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Home My WebLink About2009-00764 - gas line only • ' � CITY OF ORONO PERMIT NO.: 200�-00�64 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 1 U10/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2108 SUGARWOOD DR PIN : 34-118-23-21-0024 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 004 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,500.00 NOTE: RUN NEW 3/4"GAS MAIN,RUN GAS TO FIREPLACE,2-GASLIGHTS AND OUTDOOR GRILL(FIREPLACE IS OUTDOORS) APPLICANT MECHANICAL 50.00 PLUMBING WEST,INC. STATE SURCHARGE MECH(VALUATION) 0.75 23248 WALDEN AVENUE HUTCHINSON,MN 55350 TOTAL 50.75 (320)587-0300 PAID WITH CC# 6276 OWNER RICKS,MICHEAL&JACQELINE 2108 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 dces not grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shail be compied with whekher 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. � � `l�O �Bln Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . ' " "` �,� � � CI Of OronO ��Y F�OR C77Y USE ONLY °..,.,\ ty g-b � Q�'1 P.O.Box 66 � Date Received��permit q�_ 7{� U .:. 2750 Kelley Parkvvay 1`� s�f;,,�j� CrYs�al BaY,MN 55323 APProved By: Arnouni S: •7 r cr L (952)249-4600 ��y CITY OF ORUNO-MECHANICAL PERMIT (All Commerciel permits must De epprovcd by the Bu�lding OtTicial or Inapector uidMr Fire Marshell) GENERAL IIVFORMATION ]. You may apPly for meahsnical permib by cnail or in person at thc City offices. Applicstions will be reviewed aad a permit will be issued within two working days. 2. Permit cards will be serrt by return mail afber a review i�c�mpleted. PERMI'PS ARE NOT VALID UNTTL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMiT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desig�„s-Complate calcuiations,ddgils and specifications are required for each heating,ventitatioa,humidification-dehumidification,and air conditioning installation including heat losslheat gain calculatioe,desi8n tempe�,e9wPn►ent ratiogs and identification as to tYpe,manufacturer aad model. Data shall6e prese�rLed on form provided. 4. When sny new construction or remodaling is involved,a separate buildieg pernut must be obtained. 3. A21 work must be done in accordance with the Uniform Mechenical Code/State Building Code requirements. 6. Ap work must be inspected(rough-in�and fit►al). Ca11(952)?A9-4600. �Z�-4S b011T�OI�CE 1'L{]Y�YEa� ?. House Heatu��Test Record must be submitbed befiore final, TYPE OF PERMIT Check All That A 1 �Resideatial ['�Commercial(Approval Required) ❑New ❑Additional ❑Repairs Q Replacc Job Site/Owner Information: 4 I I Sibe Address: �l� � �Su q a r c,c�o o c� �r� �`� � ]' � Owner: _ �� 1�� Mailing Address: �C�1'r��. I City: � r�4 Zip: S �:3 �(o � Home Phone: "�f s�- - L/7S`�d�q Alternate Phone: (a I a2 - 3�a ' � � � 7 � � Contractor Information: • 1 ' 1i I Contractor: � '�-SI�Contact Person: �`1" el�-� ��Cil'C��1�� a3�y� � �1c�� Address: ��f C;�t,�� State Bond#: �` �0 0�/�/ C�tY� �bIld�[[�l.n San Zip:�� Expiration Date: _�b� Phvne: �a0 " 7' D�C7� Alternate Phone: � �d�' a0.� - S��y �. Insttrance-Current: �1'i r1Yt��( {rl'l �t,l C�I 1 E 'd TTEE-GBS-OZ£ y9e�e� atjayotW dEZ � TO 60 Z ��0 ' ' ` MECHANICAL SYSTEMS BEING INSTALLED Note:All Geothermal Systems will now requine a Sibe Plan&Revie�vv by our Bailding Official. IS THIS GEOTHERMALY ❑Yes ❑No HEATIrtG SYSTEMS QaantitY; Make: Model: Fuel: Flae Siu: Input BT(Js: _ Output BTUs: CFM: COOLING SYSTEMS QuantitY: Make: Model: Tons: H.Power �1 FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Bwntng Fireplacx 0 Wood Stove Model No.: ❑ Wood Stove With Flue VENE'ILATTON � No. Kitchen Exhaust duct recitculating cfm ❑ No. Bath£xhaust(must have duct outside) c�n � No. �ther Fans: Locakions ctin FUEL STORAGE (Must be approved by�4re Mmshall ijpropos�tg 10 aba�don IonJE tn plac�) � Tnstallstion � Removal Fuel Oil: gallons ❑ Undetground �inside �Outside LP Gas: gailons Othcr: GAS LINE ONLY �-1 G�S 1 3 �r � Outdoor Grill � Other/List What 8t Where: r(�1'� (�'�'W � ��I.I l� r T ru►1 ��s -�-�o ��► r e ��ce , a - C; a s 1�5��s t- v t.��--C\�or �r,l t ;,-� - 1 � -F �lac�e 15 Gi,+..-�-�{.c�� J � 'd iTE£-GBS-OZE y�e�e� attay�iW dEZ � TO 60 z ��0 • � - PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residentia!fixture or aonlia�ce that meets ail three of the following nequirements: 1. Does not re�quire modificaiion to electrical or gas setvice. 2. Hes a cost of 5500.00 or less;�cludine tho cosc of the fixture o�applianoe:and 3. Is itnproved,installed or replaced by the homeowner or Gcensed conrtract�or. Skip next section,if this applies; Cost of Perrnit S 15•00 State Surcharge $ .so Mail-In Fee(If Applicable) $� Total Permit Fee $ PERMIT FEE CALCLTLATION S —JOBS OVER$500.00 If above dces not apply;follow guidelines below: 1. CONTRAGT PRICE *is 1.25%of cflntract price with a(Minimum Fee of a50.00) /. S �D x.0125$ (��) (minimum SS0.00) 2. STAT�SURCAARCF •�Add the State$ldg Code Div.Surcharge(Minimum Fee ofS.50) x.0005 $ (�o��) (mini�own s so) 3. POSTAGE 8t HAND[,CNG(Only on Mail-In Applicadons) S_ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � • " CONTRAC!' PRICE or JOB COST means tho actual or estimabod dollar amouM cberged for the pennitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work dAne. If any material,aquipment,[abor ar instellations ere fumished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or c;omract price for permit fee purposes, In tha event that there is a dispube on the . amowit of the job cost,the City may request the submission of a signed copy of the ach�nl canha�, � ;*The STATE SURCHARGE is.0005 of the Building Departcnent at(952)249-4600 for the price. MECHAIVICAL 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 Stat� of Minnesota, and certifies that all statements made on this application are complete, true and correct. ; Applicant's Signatt�re; p��• � � � Reset Form 3 S 'd iTEE-GBS-OZE y�e�e� atjay�iW dEz = TO 60 Z ��0 �^� C�_ D E TIME V CITY OF ORONO iN �� B S INSPECTION OTIC CHEDULED � � � PERMIT NO. �'�Q� COMPLETED ADDRESS � �� —� OWNER CONT TELEPHONE NO.�_�//�P'_ _�l/l� ��'�J' '� S �Jr`� � DESCRIPTION � �fi , ��=�— � ❑ FOOTING ��ArFECHANICAL ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �sPtS I � N� S � fs�= . �. t _ � �o� . � 0 � W � Q � Z W � W � � � ��NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE i W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: . i � Inspector. � i ,r-i�: ` � . White Copyllnspector's File Canary CopylSite Notice r� �� V / DAT v TIME TY OF ORONO CALLED IN �� INSPECTION NOTIC/E '� ,t�CHEDULED � �� "� PERMIT NO��% �p76/ GOMPLETED ADDRESS �`�'�� OWNER NTR. TELEPHONE NO. — ' � DESCRIPTION � �� _�'�'v � ❑ FOOTING .�IOI�HANICAL RI p EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � �� W��VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE ��O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP OFiDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnedConir ite: Inspect . White Copyllnspector's File Canary Copy/Site Notice �� t' 1 AT TIME CITY OF ORONC�I�'�_ CALLED IN �0 INSPECTION NOTICE �7G�HEDULED �� PERMITNO. �� OV,T �GOMPLETED ADDRESS 0� �� OWNER ELEPHONE NO. `�'` �%�'�5�� CONTRACTOR � DESCRIPTION � ❑ FOOTING �U G FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a d � J O � � O � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on te: Inspector. White Copylinspector's File Canary CopylSite Notice