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Home My WebLink About2012-00965 - gas line only � � CITY OF ORONO * 2 0 1 Z — fd 0 9 6 5 * 2750 KELLEY PARKWAY �ATE issuEn: 09/27/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1900 FOX R[DGE RD PIN : 03-117-23-13-0009 LEGAL DESC : FOX RIDGE : LOT 005 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) NRONERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 900.00 NO"[�E: GASL[NE FOR A POOL HEATER APPLICANT MECHANICAL 50.00 METRO GAS INSTA[,LERS STATE SURCHARGE MECH(VALUATION) 0.45 685 141ST LAN E N W TOTAL 50.45 ANDOVER, MN 55304 (763)754-71 19 OWNER LINDQUIST, RUSTY & SHANNON 1900 FOX RIDGE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT Thc�+�ork for which this permit is issued shall be performed according to thc approved plans and specitications,applicable City approvals,and thc State[3uilding Code. This pern�it is for only the work describcd and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances goveming this type of work shali be compied wilh whether or not specified herein.This permit will expirc 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. Thc applicant is responsible for assuring all required inspections are requcsted in conf man with the State B il ing Code.This permit may be revoked at a� � e t' due c � , -� �� /`� � � � � �-� � ,�� `� /a` Appl' ant Permitee Signature Date Issu v Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � �� FOR C�USE ONLY � Cit��of Orono � 7 - �J' �j�l 4 � P.O.Box 66 Date ReceiveB: !�'�ermit#�� / Y J ��,s,;�,y � 2750 Kelley Parkway � � .� ��1'�;�r: � Crys[al Bay,MN 55323 Approved By: Amount�: �Q/ � � �'�'� o` Phone(952)249-4600 Fax(952)249-4616 � ��t?�� ig�gp8 CITY OF ORONO -MECHANICAL PERMIT (All Commercial pem�its 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. Pernut 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 ON THE JOB SITE. 3. Mechanical Designs—Complete calculations, details and specifications are required for each heating, ventilation, humidification-dehumidification, and air conditioning installarion 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 wark must be inspected(rough-in and fina]). Call(952) 249-4600. (24-48 hour notice required) 7. House Hearing Test Record must be submitted before final. TYPE OF PERMIT (Check All That A ply) `�Residenrial ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site / Owner Information: d Site Address: L. �, � �� /��' �� J� �/� Owner: � �'� Mailing Address: J J 1�'� �,,(.C�� !�„( � City: �l/1,�'��.C� Zip: 1� n; Home Phone: ��1�' �UJ- ��v Alternate Phone: Contractor Information: � �!Contractor: �� `'"�' Contact Person: ��/ � �� r� ��5�' ��1 Address: � J ='�a� � State Bond#: E� �� City: �� Zip�� Expiration Date: Phone: �G7,�'� �J�� Alternate Phone: �� v,� �-�� , ❑ Insurance-Current: 1 � � �'. =- ' �. MECHA.NICAL SYSTEMS BEING INSTALLED I � Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ,�No HEATING SYSTEMS Quantity: Make: C��'��J Model: Fuel: Flue Size: Input BTUs: ' ��vU�J 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 ❑ Na Kitchen Exhaust duct recirculating cfin ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FiTEL STORAGE (Must he 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 � Outdoor Grill ❑ Other/List What&Where: � 2 � w . � �� PERNIIT FEE CALCULATI(JN(S) � �� BASED OFF - 2002 STATE STATUE j ❑ �'es, 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$500.00 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 Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ ' PERMIT FEE CALCULATION(S)—JOBS OUER$500.00 ; If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25°,/�of contract price with a(Minimum Fee of$50.00) � �� . �lJ x.0125 � (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) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted 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 ar any other party, the reasonable market value of such items must be added to the esrimated 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. �- MECHANICALPE '. M �� A�'!�!�ICATI4NAGREEMENT 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. � � �/ — � � A licant's Si ature: � ��' � Date: l �� rr � �� 3 � '� I D TIME V CITY OF ORON C LLED IN � �— Z INSPECTION T �..,.� SCHEDULED — --?�C-�— PERMIT N��'�� COMPLET ADDRESS OWNER TELEPHO E �� " �� • CONTRACTOR � 5 � � >; DESCRIPTION �GZ.�X.(�✓(p v (��i�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPZIC�INAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:y�ES_NO � COMMENTS: � W a J C `� � " . o �,�� ,�l,J� !4 1�'�--.�"�' � � C�x �__ �� 1�--I� ,� -�-:�� W � Q � z w � W � j W� ❑VVORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � � /(�J � White Copyllnspector's File Canary CopylSite Notice