HomeMy WebLinkAbout2016-01524 - gas line only CITY OF ORONO 111111111111111111111111111111111 IN El IM
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2750 KELLEY PARKWAY DATE ISSUED: 12/12/2016
ORONO,MN 55356-
(952)249-4600 FAX: 952)249-4616
ADDRESS : 1160 TONKAWA RD
PIN : 08-117-23-13-0007
LEGAL DESC : AUDITOR'S SUBD.NO.217
LOT 009 BLOCK 000
PERMIT TYPE MECHANICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 750.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS TO GENERATOR
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.38
PRACTICAL SYSTEMS MAIL-IN FEE 2.00
4342B SHADY OAK RD TOTAL 52.38
HOPKINS,MN 55343
(952)933-1868 Payment(s)
CREDIT CARD 5815 52.38
OWNER
STANTON,MARSHALL S&MARLA K
1160 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.
LA? 124-1L
Applicant Permitee Signature Date Issued B� ignature Date
Dec, 9. 2016 2:29PM PRACTICAL SYSTEMS No. 2659 P. 2
Cltyororono
P.O.Box 66
2750 Kelley Parkway
Crystal Bay,MN 55323
Phow(952)249-4600 Fox(952)249-4616
CITY OF ORONO—MECHANICAL PERMIT
kS HOS (All Commercial permils must be approved by d►e Building Official or lnspector and/or Fire Marshall)
1. You n-Ay apply for mechanical permits by mail or in person at the City offices. Applications will
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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 RECEIVE A PERMIT, WORK MUST NOT BEGIN UNTIL THE
PERMIT CAT2D IS POSTED ON TITIN.TOB SITIi.
3. Mechanical Desigfis—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 nu)del. 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). Can(952)2494600.
(24-48 hour notice required)
7. House Heating Test Record must be submitted before final.
Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB)
❑New PfAdditional ❑Repairs ❑Replace
Site Address: ( (/`-'" �Qn
Owner: MC'44 I 4V�an Mailing Address: 1100 -TO A r0 '
city; Oro oo zip:
Home Phone: Alternate Phone:
Contractor; 1'l�. �� �'S S Contact Person:
Address; q�qZ Y OG t p State Bond#: 00 IO
City: J:j2PK;05 Zip5534 3 Expiration Date: / 1 /9
Phone: 95Z"7)) '�FNo Alternate Phone:
❑ Insurance—Current: y e S
1
Dec, 9, 2016 2: 29PM PRACTICAL SYSTEMS No. 2659 P. 3
Note:All Geothermal Systems will now require a Site Plan&Reyiew by our Building Official.
IS THIS GEOTHERMAL? ❑Yes ❑No
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 Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue I Masonry
VENTILATION
❑ No. Kitchen Exhaust duct recirculating efm
❑ No_ Bath Exhaust(must have duct outside) cfm
❑ No. Other Pans: Locations efm
IML STORAGE (Must be approved by Fire Marshall if proposing to abandon lank In place:)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where:
2
Dec. 9. 2016 2:29PM PRACTICAL SYSTEMS No- 2659 P. 4
I. CONTRACT PRICE *is 1.25%of contract price wit a(Minimum Fee of S50,00)
G
x.0125$
contract price) (minirnum$50.00)
2. STATE SURCHARGE
X.0005 S
(Contract price)
I POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00
4, TOTAL PERMIT NEE(Add Lines 1-3 Above) $
■ 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 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
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 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: J
3
DATE TIME v
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED -- -/
PERMIT NO.10 16"12 1 1A COMPLETED
ADDRESS I I G?0 'd n/�r� w is i/
OWNER IT)carAal( 5 ��i re TELEPHONE NO25-Z , 9
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
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W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
✓ `' Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector.
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DATE TIME
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INSPECTION NOTICE SCHEDULED
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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
❑ AS BUILT-SURVEY ❑SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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OWNEWCONTRACTOR TO MEET YOU: YES_NO
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INSPECTOR WILL RETURN 11
CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspec*m 24 hours in advance. (952) 249-4600
OwnerlComractoron sie:
Inspector. "}
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTI E SCHEDULED
PERMIT NO. 2A iob� ��j`� COMPLETED
ADDRESS N u o nou,W L
OWNER TELEPHONE NO.
CONTRACTOR
DESCRIPTION r'
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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
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Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
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INSPECTOR WILL RETURN
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❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALLTO'ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site,
Inspector.
White Copynnspectoes FIN Conary Copy/Me Notice