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Home My WebLink About2013-00807 - gas line only ' CITY OF ORONO * z p 1 3 - 0 0 8 0 7 * 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 ! ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4265 CHIPPEWA LA PIN : 31-118-23-42-0019 LEGAL DESC : UNPLATTED : LOT 000 BLOCK 000 � PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 985.00 NOTE: GAS LINES TO CONVERT 4 APPL[ANCES TO NATURAL GAS FROM LP GAS STOVE,DRYER,FURNACE AND WATER HEATER APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 0.49 1880 WAYZATA BLVD W P.O. BOX 150 TOTAL 50.49 LONG LAKE, MN 55356 (952)473-8793 OWNER MCCAFFREY,THOMAS&KATHLEEN 4265 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 wi[h 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 fi�r a period of 180 days at any time after work has commenced. The appli [is responsible Yor assuring all required inspections are requested in c formance wi he State B ilding Code.This permi[may be revoked at any ti e for due use. / � �` � / � � �v� �� Applicant Signature Date Issued y Sign u e SEPARATE PERMITS REQU[RED FOR WORK OTHER TH DESCRIBED ABOVE. k FOR CITY USE ONLY �O A,O City of Orono +y P.O.Box 66 Date Received: Permit# 2750 Kelley Parkwa�� Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(9S2)249-4616 t > � � ��, � �'�K�SHo��'G CITY OF ORONO-MECHANICAL PERMIT _,__�__-- (All Commercial permits must bc approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 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 UNTfL 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 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 PERM IT Check All That A l �Residential ❑Commercial(Approval Required) ❑New ❑ Additional �Repairs ❑ Replace Job Site/Owner Information: Site Address: ��-� �� ,0�!�'�v�J�1 ��I � Owner:��r�Gt3-t� ��h.T�c(l,j t�({�,j Mailing Address: .S�.l'3'� City: �("iY�i? Zip: ��,�� Home Phone: �S�' �7(� �l�i 7 Alternate Phone: Contractor Information: Contractor:�� E'�J ��"'�f�� Contact Person: �v�� 1� �7'��6 � ��,'"r�' Address: /F�4 Q �� q �v,;� State Bond #: �'J�BCIOS�O g City: �o' " L l� Zip:SS3,S� Expiration Date: �7 � �J Phone: `']S��3 b /�.� Alternate Phone: ❑ Insurance-Current: �� 1 � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geother�nal Systems will now require a Site Plan & Review by our Building Ofticial. 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved hy Fire Marsha!!if proposing to nbandon tank in pince.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY i ❑ Outdoor Grill � Other/List What&Where: ��JQ� � ��Q� J` �n�i_j 2 j,� /Ua�' C�a� �a►^✓E L � ��3 �-�5f��e � ��-- ��-e�� I� �vf��1 � �� PERMTT 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;excludin�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 � PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contrac�p�ice with a(Minimum Fee of$50.00) r� �� 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. 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 far 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. MECHAI�IICAL PERMIT APPLICAT70N 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: � �� l� 3 �vJ �DATF,� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED `� '� �??�O PERMIT N0.0�0�3-00$�7 COMPLETED ADDRESS Z'2�5 C�- � OWNER � TELEPHONE NO. 95Z �73 �793 CONTRACTOR �-�-P-�a �L�l.� [�-C �� ; DESCRIPTION r L� ^�� ❑ FOOTING O 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 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � S f ►J-e� Cc��.v ¢�-� 0 � �^(�O /� L- c� 7Z� � /� �'. o �� W � � l 1+�1-/� � �� ,Q-�/ g � �. ?Z7 ��- -� �-r� W � � � a / W �fAR�ACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-460� Owner►Contractor on site: Inspector. � _ ,L, White Copyllnspector's File Canary CopylSite Notice