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Home My WebLink About2010 - 00415 - gas line to fireplace CITY OF ORONO PERMIT NO.: 2010-00415 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/01/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 835 WINDJAMMER LA PIN : 07-117-23-11-0008 LEGAL DESC : PIRATES COVE : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: GAS LINE TO FIREPLACE APPLICANT MECHANICAL(<$500) 15.00 SCHULTIES PLUMBING STATE SURCHARGE MECH(<$500) 0.50 1521 94TH LANE NE BLAINE,MN 55449 MAIL-IN FEE 2.00 (651)786-4007 MISC FEE 0.00 Minnesota State License#: 058799PM TOTAL 17.50 OWNER HANSON, SCOTT&JENNIFER 835 WINDJAMMER LA MOUND,MN 55364 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 governing this type of work shall be compied with whether or not specified herein.This permit will expire nd become null and void if construction authorized is not com nced within 180 days of the date of issuance,or if construction is su ended for a period of 180 days at any time after work has commenced. T e applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be Irevoked at any time for due cause. 627ILL-s'e l l /Applicant Permitee Signature Date Issued 1 ignatureto SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABBO\(E) As A f _ FOR CITY USE ONLY ,j City of Orono iiied �l �`V P.O.Box 66 Date Received: Permit# g t., 2750 Kelley Parkway ',a f.04.;?:. Crystal Bay,MN 55323 Approved By: Amount$: . ? .if (952)249-4600 ' itc.ice CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION I. 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 cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 Apply) ❑ Residential 0 Commercial(Approval Required) ® New j21 Additional 0 Repairs 0 Replace Job Site/Owner Information: Site Address: 1 , . ' "> , Owner`.4 "4../(42.4771/4......, Mailing Address: Cpl� . City: ��.,e�� Zip: 55::-3 YSo ✓�i Home Phone: 92 — o7-O66/ Alternate Phone: Contractor Information:,y� Y Contractor: Jde',e.Xrct.�/�� !/ Contact Person: !�,_ �, i Address: / j ep State Bond#: eun5Fs2/707 City: .t,st.. ZipV9/4/9 Expiration Date: a/VAVO Phone: 4 3_i Gro-W)-7 Alternate Phone: ( /— / b38 Insurance—Current: 3,/A 1 Or". E MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? 0 Yes No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace 8 Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm D No. Bath Exhaust(must have duct outside) cfm O No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal!ifproposing to abandon tank in place.) ❑ Installation 8 Removal Fuel Oil: gallons 0 Underground 8 Inside ®Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Other/List What&Where: 51/_,L.,Efd-e.i� 2 r PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE 1s. ❑ 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 electrical or gas service. 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or 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 $ c21641) PERMIT,FEE CALCULATION(S)-JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) x.0005 $ (contract price) (minimum$ .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ • * 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 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 permit 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 the price. MECHANICAL 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 State of Minnesota, and certifies that all statements made on this application are complete, true and correct. (-5/d Applicant's Signature: a —7�7 Date: Id.�� aee) Reset Form IF 3 /12 DATE - TIME , CITY OF ORONO CALLED IN :""-72-2//C. INSPECTION NOTICE SCHEDULED I1/ 4//C PERMIT NO.: 010 LX%SNS COMPLETED ADDRESS cam& Lk. i oci1 aryirnc2, OWNER TELEPHONE NO76'3 -7,f& CONTRACTOR S C' 11 Ltis S t l�.G'Y`I) DESCRIPTION M20 1,-) ` �`-j l ( ice .fc FP • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS c ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. Cl FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPT( FINAL EI FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU: �vlx1 YES NO o COMMENTS: cc W cc d o ?sr ;. 0 - - OC cc 0 cc Q z cc WCC ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s e: Inspector. l Q� White Copy/Inspector's File Canary Copy/Site Notice