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Home My WebLink About2016-00512 - gas line only . CITY OF ORONO * z 0 1 6 - PJ 0 5 1 z * 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 25 CYGNET PL PIN : 04-117-23-22-0007 LEGAL DESC : SWAN LAKE ADDN : LOT 00] BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCT[OI�I TYPE : GAS LINE ONLY VALUATION : $ 400.00 NOTE: NEW GAS LINE FOR KITCHEN RANGE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.20 PRO MASTER PLUMBING TOTAL 50.20 5405 W. 187TH. ST. FARMINGTON, MN 55024 Payment(s) CHECK 8506 50.20 (651)460-8422 OWIYER MCLEAN, SEAN&MARIE 25 CYGNET PL LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the S[ate Quilding 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 Iaws and ordinances governing this rype of work shall be compied with 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 consVuction 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 permit may be � revoked y time for due cause. � !1 ti' � �— �� ✓ �`�l�-� V � l ��l /KJ App ant Permitee Signature Date Issued By Signat re Date \ FOR C TY $F ONLY � City of Orono `2�`�r � �ON P.O.Box 66 Date Received: � Permit# � 0 2750 Kelley Parkway (� Crystal Bay,MN 55323 Approved By � Amount$: � Phone(952)249-4600 Fax(952)2a9-4616 a � y � �t�KESH�R�G CITY OF ORONO—MECHANICAL PERMIT (All Commeroial permits must be approved by the Building Official or lnspector 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 UNT[L YOU RECEIVE A PERM[T. 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,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) [Backflow Device: ❑ AVB ❑ PVB] ❑ New �Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �s C v�n� p��- Owner: �� t�,v Mailing Address: Si�fr�� 1�s' s�„�- City: Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: P�-o J'�� 1�L,� Contact Person: �„ •�� Address: �Z>/d �y�� !�-.4..' State Bond #: /�,1��C��:� �� City: �, Zip: SSj/,�Expiration Date: 7/7/� Phone: �v/Z —S�� '�� Alternate Phone: [� Insurance—Current: 1 � ' MECHANICAL SYSTEMS BEING INSTALLED 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 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 Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marsha[l 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: k�'�'�.F...� �'e�n,q�. 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) . �v ��C7 x .0125 $ (coniract 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 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 Ciry and the regulations of the State of Minnesota,and certifies that all statem ts made on this application are complete,true and correct. Applicant's Signature: Date: S�� 3 ,�� `J�7' I DATE TIM � CITY OF ORONO CALLED IN INSPECTION NOTJ�E �SCHEDULED � - PERMiT NO. '"�V�(�"(%L��` COMPL o ADDRESS �-�� 'r-l�'i'��` �� OWNER TEL HONE NO. CONTRACTOR � C� �� i�u-�-� � /l�r2�� DESCRIPTION � ` 'f � �-`-�� W ❑ FOOTING ❑ DEMO-FINAL �7 ❑ SEPTIC FINAL Q ❑ POURED WALL !�y�� ❑ PLUMBING RI t � ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL / �� ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI � / SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL�L��/�[ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLA� C9MPLAINT J ❑ FINAL ❑ WATER HOOK-UP �FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ �jPTIC INSTALL Q OWNERICONTRACTOR TO MEET YOU: K YES_NO ` � "1 � / _ � � COMMENTS: �yU'�_��'C� i`"1 ��i` ��`�'�''.sC /c,i;-nh W a � J O �. � O � W � Q � 2 W � W � j d W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑ RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 9-Q6QQ OwnerfContractor on site: Inspector_ White Copyllnspector's File Cenary Copy ite Notice �� ✓ -----� D T —1 TIME CITY OF ORONO CALLED IN �� INSPECTION N TICE SCHEDULED 7--��1/fo __'�.�'� PERMIT NO. � � �MPLETED ADDRESS S �� OWNER ELEP E N0.��3-�!��Tn/ CONTRACTOR Q-S � � � DESCRIPTION � �-' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC AL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � W a � J O >. � O � W � Q � 2 W � � �/ � d W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORECOVERING PEfiMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g z�-��g-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice