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Home My WebLink About2010-00551 - mechanical CITY OF ORONO PERMIT NO.: 2010-00551 2750 KELLEY PARKWAY w ORONO,MN 55356- DATE IssuEn: 07/06/2010 - 952 249-4600 FAX: 952 249-4616 ADDRESS : 2749 KELLY AVE PIN : 21-117-23-23-0027 LEGAL DESC : REG.LAND SURVEY NO.0891 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 8,000.00 NOTE: 1 CARRIER NAT GAS FURNACE 1 CARRIER 2.5 AC APPLICANT MECHANICAL 100.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 5.00 9320 EVERGREEN BLVD-SUITE B COON RAPIDS,MN 55433 MAIL-IN FEE 1.00 (763)757-6202 TOTAL 106.00 OWNER TEARLE,CHAD&ELEANOR 2749 KELLY AVE EXCELSIOR,MN 55331- � AGREEMENT AND SWORN STATEMENT The 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. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 wo�k has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for d(�e cause. ,%��i�"'�i " „ / / / / Applicant Permitee Signature Date Issued B S gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB V . FOR CITY USE OnZY ' j�p��, City of Orono �O . O'� P O.Box 66 Date Received: Permit# ' .;, .� '�' 2750 Kelley Parkway �i 9 M y Q•,` ,�;;� Crystal Bay,MN 55323 Approved By: Amount$: L\� �f-.�A4o,� (952)249-4600 � ��*+�tt�nc�:; L► �,,c,l�B�a' CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) 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 rivo working days. 2. Permit cards wiil be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MtiST 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 conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shail 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 1 ) ❑� Residential � Commercial(Approval Required) ❑New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: o�� `, � , �U� i Owner: ��t�.� � ect� � � MailingAddress: �-1L1q 1�Ce 1�� City: ��o�1 o Zip: 5�3a 1 Home Phone: G1�'a-' �-l'�� ' �'a a�l Alternate Phone: �b3' -7loS '��(gg Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BLVD NW State Bond#: 22013346 City: COON RAPIDS Zip:55433 Expiration Date: 08/�/2010 a Phone: 763-757-6202 Alternate Phone: � Travelers Indemnity Company Insurance—Current: Workers Compensation & Employers Liability 1 Policy#TC2K-UB-9349B101 Policy Period 01/01/2010 to 01/01/2011 MECHANICAL SYSTEMS BE1NG 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: �G�.r r�� Model: S�mv C 0�� Fuel: �0.�1xt'a''` `v4S Flue Size: Input BTUs: �� 1�� Output BTUs: CFM: COOLING SYSTEMS Quantity: � Make: �rr��'{ Moael: 1-e�l�P'P�S30 Tons: � Z H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace � Wood Stove Model No.: � Wood Stove With Fiue VENTILATION ❑ No. Kitchen Exhaust duct recirculating c� ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations FUEL STORAGE (Must be approved by Fire Marshal[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: 2 , ' PERMIT FEE CALCULATION(S) i BASED OFF - 2002 STATE STATUEF ❑ 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;excludin�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 $ .50 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 1.25%of contract price with a(Minimum Fee of$50.00) �O00• 00 x.0125 $ � ��• OC7 (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) �O OO • �U x.0005 $ � �dd (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � l ��' �U ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed 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 STATE SURCHARGE is .0005 of the Building Department at(9�2)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 statements made on this application are complete, true and correct. , Applicant's SiQnature: � Date: (o u�0/ !1� , Reset Form 3 `V _' DAT TIME ✓ CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. d�V"�SS� COMPLETED ADDRESS � OWNER LEPHO E NO. 51�' �7�-� ZZ7 CONTRA TOR � � DESCRIPTION � C�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL �ECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑�G RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � NER/C TRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O >. � � '�`��1� �_.t.�1� -��`_ (-a C .a �- CT .�/�S�C c�C' � W °� �} ( SC- r Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED ,�-P�ROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOFi �CITATION ISSUED C7 INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� Owner/Contractor on site• Inspector. �. _n l� J White Copyllnspector's File Canary CopylSite Notice CenterPointo House heating test record Energy Owner � r�'� Controls Conversion � � � Address ,Z-7� •—�i�(�a, Apt rhermostat -''�"'��yHeat plug Vent Size i • _� n Clly ('! ��, C' �T Va/ve Kindofliner/size, '''-�r�� `-� � '� � �-r a,� L Heat loss ✓ Date htg. inst 7� /�/--/�,' Limit /" i,� t�� Draft hood ,N��'��f�egulator Sold by CenterPoint Eneryy Limit setting ,�L' �' Filters.Size �'�1)�Number � � Installed by CenterPoint Energy Fan setting Chimney locations. �nside �Outside � � �Electrical work bv CenterPoint Energy Pilot type �� S � Chimney construction ;��I,-� Heat type �A �Space heater Piloi make Wiring �✓ Test tag '� Gas line by �� .�— �_� Pilot model Lighting Inst ✓i Date tested j-�,`I-�� Unit heater Other Pilot timing Company testin.q CenterPoint Energy � �Gas design Pressure:Hi fire/Lo fire >�� G rester's name ��1ti PercentCOz (�a. � Maka'Cr y�'�, c-%� Mode{�� /�lL C�,��'' .� Serial na �,/� /�C�CE� �� Input CFH ,�j' � Percent 02 j' l In ut � � (' �'� Stack temp /�' 1 Percent CO �'�,/-�L�iy1 P �� ,�;' CNP 235(11-2008)