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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 � 1� a�� : � F 1 �.�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 3 � �. � H T!, C C'.. O �' �j . a�, 2 �: N J: C til' V ` �!, N LS F� • �i � Ci m � � � � � �: . y: � . �: � C�. •���'�. F-T v, . ���..'G'�, p +���. fV���. C U' m j � Y � ❑: t O7' fti' J: }+I , y N Y i y U: d � Q: � �': � M Q ti` . �p j hti' � �: *F O: � �: W a '" c�v'i , ; � . � . � � z' o. �' i U' W' d'; N �: wi �: . �'. m �' a i,L' �T � i C ` V', O U + '� N L �. V'' yY d'' C • �'' 0 (y.1 Q� �-' �J�7 W: C �:�.. ���; i ' N � � � ,.....:j 7 , i 3 ^"r 3 3 � N � [C � ,a ❑: �o�o 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 � 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 � 0.�i� 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� v CONTRACTOR � DESCRIPTION �`/�G -- �..•�r�.sf C.?� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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: � a -�cas /�ties -- / �a� n�k, r�K�� �ap _ , � � O , ,_ / /` 'L P�DUI/Ja, 7f� �I/�'G r��r 'Gt� �6/ '✓�7�1, //��5 O ! .�i�/�1 O� OLe,�f�'� � / -�o r 6k�J/�c <1�E S 7 r ���� � � �3 �ts�:�/�. W .- � / - Q ��O!// 6 -r1 �!/�CA12 f/��7b r ���6 r 2 —�"� 9���l ^ / / � f�p� .SC4� C�'>�e✓ '�i�iwr �✓Is�r�lY��l. �/I�Gl1S�f � 1�t�4.� Lt�ld'B v GCC� � j 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, � � ❑ 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: o� W a � � J O � � � O � W � Q � 2 W � W � J d 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