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Home My WebLink About2014-00936 - gas line only . � CITY OF ORONO * 2 0 1 4 - 0 0 9 3 6 * 2750 KELLEY PARKWAY DA'rE ISSUED: 08/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4060 DAHL RD PIN : 07-117-23-I1-0020 LEGAL DESC : PIRATGS COVE : LOT 016 BLOCK 001 PERMIT TYVE : MECHANICAL(<$500) PROPERTY TYPE : RF.SIDENT'IAL CONSTRUCTfON TYPE : GAS LINE ONLY NO"I�E: UAS1.1Nt?'I�O GF.M�:Ri��I�OR[3l?I IIND GAR�1Gf�:. APPLICANT MECHANICA[.,(<$500) 15.00 STATE SURCHARGE MECH (<$500) 5.00 ASPEN VENT[LATION & HEA"1�[NG CO. TOTAL 20.00 9815 P[ONLER TRAIL LORETTO, MN 55357 Payment(s) (763)498-7053 CREDIT CARD 3758 20.00 OWNER NEVF,JR,J & J 4060 DAHL RD MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT I'he work 1�or which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This perniit is for only the work described and does not grant pennission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of[he date oT issuance,or if construction is suspended for a period ot� l80 days at any time afrer work has commeneed. The applicant is responsible for assuring aIl required inspections are requested in conformance with the State Buildin�Code.This pern�it may be revoked at any time for d cause. ��- / O � ��/ pplicant Permitee Signature D tc Issu By Signatur� Date � ' -• CIT USE ONLY City of Orono Q / �-O� P.O. Box 66 Date Receive . l ermit# S� /�F� 0 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: �0•0 Phone(952)249-4600 Fax(952)249-4616 � .a. 2 � F L� CITY OF ORONO —MECHANICAL PERMIT `�K�S H�� (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail ar 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 DesiQns—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 final. TYPE OF PERMIT (Check All That A ly) �Residential ❑ Commercial(Approval Required) . ❑ New �Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: � � W G �J c;�.� � �c� . Owner: Mailing Address: City: � �o r��z Zip: Home Phone: Alternate Phone: Contractor Information: �Q�.-� V�.,r,t:u,.t,�. � /��,%�� Contractor: ��y��L;�4a - Contact Person: m� Address: a��`' ��'r T� State Bond #: �QC3 )� �� I ��35 7 City: G�� Zip: � Expiration Date: Phone: � L-� y°!� �70`�3 Alternate Phone: �%�Z ZZ/ St�7 G ❑ Insurance— Current: 1 , , . MECHANICAL SYSTEMS BEING 1NSTALLED — � Note: All Geotl�ermal Systems will now require a Site Plan & Review 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/Masonry VENTILATION ❑ Na Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�chaust(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 ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill [� Other/List What& Where: �(� ��+� 2 ��r:� c,'G�'�� : �� %S� �5 p� . , , 4 � t 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 $ �t� •�t5 PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 If above does not apply; follow;uidelines below: l. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �jL(J �� C� x .0125 $ (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ (contract price) 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 wark including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any matenal, 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. Applicant's Signature: Date: � Z Z � 3 �—� � DATE / TIME J CITY OF ORONO CALLED IN S� .Z!�� -�—� INSPECTION OTIC SCHEDULED ��2�%� _s�_ PERMIT NO.�� MPLET � ADDRESS OWNER T L � H E NO��a��'�D7� CONTRACTO _ �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL AI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVA� 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a /j• J • / O �. � / 0 � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. ( 5,� 249-4600 OwnerlContractor on site: �"� Inspector_ White Copyllnspector's File Canary CopylSite Notiee