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Home My WebLink About2012-01219 - gas line only � CITY OF ORONO * 2 ID 1 z - B i z 1 9 * ' 2750 KELLEY PARKWAY DATE ISSUED: 12/04/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0020 LEGAL DESC : FOX BEND : LOT 3 BLOCK 4 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 600.00 NOTE: GAS LINE FOR POOL HEATER APPLICANT MECHANICAL SQ.00 HEATING&COOLING TWO INC. STATE SURCHARGE MECH(VALUATION) 030 18550 COUNTY ROAD 81 MAPLE GROVE,MN 55369- MAIL-IN FEE 2.00 (763)428-3677 TOTAL 52.30 PAID WITH CC# 0540 OWNER KELLY,JUSTIN& SUSAN 2990 SUSSEX 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 sepazate 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 theState Building Code.This permit may be revoked at any time for d�e cause. �%�l�-�t� �_ i l l l Applicant Permitee Signature Date Issued By Si ature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . From:Hea6ng&Cooling TwFax:(888)550.8203 To:+19522494616 Fax: +19522484616 Page 3 of 4 121412U12 11:47 . � 41,O� City of Orono FOR CtTY.USE.ONLY ,� . Q � P.O.Box 66 , . . . - 2750 Krliey parkway nate Recei�•ed: �� ' ; � + G•ystaf Bay.MN 55127 •. .--:—.Permit# �_.•: �C�� (952)249•4600 APP�o�•ed By: • ._;.� AmouriGS:_°.,. ' . CITY OF ORONO —MEC$ANICAI, pERN�IT (All Commercial perm;ts nmsc be�pproved by the Building Official or Inspector and/or Fire Marahall) ��E�RAI-.Il�'FQRM�►T'�ON � , :. . , , . . 1• You may app(y for mechanical pecmits by mait or in persort at the Ci office . be teviewed and a perrnit will be issued within two working days. ry s' '�`pP��ations wi(1 � 2. Pecmit cards will be stnt by return mail after a review is completed. PERMI'1'S ARE V�-m UN'TIL YOU RECEIVE q pg� yy��MUST NOT BEGIN U]YT'u,TgE PERMIT CARD IS POSTED OIV THE�Jpg ITE. 3• Mechanical Desi�e_Co��e.calculations,details and specifications are requ'ved for each heating,ventilation,humidification-debumidific�tion,and air conditioning,instaltacion iucludin heat loss/heat ggin calculation,design temperatuces, equipment ratings and identification as to g tYpe,manufacturer and raodel. Data shall be presented on form provided. 4. When any new constn��hon ar remodeling is involved,a scparate building pernut�ust be obtained. 5• All work must be do�e in accordance with the Uniform Mechanical Code/State Building Code requirements. . . 6• All work must be inspected(rough-in aad gnal). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record�must be submitted before final. . ." ; • . , .:, � .TYP��.�OF'P�R;ivIIT . � , . . -. � ''�•Ch�ec�C��ll�'��hat�4 1. . , _;. . . .; _: . , � ,_ �.Residential ❑Co��ercial(Approvat Roquized) . 'I ❑New � �Additional ❑Repairs ❑Replace Job Site/ Owner Liformation: �, � Site Address: � Owner: Mailing Address: � City: � � . � Zip: Home Phone: Alternate Phone: '�Contraetor��I�i�'oFination:� � Contractor: O INdrontact Person: � 18550 County Rd. 81 Address: Maple Grove� MN 55369-9231State Bond #: City: �•�eatcool2.com Zip: Expiration Date: Phone: Altemate Phone: ❑ Insurance—Current: � i I Frbm:Hea4ng&Cooling TwFax:(888)550-9203 To:+19522494616 Fax: +19522494616 Page 4 of 4 121412012 11:47 . ,s��'�r, :.��*�;3%/ Yt'�,�� i 0� ' 1 �. ..�. � ��'.� •��:.