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Home My WebLink About2013-01135 - gas line only ., CITY OF ORONO * Z 0 1 3 - P1 1 1 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2013 f ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2009 SUGARWOOD DR PIN : 34-118-23-21-0013 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 850.00 NOTE: GAS LINE TO FIREPIT IN REAR OF HOME APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 0.43 1880 WAYZATA BLVD W P.O.BOX 150 TOTAL 50.43 LONG LAKE,MN 55356 (952)473-8793 OWNER KILEEN,MARY&THOMAS 2009 SUGARWOOD DR 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 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 te Building Code.This permit may be revoked a y ime for due c se. � �d / / � / / p ' t Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED A . � _.�.---_.._-FOR CITl'ti SE OAT,Y ,�,._—�–. Cih�of Oiouo �� P_O_Box 66 Daze Receiutid_ Pcrmrt# (� ` � � 2750 KeIlry Park-�vay � � ' ' �l C'rystalBay,vfI3553?3 ApprovedBy: A:namt$= ; � � Phme(952)249-4600 Fax(952)��9-46i6 � 1 < i � ��,�,`' CITYOF ORONO-MECHA.'��ICAL PERNIIT �^f (All Comnrrcialpn'tnits crust be approved by the Building Ofiycnlor Inspector and or Fit\iarshaIq `- _ _ ----_.___------_---,.---._._._._._._�.__-�--.�.__-------__.__ GENERAL INFORMATION 1. 1'ou may apply for i�chanical pembts by ira�or m person at tl�C�y offces. Applications�v�l be reviewed arrl a pemrit will be issued wittvn hvo�vorking days. 3. Pemit cards��ill be sent by rettun tr�il a$er a te��v is colt�Ieted. PERI�IITS ARE NOT �'ALID UNTIL 1'OU RECEIV E A PERt�4IT. �'�'ORK MC?ST NOT BEGIN LiNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. 1�_feclianicalDesium—Coi�lete calctilatioi�s,deta�7s and specifications are required for each heating,��ent�7ation lnmvdification-delnuivciificatioil atxi au�conditioru�u��llati�n incLdn� t�at losslheat g,aai cakulation,design terc�erah�es,equipment ratir�s and gientification as to type,irsatnifachaer and imde 1 Data shall be presetued on fom�pro�-ided. 4. �1'hen airy new consmaction or remodelu�t is aiwlved,a separate building pernvt nn�st be obtairred. 5. All work in�st Ue drnie in accordance u�ith die Uniform Meck�vcal CodelState Bw7duig,Code requu�einents. 6. Allwork nust be irnpected(rougtrii and fatial). Cail(95'_)'49-4600. (24-48 hournorice irquiircp 7. House Heata�g Test Record nn�st be subirritted before fnal TYPE OF PERMIT (Cl�ck All That App_�y) �Residential ❑Cotrnnercial(ApprovalRequu�ed) ❑Ne�� Additional ❑Repairs ❑Rep]ace Job S ite/O�vner uifomlation: SiteAddress: d�a� 1 J�%��'��`-" �� O�t�ner: -'o t^.^, �:I �C?Y� Ma�ir�g Address: v��O� S�'°,a�`�`�d�,� '�� c�: 0��,�c� z�: �5�35� Hoinz Phone: 6�� Alten�te Phone: Contractor Infomration: f I i1 Contractor: �'�'`/ V��'�"� �,�`�)�� `) Contact P�rson: Q��h� ��` I� Address: %��dd B �5� Wp1�/71��(��I�;� State Bond�: �BOd�� C fy: Lny�� C,��-C- Zi}�:S S3�C�Expiration D ate_ �l�Ia�� -1 Pllol�: ��a y�3��'�3 Alt�mate Plione: ❑ I�i�suranc�-Current: ��P� 1 s MECHAI�TICAL SYSTEI�IS BEING INSTALLED \ote: AllGeott�zi�rinl SyStZITlti 14'l1I T10��' 1'ZqlItl�Z 1 S 7CZ PI�'311��. RZ`'1�\�'��T 011l'BL11�CJ1[l�O�C1aL IS THIS GEO'THERMAL? ❑Yzs ❑No HE.4TING SYSTEMS Quant�y: hlake: Model: Fue 1: Fhie Size: It�utBTUs: Output BNs: CFh4: COOLING SYSTEb4S Quac�t�y: Ma}:e: Model: Toris: H.Power FIREPL..