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Home My WebLink About2016-00760 - gas line only .- CITY OF ORONO * Z 0 1 6 - 0 PJ 7 6 0 * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3630 E[LEEN ST PIN : OS-117-23-21-0013 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINE FOR OUTDOOR GRILL,RANGE AND 2 FIREPLACES AIRTEST HAS ALREADY BEEN DONE. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 025 MCCUTCHEON,MARK&JAYME 3630 EILEEN ST TOTAL 50.25 MAPLE PLAIN,MN 55359- Payment(s) CREDIT CARD 5067 50.25 OWNER MCCUTCHEON, MARK&JAYME 3630 EILEEN ST 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 specifications,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 with whether or not specified herein.This permit will expire and become nuil 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 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 Building Code.This permit may be revoked at any time fo cause. _ ``� ��z-� /L �� (� �Z�� _� L � Applicant Permitee Signature Date [ssued B ignature Date ' -- OR C Y USE ONLY ��T �O� T City of Orono �� , /_ ��, „ U <yO P.O.Box 66 Date Re rv fU permit# �' 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a a y � F tqkESHO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector 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 UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UIYTIL 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). Cail(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 ly) �Residential ❑ Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] ❑ New ❑Additional ❑Repairs ❑ Re lace P Job Site/Owner Information: Site Address: �c�� ETC�N �'�i Owner:_�� /I��C�Qj f�7/U' Mailing Address: ,��s'�� E_Tt�'N � City: l�'-�^�C? Zip: SS,3S� Home Phone: �12—>a� —30,�� Alternate Phone: Contractor Information: Contractor: �G��Nc'fL� Contact Person: Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: � ❑ Insurance—Current: 1 j � � MEGHANICAL SYSTEMS BEING INSTALLED , Note: All Geothermal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? � Yes ❑No HEATTNG 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 ❑ No. Bath E�aust(must have duct�o tside) recirculating �� ❑ No. Other Fans: Locations �� cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal FuelOil: gallons LP Gas: ❑ Underground ❑Inside ❑Outside gallons Other: GAS LINE ONLY � Outdoor Grill ❑ Other/List What& Where: k 2 � ' � � L2� �� PERMIT FEE CALCULATIONS I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) x.0125$ -Sa• vv (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) $ ��J C�� • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted wark 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 City and the regulations of the State of Minnesota, and certifies that all statemen ade on this plication are complete,true and correct. �� f Applicant's Signature: � Date: t� Z�i /� ; 3 i � � � / AA�T,E TIME � CITY OF ORONO CALLED IN E�-a'�'!-1�O INSPECTION NOTICE SCHEDULED � � PERMIT N�d�—OT�7�OD co PLETED � A��RE OWNER T LEPHONE NO.��c1-�� CONTRACTOR � DESCRIPTION ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEP C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 249-4600 OwnerlContractor on site: Inspector. ---� � White Copyllnspector's File Canary CopylSite Notice