�,�a� ��' _ .:�. �- - . c�� A �:(:•'. .. r .i. �!1:: iHEATING SYSTEMS � Quantity: Make: " � I Modet: i ' Fuel: I Flue Size: � Input BTUs: � j Output BTUs; . , CFM: • . COOLING SYSTEMS • . Quantiry: Make: Model: I ' Tons: H.Power FIREPLACES , ❑ Gas �aclory Fircplacc O Wa�id Burnino Fircplacc ❑ Wood Stove ❑ Wood Stove With Flue Brand Name: ' Model No.: " �N'Y'�•ATION I ❑ No. Kitchen Exhaust ❑❑ No. _ Bath Exhaust(rnust have duct�outside) recirculating �� . No. Other Fans: Locaaons �cfm �� FUEL STORAGE(MUST BE�pppROVED gy�MARSHALL) cfm � ❑ Installation ❑ Removal Fuel Oil: ___gallons • . . LP Gas: ga��o� ❑ Undergtound ❑Inside ❑ Outside � ' � � Other: GAS LINE pNi,y ❑ Outdoor Grill � Otl�er/List What&Where: Cb( �/�, 2 From:Headng&Cooling TwFex:(8@8)550-92D3 To:+19522494616 Fax: +19522484616 Page 2 of 2 121412D12 12:39 Dec-04-2012 12:43pm From-CITY OF OROnO t85t2494616 T-805 P.001/001 F-403 � �� u. r .t q �� 1 � �V � � Yes, this section applies The replaccment of a�Sidoncial fi� � �liancg that meets all tl�ree of the follawin�requirtmec►es: � ce uire modificadon to elecRical oc gas service. I t• � q e,c��g thc cost of�he fixture or appliance:and 2, gas a o co of 5500•DO oc lcss; , 3. is improved,uutalled ot replaced by the borueowner or licansed conaactor. Cost of Permit $ t 5.0� Sidp naxt secrion,if ihis applias; S�te Surcharge ��—�s ' " Mail In Fee(IfApplieoble) �_ l� Tocal Permft�ee .fE,�• Y,�' • •� � 4 ` lf above doas not apply;follow guidtlinas below: t ��V'I'R,+�CT pRYCE " i3 1�5'ib ot Co�s►Ctpdcd willi a(Miele,+um Foo of S35.OI1) x.0125 S (comrac�p�ea) (n,inimum 535.00) Z. ST aT�SURC�►RG� *'Add the Stace Bldg Code Div.Surchetge(hllulmnm Fee of 5.50) x.0005 S (contract price) (nunimum 3 .30) 3. POSTAGE Sc H-4NDLING�d�Y aa Mail-In Applicaaons) $^._ 1•i� 4. TOTAL PEIt11rIIT��E(Add�.iae31-3 Abovt) s — • + CONTRP►G"r PR10E oc J08 COST means �he acmal or esazaared dollsc am��unc eharged foc �e pe�miaed work ineludiag rnacerials,labor,pcofit,and oducmfi�x`d�bs�tsor��t`��e��ish�d by w nc�customer for�e work done. if any�material�eq P che own�r,tenant nc any other parry� the reasonable market value of sueh irems must bt added w tlu cstima�ed cosc or eon�act prica for peccniz fce purposes. In che event zhat there is m dispuie on the amount of the job cos�, ihe Ciry maY re9uest the submi:sion of a signtd copy of che actuai conrract. ■ ••The STA'IE StlYtC�-iA�tGE is.0005 of the Building Depsrtrnent a�(952)?49-��60�for thc price. � . . y � ,,^ nj i . .1� •�� :4' The undersigned hereby applics tio the Ciry for issuar►ce of a Msehanicsl Pcrmit, agcees to do all work in strict accordance with �he ordinances of the Ciry t+nd the regulations of the State of Vjinnesotg, and eertifics cliat all stacaments made on this applicatton are complete, tcue and corcect. � �� e�,ppliesrs's Signanu�: Date:_ 3 Sv� ��DAT� TIME CITY OF ORONO CALLED IN -�� INSPECTION N�� D,2(� SCHEDULED — � PERMIT NO. �DI COMPLETED ADDRESS � D OWNER ^ TELEPHONE N0.7�� TZ � •��n77 CONTRACTOR �` Cd O/i n a DESCRIPTION �""�' �� ' `' � r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEEf YOU:_YES_NO � COMMENTS: � W � J �O � � O k W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED 0 INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hour ' ad n . (J52� 249-460� � OwnedContractor on site: v Inspector. White Copyllnspecto's File Canary CopylSite Notice � L� � DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO� E��9 SCHEDULED S' � PERMIT NO� OMPLETED ADDRESS � OWNER TELEPJ�Q�IE NO. �'z�63��Q CONTRACTOR � � � DESCRIPTION ��yG'�� FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j � ' � �/L-� O � n � v� .� 0 � W � Q � 2 W � W � � W /�lORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED �ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN NOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. f White Copyllnspector's File Canary CopylSite Notice