HomeMy WebLinkAbout2014-00776 - gas line only . • CITY OF ORONO * 2 0 1 4 — P1 0 7 7 6 *
2750 KFLLEY PARKWAY pATE iSSUEn: 07/23/2014
ORONO, MN 553_56-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 736 DICKEY LAKE DR
PIN : 27-118-23-33-0006
LEGAL DESC : RINGERSWOOD
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 925.00
NU"I�F: GASI.IN1:FOR FU"1'URE OUTDOOR GRILI.n'�D GAS COOK�I�OP
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH (VALUATION) 0.50
CENTER POINT ENERGY MINNEGASCO M�11L-IN FEE 2.00
9320 EVERGREEN BLVD NW
SUITE B TOTAL 52.50
COON RAPIDS, MN 55��3 Payment(s)
(763)757-6202 CHECK 18651 52.50
OWNER
HOYT TRUSTEE, JOHN L
736 DICKEY LAKE DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I�he work for���hich this permit is issued shall be perlormed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. 'I�his permit is for only the work described and does
not grant pennission for additional or related work which requires separate
permits. All provisions oY laws and ordinances governing this type of work
shall be compied with whether or not specified herein.'I�his 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 ot� 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State l3uilding Codc.'I'his permit may be
revoked at any time for duc cause.
� C�i'�t�a�- 7 � �3�/
Applicant Permitee Signature Dat Issu� By Signature Date
FO CIT USE ONLY ���
� ' ��O� J City of Orono ']�a� O/�,
i �n P.O.Box 66 Date Received � ermit#�
rr� lJ � 2750 Kelley Pazkway sv� 5
� Crystal Bay,MN 55323 Approved By: Amount$:
� Phone(952)249-4600 Fa�(952)249-4616
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�.�k�s�o��.�' CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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 Oiv THE JOB SITE.
3. Mechanical DesiQns—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 A 1
� Residential ❑ Commercial(Approval Required)
�New ❑ Additional ❑ Repairs ❑ Replace
Job Site/Owner Information:
Site Address: �131A �;e,�,c.-c..�a �a..n,�
Owner: �ra-�^ �os�-b�n Mailing Address: �� �ie.�C- �.a.n�
City: Or��no Zip: 5�3��
Home Phone: �S a- a-1 v � g7 SS Alternate Phone:
Contractor Information:
Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN
Address: 9320 EVERGREEN BL NW State Bond#: MB003503
SUITE B
City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/2014
Phone: 763-785-5404 Alternate Phone:
� Old Republic Insurance Co.
Insurance-Current:
Workers Compensation&Employers Liability
1 Policy#WLR C47875717
Policy Period O1/O1/201410 O1/O1/2015
MECHANICAL SYSTEMS BEING 1NSTALLED
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 BTiJs:
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
FIREPLACES
❑ Gas Factory Fireplace Brand Name:
❑ Wood Buming Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen E�aust duct recirculating cfrn
❑ No. Bath Exhaust(must have duct outside) cfrn
❑ 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
� �w��.r� �k�-....�,e_ r
utdoor Grill � Other/List What&Where: 94S Q oo �'tqo
2
. . .
PERMIT FEE CALCULATION(S)
BASED OFF - 2002 STATE STATUE
❑ 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$�00.00 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 Appiicable) $ 2.00
Total Permit Fee $
( PERMIT FEE CALCULATION(S)—JOBS OVER$500.00
If above does not apply; follow guidelines below:
l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00)
qoZ5 . 00 x .0125$ SO • �
(contract price) (minimum$50.00)
2. STATE SURCHARGE p ��
-1 0��. OU x.0005 $ �
(contract price)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�r' a •�
■ * CONTRACT PRICE or JOB COST means the actual or estnnated dollar amount charged for the
permitted work includin�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 instailations are fumished 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: �/llo�S
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C ITY OF ORONO
,, � Street Address: Mailing Address: Telephone(952)249-4600
'S�, � 2750 Kelley Parkway P.O. Box bb Fax (952)249-4616
l�kFSH���,G Orono,MN 55356 Crystal Bay, MN 55323 www.ci.orono.mn.us
l�l� re��'�� '� �Q�^�,�r��� � �re�dz
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March 7, 2016
v
Sarah &James Joseph
736 Dickey Lake Drive
Long Lake, MN 55356
The City of Orono issued a mechanical permit for work to be completed at 736 Dickey Lake Drive. Our records
indicate there is an open inspection. The contractor that pulled the permit was required to call when the work
was ready to be inspected.
Permit Number: 2014-00776
Contractor: CenterPoint Energy
Type of Work: Mechanical-Final
Please call 952-249-4600 to schedule the inspections within 10 business days so we can verify correct
installation for your safety. If this project has not been inspected within the 10 days allotted a new permit will
be required before this work can be inspected. If we do not receive a response your property address file will
reflect an uninspected improvement and could be problematic when selling your home.
If you have any questions please do not hesitate to call me at 952-249-2625 Monday through Friday during
business hours 8:00 am—4:30 pm. I can also be reached via email at rpeitso@ci.orono.mn.us.
Sincerely,
CITY OF ORONO
�
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Roger Peitso
Building Official
c CenterPoint Energy; 9320 Evergreen Blvd NW,Suite B; Coon Rapids, MN 55433
��� �
DATE TIME
CITY OF ORONO CALLED IN
iNSPECTION NOTICE SCHEDULED !O-o't0 ��;Cjb
PERMIT NO.�d/Sf-�O 71� COMPLETED
ADDRESS ��
OWNER t �IONE NO. q�-a?V-'`rr6�
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CONTRACTOR
� DESCRIPTION �`/�G -- �..•�r�.sf C.?�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAtNT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J�BING RI ❑ SEP�TIC�FINAL ❑ FOUNbATION/REMOVAL
OWNE ONTRACTOR TO MEET YOU:✓YES_NO
c�n COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
�NSPECTOR WIIL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�9�NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
� �
Ca11 forthe next inspection 2a hours in advance. (952) 249-4600
Ownerl ntractor on site: /��'1
Inspecto . / �-- T�
White Copyllnspector's Ffle Canary CopylSfte Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TI � SCHEDULED �
PERMIT NO. ' �MPLETE
ADDRESS ���� ��3�N ��LkutL_
OWNER EL PH NE NO.
CONTRACTOR �� -�I
�: DESCRIPTION
� � 1,
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GAADING/FILLING
Q ❑ POURED WALL l�HANICAL RI ❑ LAKESHOFE/WETLANDS
y ❑ FRAMING ECHANICAL FINAL
Q ❑ 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 ❑ FOUNbATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE F OCCUPANCY
� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPOR RY
� BEFORE CWERING
PERMAN NT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILI REfURN ❑CITATION ISSUED
❑STOP ORDEFi POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52 249-460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice