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Home My WebLink About2010-00061 - gas line only ' CITY OF ORONO PERMIT NO.: 2010-00061 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: 02/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2879 CASCO POINT RD PIN : 20-117-23-31-0054 LEGAL DESC : SPRING PARK : LOT 101 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: RUN GASLINE FOR FIREPLACE APPLICANT MECHANICAL(<$500) 15.00 VICTORIA PLUMBING STATE SURCHARGE MECH (<$500) 0.50 1855 WEST 80TH ST TOTAL 15.50 P.O. BOX 174 VICTORIA,MN 55386 PAID WITH CC# 2850 (952)443-0034 Minnesota State License#: 005584PM OWNER ELSEN, LAWRENCE& KATHLEEN 2879 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission for additioual or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and id if construction authorized is not commenced within 18��a �the date of issuance,or if construction is suspended or peno 0 1 0 ays at any timc after work has commcnced. T app' a t resp isi I f a iequired inspections are equeste n orm iic ith he State[3uilding Code.This pennit may be revok a a imef ue� se. � � � S' �o��/v phcant Permitee Signature Date ed By Signalure Date SEPARATE PERMITS REQUIRED FOR WOR OTHER THAN DESCRIBED ABOVE. ;, _� FOR CITY USE ONLY , ,�p� City of Orono O« O P.O.Box 66 Date Received: Permit# �, 2750 Kelley Parkway �� ,��j'��,� F Crystal Bay,MN 55323 Approved By: Amount$: �t ��i��o` (952)249-4600 a�oe 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. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pernut cards wiil be sent by return 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�ns—Complete calculations, details and specifications are required for each heating, ventilarion,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment rarings 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 subnutted before final. TYPE OF PERMIT (Check All That Apply) �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �� 1 L�:.��C �, �'f" �,p�� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �/i �,.,�' r,��, P��n��,',� Contact Person: ��)��C'-�� ln� Address: 7 � State B c (`) �� l � •nl �: 1� l Z 2�,f� City: �' Zip:�(�xpiration Date: �' 3�' �(� Phone: �4Z �u� �(xa 5�- Alternate Phone: �,�2 ��D- ��5� � Insurance—Current: 1 � : � '"'�' '� `� . � � ' ;MECHA�TICAL SYSTEMS BEING INSTALLED ` � � 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 BTUs: 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 VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY 7 � Outdoor Grill ❑ Other/List What&Where: �'/j`� ��,� 2 . � PERMIT FEE CALCULATION(S) BASED OFF - 2002'STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap liance 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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed ar 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 $ 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 A125 $ (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 puiposes. In the event that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. • ** The STATE SURCHARGE is .0005 of the Buildin�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 accardance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements ade on this application are complete, true and correct. Applicant's Signature: Date:�—CJ � �(� 3 � �� y �' R� TIME � CITY OF ORONO CALLED IN U �� INSPECTION�IOTICE SCHEDULED d� PERMIT NOQ�� COMPLETED ADDRESS OWNER CONTR. /� TELEPHONE NO. - � - -3 '�G� � DESCRIPTION C�� \ � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLIN Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION r ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � O 6� r � _ �2cJ / c.J � ('�- ,�l S 1. ./��' 0 � W - °` _ �� = � . �-�'-�--� Q � z W � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnedContractor on si e: � Inspector. �� '�� (—; -S White Copy/lnspector's File Canary CopylSite Notice