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Home My WebLink About2011-01239 - gas line only CITY OF ORONO PERMIT NO.: 2011-01239 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 10/13/2011 • 952 249-4600 FAX: 952 249-4616 ADDRESS : 1342 REST PO[NT CIR PIN : 07-117-23-31-0022 LEGAL DESC : REST POINT PARK LAKE MTKA : LOT O10 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 484.00 NOTE: GAS LINE TO OUTSIDE DWELL[NG APPLICANT MECHANICAL 50.00 ALTENHOFEN, MARK& DEANNE STATE SURCHARGE MECH (VALUATION) 0.24 1342 REST PO[NT C[R MOUND, MN 55364- TOTAL 50.24 PAID WITH CASH -4,973.76 PAID WITH CC# 9395 OWNER ALTENHOFEN, MARK& DEANNE 1342 REST POINT CIR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. 'I'his permi[is for only the work described and does not grant permission Yor additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her 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 or iod of 180 days at any time after work has commenced. The a ican s re o ible for assuring all required inspections are �requ ted i nfo c with the State Building Code.This permit may be re e a ti f e cause. j1� � �� II � � � ��.._ �� -�/ � c`�YY� c c a� i i p l' nt Pe itee Si Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r j FOR CITY USE ONLY � ,�� City of Orono P.O.Box 66 Date Received: Permit# ^ ��,S,w� � 2750 Kelley Parkway � � �sl;�� . Crystal Bay,MN 55323 Approved By: Amount$: ty�t��4�''�� o` Phone(952)249-4600 Fax(952)249-4616 fio8� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits mustbe approved by the Building Official or Inspcctor and/or Fire Marshall) GENERAL INFORMATION 1. Y ou may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut 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 Desi�ns—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 PERIVIIT � (Check All Tha� Apply) � � � � � �Residential ❑ Commercial(Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: � Site Address: � 5�} L- ��f�S t �t• (�( �'�e- Owner: ��uY��1� �U�)Il� �"��{1�'�l�.Y� Mailing Address: ( 3 4Z �5.� ��• U�� City: (,�V��'l�'l.C� Zip: �7 ��J(o� Home Phone: ��s�� f 7�7 �S � Alternate Phone: Contractor Information: I Contractor: �:'�(� �� Contact Person: �— Address: State Bond #: City: Zip: Expiration Date: Phone: Alternate Phone: ❑ Insurance—Current: 1 1 t 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 BTIJs: 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 VENTII.ATION ❑ No. Kitchen Exhaust duct recirculating cfrn ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FL1EL 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: ��QJ�-�e d��velli � 2 __-- -— -- , PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies Th�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. i ti \ Skip next secrion,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 co%tract price with a(Minimum Fee of$50.00) 1,,�`�1 ��' ��- �� X.oi2s $ ��'� ��;� (contractprice) (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 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, labar 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 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. MECHANICAL PERMIT APPLICATI4N AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark 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: ��7j( �� 3 �� DATE TIME J VCITY OF ORONO CALLED IN INSPECTION N,OTICE SCHEDULED � // _� PERMITNO. olC� II ��a�� COMPLETED ADDRESS 1 � �f � � � �( ��/ �= V�Cyl� �+ Pe�vw�- �4 j1e��h o � OWNER �ELEPHONE NO. �J� -y�a� ��7 CONTRACTOR >; DESCRIPTION � � � � S� � � � � ❑ FOOTING ❑ LUMBING FINAL ❑ EXCAV/GRADING/FILLI Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SEP IC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINAL ❑ FOUNDATION/REMOVAL Z OW�N_E�RICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � $ �i n�i j�n�c`� b I� � � � �� S � � l i,�� 'T� C��. � W � Q � Z W � W � � d W��Yt�ORK SATISFACTORY:PROCEED f_� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �� CITATION ISSUED C INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 2a hours in advance. (952� 249-4600 OwnedContractor on site: Inspector. �l� /� S White Copyllnspector's File Canary CopylSite Notice