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Home My WebLink About2016-01032 - gas line only CITY OF ORONO I I1111111111111111111111111111111111111 * 20 1 6 - 0 1 032 * 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2016 ORONO,MN 55356- ' (952)249-4600 FAX: (952)249-4616 ADDRESS : 2. ORONO ORCHARD RD N PIN : 3.-118-23-33-0004 LEGAL DESC 'LATTED 35 118 23 : L I T 000 BLOCK 000 PERMIT TYPE ECHANICAL PROPERTY TYPE : 't SIDENTIAL CONSTRUCTION TYPE : r S LINE ONLY VALUATION : $ 1,050.00 NOTE: ALL TESTING REPORTS S i LL BE ON SITE AT FINAL INSPECTION. NEW GAS LINE FOR POOL HEATE'• APPLICANT MECHANICAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 0.53 685 141ST LANE NW TOTAL 50.53 ANDOVER,MN 55304 Payments) (763)7547119 CHECK 16246 50.53 Minnesota State License#:mech-MB003162 OWNER BENEDICT,MICHAEL&DEBORAH 25 ORONO ORCHARD RD N 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 rgquired inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for cause. ,y' R, ?`ST.- tf Appli ant Permitee Signature Date Issued By Signature Date 1 WV FOR CITY USE ONLY 1' iit.Oiv.� City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)2494616 y�� ielic... txFs G CITYlOF ORONO—MECHANICAL PERMIT H o�`` (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may a ply for mechanical permits by mail or in person at the City offices. Applications will be reviewe and a permit will be issued within two working days. 2. Permit card will be sent by return mail after a review is completed. PERMITS ARE NOT VALID TIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMITARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating,ve tilation,humidification-dehumidification,and air conditioning installation including heat loss/he t gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any rtew construction or remodeling is involved,a separate building permit must be obtained. 11 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work mOst be inspected(rough-in and fmal). Call(952)249-4600. (24-48 hour notice required) 7. House Heatng Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) %Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] .'New ❑Additional El Repairs ❑Replace Job Site/Owner Information: 7 Site Address: J Q/�j'o Va N V Owner: ��L Q/1�.�C 'vl, Mailing Address: d-j V/1/121A5 lohivia City: il, .1 IIP Zip: Home Phone: d' f q g •(i d Alternate Phone: Contractor Info ation: - /.5- Contractor: , ' 4" , A� ontact Person: eh It Address: 6g5 /7/ p /v Cj State Bond#: City: Zip:5/53)/ Expiration Date: Phone: ? ' - V- 9 Alternate Phone: 4101/3 9-3/id- ' D Insurance-Current: 1 111. I MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes 2 No HEATING SYSTEMS Quantity: Make: ,[..i Model: I 1 Fuel: Flue Size: n Input BTUs: a--50/ 000 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 ❑ No. Bath Exhaust(must have ductoutside) recirculating cfm ❑ No. Other Fans: Locations cfm cfm FUEL STORAGE (Must be approved by Fire Marshall ifproposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons LP Gas: ElUnderground ❑ Inside ❑Outside \ gallons Other: \ GAS LINE ONLY / hb- ❑ Outdoor Grill Other/List What& Where: / t 2 t WJ„ k {�j "��'^ _iarf ; .. D t, Y f;� {y,�)wN.3'"}) �•` ,e� 1aSeS�p�i'S 5.?" � -'. s- `, ...::max?-S i i , is +.J A: �r ci, ;,sN,"..'_:; .. V.,., ',.., «t:., '> ., _ ,. .. ..< . 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) 1 0 5'0 x.0125$ (contract price) (minimum$50.00) 2. STAT 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 ncluding materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer or the work done. If any material,equipment,labor or installations are furnished by the owner, tenant o any other party, the reasonable market value of such items must be added to the estimated cost o contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cosithe City may request the submission of a signed copy of the actual contract. C. b...s'u..�: S[Rk .r .t�.x.y TY .+,a r8;a .„4d`< 4x, w t1#..o-:. .e tw _ rt _.. , ,e . -. The undersigned hOreby 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: /la 0Date: g:-�� / K 3 '. ' 5° - / DATE TIME CITY OF ORONOCALLED IN , INSPECTION MOTIF ,-- SCHEDULED 7/2CO//kj PERMIT NO. c,L� JA' COMPLETED ADDRESS Z L-3 cD n 0 D v'h P. , OWNER TELEPIt.NE NO. ip/Q 83936 CONTRACTOR II/`..rI 11 .meni DESCRIPTION C _;7U_ L i f f c(r s+- W 0 FOOTING 0 DEMO-FINAL R 0 SEPTIC FINAL 1 P LA. ❑ POURED WALL 0 PLUMBING RI OL, 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL LJ, .fJLJ TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI I 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP - ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL J ❑ DEMO-SITE 0 p. PTIC INSTALL Z OWN ER/CONTRACTOR TO MEETYOU YES_NO /7)40 COMMENTS: / / cc Q. Zoa4 J OIK O ,vim cr----O 4. W CC Q W Z W CC G Luu ❑ RK SATISFACTORY:PROCEED 0 OJ ECT COMPLETE CC W RRECT WORK&PROCEED LIISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho, in advance. ' l 249-4600 / Owner/Contractor on site: ,�l / Inspector. White Copy/Inspector's File Canary Copy/Site Notice