�CES ❑ GasFactoryFire�lace BrandNanx: ❑ Wood Bia•nu�g Firep]ace ❑ �'4'ood Stove ModelNo.: ❑ �k'ood Stove with Fh�e 1 Masoruy VE�ITILATION ❑ No. Kitck�n EYlra�t dixt _recirculating cfin ❑ No. Bath E��a�t(nust ha��e duct outside) cfrn ❑ No. Od�er Fazu: Locations cfin �`EL STORAGE (1'�1ust be approvert b��Fire Marsholl jf proposirrg to abandon tnnk iii ploe�) ❑ Installatifln ❑ Reino�al FuelC�ii: galbns ❑ Undergrow-�d ❑ Insicle ❑Outside LP Gas: galbns Other: GAS LINE ONLY � Oiudoor Grill � OtF�r/List VJt�t&Where: ��2 1 ��" � �OYV`�C_/ � If - _ _ _ __ __ _ ___ _. -- PER'�IIT FEE Ct�LCUL_�TTON(S) ', B�SED OFF - 200? STATE STr1TUE ❑ 1"es,ttvs section applies "Ihe re lacement ofaRes�de��alfitture or appliance that tt�eets alltt�ree oftl�e foll��vu�g requgertYnts: P _,. , e . ..._ , _ 1. Does mt requu�e imdifuation to electricalor gas service. ?. Has a totalcost of�500.00 or less;e�chxiu�g tl�cost ofthe fiKtt�re�appliatxe:arul 3. Is ur�roved.iristal�ed or replaced by tl�hoineo��me�-or licensed contractor. Skip ne.�t section ifttvs applies; Cost ofPemvi �.� 15__�___00 State Simcharge ��_ 5.00 :��Iai�InFee(IfAppiicable) $ 3�00 Total Peinut Fee S . . . ___..._._------. --- -._________ _.._.._.____._.__,.._.._._. ._.__ C__._.__�_______�.___,..P�IT FEE CALCULATION(S)-JOBS OVER$500.00 Ifabo�e does not apply;follow guidelines belo�v: 1. COI�TTRt1CT PRICE *is 1.25?�0 ofconiract price with a(113inimum Fee of S50.00) �� Y.01255 (contrnct prie) (mininum^�50.00) 2. STATE SLiRCHARGE x.0(105 � (c�tract pri e) 3. POSTAGE�C:HANDLING(Only on Ma�In Applications) �____...._ePONT2�00 4. TOTAL PERMIT FEE(Add Lnyes 1-3 Above) S - � CONTRACT PRICE or JOB COST urazls die actual or estnnated dollar aimucu cl�arged for tk�e penrritted work inchadi�g ir�ateriaL, labor,profit,and odier fiied costs. It is die aimwvt to be charged to tl� customer for tt�wodc dor�e. Ifairy material equipinent, labor or irvtallations are fimusl�ed by die owr�er, tenant or any other party, the reasonable iY�rket��ahae �f such itena tYnast be added to the estn�ted cost or corixract price for percYrit fee purposes. In tlre e��ent that there is a dispute on the auriurt of the job cost, the Ciry rYny request the st�tr�sion of a signad copy of the actual contract. MECHANICAL PERMiT APPLICATTON AGREEMENT Tt�tnidersi.gtied hereby applies to ttie City for issi�ance of a 141echatucal Pznmt, a��e�ta dca aIl wot�C in sh-ict accordance �e�h tt� ordinances of tl� City and t�� re�.ilatior� of the Statz of Mi�mesota, and ceitifies that aIl statements made on thi� appl�ation are carrq�lete. ti1�e and con�ect. App�icanYs Signature: � Date: �� d��3 3 � DAT€ TIME � CITY OF ORONO CA�LED IN �� L INSPECTION NOTICE SCHEDULED �l "f � PERMIT NO.q�D/.3—D/�3S COMPLETED ADDRESS d��9 �� OWNER TELEPHONE NO/ Q�2�� 79'3 CONTRACTOR �� " � DESCRIPTION �C/� �� ! �� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o � .' ,A�- �� - b� �. � 0 � W � Q � z W � W � � GW ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑C ECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46QQ OwnerlContractor on site: Inspector. � 0 � /-1 1,��C' White Copyllnspector's File Canary CopylSite Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �.L3'[�//3.5 _ connP��E� -�� '/�5 ADDRESS_�Zv� �� 'r.r/�.✓ �.�+t OWNER TELEPHONE NO. CONTRACTOR �/�� /�'� ��5� "�� ; DESCRIPTION y�s l'''�'� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING �GECHANICAL 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. �OL OW-UP 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO P., COMMENTS: a ��/wr�� 11�/��v t-k, �.�� /C5 G-�i!� �a�r �C � . � � O .�,��,��c,Li� , � � �.�� G.r` Ztc��- //-i '/3 '- G'+� �G,� o -�' � W Q �'lb c��1� h(��v� � z /P�� cC d i'��'�C� c'�tv /�� /l � W /, W �C'��d..r/-� L �ivr4l /l1.�� i� �ti t;U i,' � �-%Cf � G�� ../i�� anr � W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ��.JA�SPECTION REQUIRED.CALL TO ARRANGE ACCESS. " ,/ ,\ Call for the next inspection 24 hours in advan . (g52) 249-4600 l OwnerfContractor on site: Inspecto�� --� � White Copyllnspector's Ffle Canary CopylSite Notice