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HomeMy WebLinkAbout2015-00822 - gas line only CITY OF ORONO 1111111111111111111111111111111111111 * 2015 - 00822 * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1060 TONKAWA RD PIN : 08-117-23-13-0019 LEGAL DESC : RYANWOOD : LOT 001 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,200.00 NOTE: GAS LINE FOR OUTDOOR FIREPLACE&POOL HEATER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.60 STEWART PLUMBING,INC. 13025 GEORGE WEBER DR TOTAL 50.60 SUITE#1 Payment(s) ROGERS,MN 55374 CHECK 12990 50.60 (763)428-1833 Minnesota State License#:plbg-PC000474,mech-MB003262 OWNER Dielan LLC HOGAN 1060 TONKAWA ROAD 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 requir-s inspections are requested in confo ce with the State Buil'' g o. i is permit may be revoked at.1- I or due caus-. OaCA LeiV) Zcris ,plic. itee ignature Date Issued By Signature Date FOR CITY USE ONLY t /�OA T City of Orono ,E� 7._.,'Z.— lit"-‘j PO.Box 66 Date Received: (0/ 1i Pmit# 2015 CG 0—2750 Kelley Parkway '7�Crystal Bay,MN 55323 Approved By: 1c --' Amount$:Phone(952)249-4600 Fax(952)249-4616 ESHOCITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. 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 PERMIT 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/heat 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. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) Residential ❑Commercial(Approval Required) ❑New Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: 0 '0) NLUA7 0 R 0 Owner: (4°C-'A N Mailing Address: 10 6 0 City: 0kA%O Zip: 55 %S,, Home Phone: Alternate Phone: Contractor Information: Contractor: ( k-A-)'°"2" 113id%Contact Person: r�C K C.Lc Address: (3Oa5 Ge3 \kfzgA2State Bond#: 6 ( 3—)-4 City: C-0(71,P-S Zip.55374 Expiration Date: 1 a 13 l /15- Phone: C 4A- ` "J 33 Alternate Phone: Insurance—Current: YES 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ YesQNo (:)‘-)T1)°")(2-- / 00; 0cco/L Cu i idooA HEATING SYSTEMS Quantity: ? L f-\ flh^t2 ��fi�IGt eC Make: Model: Fuel: Flue Size: Input BTUs: p� Output BTUs: `CRl UG, 000 U 000 Wr 000 CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: O Wood Burning Fireplace ❑ Wood Stove Model No.: O Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation 0 Removal Fuel Oil: gallons ❑ Underground ❑Inside 0 Outside LP Gas: gallons Other: GAS LINE ONLY Qyl Outdoor Grill Other/List What&Where: 001 0301Q. F( C_ 2 COT 030,2 `pO L N-eiw2 PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ 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 $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) UJ 0, x.0125$ (°° (contract price) (minimum$50.00) 2. STATE SURCHARGE :9 1 ' o t� V x.0005 $ CXJ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 6° 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5-0 * 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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. e2 ic Applicant's Signature: b(15 pp %(J Date: 3 i DATE TIME,` CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. [ nd 43 COMPLETED 6^ ?-9--f ADDRESS 1060 TB'tk-a`-4'a OWNER TELEPHONE NO. CONTRACTOR 46 e( .i t )Oif . DESCRIPTION u 4• 944 /rd e -1"`i, 76Y ✓5. g -133 I-. C / W El FOOTING 1 ❑ DEMO-Fff AL 0 SEPTIC FINAL Q. ❑ Q POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF El PLUMBING FINAL El TREE REMOVAL • ❑ RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 COMPLAINT -40 FINAL ❑ WATER HOOK-UP 1:1 FOLLOW-UP _ ❑ AS BUILT-SURVEY ElSEWER HOOK-UP ElHARD COVER REMOVAL ❑ DEMO-SITE El SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TOTOOMEET YOU:_YES_NO • COMMENTS: 6� '-' 61: C-fle• ^' cc 4.1 kj(,irle G.0 �a Cip av1 b8 y �a/ poor % he4t.er —t vktCAP✓ 14 3rI-t( 71—Due ,- r. P tt o , a i t o 5t Jo// -y e 4'd 0#15_, — W cc Q - /Q PZ c0f aUtd - c, ;I rlo✓ , c- z O4 - / 01st., a 4610 -6i - cmc W - cc ci to,r,"„f a 4- -IS e'6 k-er n at, J W 7• 41ofKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN CI LI 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: .yam Inspector. r'""' / White Copy/Inspector's File Canary Copy/Site Notice V ----3DATE TIME CITY OF ORONO CALLED IN INSPECTION N TIC CHEDULED 5 t�?) PERMIT NO. l,-eo C MPLETED ADDRESS /006 SC GYQ--- OWNERTE ONE NO? -I CONTRACTOR / - DESCRIPTION /361r Fr I—6;11 I ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL IL. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 1,3 ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO te)• COMMENTS: IQ CNA set td y4f / ,�e, f2v y,. << +- ac "o0 C h e.tte' ✓ W �'1�1 i*e h! 4.t di 44.02 .b k4.. - /01 - a e..1.....>cc T ra�Q� Q W z W cc 0 W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED lagrJUS2ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner!Contractor onsite: •"'7 Inspector. c0/ White Copy/Inspector's File Canary Copy/Site Notice