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Home My WebLink About2010-00844 - gasline to fire pit and outdoor grill 1 ' CITY OF ORONO PERMIT NO.: 201Q00844 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/15/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1435 PARK DR PIN : 07-117-23-42-0020 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK O15 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 1,500.00 NOTE: GASLINE TO A FIRE PIT AND OUTDOOR GRILL APPLICANT MECHANICAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUATION) 5.00 685 141ST LANE NW TOTAL 55.00 ANDOVER,MN 55304 (763)7547119 OWNER CAMERON,JENNIFER&DAVID 1435 PARK DR MOUND,MN 55364- 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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become nuil 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 confo ance with the Stat Building Code.This permit may be revoked a ti for ue ca e. � ' � i/S l/D plicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t � FOR CIT��SE ONLY �,�` City of Orono �.�/ _ , ,__, `� O� `�`O P•O.Box 66 Date Received:'' � J��•�Permit#G��l�'� � �� '� 2750 Kelley Parkway ��b� � '' Crystal Bay,MN 55323 Approved By: Amount$: ��A�`o� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approvcd by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Desi�ns—Complete calculations, details and specificarions are required for each heating, ventilation,humidification-dehumidification,and air conditioning installation including heat loss/hea�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 Record must be submitted before final. TYPE OF PERMIT (Check All That Ap ly) ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: / � � � �'� /W� ��UF�� Owner: �� '1'�I`�� Mailing Address: � � J �'✓�✓�'�� City: f��1�"� Zip: Home Phone: ��li��` c�� Alternate Phone: Contractor Information: � � ;-��, �� Contractor: � � � �t��Contact Person: � ��I✓�'� � Address: L�'�� f /�S ri'�G� ! V S�ate Bond #: City: � � �✓' Zip: Expiration Date: Phone: ��'_��J �~ �f�`r� Alternate Phone: i�/G�' `G7.� ,�`�� / �" ❑ Insurance— Current: 1 ' „* ) Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Iuput BTL7s: 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FLTEL STORAGE (Must be approved by Fire Marsha[I if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill 0 Other/List What&Where: ��L/I�{/�/ 2 . ' ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modificarion 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 Applicabie) $ 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$50.00) ��U�/ x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 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 pernutted 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 esrimated 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 STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. 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: � 3 �� AT� TIME � CITY OF ORONO CALLED IN � �S �D INSPECTION N�rO��D �,/�SCHEDULED � 4�/� PERMIT NO. Q `� COMPLETE ADDRESS � �� li��- OWNER � TELE N��NO�. ��-�-3�� 7�y CONTRACTOR � -S � �JG��'�'�/LCJ QiO � �: DESCRIPTION �Z,C1X..C.�L9-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o � � `1`� -�- t�i � � �� l � � 0 � W � Q � Z W � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-Q6QQ OwnerlContractor on site: Inspector. �pe,L �' White Copyllnspector's File Canary Copy/Site Notice