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HomeMy WebLinkAbout2016-01524 - gas line only CITY OF ORONO 111111111111111111111111111111111 IN El IM * 2 0 1 6 — 0 1 5 2 4 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 � 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 Z ❑ RADON SLAB ❑ MECHANFAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v;P�_FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v [I DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: Pro v r/3 a, - o Gti/� fro r re—,1nsg,cz!�16 •� 0 W B; Q 12 Lai W OC j W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE 111: ❑CORRECT WORKS PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. (952) 249-4600 OwnerlContractor on site: Inspector. White CopyMspectoes Fila Canary CopylShe Notice DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. %� ���� COMPLETED ADDRESS I —T-r-T1/7 a LA t OWNER TELEPHO NO. CONTRACTOR / - �� C L- " DESCRIPTION C! ��Jcr W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ 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 ❑ AS BUILT-SURVEY ❑SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL OWNEWCONTRACTOR TO MEET YOU: YES_NO COMMENTS: � � y 6-i J •,..{, ��".^, yt�-w�`" �- rte'`'`> f11- z e,e�.� tu cc Z � S • 2 n � s � l L- .7 4A ❑WORK SATISFACTORY`.PROCEED A'ISSDU�FICA MPLETE W ❑CORRECTWORKa PROCEED TE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTK)N TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN 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. "} White CopyAnspoctor's FIN Canary CopylSlb Node el �. 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' W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W � 0 o; o W ccQ 2 UjF F W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE cc ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ct BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑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