HomeMy WebLinkAbout2014-00372 - mechanical r CITY OF ORONO * 2 0 1 4 — 0 fd 3 7 2 *
2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014
' ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3670 LNINGSTON AVE
PIN : 17-117-23-34-0031
LEGAL DESC : NAVARRO
: LOT 009 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : MECHANICAL-MULTIPLE
VALUATION : $ 7,100.00
NOTE: 1 CARRIER NAT GAS FURNACE
1 CARRIER 2 TON AC
APPLICANT MECHANICAL 88.75
STATE SURCHARGE MECH(VALUATION) 3.55
CENTER POINT ENERGY MINNEGASCO MpIL-IN FEE 2.00
9320 EVERGREEN BLVD NW
SUITE B TOTAL 94.30
COON RAPIDS, MN 55433 Payment(s)
(763)757-6202 CHECK 18408 94.30
OWNER
LARSON,MICHEAL&DEBRA
3670 LIVINGSTON AVE
WAYZATA,MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 goveming 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 1 SO days of the date of issuance,or if construction is
suspended for a period of 180 days at any time aRer 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.
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Applicant Permitee Signature Date Issued By Sig re ,� ^ Date
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FOR CITY USE ONLY
. � ��A TQ City of Orono
*Y P.O.Box 66 Date Received: Permit#
2750 Kelley Pazkway
Crystal Bay,MN 55323 Approved By: Amount$:
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Phone(952)249-4600 Fax(952)249-4616
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{.,,��$Ho��.`' CITY OF ORONO —MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall)
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 RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMTT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 he 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 fmal). 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: ����b � ,�r'� r'�C�S��y'� �,V�
Owner: ���b`�' ���`�C`��� �1 Mailing Address: �� �C:;� �.-���v�c������� �v�
L�r'���'�: �c._
c��y: C.�����v►�c�> ��S;3�=� � z�p: SS _��-��
Home Phone����'`} � � �� " �.��5,% Alternate Phone:
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 9320 EVERGREEN BL NW State Bond#: MB003503
SUITE 6
City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/2014
Phone: 763-785-5404 Alternate Phone:
� Insurance —Current:
1
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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: �ct ►'f , �r�
Model: `��6CT(�}�1�— �- I Z
Fuel: �iC¢��Cf-� l�i;
Flue Size:
Input BTUs: �{�I CC,�'
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity: �
Make: �2 rc� � �s"
Model: �4��Q��(
Tons: �
H.Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Eachaust duct recirculating cfrn
❑ No. Bath Eachaust(must have duct outside) cfin
❑ No. Other Fans: Locations cfrn
FUEL STORAGE (Must 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 following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludinQ 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 1.25%of contract price with a(Minimum Fee of$50.00)
--� �C..C, ��G x.0125 $ `T t. �`�
(contract price) (minimum$50.00)
2. STATE SURCHARGE
-�l t CC.��- CG x.0005 $ � �5��
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��_ 3��
■ * CONTRACT PRICE 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, labar 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 Ciry may request the submission oT a signed copy of the actual contract.
'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 t at all statements made on this application are complete, true and
correct. � ��
Applicant's Signature: ) n 2 '' Date: .� �
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House heatin test record CenterPoint.
Energy
.
Owner��lo�.�. �.�,g� Controls Conversion
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Address 3 b70 "�;�,�S(-o•. � Thermosiat Heat plug Veni Size �
City�/'o,,�o Va/ve W � Kind of liner/siie C�NSS� '� ��
Heat loss Date htg.inst �-20-�µ Limii �(r C� Draft hood � Regulator �
Soldbv CenterPoint Energy Limitsetting '�i4G�/'y Filters:Size ���- Number �
Installed bv CenterPoint Energy Fan setting '-' Chimney locations: �Inside �Outside
Electrical workbv CenterPoint Energy Pilottype Chimneyconstruction C�/�SS �
Heai type Q FA Q Space heater Pilot make —' Wirin��j-���1'�/ Test tag Y
Gas line by Pilot model Lighting Inst Date tested �'30-�/�'
Unit heater Other Pilot fiming � Companv testinQ CenterPoint Energy
Gas desi n „ Pressure:Hi fire/Lo fire .�/� �"�w S^ Tester's name Grly(l�S/ ��
g �C„d w1 cfiS 1�Z
Mak yq��r� Model Percent CO2� S•�- 7r�
Serial no.(Xo���'�q�Z Inpui CFH �(XJ'� Percent 02 �� r���-�•8
Input �s'O(� Stack tempa7$���Percent CO ���a.3
CNP 235(11-2008)
D TE TI E �V
;�ITYOFORONO CAL EDIN �� ���� �%��
INSPECTION TI scH� lb . (,�3d
PERMIT NO. -�� � CQMPLETED
ADDRESS 3�ZC7 U�Vlt�q�{�Y+ �.v
OWNER�e�► L.o�rs�►n TELEPHONE NO.��a' �Zi 31a'7
CONTRACTOR �_-2 n1-er r.�a c..�
� DESCRIPTION ��'�� ��c�.P
� ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG
OO POURED WALL ❑ MECHANI ❑ LAKESHORFJWETLANDS
O FRAMING MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ W IREPLACE O SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ ppp(�,pE�
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVbAT10N/REMOVAL
2 OWNERICONTRACTOR TO MEEi Y�OU:_YES_NO
y COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDEH POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in ance. 9-46QQ
OwnerlContractor on site:
Inspector:
White Copyllnspecto�'s File Cenary CopylSlte Notiee