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Home My WebLink About2014-01346 - gas line only CITY OF ORONO * z 0 1 4 - 0 1 3 4 6 * � � �� 2750 KELLEY PARKWAY pATE �SSUED: 11/19/2014 ORONO, MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3227 CO CIR��,>� �Q.a,�-�C� �� ,L;Y� ��C�C'�I��-'`�3 - PIN : 20-117-23-43-0056 -�"-�, �� -��, ��L �jY'�,� �� LEGAL DESC : SPRING PARK : LOT MB BLOCK MB PERMIT TYPE : MECHANICAL (> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ I,500.00 NOTG: GnS LIN[:�OR O[��T�DOOR GRILL& RnNGE. FIR(-:PI.ACE: & GARAG[� I�IEA��f�:K APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.75 VAN WINKLE PLUMBING TOTAL SOJS 5430 TEAL ST Payment(s) BIG LAKE, MN 55309- (612)599-2124 CHECK 1751 50.75 Minnesota State License#: plbg-005756 OWNER O'ROURKE,JAMES 1 181 VAGABOND CT N PLYMOUTH, MN 55447- AGREEMENT AND SWORN STATEMENT The work for�vhich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and Uie State E3uilding Code. This pernii[is for onlv the work described and docs not��rant permission for additional or related work which requires separate pennits. All provisions of la�vs and ordinances goveming this type ol work shall be compied with whether or not specitied herein �1'his pennit�a�ill c�pire and hecome null and void if construction nuthurized is not commenced�cithin 180 davs of the date of issuance,or if construction is suspended for a period of 180 davs at an��time after work hati commenced. The applicant is responsihle t�ir assurins all rcquired inspections are requested in contbnnance with the State Buildina Code.This permit mac be revoked at anc time tbr due cause. � �/� � � � r � � � �/ r , , Applicant Permitee Signature Date I,sucd li��Signature I�ate � , FOR CITY USE ONLY � City of Orono � �-O�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 � yF � �� } tqKEs yo��.�' 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 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 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 Ap 1 ) � � �] Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: ua�'s Site Address: � � �'�� "�U C�'� ��C�, '�/ h' Owner: �� V`' � {''� �f'z Mailing Address: �O �''c'�d ��'y�' G�y°� �� City: Zip: Home Phone: Alternate Phone: �Z �� -. � s�3 - i 5 y y Contractor Information: Contractor: V y'n �� , �i�� Contact Person: ��t�`� Address: S �I 3� ��( Sf State Bond#: �) B DO S � Sla l�,'�- f � r� _ / City: ��D Zip:� Expiration Date: �V� Phone: �la � � - S �� Alternate Phone: ❑ Insurance-Current: 1 '�► , _ ,y ., � - r i 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 ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ 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: un �� `C� 1 �b uYd f°L- N��tGC 2 f 1 � .. , , _ � �� . �, �� .� �. �� _. .�, �_. ❑ 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;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$50.00) 1 sdv X.0�25$ (contract price) (minimum 550.00) 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 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. 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: ��t ��—. Date: �� ' �S— �� 3 ` � C Ci� �� DATE TIME ��/n, � ITY OF ORONO CALLED IN INSPECTION OTI E SCHEDULED 1 � � �' PERMIT NO. � '� �3 „ COMPLETED ADDRESS ��(l /"�`,�' /��1 ,Q�/ OWNER TELEPHONE NO��' ��C/��%� CONTRACTOR � DESCRIPTION -T��I �� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ 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 ❑ SEPT�C INSTALL ❑ HARD COVEfi REMOVAL J ❑ PLUMBING RI ❑ SEP�I�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:p_YES_NO c�., COMMENTS: aG�s /�Kc�s -�r/ 1'`a�t�P . �4�s�� sr��ll. o �; P• ins�:�t- � ��.� ,�a��d �Q4��.� — � - .riL! C��f7e r �t eoKtrrca�.s `Ito �J��r�S —' O ~ �/r !i B,SZL /I��! "L� /L`/ ��SG a W n < � Q - a-R✓�!-�a�! �,.1 G �01/ r•/0 ,�''4Ss/Z 1+-o4��S�O ��Y'i 6� z -f�►�s f/i/� � l�t� �-�'�(/c��/ W � W � J d W� /�.1p(Q,RKSATISFACTORY:PROCEED O PROJECT COMPLEfE �l�O CORRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or 'nspection�4 hQurs in advance. (952) 249-46�0 Ow ntractor on ' ��4�'`-� Inspector. '"� White Copyllnspector's File Canary CopylSite Notice