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HomeMy WebLinkAbout2010-00063 - mechanical CITY OF ORONO PERMIT NO.: 2oia00063 . � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 02/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1100 MILLSTON RD PIN : 10-117-23-14-001,�5 LEGAL DESC : MILLSTON : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,000.00 NOTE: 1 RUUD NATURAL GAS FURNACE APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.50 9320 EVERGREEN BLVD-SUITE B COON RAPIDS,MN 55433 MAIL-IN FEE 2.00 (763)757-6202 MISC FEE 0.00 TOTAL 53.50 OWNER BURWELL, MR.&MRS. RODNEY 7901 XERXES AVE S BLOOMINGTON,MN 55431- 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 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 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. 'he applicant is responsible for assuring all required inspections aze �ested in conformance with the State Building Code.This permit may be �d at any time for due cituse. '� !�(, / / �ermi��S gnature Date Issued By S' ature /ate / SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A � � ' � FOR CITY USE ONLY �1 ��L �����`',� City of Orono � P.O.Box 66 Date Received: Permit# C (���, , ��� 2750 Kelley Parkway �'� �j'�•'� t�1 Crystal Bay,MN 55323 Approved By: Amount$: \f��� ,�yo�"% (952)249-4600 ���Aau�'f 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 io 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 PERM[T 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 ioss/heat gain calculation,design 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 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 I �Residential � Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: 1100 MILLSTON ROAD Owner: RODNEY BURWELL Mailing Address: 1100 MILLSTON RD City: ORONO Zip: 55391 Home Phone: �952)476-1847 Alternate Phone: (612)759-6089 Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BL STE B State Bond#: 22013346 City: COON RAPIDS Zlp: 55433 Expiration Date: 08/20/10 Phone: (�63) 757-6202 Alternate Phone: ✓❑ Insurance—Current: 1 �� � ► - ��k `�v�� � ,: � � ..r 3 . �:�3� �������.��,;a� ���. Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 No HEATING SYSTEMS Quantity: � Make: RUUD RGRC-04 Model: Fuel: NATURAL GAS Flue Size: Input BTUs: 40,000 Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm � No. Other Fans: Locations cfin 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: 2 .� 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;excludine 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 FeP $ PERMIT FEE CALCULATIQN S -JOBS QVER$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) 3,000.00 x.0125 $ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge('�Iinimum Fee of$.50) 3,000.00 x.0005 $ 1.50 (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.50 ■ * 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, 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(952)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 Signature: - Date: 02/03/10 Reset Form ' 3 ► � ��C�� �- � TE n TIME CITY OF ORONO CALLED IN u INSPECTION NOTfI-,CE SCHEDULED l ��� PERMIT NO. ��C✓1�����OMPLETED ADDRESS � � �C-' f� / / .0 7`��!� ��C� OWNER CONTR. �-���? � TELEPHONE NO._�,�L�� � !� ? ` �� U�(1 C% � DESCRIPTION ��-����'�"��"�' ��� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTORTOMEETYOU:�YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on sit�: Inspector_ i � .� White Copy/lnspector's File Canary Copy/Site Notice CenterPoint� House heatin test record Energy Owne�p��� �j('�,tJ�� Controls \ Conversion t U Address ,1\�� �;�1�7�0� � Thermostat�,,1��� �"Heaiplug VentSize � � Q,ks�������,� �� ---� City ��.f�J l/alve f,��,�y,, 1�,��ti Kindofliner/size /�,�,,,�. Heat loss Date htg.inst2—U^1 L Limit ��Yzo/ Draft hood 1�/►J�� Regularor���•`J_a � Sold bv CenterPoint Energy Limir setting ��� Filters:Size �''�t.. Number Installed bv CenterPoint Energy Fan setting �T��G/ Chimneylocations: Inside �Outside Electrical work bv CenterPoi nt Energy Pilot type �,.,�„�S�1! Chimney construction/1!� Heat type � FA Q Space heater Pilot make � Wiring � Test tag � Gas line by ('Q� Pilot model Lighting Inst �j Date tested �_'D �- ,� Unitheater Other Pilottiming,l�'/,�� -1.,.,,,� ,, ComnanvtesrinQ CenterPoint Ener Gas design Pressure:Hi fire/Lo fire3,,S- y�„ Tester's name ��!��I✓ 3�� Make���„� Model,�� ��/ PercentCO2 �j� � �/� C„��j��3 ���y ��ut CFH �; Percent 02��.� G Serial no. J�?5�'D��1f� /l/��- ' /, o 1 �� ���� Siack temp � �� Percent CO �Lj�T�'� Input ��� ,,,` CNP 235(11-2008) F.