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Home My WebLink About2009-00670 - gas line only `� ' CITY OF ORONO PERMIT NO.: 2009-00670 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: 10/OS/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1980 SIXTH AVE N PIN : 27-118-23-42-0004 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 912.00 NOTE: ADDING(1)RETURN IN BASEMENT,NEW DRYER VENT AND RELOCATE(2)SUPPLIES APPLICANT MECHANICAL 50.00 DITTER INC. STATE SURCHARGE MECH(VALUATION) 0.50 820 TOWER DRIVE MEDINA,MN 55340 TOTAL 50.50 (763)478-9558 OWNER PIERPONT,JUDY 1801 WEST FARM 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 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 are requested in conformance wi[h the State Building Code.This permit may be revoke ny time for due cause. � �.Q7�Gv= iC � S �c5 / l Applicant Permitee Signatur Date I d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .► � "� FOR CITY USE ONLY � ��A�� City�of Orono G /_ /O4 `rO P.O.Box 66 Date Received��"��JPermit# ��7—��t(�70 �s,,„, 2750 Kelley Parkway � �1��,`'`�. +� Crystal Bay,MN 55323 Approved By: Amount$: 5�.�� F � '�'��;�.;��o` (952)249-4600 �qk�go$� CITY OF ORONO —MECHANICAL PERMIT �..��$ "1 (All Commercial permits must be approved by the Building Ofticial or h�spector and/or Fire Marshalll GENERAL INFORMATION � 1. You may apply for mechanical pernuts 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 LTNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT 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 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 wark 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 fmal. TYPE OF PERMIT � (Check All That Apply) � [�Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: ��' ��h ��r ��c,�� C Owner: � ��,.t/j 'S Mailing Address: ��'U C°��h �f �1�-� C City: U� ro�� Zip: Home Phone: �"� Alternate Phone: �!�3- Zd� -S�/� Contractor Information: . �- / Contractor: �' +�� C.��li��/�f.Contact Person: C�L�� !,�'.�,��/� Address: �Z� �`W� �r State Bond #: City: �v►�l.� Zip: SS��(% Expiration Date: Phone: 7L 3 - `��' ��SS�' Alternate Phone: ❑ Insurance—Current: 1 ,�' � `. � `l�1ECHANICAL SYSTEMS BElNG INSTALLED i Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TAIS GEOTHERMAL? ❑ Yes ['�No HEATING SI'STEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Firep]ace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove With Flue 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 bp Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Remo��al Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill �] Other/List What&Where: t�in � e�� v r� I h L � � ��`e�� 1"��i.� �ry �Pn ��v��{- dw� �'� �oc��e �5��/�� r � •�► � � PERMIT FEE CALCU�LATION(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 electncal or gas service. 2. Has a total cost of$500.00 or less; excludina the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner ar 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; follo�°guidelines belo��: 1. CONTRACT PRICE *is 1.25%of contract pnce with a (Minimum Fee of$50.00) �l1- x.0125 $ .SO�`� (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) ��2- x .0005 $ :S�' (contractprice) (minimum� .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ .S�'" S� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work inc]uding matenals, ]abor, profit, and othei 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 pern�it 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 die price. � MECHANICAL PERMIT APPLICATION AGREEMENT The undersib ed 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. � y� Applicant's Signature: 4c- ��^�"� Date: ��5�� 3 � - 1 �- ' DATE TIME CITY OF ORONO CALLED IN S d 9 , INSPECTION NOTI E SCHEDULED � � � PERMIT NO O OQ�v7O COMPLETED ADDRESS �/ � �� OWNER CONTR. / C'.. TELEPHONE NO. �I� —�7� y�50 � DESCRIPTION /L. � � ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTtON REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on site: Inspector. � i �y / (I�� '� White Copyllnspector's File Canary Copy/Site Notice