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Home My WebLink About2011-01521 - gas line only - CITY OF ORONO PERMIT NO.: 2011-01521 , 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 12/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2948 CASCO POINT RD P 1 N : 20-117-23-31-0036 LEGAL DESC : REG. LAND SURVEY NO. 0461 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,275.00 NOTE: GASLING ONLY FOR OUTDOOR GRILL AND GAS LIGHTS APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 0.64 1880 WAYZATA BLVD W P.O. BOX 150 TOTAL 50.64 LONG LAKE, MN 55356 (952)473-8793 OWNER JOHNCOX, PAUL 2948 CASCO POINT 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 specitica[ions,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 180 days of the date of issuance,or if construclion is suspended for a period oY 180 days at any time afrer work has commenced. I'he applicant is responsible Yor assuring all required inspections are requested in conformance �th t State Building Code.This permit may be revoke any time for d �cau . �,�-- + r�l -� �� l D�Ol / p ' ant Permit e Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. F I USE ONLY City of Orono � �/,//�b 5� g O� ' P.O.Box 66 Date Received: � Permit# L�/V l � ��'� 2750 Kelley Parkway a i�`'�• R Crystal Bay MN 55323 Approved By: Amount$: �� '"��_��:� o`�.� Phone(952)249-4600 Faac(952)249-4616 i'tsasogs., 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. 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 Desians—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 fmal). 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 A 1 ) �Residential ❑Commercial(Approval Required) ❑New ❑ Additional ❑Repairs ❑Replace Job Site/Owner Information: � �} Site Address: ��y c� l�a��,�� ;n� K� Owner: ��:V' � ��1^, C".C��( Mailing Address: ��- ��k �..3� City: C��'�r.� Zip: `��.�'�' � Home Phone: ��:�� '" � Alternate Phone: Contractor Information: CI /� � '! ��v� 1"1�-�e' � Contact Person: Q;�� ►� /�� v"`�� Contractor: �, • Address: l��n � 4�eSf"�•k�V�i�v� State Bond#: ��Ot'?j aCJ� City: �✓'� ��Q Zip:�S35�; Expiration Date: i v�� Phone: �S� L`I 13� ��1-� Alternate Phone: (}!,��,�'.a ��j�� ❑ Insurance—Current: �e� 1 MECHANICAL SYSTEMS BE1NG INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATWG 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Eachaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin 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 ' � Outdoor Grill Other/List What&Where: �.�✓�`> �`�� 2 . 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$50.00) c'�� IT�7J � x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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. lf 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. 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. � � Applicant's Signature: �` Date: I� �� % % Reset Form 3 • � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance 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;excludinQ 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 $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ �� DATE TIME v CITY OF ORONO CALLED IN �� INSPECTIONI��ICE SCHEDULED !�-��-,Z! °"?� �Q PERMIT N� -_T1� COMPLETED ADDRESS `l GG�SC�D `� OWNER TELEPHONE NO. ��Z T 7J �� CONTRACTOR �-��I�� >: DESCRIPTION �v�'t �L�"'"' � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ AV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o O �' ��r �s'�',S �. � a � W � Q � Z W � W � � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑C ECT WORK&PROCEED I� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `J CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice