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Home My WebLink About2012-00576 - gasline - reconnect new range CITY OF ORONO * Z 0 1 2 - 0 0 5 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2012 ' ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 880 PARTENWOOD RD PIN : OS-117-23-43-0001 LEGAL DESC : PARTENWOOD : LOT 006 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : MECHANICAL-MULTIPLE VALUATION : $ 500.00 NOTE: (1)KITCHEN EXHAUST-500 CFM GASLINE-RECONNECT NEW RANGE APPLICANT MECHANICAL 50.00 7 METRO HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.25 609 150TH AVE NE TOTAL 50.25 HAM LAKE,MN 55304- OWNER GRAY,JERRY&CYNTHIA 880 PARTENWOOD 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 dces not grant permission for additional or related work which requires separate 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 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 aze requested in conformance with the State Building Code.This permit may be revo�d at any 'me for ue cause. ��' � �pl i a � l �i /� Applicant ermitee Signature Date I By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A . — �I ' 6E�1�'�.`�i' � ��` City of Orono �'�` �� O4 `�'O P.O.Box 66 ��T�� '� , • 2750 Kelley Parkway � ` �� Crystal Bay,MN 55323 A�Prt?y�d By , „ ,Asnotint� °��" �� .�"� ° �� 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) � � � �- . � � tE�§�v� �'�-e 3��%,g��'�.. � � ��° � �i'E��'�C?.�� `�. 1. You may apply for mechanical pernuts 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 Desiens—Complete calculations,details and specifications are required for each hearing,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calcularion,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. e . _. T'YPE'Q�'P�R#U�IT �. �;;��. �;(�he�ek A��T��t.� 1, j��:�. �Residential ❑ Commercial(Approval Required) ❑ New ❑Addirional ❑ Repairs �Replace ��b;Si��/-��c'`�rifo�ia��n. �:�, � : a ., ,: 8"� . e�� w.� Site Address: d0` ��' _` Owner: C /�t' I (�°� Mailing Address: City: �Ir�l�� Zip: Home Phone: (��""��e`- ��a Alternate Phone: �`O�^5��'a�7�` 3�o�trac�r�T�ti�nal�c�n: .� � �v� �rsLef� Contractor: �/��0 � � Contact Person: Address: 4 ,�'0'� , /�/E State Bond#: /��% I7� City: �'� ` Zip:��4y Expiration Date: .�c�� Phone: r�(�- 5�7�� Alternate Phone: ❑ Insurance—Current: 1 ,. . A r 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 BTLJs: Output BTCTs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION � No. � Kitchen Exhaust�duct recirculating �V cfrn No. Bath Exhaust(must h ve duct outside) cfm ❑ No. Other Fans: Locations cfrn FUEL STORAGE (Must be approved by Fire Marsha[l 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: �`�G�J� n e G n�I� ��f? e ) t � � 2 �r . � . � Yes,this section applies The replacement of a Residential fixture or�pliance 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;excludin�the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if ttus 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: l. 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 esrimated 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 installarions are fixrnished 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 putposes. In the event that there is a dispute on the amount of the job cost, the City xnay 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. � Applicant's Signature: Date: ly��1 — t a 3 ��- ✓ � — �!i DA TIME CITY OF ORONO CALLED IN � ��— INSPECTION NOTICE �. �, SCHEDULED �/: U� PERMIT N0. -�C%/��l��' nnP�ETEo ADDRESS �� ' �Cf� G� � OWNER - TE E HON�N� O. '^'� � � CONTRACTOR � �� u � �� 'E-(-��C,�i �' � ` >; DESCRIPTION ��'� ��'�'�� 1-� � � ❑ FOOTING ❑ PLUMBING FINAL l� ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � w a � � O >. � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL{NSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice