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Home My WebLink About2011-01308 - mechanical - gas line to pool heater � CITY OF ORONO PERMIT NO.: 20��-o�3os 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEu: 10/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3380 GRAHAM HILL RD PIN : OS-117-23-11-0013 LEGAL DESC : GRAHAM HILL PRESERVE 2 : LOT 5 BLOCK 2 PERMIT TYPE : MECHAN[CAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULT[PLE VALUATION : $ 1,300.00 NOT�: I RAY HGATING SYSTEM 1 GAS LINE TO POOL HEATER APPLICANT MECHANICAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH (VALUAT[ON) 0.65 685 141ST LANE NW TOTAL 50.65 ANDOVER,MN 55304 (76�)754-7119 OWNER RUDOW, DAVID& LESLIE 3380 GRAHAM HILL RD ORONO, MN 55356- AGREEMENT AND SWORN STATEMENT The work for�vhich this permit is issucd shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Cude. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of wark shall be compied with Hhether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I�he applicant is responsible r assuring all required inspections are requested in confonn ce ith the State Bui � Code.This permit may be revoked at any ti or e ca � � � � ��'' / / / / Applica t Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . � . FOR C1TY liSE ONLY � � ,¢�� City of Orono P.O.Box 66 Date Received: Permit# ��- � � 2750 Kelley Parkway � � �a � �� s� Crystal Bay,MN 55323 Approved By: Ainount$: �A'�' o`F Phone 952 249-4600 Fax 952 249-4616 ��;o�y ( ) ( ) CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL 1NFORMATION 1. You may apply for mecharucal permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Desiens—Complete calculations,details and specifications are required for each heating,ventilarion, humidification-dehumidification, and air conditioning instailation 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 pernut 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 Apply) �Residential ❑ Commercial(Approval Required) "�New ❑ Additional ❑ Repairs ❑ Replace / � Job Site/ Owner Information: ^ , Site Address: � v ' � ,/�_ , �, � / Owner: �� Mailing Address: ��U ,�/'�� ''"—' �. City: !,-/�^✓�`r� Zip: Home Phone: � ` �` �� Alternate Phone: _', Contractor Information: , � � � � Contractor: � i� �� Contact Person: ✓ � �J� Address: � �7�� /�`"State Bond#: � City: ��% Zip j�� Expiration Date: , ^ Phone: ��' � � �� Alternate Phone: �� /l� ❑ Insurance—Current: 1 �. MEC °�� S°��`�''rw� �;: �� ;�� r � . .�., 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: �U J Fuel: Flue Size: Input BTUs: �(1� a/� 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 � �z��S � ' I PERMIT FEE CALCULATION(S) BASED OF� - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or ap lip ance 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; excludinQ 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; follov��guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) l300. oo X.o�2s $ (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 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 pernut 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. -�-�w, ,sg;AY� „�."'�y"'v,..c � � { r ii. � �v:3� � ,n."��,^'^^��w5'� �3��.., � . _3��.:� x� ��L PERMIT ,� �' �� .,� �> 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. � Applicant's Signature: � � Date: -' C J� 3 �� DATE TIME V CITY OF ORONO CALLED IN �D—� INSPECTION NOTIC SCHEDULED �� PERMIT NO. a b �� 3 U� COMPLETED ADDRESS �3�� r��`"� °��`� _ OWNER TELEPHONE NO.��3 �S� 7i� L CONTRACTOR G` � � / a� � ��, -E-��" �, � �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENJETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INS�LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP � PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAiNT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � /� � �f'1 � .^ �i---�`� / N� O � W � Q � Z W � W � � d �/ W./�B�[IORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W� � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspe tion 24 hours in advance. (952� 249-46�� Owner/Contractor on te: Inspector. White Copyllnspector's File Canary CopylSite Notice