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.
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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
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• ❑ 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• ^'
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❑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
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----3DATE TIME
CITY OF ORONO CALLED IN
INSPECTION N TIC CHEDULED
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PERMIT NO. l,-eo C MPLETED
ADDRESS /006 SC
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OWNERTE ONE NO? -I
CONTRACTOR / -
DESCRIPTION /361r Fr I—6;11 I
ly ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
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❑ 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:
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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