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Home My WebLink About2011-00088 - gas line only � ' CITY OF ORONO PERMIT NO.: 2011-00088 ' 2750 KELLEY PARKWAY ? ORONO, MN 55356- DATE ISSUED: 02/08/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 242� DUNWOODY AVE PIN : 20-117-23-22-0009 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 003 BLOCK 008 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NO"I�E: (2)1'IREPLnCI��GASI,,INES APPLICANT MECHANICAL(<$500) 15.00 ALPHA MECHAN[CAL SERVICES STATE SURCHARGE MECH (<$500) 5.00 4173 HAZEL STREET WH[TE BEAR LAKE, MN 55110 TOTAL 20.00 �� (65I)755-2648 OWNER WALSH,JEAN 2425 DUNWOODY AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�vork t��r which this permit is issued shall be perf��rmed accordin�to lhc approvcd plans and spccifications,applicable City approvals,and thc Stxle[3uilding Code. This pennit is far only the�corh described and does not grant permission fbr additional or rclated work which requires separate permits. All provisions of la��s and ordinanccs govcrning this type of work shall be compied with N�hether ur not specificd herein."I�his permit�vill � etpire and becomc null and void if construction auUiorized is not i commenced within 180 days of the date of issuance,or if consuuction is � suspended for a period of 180 days at any time afrcr work has commenced. �; "fhe applica�t is responsible for assuring all required inspections arc requested� confonnance with the State Buildina Code.'lliis pennit may be � revoked• any time for due u�. � � �i � i // /�pplica t Permitce Si na re Date lssued ��Si�nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' ' F K 1 USE ONLY ��A,� City of Orono / �� `�'\\ P.O.Box 66 Date Received: Permit#��f� � � 27�0 Kelley Parkway �� I ��a 1 �; `' ti� Crystal Bay,MN 55323 Approved By: Amount$: �d• \�d� ��,�� 4.�0` Phone(952)249-4600 Fax(952)249-4616 � �+cyreso� CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or lnspeclor and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail ar in person at the City offices. Applications will be reviewed and a pennit 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 Desi�ns—Complete calculations, details and specifications are required for each heating, ventilarion, humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment rarings 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 pernnt 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 Apply) �Residential ❑ Commercial(Approval Required) ❑ New [v]�Additional ❑ Repairs ❑ Replace Job Site /Owner Information: Site Address: -� �� YJi.� n f;�)�U � Owner: Mailing Address: City: Zip: Hoine Phone: Alternate Phone: Contractor Infornlation: Contractor: ��1 Y►�-� � S-2,�• Contact Person: /� Address: �!?3 �i�2� � State Bond #: City: 1,tJ��— Zip:�� Expiration Date: Phone: (�Sfl"�5��"Z(� `� � Aiternate Phone: ❑ Insurance — Current: 1 � . � � � MECHANICAL SYSTEMS BE1NG 1NSTALLED Note: All Geothermal 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 BTlis: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand?�'ame: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be app��ot�ed b��Fire Marsliall if proposiizg to aha�:rion tank in place.) ❑ Installation ❑ Remova] Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE Ol\�LY ❑ Outdoor Grill � Other/List What&Where�z G}v`f j �� T�p�Y�L'P �i�v�� —T- 2 t . . 7 PERMIT FEE CALCULATIOl�'(S) BASED OFF - 2002 STATE STATUE ❑ �'es, tlus section applies The replacement of a Residential fixture or a�pliance that meets all tluee of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of�500.00 or less; excludin�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 Pernut $ 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; follo�� guidelines below: 1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$�0.00) �(q-('�j x .0125 $ �tract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x .0005 $ (contract pnce) (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 ro 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 subinission of a signed copy of the actual contract. ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of�5.00. MECHANICAL PERMIT APPLICATION AGREEMENT The undersib ed 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 Signaturc:Y;'� L/� Date: Z �� I � 3 �� a�� ATE • TIME �� CITY OF ORONO �'�CALLED IN � �� INSPECTION NOTICE SCHEDULED -�� - .-. . � , PERMIT NO. r��11( �(1CY��5� connP�ErEo ADDRESS �� E c j`?�.t `r'�'C r1�f�l.�f� OWNER TELEPHONE NO. �'��-� =�/`�3 CONTRACTOR /��f C /�CG�lS /�/,�, � �� . � DESCRIPTION � � / I�'1 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ SEPT�FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:,L�YES_NO � � � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � � GW WORKSATISFACTORY:PROCEED ROJECTCOMPLETE W ❑ RRECT WORK 8 PROCEED ^_�E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. �-LL �i I.,�-�'� White Copyllnspector's File Canary CopylSite Notice A TIME ✓ CITY OF ORONO CALLED IN �"�� INSPECTION NOTICE (/� SCHEDULED �� PERMIT NO,/�O,/�� COMPLETED ADDRESS O�TO�S ��/((�-��/ OWNER L PHONE NO.�SI 7� �< o CONTRACTOR � G�� ; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � (� � S � � � 1" ��t— 0 � W � � Q � 2 W � W � j d W �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. ( .o/�`�c..-� �/Vt.� White Copyllnspector's File Canary CopylSite Notice