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Home My WebLink About2013-00545 - gas line only 1 . . CITY OF ORONO * Z 0 1 3 — 0 fd 5 4 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 06/20/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3340 GRAHAM HILL RD PIN : OS-ll 7-23-1 l-0012 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 4 BLOCK 2 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 550.00 NO"1'E: GAS LINE FOR POOL k��EATER APPLICANT MECHANICAL 50.00 HORIZON CONTRACTORS,INC. STATE SURCHARGE MECH (VALUATION) 0.28 8197 HORIZON DR SHAKOPEE, MN 55379 TOTAL 50.28 (612)508-9226 OWNER MCCARTY, LEROY& LISA 3340 GRAHAM HILL ROAD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perf�ormed accordine 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 pemiission for additional or related work which requires separate permits. All provisions of laws and ordinances governin�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 l�{1� s of the date of issuance,or iSconstruction is suspended for a peri o 180 days at any time after work has commenced. The applicant is�r� o ible for assuring atl required inspections are requested in c�inf. � npe�witfi�the State Building Code.This permit may be revoked at aSiv or duc cause. .` -�� / / Applicant Pe tee Signature Date Issue By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � � - FOR CITY USE ONLY � City of Orono �-D�O P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 a i y � F ` �qKEs H o��' 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 UNTIL THE PERMIT CARD 1S POSTED ON THE JOB SITE. 3. Mechanical Designs—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 Recard must be submitted before final. TYPE OF PERMIT (Check All That A ply) �Residential ❑ Commercial (Approval Required) ❑ New �Additional ❑ Repairs ❑ Replace Job Site / Owner Information: Site Address: �� f��.��1.(� � � Owner: Mailing Address: �✓�s� - City: C�tc�v�l�_ Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: � �t.�� Contact Person: �� 1 � Address: �/�7��z�%�-� �� State Bond #: � D6 3/�f City: `�► �_ Zip: �j` Expiration Date: �S .� Phone: (��d-5�3 � 7� Alternate Phone: �J��-�c�-�� ❑ 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 ❑ Na 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 Marsliall if proposing to abandon tunk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Gritl �] Other/List What& Where: • 2 � - ♦ ' PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, ti�is 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;excluding 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 OVER$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) �,�� 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 PR10E ar 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 reauest 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 inances of the City and the regulations of the State of Minnesota, and certifies that all ements made on this application are complete, true and �--- correct. Applicant's Signature: Date: � 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�GY3 •DO S S�S� COMPLETED �� -/ '^ �DRESS 6r / /P ' �� OWNER TELEPHONE NO. CONTRACTOR �� QR �6��r��6��— �; DESCRIPTION �' � 1�� lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING �CHANICAL FINAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �Qr l/�1 c t / D!�'ts✓ �ls�� G4 /l �G r j ' . .-_ 0 /� /o•r S' � � , . � � �i'�vto.e 4�s l��✓e. -�i.r zle � �'— 0 � W /� Q /�� Q �'1�� — � /e� �� C.t/� Dr6�p C� r�`"� /�6. l� #' z � .S��e� < �'K4G 's ��v.�. �vttk ati � Q'�� s� �w ��s /.•r`e — j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY w O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANEN7 ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �lpISpFCTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector ` White Copyflnspector's Flle Canary CopylSite Notice � p DATE T1bIEV (n"'61TY OF ORONO I CALLED IN �Y INSPECTIO�N\O1TICE SCHEDULED � (S � PERMIT N(�.� �J COMPLEfED ADDRESS � 3� ��'�--M '�-�� l�n(L OWNER TELEPHONE NO.��-�g' �2� CONTRACTOR ��n ^ � �; 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP �LLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a V4� �l h ri �YtOhD �or �o,p( . � j /f�uTic r /;S lt-vlcQ�w c O . r � ' �� /��D l'l dd T ro n.� `7 t4.f L✓ `t� ,�GlU4� W I�KG � � Q ��Q1- 3/�� 2 '��Cc.L-ea �,.� �r c c.t n cQ�� S�c4•�..P 7� �t C�r � dc.l6t..P.� �ivacs� � � / 1 � j !�D/ !� �°�ll�� YercKc�. t��j GW ❑WORK SATISFACTORY:PROCEED JECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �► ! r-' '�'� White Copyllnspector's File Cenary CopylSite Notice