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Home My WebLink About2014-00459 - gas line only CITY OF ORONO � �II 111 'I 'I 11 * 2750 KELLEY PARKWAY * 2 1 4 - 0 0 4 9 DATE ISSUED: 05/15/22 014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 420 ORCHARD PARK RD PIN : 32-118-23-23-0006 LEGAL DESC : ORCHARD PARK : LOT 008 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,000.00 NOTE: GAS LINE FOR FIREPIT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 MARKHAM MAINTINANCE CO. MAIL-IN FEE 2.00 12781 84TH AVE.N. MAPLE GROVE,MN 55369- TOTAL 52.50 Payment(s) CHECK 5596 52.50 OWNER PETERSON,WILLIAM&LYNAE 420 ORCHARD PARK RD 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 in conformance with the State Building Code.This permit may be revoked at any time for due cause. A AO Applicant Permitee Signature Date Issued By ' .nature Date FOR CITY USE ONLY � � '� City of Orono • f V P.O.Box 66 Date Recesued: Ptntitf! 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 "ti �`q ' CITY OF ORONO—MECHANICAL PERMIT k£S H O� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL. INFORMATION l. 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 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 Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Residential 0 Commercial(Approval Required) ❑New )Additional ❑Repairs 0 Replace Job Site/Ov4'ner Information: Site Address: 420 6 r cha rd Pct rK )c� Orono 55-35:id wn Oer: U'Qr (( I D eO(t Mailing Address: Sa,ml✓ City: a ron 0 Zip: 55356 Home Phone: 6 2--73 0 —14-23 Alternate Phone: Contractor Information: Contractor: / V`ar(t(iOrn MGl14-tt C J t Person: 7'M �}MI- Address: 1278/ 84th aid rtve A§tate Bond#: M3001-5)3 9 City: ap ie Gro v� Zip:£r3 Y V 1 J'/Expiration Date: 3//3/4 Phone: -763^2 ZI~`�/°( Alternate Phone: [ `] Insurance—Current: Xhte yrr t) Jns(1rance / 1 m.., r'�,�.m Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑Yes 0 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 O 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 cfrn FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) O Installation 0 Removal Fuel Oil: gallons 0 Underground 0 Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY Outdoor Grill pt/ Other/List What&Where: I re f(2 0 Yes,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;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 $ nru rim:. t'r r"aeri s #e^6 �• t wa,. If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 4- 1600 x.0125$ 42U SO ob (contract price) (minimum$50.00) 2. STATE SURCHARGEctt- 1660 o6D x.0005 $ tJ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 67100 • * 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 way: � ,,�.,N��a. r �� ,. ,a a , �zr �u , cx 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. t-i rv—. Applicant's Signature: OM20dJ a I V Date: 5/13/1 3 13...4,;_____- E TIME V CITY O ONO CALLED IN 5- INSPECTION NOTICE/ ' i p SCHEDULED — — 1� GAO/ PERMIT NO. 2W70 Y 5 COMPLETED ADDRESS g-ere•C, OWNER TELEPH•NE NO7 '? d2)/-51.10/ CONTRACTOR tr _I-/A LI J /A DESCRIPTION 044,,, Pti — 0z1--/511-e IQ ❑ FOOTING 0 PLUMBING FINAL 1:1EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 14.1 ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL .C.-- OWNERICONTRACTOR TO MEET YOU: YES_NO ti COMMENTS: cc Lu cc O it O AA°— • # , IQ cc Q W W CC CI OWC 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. '5 ) 2'1.!-' . i 0 OwnerlContractor on site: Inspector. 1 White Copyllnspector's File Canary Copy!Sfte Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NNDQTRE Cf q SCHEDULED : -7/y 2yi PERMIT NO.014/`(X 1 ,sr�}L MP E �., 6 ADDRESS �� OPC14 ,hv OWNER TELEPHONE NO. CONTRACTOR 6L6' 6'46 6 4"1.07' 32 tu ❑ FOOTING ❑ P MBING FINAL ElEXCAV/GRADING/FIWNG lc ❑ POURED WALL MECHANICAL RI ❑ LAKESHORENVETLANDS 4111— ❑ FRAMING • ❑ MECHANICAL FINAL ElTREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ' ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP IL ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO cl COMMENTS: ccLu j 0 cc C)K_. -- Cc W 0 Q 2 2 W J O W� RK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. 9 %- 600 Owner/Contractor on site: Inspector. SWt White Copy/Inspector's File unary Copy/Site Notice D. TIME v CITY OF ORONO CALLED IN INSPECTION NOTI9E � SCHEDULED 41:4112 rJ PERMIT NO.42D DTS/ COMPLETED ADDRESS 24n 01-CAAAS ea_t.k. d ...• OWNER TELEPHONE NO.763 2-il 6q61 CONTRACTOR hialkitt /4ae d- c_e_44*L DESCRIPTION 1i/tat,-qt. $ (. tLio to 0 FOOTING ❑ PLUMBING I IAL ❑ EXCAV/GRADING/FILLING hcc 0 POURED WALL ❑ HANICAL RI ❑ LAKESHOREETLANDS /W ❑ FRAMING MECHANICAL FINAL 0 TREE REMOVAL Z0 INSULATION ❑ D BURNER/FIREPLACE 0 SITE INSPECTION 5, ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REM AL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NOrii) , ; li! v) COMMENTS: Lu j 11 ct 0 W R Q 2 W CC CI IQ 0 WORK SATISFACTORY PROCEED PROJECT COMPLETE CC 14.1 0 CORRECT WORK&PROCEED 0 SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY t BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou, in advance/ (' -1, 249-4600 OwnerlContractor on site: Inspector. 1 White Copy/Inspector's File Canary Copy/Site Notice --0- ,TE TIME • CITY OF ORONO CALLED IN k- IIT(l / / INSPECTION NOT)9E ,/ SCHEDULED l' a 3-/V f.'D& PERMIT NO02O/ 00T59 -COMPLETED ADDRESS , traW GL faA./C, 1e' ' / OWNER1n4 e ' ' 11ELEPHONE NQD/�' -1 YZ.3 CONTRACTOR12710-4.e-A4-914- I` DESCRIPTION 2tKal 6a `/i5lde) 44 CI FOOTING El PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ M ANICAL RI LILAKESHORE/WETLANDS 1-1— LIFRAMING ECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ OOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL LI SEWER HOOK-UP ❑ COMPLAINT v LI DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI LISEPTIC FINAL LI FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:—YES NO oy COMMENTS: cc W CC fp 0 1tI1' �,/ ��.isi/ i 4 4 Ammo cc 0 '_r o i 4 I rr / C Q Z W Z W 2 d H W SATISFACTORY:PROCEED ❑ PROJECT COMPLETE IZ W ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY Oc..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours i advance. (95 ) 249-4600 Owner/Contractor on site: I nt Inspector. 'P / White Copyllnspector's File Canary Copy/Site Notice