KIND OF LINER_ u.w� SIZE NPUT d1�1� NONE Draft Hood Regulator CONTROLS filters Size __�(�X L�, X 1 � _ Number THERMOSTAT '�.o�►w�v�► Heat Plug � Chimney Location Inside_ X Outside_��_ Value Chimney Construction Limit �k;c- Limit Setting Wiring Fan Setting , Test Tag Pibt Type �{5 S_ .� Lighting Inst. Pilot Make Date Tested � �L$' C� P i l o t M o d e l Company Testing int n r Mi Pilot Timing Name of Tester '�/ Pressure Percent CO2 nput CFH Percent OZ�! Stack Temp.�II� Percent CO�1,.�►'�^