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Home My WebLink About2012-00275 - gas line only x CITY OF ORONO * z 0 1 2 - 0 0 2 7 5 * ' 2750 KELLEY PARKWAY DATE ISSUED: 04/12/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 480 LINDEN AVE PIN : 06-117-23-41-0111 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GAS LINE TO OUTDOOR GRILL,FIREPLACE AND RANGE APPLICANT MECHANICAL 50.00 G-HVAC STATE SURCHARGE MECH(VALUATION) 0.25 16036 MALLARD WAY SE TOTAL 50.25 PRIOR LAKE,MN 55372- (612)619-9322 PAID WITH CC# 9457 OWNER JNJ BROTHERS LLC 480 LINDEN AVE LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which 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 does 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 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 inspections are requested i conformance with the State Building Cod This permit may be revoked time for due use. , � ,�� , , tee Signature Date Issued By Si ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOU . t �•• ' aP�DRCITX•USE^O1V1:�' « City of Orono � � �:� � r�= ,� ��'�� P.O.Box 66 Date I��ce��ed ` Perrraii# t� 2750 Kelley Parkway �' � � ; � Crystal Bay,MN 55323 Approved By � Amonnt$ �4y Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GE��r.;�nv�ox��lo�r 1. You may apply for mechanical permits by mail or in person at the City offices. Applicarions 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 DesiQns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air condirioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identificarion as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new consiruction 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 Record must be submitted before final. ' T�'E�F'PE�T ;: Check�i�l T�iat A . '1�) �Residential ❑ Commercial(Approval Required) v \ ❑New �dditional ❑ Repairs ❑Replace __ ��b.°Sit��)�.wner 1�or�iation: ; � ., . ., , Site Address: o � `--�'� � ��r Owner: �/f V��dS. `� � Mailing Address: City: Zip: Home Phone: Alternate Phone: Con#ractor"Inforrnation: : L� :, ; _ Contractor: l��T� Contact Person: � Address: � l GY State Bond#: City: ��r ��"'� ZipZ��'-�� Expiration Date: Phone: (..(�/��2 Z Alternate Phone: ❑ Insurance—Current: 1 _ ..+✓ ! � , Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTLJs: 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 cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � �� L'^�il � � Outdoor Grill � Other/List What&Where: 2 :� ❑ Yes,this secrion applies The replacement of a Residenrial 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;excludine 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 $ 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 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 chazged to the customer for the work done. Tf any material, equipment, labor or installations are fiunished 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. The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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: �� ` � PP � � 3 DATE TIME ✓ CITY OF ORONO CALLED IN ' Z '/Z� INSPECTION NOTICE �He�u�E� _ C� PERMIT NO.�D��'�D��J COMPLETED ADDRESS �BD Ll/Z�Q.v�j`'f"U`� OWNER TELEPHONE NO.�o �Z (�� 9 ��Z� CONTRACTOR G –�V�C- � DESCRIPTION �G�r�S� — �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL F�NAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTiC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z � COMMENTS: �G� �v7C Z � W a � J O � T � � 0 � W � Q � 2 W � W � � ��YQ i�K SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. .,d.. o White Copyllnspector's File Canary CopylSite Notice