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HomeMy WebLinkAbout2015-01426 - gas line only CITY OF ORONO * 2 0 1 5 - 0 1 4 2 6 2750 KELLEY PARKWAY DATE ISSUED: 11/05/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 1140 TONKAWA RD PIN 08-117-23-13-0008 LEGAL DESC AUDITOR'S SUBD.NO.217 : LOT 009 BLOCK 000 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GAS LINE ONLY VALUATION $ 2,500.00 NOTE: GASLINE AIRTEST FOR OUTDOOR GRILL APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.25 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD TOTAL 53.25 HOPKINS,MN 55343 Payment(s) (952)933-1868 CREDIT CARD 3543 53.25 OWNER KYLE,KATHY 1140 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. LVLA&lr d\\l Applicant Permitee Signature Date Issu d B Signature Date Nov, 5. 2015 8; 06AIV No, 5285 P. 2 ty FO USE ONLY Cr of Orono // P.0-Box 66 Dais Recciviv `Permit# �! 275D Kelley Parkway cam, 'J Crystal Say,MN 55323 Approved By Amount.$: /� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO—MECHANICAL PERMIT Mo a4ti (M Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENE"L WFORMATION I. 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 witbia 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 BEGIN UNTIL THE PERMIT CARD IS POSTED ON Tim JOB SITE. 3. Mechanical DesiM—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat lossibeat 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. TYPE OF PERMIT Check All That Apply) Yl�sidential ©Commercial(Approval Required) ❑New 0 Additional [I Repairs LTJ Replace (Kt; 6P-Pm0h1) Job Site/Owner Information: Site Address: 11u0 LQI CG LAY-,F-,Mhj CA-2-S .2 Owner:R T-MRb A KELLY VnS 1E Mailing Address: 1140 ROPp City: LOWG LAYSE, , Mpl Zip: 553510 Home Phone: (954282-9` 71Z Alternate Phone: MI Contractor Information: Contractor. PRKMCAL Ste;T 5 Contact Person: Address: 41341ZB SHAUN OhYn V44W State Bond#: Mf 3�10 City: HOOEY jN15 Zipf S Expiration Date: NEI 11-411 LD Phone: 933-18[� FAX �riz) "181n9, ❑ Insurance—Current: 1 Nov. 5. 2015 8: 07AM No, 5285 P. 3 Note:All Geothermal Systems will now require a S to &Review by our Building Official. 1S T ears GEOTIER MAL? ❑Yes dNo 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 Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue I Masonry VEN O T10GATI l� ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) chn ❑ No_ Other Fans: Locations efm EUEY.STORAGE (Must be approved by Fire Marche if ptoposkg m 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- 2 Nov, 5. 2015 8 07A No, 5285 P. 4 ..i -.'..#'; rs:a_a+/, _ •'P.If,'so�:�SS4,. '.�.:,Ty�a�..r;A'iFI �F;,:. ,.J.,/�', .a„.;f��.'�:i`.i�4r � Yei` :''5.;;. :�.Y.Y`:;}(".,- ,,p";y•'i:;''r; 'ti'':,_15c,.,.a, ,,.,.,, "i•.-•'!.^ �4•, :.�,ir�ai.,a e;�"K,e�.,_�t,,,,,;q",,+'. ,.v_. ;,?,. S,M�?� ,;.�1:•, ,1m.::'� r`y..ea. ...r+.:a. 'v}t'•e^ � a., .Ln.,...�;f ❑ Yes,this section applies The replacement of a Residential fixture or anoliance 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. Slip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total(Permit]Fee S If above does not apply;follow guidelines below, 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimam Fee of$50.00) 2,500.00 x.0125$ Bbl-t6 goo (wnuact price) (mirimnm 350"00) 2. STATE SURCHARGE �P Z,6QC1•C1D X.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S •2.'5 ■ " CONTRACT PRICE or JOB COST means the am al 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 Annished by the owner,tenant or any other parry,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 Perznit,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 Si ature 009& Date: pP &n 3 DAT TIME CITY OF ORONO CALLED IN r �� INSPECTION TICE SCHEDULED A —1 PERMIT NO. �S //lf,�o,� MPLETED ADDRESS T /J ,';e� OWNER J i ?�)ELEP NE NO. CONTRACTOR 1 rQ 6 3Z DESCRIPTION W ❑ FOOTING [I DEMO-FINAL El SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 T ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS:cc 100, SSS /sir a/� far' �3c ✓ �r�C/ " /40 O _ � f�4/lC�i c.�O/1 17,v/h+•t c4�� W QC Q 2 �6rL� ('l�yld�e�t ���-i✓ -� lesD cc J W ❑WORK SATISFACTORY:PROCEED j>�PROJECT COMPLETE Cr ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. �--� White Copyllnspector's File Canary Copy/Site Notice