The URL can be used to link to this page

Home My WebLink About2015-00062 - gas line only CITY OF ORONO * Z 0 1 5 - 0 0 0 6 2 * T � 2750 KELLEY PARKWAY DATE ISSUED: OU20/2015 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 3535 CHRISTINE DR PIN : OS-117-23-12-0019 LEGAL DESC : BETZ ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 650.00 NOTE: GASLINE FOR FIREPLACE AND RANGE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.33 MASSMANN, GEOTHERMAL&MECH MAIL-IN FEE 2.00 27944 96TH STREET ZIMMERMAN,MN 55398 TOTAL 52.33 (763)416-5066 Payment(s) CHECK 4211 52.33 OWNER NELSON,ERIC&MCOLE 3535 CHRISTINE DR MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMEIVT The work for which[his 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[he 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 specitied 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permi[may be revoked a[any time fgr due cause. C�-' / / �U i�� A cant Permitee Signature Dat Iss By Signature Date FOR C1TY USE ONLY _ j ,� A�., City of Orono �� /� �j� � �E�r�� P.O.Box 66 Date Received:��/(�'ermit��Gv� l`� ! � 2750 Kcllcy Parkway � ;` Crystal Bay,MN 55323 Approved By: Amount$: i � Phone(952)249-4600 Fax(952)249-4616 '�, � w �.f : � ,! ��` � �.`'�' CITY OF ORONO—MECHANICAL PERMIT �, l `��K�s E�c��,.,�` �.,��v i (All Commercial permi[s must be approved by the Building Official or Inspector and/or Fire Marshal l) GENER.AL INFORMATION 1. You inay apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEG[N UnTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. Mechanical DesiQns—Complete calculations,details and specitications 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 wark 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: SiteAddress: .��`� � '�.� ��1��i1�� Vl�� Owner��(o;Y �� -�!'�.-��'�',��n Mailing Address: c��: �� z�p: ��"��i !' -);l ; r. • Home Phone:��'v� �� Alternate Phone: Contractor Information: � Contractor:�,,,�� `� �'�r �, �� 1;�1 x��(°�f'n�tact Person: �',� ��'1 �� Address:�� (�1�� tate Bond#: �� /n •, � U � � �L..rt� City: ��{�,�(� Zip: �.'`{�� Expiration Date: �, p� f'� � Phone: I � �� ' -� �� ' �� Alternate Phone: � Insurance—Current:�i �,� 1 MECHANICAL SYSTEMS BEING INS'�`�:�� ' Note: All Geothermal Systems will now require a Site Plan&Review by our Buildirig Official. IS THIS GEOTHERMAL? ❑ Yes �No HEATIVG SYSTEMS Quantity: V i`-'� Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: 0 1`x/ 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) cfin� ❑ No. Other Fans: Locations • cfm FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LtNE ONLY ❑ Outdoor Grill � Other/List What&Where: `� C 'lJ�l/`- � ' ""��`,1'� ;l 2 � � PERMIT FEE CAL�ULATION{S) � ! � BASED OFF - 2002 STaTE STATLTE � � � � ----� ❑ 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 � 5.00 Mail-Tn Fee(if Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CAi,CULATI�N{S)—Jt3BS�}V�R'��;t�£i, ', If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) ,�i��-oA d� - . � x.oi2s� �L, (co�tract price) (minimum$50.00) 2. STATE SURCHARGE �� ,?� ��% x.0005 $ ' .;� (contract price) 3. POSTAGE&HANDLTNG(Only on Mail-in Applications) $ 2.00 �n' �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�,J � � � ■ * 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. , .::, ;.., ..� ,� ' �. �.I�EC��+TTCAL P�RT�I�'�A�'��L��'I'��}�1;A�G�2EEM�. . �' �....:..... .' 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 Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. L- / Applicant's Signature: � Date: ° � /�-: � 3 � � ��/' -_ DATE TIME I 1 CIN OF ORONO CALLED IN v INSPECTION NOTICE SCHEDULED �'�3/T � PERMIT NO. c�/S DDD6� MPLETE4 ADDRESS �S�S �L OWNER TELE ONE NO. ��3� CONTRACTOR � � �; DESCRIPTION � � � � l� ❑ FOOTING ❑ PLU ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS ti Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ NDATION/ EMO 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O �. � O � W � Q � 2 W � W i � � J � ORKSATISFAC Y:PROCEED �2l�OJECT COMPLETE ❑CO RECT WORK&PRO J ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. 249-4600 OwnerlContractor on site: Inspector. /� White Copyllnspector's File Canary CopylSf Notice