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Home My WebLink About2015-00962 - gas line only CITY OF ORONO * Z 0 1 5 - 0 0 9 6 2 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3630 EILEEN ST p[� : OS-117-23-21-0013 LEGAL DESC : RIEDEL CO STUBBS BAY ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) ( PROPERTY TYPE : RES[DENTIAL \' CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GASLINE FOR(2)FIREPLACES,OUTDOOR GRILL AND GAS STOVE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 RELIABLE PLUMBING LLC TOTAL 50.25 17822 LINCOLN STREET NW Payment(s) ELK RIVER, MN 55330- CHECK 4075 50.25 (763)443-7411 Minnesota State License#: plbg-PC644738 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 specitications,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 goveming this type 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 construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspec[ions aze requested in confor e with the State Build Code.This permit may be revo d at any time ue cause. • � �' 2°I �� -�;C�� 7 �Z-�� /s Appl c t m' ee ignature Da e Issu d ignature Date FOR CITY LTSE 01ZY ' gQ A TO City of Orono i V P.O Box GG Datc Rccciycd: Pcrmit� 3750 Kellev Pazkwa� Cr}�stal Ba}',MN 55323 Approi•ed By: Amount$: Phone(953)249-4600 Fax(952)?49-4616 � � S � F � �A'YfSN�4�v CITY OF ORONO—MECHANICAL PERMIT (All Commereial permits must be approced by the Building Offieial or Inspeetor ancUor Fuc Ma�shall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the C'ity of�ices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be se�t by return mail after a review is completed. PI;RMITS ARF;NOT VAI,ID I.�N'I'II.YOIJ RF,CF.IVf;A PF;RMIT. WORK MiTST NOT RE(�IN i1NTII.THF. PERIVITT('ARD IS POSTF,D ON THE JOB SITF.. 3. Mechanical Desians—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,desib temperatures,equipment ratings and identilication as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new constructicm 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 Lode requirements. 6. All work must be inspected(rough-in and final)_ Call(952)249-4600. (24-48 hour notice requircd) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT __ _(Check All That APP1Y) �Residential ❑Commercial(Approval Required) (�[New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: ----- ---- _------- _ _ Site Address: 3fo3D E, IeP�J S� Owner:_��k��.��'lU_I�'►�v✓ Mailing Address: 3�O�30 �;�zt.� s i c�ri: �2� o z�p: S � 3 5 9 Home Phone: Alternate Phone: Contractor Information: Contractor: � � �� b (�.� Contact Person: ��"�+ �\.P,v� .�� Address: I�$22. C�.vc.vW Si N� State Bond#: I"�B Qb�o� �� City; �x +�vc�'' Zip:,$J',j3a Expiration Date: O�C� 20� Phone: 743�-��3�-SI'7l/ Alternate Phone: � Insurance—Current: �u i -C�.vefS 1 ' ' MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GF.OTHF,RMAL? ❑ Yes (�f No HEATING SYSTEMS Quantity: _ _____ __ Make: Model: Fuel: �'lue Sire: Input BTLJs: ______ (7utput BTUs: C:FM: COOLING SYSTEMS Quantity: --- — Make: Model: Tons: F I.Power FTREPI.ACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Modcl No.: ❑ Wood Stove with Flue 1 Masonry YF.NTII,ATION ❑ No. Kitchen�:xhaust duct recuculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. ()ther Fans: Lc�cations cfin FI iEI,STOItAGE (Must be approved by Fire 111arsha!!if proposing to abarrdon tank in plae�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ LJnderground ❑Inside ❑Outside LP(ias: gallons Other: �AS I.INF.O1VI.Y � 1� Outdoor Grill � ()ther/I,ist What&V6'here_ 2 ��1ti Q �S � A�S S'�OVe. ��;P( � PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE [� Yes,this section applies � Thc replacement of a Rcsidcntial fixture or annliance that meets all three of the following requirements: 1_ Does not require modification to electrical or gas service. 2. f�as a total cost of$SOOAO or less;excludin�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 Pemut $ 15.00 State Surcharge $ l,pp Maii-In Fee(If Applicable) $ 2.OQ Total Permit Fee $ PERMIT FEE CALCULATION(S —JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRA(:7'PRICN: * is 1?5°0 of contract price with a(Minimnm Fee of$50.00) ��'D U ,�.oi2s$ (contr�ct pricej (minimum 550.00) 2. STATE SIiRCRARCT x.0005 $ (contract price) 3. POSTAG�:&�IAr1I)I,Ilv'(i((h�ly on Mail-In Applications) $ _ 2.00 4. TOTAI.PERNIIT FEE(Add I,ines 1-3 Above) $ ��Q•� ■ * CONTRACT PRIC� or JOB COST means the actuai 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 instailations aze furnished by the owner,tenant or:u►y 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 APPLIC.ATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Pcrmit, agrees to do all work in strict accordance with the ordinances of thc City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, truc and correct. � Applicant's Signature: t..,. iz, Date: 7�Z�"�ZD�.� 3 �-� d� �—�� TIME CITY OF ORONO CALLED IN INSPECTION IC / SCHEDULED 7+�� —L S ��_ PERMIT NO.��IDeZ.�O LETED ADDRESS � P�l�� OWNER HONE N� ' 3-� �� CONTRACTOR � � � DESCRIPTION -K Gr p I Q� LL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ �EPTIC INSTALL 2 OWNE E�B RACTOR EET YOU:x� YES_NO � COMMENTS; � � ' � � J 0 �. � 0 � W �� Q � 2 W � W � � d W RKSATISFACTORY:PROCEED ❑ PROJECT COMP E � RRECT WORK 8 PROCEED ❑ ISSUE CERT ATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PEFMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OR�ER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours' advance. 9 4 ,1�600 OwnerlContractor on site: � Inspector. White Copyllnspector's File Canary CopylSf e Notice