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Home My WebLink About2010-00398 - heating system _ „ CITY OF ORONO PERMIT NO.: 2oiaoo39g 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEv: 05/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 700 NORTH ARM DR PIN : 06-117-23-43-0003 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 002 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 2,800.00 NOTE: 1 RUUD NATURAL GAS FURNACE APPLICANT MECHANICAL 50.00 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.40 9320 EVERGREEN BLVD-SUITE B COON RAPIDS,MN 55433 MAIL-IN FEE 2.00 (763)757-6202 MISC FEE 0.00 TOTAL 53.40 OWNER HARTY,GREGORY 700 NORTH ARM DR MOiJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. 1'his 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. 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 due cause. ��/� �Il. / / �`"�_"l / / Applicant Permitee Signature Date Issued B ignature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . , 4 FOR CITY USE On7.Y ��-'"p`��`> City of Orono /� `�` �� P.O.Box 66 Date Received: Permit# �� . �`;, i( .;,. �� 2750 Kelley Parkway �* ��k k `,;; Crystal Bay,MN 55323 Approved By: Amount$: ,� �!a� p`o� (952)249-4600 + ��f;� �-1 3� CITY OF ORONO-MECHANICAL PERMIT e�� `� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marsha]]) GENERAL 1NFORMATION L You may apply for mechanica]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 will be sent by retum 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 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 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: �v� �Vor'�h �rm 1�r�iv� Owner: ��e�Ur� `'1�,�-�4 Mailing Address: —1 b� Np�� r�n.� l7rt, City: �..bwr�� Zip: 5 S3Co�{ Home Phone: �Sot -��a.• �(.oCc � Alternate Phone: L4� o'� -�7Q�'1 • 3aa�-( Contractar Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN Address: 9320 EVERGREEN BLVD NW State Bond#: 22013346 City: COON RAPIDS Zip:55433 Expiration Date: O8/20/2010 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 BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes �1Qo HEATING SYSTEMS Quantity: � Make: \`�-�- Model: � Co'2�'-�� Fuel: N�✓�� \'''nC Flue Size: Input BTUs: ,51 �U� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen E�aust duct recirculating �� ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to a6andon tank in place.) � Installation � Removal Fuel Oil: gallons ❑ Underground a 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 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) oZ $��• �O x .0125 $ �J��C�C� (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Min;mum Fee of$.50) o`ZQjOO. OU x.0005 $ � '�� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ``� � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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. r 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: s-o? y' �v Reset Form 3 � —� `� ' DAT TIME ✓ CITY OF ORONO CALLED IN � l� INSPECTION NOTICE �D'� SCHEDULED '�D�//D �.� PERMIT NO.� �� COMPLEfED ADDRESS �v dr�- C�/�' �'c OWNER � LEPHONE �!' �32Z� CONTRACTO �� a DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING �MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION O `"'^OD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 'ER HOOK-UP ❑ PROGRESS � ❑ FINAL �J SEWEFi HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W 0. o C� (� �A tn -� �� C. Z.� Sj�. � � 0 � W � Q � z W � W � � � d � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT �CQRRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 1 / /� White Copyllnspector's File Canary CopylSite Notice /