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Home My WebLink About2012-00921 - gas line only .. CITY OF ORONO * Z 0 1 2 — 0 0 9 2 1 * , 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3010 SOMERSET LA PIN : 04-117-23-22-0029 LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS L[NE ONLY VALUATION : $ 1,063.00 NOTF_,: GAS LINE NOR GAS POWGRED GENERA"I'OR APPLICANT MECHANICAL 50.00 DL JOHNSON HEATING STATE SURCHARGE MECH (VALUAT[ON) 0.53 19620 JACKSON ST NE EAST BETHEL, MN 5501 1- TOTAL 50.53 (763)434-1248 OWNER CARSON,WALLACE& SHARYL 3010 SOMERSET LA 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. "fhis permit is for only the work described and does not grant permission for additiona)or related work which requires separate permits. All provisions of laws and ordinances governing 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 with the State Building Code.This permit may be _ °,� revoked at any[ime for ause. � - �.�.�_ l i� lao/.2 `�"' / � , 1�1�! ' G � � r�� /-� . ppli nt Permitee ignature Date Issued By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FOR CITY USE ONLY � ;%��`= City of Orono !,/O¢ �0�., P.O.Box 66 Date Received: Permit# j� ,c, 2750 Kelley Pazkway �� `'�r �� Crystal Bay,MN 55323 Approved By: Amount$: �\�'�`�,,!% Phone(952)249-4600 Fax(952)249-4616 _-__� 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 cazds will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE 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: s�te adaress: 3010 Somerset Lane Owner:Waliy and Sharon Carson Mailing Address: 3010 Somerset Lane c�Ty: Z;p: 55356 t-�ome Phone: �952) 476-5838 Alternate Phone: (612) 209-8524 Contractor Information: Contractor: DL Johnson Heating Contact Person: Dal't7/I JOhI1SOt1 Address: 19620 Jackson St. NE State Bond#: M B0034�Z ��Ty: East Bethel Zip:55011 Expiration Date: OB�ZH/�4 Phone: (763) 434-1248 Atternate Phone: (763) 807-3439 ❑ Insurance—Current: yeS 1 1 . MEGHAMCAL SYST��BE�TC IN�TALL� Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTCTs: 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marskall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallo�s Other: GAS LINE ONLY ❑ ou�aoor�i�� p orner i List wt�at�wt�ere: Gas Powered Generator 2 f PER1�T FEE�AL�LI�.A.'I'�U1��} BASED O�'F'-ZUQ2�TA'I'�ST�T'� ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all thtee of the following requirements: 1. Dces 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 ne�ct section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ FERIVII'T`FEE��:L,�CUE:.A."i'If}� 5' -�Jt3��C�VER$5�.4�} : If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee ot$50.00) / 00 � •�(O� X.�i25$ (contract price) (miaimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) 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 amount to be charged to the customer for the work done. If any material,equipment, labor or installations aze 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 peimit 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. ; 1�ECH�NI�AL`P�R'�T'�'PT.ICA�T4N;At'sR�EFME1�3'I' 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. ApplicanYs Signature: �— Date: / :f�nt 3 DAT� TIME V CITY OF ORONO CA ED IN � INSPECTION OTICE GJ � SCHEDULED — PERMITNO. D �— D /� COMPLETED ADDRESS �`� OWNER TELEPHONE N0��.3 �D 7 3��' CONTRACTOR D L- ��I�/G9?.G�B� �t--t� . � DESCRIPTION ��' l�-xe ��'r�s� � ��d�. � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a o " � I. •'v`� (��-� � - o ��- � W � _. Q � W - � W � � . C1 _ - � RKSATISFACTQRY:PROCEED. 0 PROJECTCOMPLEfE W ❑CORRECT WORK•8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS, . . p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. • Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: inspector. U � White Copyll�spector's File Canary Eopy/Site Notice � DA TIME � CITY OF ORONO CALIED IN v INSPECTION ICE SCHEDULED � PERMIT NO. �-��'1�� PLETED ADDRESS �D I OWNER TELEP NE NO. -�`-3 CONTRACTOR � (--• � DESCRIPTION �I��u "`""'� ��""'- ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YE�NO y COMMENTS: o� W 0. J O �. � O � W � Q � 2 W � W � � W O WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on site: Inspector. �, , White Copyllnspector's Ffle Canary CopylSite Notice