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Home My WebLink About2015-01301 - gas line only 1111111 IN 11111 IN IN 11111111111111 M CITY OF ORONO * 2 0 1 S - 0 1 3 0 1 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1070 TONKAWA RD PIN 08-117-23-13-0020 LEGAL DESC RYANWOOD LOT 002 BLOCK 001 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GAS LINE ONLY VALUATION $ 800.00 NOTE: GASLINE TO A GENERATOR APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.40 COOL AIR MECHANICAL INC MAIL-IN FEE 2.00 1544 134TH AVE NE HAM LAKE, MN 55304- TOTAL 52.40 (651)246-3116 Payment(s) CREDIT CARD 5470 52.40 Minnesota State License#: HVAC-MB003260 OWNER WALLANDER,RAY&LAURA 1070 TONKAWA 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 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 required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ( 'V)a_�d ) .&"C� 7 Applicant Permite Signat Date Issued Signature Date City of Orono Cm,:p p E!ON>LX P.O.Box 66 Datil itt Ecetve$ Pert� 2750 KeUey Parkway Crystal Be 1155323' •.F„ ,. .>. ..;:< . ....�..� Y Y, rbved$y .A!,noiiut$ r Phone(952)249-4600 Fax(952)249-46 A 6 ES L4 CITY OF ORONO-M)ECR.ANICAL PERMIT (All Comrrnntial permits must be approved by the Building Official or Inspector md/or Fire Marshall) GENE G IWO. ..: ON _« 1- You may apply for mecliauical 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 seat by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT, WORK MUST NOT BE IN UNTIL THE PERIW 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/beat 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. (2448 hour notice required) 7. House Heating Test Record must be submitted before final. i' Check A11 That:A 1 esidential ❑Commercial(Approval Required) ❑New Ll Additional ❑Repairs ❑replace rdib Site'7:Ov�m ir1nforrnation: Site Address: looNVAWA U2at`io MN' S-S-3�'� Owner: _1I4i4Ll.PN.rI�aft- Mailing Address: 1070 -rvPjkAw,j City: Cif Zip: _ 5-35^ Home Phone: Alternate Phone: Con txactor-'Oomik on Contractor: COL AW Aa-4A jt.c4-L,7mc. Contact Penson: 414M 44404a Address: ISS -t ,fin 1b1;✓ State 13ond#: City: ul Zip: tMN1 Expiration Date: `O l°�� ss3o y Phone: wl--tgto-54- Alternate Phone: Insurance-Current: _Sq c riCAVD 1 Note:All Geothermal Systems will zaaw req ' e a Site &Review by our Building Official, IS THIS GEOTHERMAL? yes o 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 apoe:Wood Buxning Fireplace ❑ Wood Stove Model No,: ❑ Wood Stove with Flue/Masonry Yom' NTILATI;ON ❑❑.. No. Kitchen Exhaust duct_ recirculating cfrn No' Bath Exhaust(must have duct outside) cfm [] No. Other Fans: Locations cf n FUEL STORAGE (Must he approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ RemovaI Fuel Oil: gallons E] Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY /�++ ❑ Outdoor Grill Other/List What&Where: l�As P1P6 � "rr 2 ❑ Yes,this section applies :The replacement of a Reside tial fixture r appliance.that meets all three of the following requirements: 1_ Does not require modification to electrical or gas service. 2. Hasa total cost of$500.00 or less;e c udin 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 S 15.00 State Surcharge $ 1.00 Mail-In Fee Of Applicable) $ 2.00 Total permit Fee $ If above does not apply;follow guidelines below: I. CONTRACT PRICE *is 1.25%of contract price with a(M:inlmum Fee of$50.00) x.0125$ �� (contract price) (minimuirt$50.00) 2. STATE SURCHARGE U�q� O— x.0005 $ 6 T (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) S. 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ •jut ■ 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 wont 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 Perrnit, 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. t Applicant's Signature: Z2r VC , Date: 3 e"5,- ik+ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS �� r) OWNER TELEPHONE NO. CONTRACTOR 6 DESCRIPTION W ❑ FOOTING j� DEMO-FINAL ❑ SEPTIC FINAL Q [I POURED WALV CSO E] PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC I ALL Z OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: CJ/ /WouSe— W cc a o ir-11- 1--20 f 0 v, W c Q i W W J W ❑WORK ATISFACTORY:PROCEED ❑ PROJECT COMPLETE ccW CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑ RRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95 - 600 Owner/Contractor on site: Inspector. White Copyllnspector's File Wanary CopylSite Notice CDATE TIM CITY CION NO CALLEDIN 1� �1 lsL INSPECTION N TICE SCHEDULED PERMIT NO. l.Vl qPrPLETED ADDRESS — W4WJ`"�� OWNER LEPH NEN CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL % ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLU ING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ CHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO- ❑ SEPTIC INSTALL Z OWN ONTRACTO EET YOU:IYES_ ; ti COMMENTS: O O ac 0 W cc Q 2 W W 2 J d W ❑WORK SATISFACTORY:PROCEEDPROJECT COMPLETE W W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952%k494600 Ovrner/Contractor on site: Inspector. White Copyllnspectoes File Canary CopylSite Notice