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Home My WebLink About2012-00982 - mechanical CITY OF ORONO * z 0 1 z - 0 0 9 B 2 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/Ol/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1040 KNOLL MANOR RD PIN : 26-118-23-31-0014 LEGAL DESC : KNOLL MANOR : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 13,800.00 NOTE: 2 CARRIER NAT GAS FURNACES 2 CARRIER AC APPLICANT MECHANICAL 172.50 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 6.90 9320 EVERGREEN BLVD NW SUITE B MAIL-IN FEE 2.00 COON RAPIDS,MN 55433 TOTAL 181.40 (763)757-6202 OWNER CARGILL, W BIGLEY&K 1040 KNOLL MANOR RD LONG LAKE,MN 55356 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 work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. . �� v�' � � , / / Applicant Permitee Signature Date Issued By Signat e D e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � FOR CITY[iSE O�iLY ` �'""—�\ City of Orono � —0 , i' ¢ � �� P.O.Box 66 Date Recei�ed: Permit# �A 01` �� , 1 27�0 Keliey Parlc�vay ��+ �` �.� -- +�� Cq�stal Bay,MN�5323 Approved By: Amount$: :r.' `��r 7}�_*�,o�� Phone(95?)249-4600 Fax(9�2)249-4616 rnco, / �=i �3 ilr CITY OF ORONO—MECHANICAL PERMIT ��1 (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENER.AL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK NIUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desisns—Complete calculations,details and specifications are required for each heatin�,ventilation,humidification-dehumidification,and air conditionino installation including heat loss/heat gain calculation,desi�n temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate buildin�permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical CodelState Building Code requirements. 6. All work must be inspected(rou�h-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heatin�Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �,$esidential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: � ��' ��'1G� � �� l��'�- Owner: 1��-��-� �� Mailing Address: 1�-lC� �L-v'Zc;�� (��C«��1c'�,��;,c� City: ��•4�1C�� Zip: S��`�(o Home Phone: '�S��-L1� �(,�--�1��q Alternate Phone: Contractor Information: CENTERPOINTENERGY JOANN ZINKEN Contractor: Contact Person: 9320 EVERGREEN BL STE B 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'anCe—CUt7erit: Policy#TC2K-UB_93498101 1 Policy Period O1/O1/2012-01/Ol/2013 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: C-tY-r Y � �(' C`c�.f��r� Model: •- C _ �::�C� �� T��)�� Fuei: ��1C�-��-��t�-\�l� \VC��a�.�� Flue Size: InputBTUs: �L ,C`L C'' �L. � OutputBTUs: � —I � ��'�=' ��Il.o,�� CFM: COOLING SYSTEMS Quantity: + � Make: �s',`�( � �'__v" �'f"Y'��(� Model: �,�j �l'�t�(�(c'�-� `o�Ll� (D3(,-, Tons: (��'� _�j H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Iviodel No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (_�Llust 6e approved 6y 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: 2 rERMIT 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 following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or(ess;excludinQ 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 Mail-In Fee(If Applicable) $ 2.00 Tota!Permit Fee $ PERIVIIT FEE CALCULATION(S -JOBS OVER $500.00 ' If above does not apply;follow guidelines below: 1. CO�'TR4CT PRICE * is 1.2�%of contract price with a(Minimum Fee of��0.00) ��J fJ��• C-�� x .0125 $ � .7� 5� (contract price) (minimum 5�0.00) 2. STATE SL'RCHARGE ��LC:� .c� X .000s � Co �fC% (contract price) 3. POSTAGE&HANDLI?�IG(Only on 1�1ai1-In Applications) $ Z.00 ` � 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ 1 �1 �� ■ * CONTRACT PRCE or JOB COST means the actual or estimated doliar amount charged for the permitted work including 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 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 undersianed hereby applies to the City for issuance of a Mechanical Permit, aQrees 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 Signature: 7 � Date: �T ��_ Reset Form 3 � TIME � CITY OF ORONO CALLED IN //� � ,2 INSPECTION NOTICE SCHEDULED //� � PERMIT NO. g co PLETED ADDRESS � OWNER � TELEPHONE NO.�Q��J-� "�5�� CONTRACTO �' >; DESCRIPTION � - 7'`'�-�1GC.(_'�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/V✓ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTA�L ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � J / ' '` `�v� ( T'7''S S Q � � �" . '' (r-�� A I �P ^ �C�n�t S�-A-sll��'e � � b �1 �tti�c�� ✓u.�-,.+..�� c p W � Q � z W � W � � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLET / h��/� W Q�ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OC�CUPANCY l � 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice House heatin test record CenterPoint. Energy Gl�►T �� Owner Controls Conversion tt Address �Q�f Q� Thermostat �4.•� Heat plug VentSize Z Q(/� Ciiy ��Q�1� l/alve Kind of liner/size �"" Heat loss Date htg.inst Limit ��. Draft hoorTr�MY F']�Regulator 3 y��t�, Soldbv CenterPoint Energy Limitsetting 2Q� Filters:Size�<��7�Number t Insialled by CenterPoint Energy Fan setting QFGENED Chimney locations: �i e Outside Electrical work by CenterPoint Energy Piloi type �s� n c ��12 Chimney construction �V�� Heat ty e FA 0 Space heater Pi lot ma ke -�� Wirin Tes t ta Y Gas line b Pilot model �OF ORONO Lighting Inst Date tesied 9�7'7�,� Unit heaier Other Pilot timing companv testin.q CenterPoint Eneray Pressure:Hi fire/Lo fire �.��/3�� Tester's name �� Gas design ��a Make L'Nyt�� Model S�p�� Percent CO2 Serial no.'��' ?�a�s�9s y Input CFH Percent 02 /�� Siack temp �� Percent CO�j✓� Input (t,�/� CNP 235(11-2008) House heating test record CenterPoint Energy Owner �F�(�� y'ly�G!� ' Controls Conversion Address /�� l��L I�q�,�/t. Thermostat � (� Heatplug VentSize Z k City �l� l/alve (�" Kind of liner/size '�— Heat loss Date htg.inst Limit T Draft hood.�.�+►e�%G�Regulator Soldbv CenterPoint Energy Limitsetting Qt7'� Filters:Size��'�-fyNumber Installed bv CenterPoint Energy Fan setting Chimney locations: nsi e Outside Electrical work bv Center'Point Energy Pilot type Chimney construction '�— Heat type �S ace heaier Pilot make Wiring -� Test tag � Gas line by G�� Pilot model ��j( Lighting Inst Date tested ��f�d Unitheater Other Pilottimin Com an testin CenterPoint Ener Gas design Pressure:Hi fire/Lo fire � � Tester's name L �� Make C�/)121ti._- Model ercent CO2 .� Serial no. 3�!��y�G�� Input CFH 'g� `Percent Oz �6 Input ��(�l� Stack temp Percent CO a� T� CNP 235(11-2008)