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Home My WebLink About2016-01352 - gas line only � CITY OF ORONO *Z 0 1 6 _ 0 1 3 5 2 * ' 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 3,200.00 NOTE: ALL T�STING REPORTS SHALL BE ON SITE AT FINAL INSPEC"I'[ON. GASLINE ONLY FOR OUTDOOR GRILL AND OUTDOOR FIREPIT. APPLICANT MECHAN[CAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.60 METRO GAS INSTALLERS TOTAL 51.60 685 141ST LANE NW Payment(s) ANDOVER, MN 55304 CHECK 16346 51.60 (763)754-7119 Minnesota State License#: mech-MB003 l62 OWNER O'CONNELL& LYNNE RASUMSSEN,BRIAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich 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 docs 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 compicd with whether or not specified herein.This permit�rill 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�period of 180 days at any time after work has commenced. The applicant is responsible for assuring all requi ed inspections are requested in conformance w' the State ui � Code.This permit may be revoked at any time or d aus /� y � cn� �/�'U'�/ � 0 lrt' LO /-� / �� Appli nt ermitee Signature Date Issued By 'gnature Date � FO C[T USE ONLY ' ,�O A T City of Orono � �� i�/� P.O.Box 66 Date Receive� ennit# � � 2750 Kelley Parkway Ciystal Bay,MN 55323 Approved By: Amount$:��,� Phone(952)249-4600 Fax(952)249-4616 a � y � F � `�'�ESH��G CITY OF ORONO -MECHANICAL PERMIT (All Commercial permits inust be approved by the Building Otficial 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 RECEIVE A PERMIT. 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 rype,manufacturer and model. Data shall be presented on forn�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 norice 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 Infonnation: Site Address: �� ,�Z�''ti�� ' ./' ,,(� Owner: /`'�.(/✓� ��,/��;�r�z� MailingAddress: �� '..�'��'-�"�, L�'( City: �/'�l�'� Zip: Home Phone: Alternate Phone: ��- �'/ �� Contractor Information: /' Contractor: �� G � �-� Contact Person: � � , � �S Address: �� j�� -t f�L�State Bond#: City: �� Zip��.��Expiration Date: Phone: %�,3-7C��' �� Alternate Phone: ��0�� `�� ❑ 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 AEATING SYSTEMS Quantiry: 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 cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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 � Outdoor Grill � Other/List What&Where: � � 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25% f contract price with a(Minimum Fee of$50.00) �" �-O�i 3 X .o�2s � ( ontract price) (minimum$50.00) 2. STATESURCHARGE x .0005 $ (conh�act 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 tl�e 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. � � � Date: �t/ ��' J� Applicant's Signature: �f- 3 �( �� C�� DATE TIME CITY OF ORONO CALLED IN I INSPECTION NOTICE Z SCHEDULED / ��' PERMIT NO. �� O�J S� COMPLETED ADDRESS � ��5 ��—J�� OWNER TE P OJ��N . � � �-3�-�Z� 1" CONTRACTOR Q� ��1/1� � DESCRIPTION �� ly ❑ 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 ❑ SEPTIC INSTALL 2 OWNERICOI�ITRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: � 1.� , , . � ! ��Ju��ecQ �D��' S'�r�S l�N� �IS 6i� tr �- 0 ��/�e ,p �t — ra// �'a��t s -1 �i"�i�s s t�c �. ` � �r�v�v sis�aPc r�dl � e�/.�.P- -- - ---- o , �t� _ o � Q �~ g ,� -�.e�� e��s� o .. �� -a4 -i� 2 � i s �4 0 laP, •c� — � j � Ct�'1t/��tOr � ,(�[t ,�.6�.� �cs� �-�/I�G ct'p�[/l�c6etq� � ❑WORK SATISFACTORY:PFiOCEED �PROJECT COMPLETE W ❑CORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUWINCY � ❑CORRECT VMORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdNERINO PERMANENT �CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advanoe. (952) 249-4600 on ske: Inspector: r�-- White CopyAnspsctor's FII� C�nary CopylSlb Notics