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Home My WebLink About2008-00439 - mechanical CITY OF ORONO PERMIT NO.: 2oos-oo439 � " 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 12/05/2008 952 249-4600 FAX: 952 249-4616 ADDRESS : 2625 NORTH SHORE DR PIN : 09-117-23-42-0003 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : HEATING SYSTEMS VALUATION : $ 3,000.00 NOTE: 1 CARRIER NATURAL GAS FURNACE APPLICANT MECHANICAL 37.50 CENTER POINT ENERGY MINNEGASCO STATE SURCHARGE MECH(VALUATION) 1.50 9320 EVERGREEN BLVD-SUITE B COON RAPIDS,MN 55433 MAIL-IN FEE 1.50 (763)757-6202 MISC FEE 0.00 TOTAL 40.50 OWNER BUTZER,BARTHOLOMEW&ELIZABETH 2625 NORTH SHORE DR WAYZATA,MN 55391 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 separate 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. �1� �� / / / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB OVE. t • � FOR CITY USE ONLY ,�� /4p�\ City of Orono �� P.O.Box 66 Date Received: Permit# C� � �y,;,,,, �� 2750KeIleyParkway �� ,)i��•..` �f Crystal Bay,MN 55323 Approved By: Amount$� �� ;�,� ��yv�� (952)249-4600 � tvAr�sor% �—'- 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. PERNIITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—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: a�a5 ��`� Shore. 1�r�v� Owner: �a'�k ��"'�Z�� Mailing Address: a��s N�r�l'`Sho�c J�K-1Ve �ity: O,r-o�.o �,�,; S S 39' 1 Home Phone: �O�a'� S�� 4v� Alternate Phone: Contractor Information: Contractor: CENTERPOINT ENERGY Contact Person: JOANN 7INKFN Address: 9320 EVERGREEN BLVD State Bond #: 22013346 City: COON RAPIDS Zip: 55433 Expiration Date: Phone: 763--757--6202 Alternate Phone: � Insurance—Current: 1 American Hotne Company Worker's compensation& Employers L,iability 7206951 Volicy period Ol/01/2008 -O1/Ol/2009 MECHANICAL SYSTEMS BEING INSTALLED HEATING SYSTEMS Quantity: � Make: C.ar r��e✓' Model: 5$DLQe U"10 Fuel: N�1.�+.r� �vaS F(ue Size: Input BTUs: �s�� Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H,Power FIREPLACES ❑ Gas Factory Fireplace ❑ Wood Burning Fireplace ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ 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;excluding the cost of the fixture or appiiance: 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) $ 1.50 Total Permit Fee $ PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply; fotlow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00) 3006 . �d x .0125 $ �7• �� (contract price) (minimum$35.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) 30�4 . 00 x.0005 $ � •S� (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ y b•S� ■ * 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 �mount 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: �a`�—�� — Reset Form 3 House heatin test record �CE�p CenterPoint� Energy JAN ? 2009 CITY OF ORONO Owner��p CoMrols Conversion Address�o��/��,�jp�1]� Thermostat��,Q,,�(�. Heat plug l/ent Size y`� City �� 1/alve � Kind of liner/size �� -r — Heat/oss � Date htg.inst///2'j/�g Limit Draft hood nl�Ar Regulator Sold bv CenterPoint Energy Limit setting /;�j' Filters:Size ZSy/ Number / Insialled bv CenterPoint Energy Fan setting �;ti.i.� Chimne locations: �nside �Outside E/ectrical work bv CenterPoint Energy Pilot type {�S Chimney consrruction ,�,�'� ry�` Heat type �A �Space heater Pilof make W� Wiring ✓� Test tag � � Gas/ine by �� Pilot model �+}� Lighiing Insi Date tested (�f 2�/p� Unit heater Other Pilot timing y�� Companv resrinQ CenterPoi nt Energy Pressure:Hi fire/Lo fire 3,S Tester's name �f�� (�y,g� Gaa design Make�� Mode1��Q7Q Percent CO2 q,�l,�v Input CFH�p�� Percent 02 4.� b Seria/no.�t�0$,�1'(!�$`1 Stack temp 3 LLj' Percent CO �190,,..- InPut `�(�, bb� CNP 235(11-2008)