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Home My WebLink About2011 - 00023 - gas line only CITY OF ORONO PERMIT NO.: 2011-00023 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 01/10/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2601 WEST LAFAYETTE RD PIN : 21-117-23-21-0003 LEGAL DESC : REG. LAND SURVEY NO. 0131 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,000.00 NOTE: GASLINE FROM METER TO GENERATOR BEHIND EXISTING GARAGE. APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING& HEATING STATE SURCHARGE MECH(VALUATION) 5.00 1880 WAYZATA BLVD W P.O. BOX 150 TOTAL 55.00 LONG LAKE,MN 55356 (952)473-8793 OWNER BARBARA J BOWERS, DOUGLAS J OLSON & 2601 WEST LAFAYETTE RD EXCELSIOR, MN 55331- 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 requesteorrfarmance with the State Building Code.This permit may be revoke t any time fo`e cause. a_i/L_ Applicant Permitee Signer Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 31,7- 3/ A F C USE ONLY City of Orono \� / �/ PO.Box 66 Date Recei /1 Permit# CC,oiO—�e (`O, G'.I, 2750 Kelley Parkway / i't r` Crystal Bay,MN 55323 Approved By: Amount$: , 9 �� j (952)249 4600 CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 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 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 M !: _:.I-II3 : .. ;_S'ON U-D J01:SITE. --...',.-..,-,:;d,,,„7.,-,, _,-, ;:.-„.p e_e calculations,details and specifications are required for each ;—;;;;;;•4, _.r„i -;;•;;;;;,;;;!;;;;;.;;fit-0-;;;;;-(lehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures.e.atiipment tatit.F.s__rid:enti.;,, o...._to iy lx-, fi tdiitliatttiiti a tL itn t a r,2E.- ... . ...:.... .. .... .:_ i. When any,new i',itit trt___:_,:t „htained. ^.i: work rna be done in accordance with the Uniform Mechanical Code/State Building CoG: r, .,,, win!, must LIG iiisl)et. Gu(iougii-iii anti final) Cali(9J2) •Uuv. r. house mating I est Keen/it must ne sunmirreo nefore Filial. TYPE OF PERMIT i (Check All That Apply) )FfResidential ❑Commercial(Approval Required) E New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information:/ [':t.. A:1:1 d( l/ 1 ✓v ei / Wl cycei `--_ 0 Owner: 0/j /8i e S 5 Mailing Address: 6O1 w . LcA Cc e-k0 Home Phone: Alternate Phone: Contractor Information: r. .:,.s.:.,...,: a,,,,, fii Joc\J Address: / 80<J 8 (a !s i-wgyzoI 1(k e i v State Bond#: 1 LI L 33 5 1 1 La>�� CUWe 53 3S-4, s. I)131/ 0i 1 Phone: 9 5 a y 738793 Alternate Phone: 6.)v2 6�c 3.(/L4 ❑ Insurance—Current: Y . 1 I MECHANICAL SYSTEMS BEING INSTALLED 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 O Wood Burning Fireplace O Wood Stove ❑ Wood Stove With Flue Brand Name: Model No.: VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Other/List What&Where: 6.1- i t✓LtL_ Ec_gc" eel-) r✓q ey,"S-J✓! 2 601‘0(T---, • • ❑ Yes,this section applies The 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. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ F :: PERMIT NSE CWI7LA 'ION'(S) JOBS (JY-fER'$500.00 a s If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) O 000 x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 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 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 STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. ,. MEGA`NIAZ`,P RMIT APPLICATIOI .AGREEME TT> 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. leo Applicant's Signature: ` Date: /(0// 3 �) 1 DTE TIME \-CITY OF ORONO CALLED IN � f INSPECTION NO ICE SCHEDULED I I J I � ;(l r` PERMIT NOPt lT` CO3% CCOMPLETED ADDRESS lc L I � � L cc( L l c c� OWNER TELEPHONE NO. CONTRACTOR I f l `, " 1_) DESCRIPTION 1n '1 I I f� --(7 l- i(f`�'\ u ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ; i • [11 INSULATION CI WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTI FINAL 1=1FOUNDATION/REMOVAL • OWNER/ ONTRACTOR TO MfELYOU YES NO (.1 COMMENTS: Q. O O U- W Q ColW W CC O W ❑WORK SATISFACTORY:PROCEEDII PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ti 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 Owner/Contractor on site: Inspector. ( J Lr i L.55 White Copy/Inspector's File Canary Copy/Site Notice