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Home My WebLink About2014-01095 - gas line only . � � CITY OF ORONO * 2 PJ 1 4 - 0 1 0 9 5 * 2750 KELLF,Y PARKWAY DATE ISSUED: 09/25/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2345 GLENDALE COVE LA PIN : 34-118-23-33-0067 LEGAL DESC : GLENDALE COVE : LOT 008 BLOCK OOl PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE ; RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 225.00 NO"1't�;: GASLINI:'I'O I3[3Q FROM BF,IIIND S"I'OVG. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.12 �LARE HEATING& A1R COND MAIL-1N FEE 2.00 9309 PLYMOUTH AVE N SU[TE 104 TOTAL 52.12 GOLDEN VALLEY, MN 55427 Payment(s) (763) 542-1 166 CHECK 6(557 52.12 OWNER ADVANCED HOME EXTER[ORS INC 1161 WAYZATA BLVD E#167 WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for��hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. "I�his 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 specificd herein.This permit will expire and become null and void if construction authorized is not commenced widiin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenccd. The applicant is responsible for assuring all required inspec[ions are requested in confonnance with the State Building Code."I�his permit may be revoked at airy time for duc cause. � � ,��7 i/� Applicant Permitee Sign� re Datu [ssu [3y Signature Date , , . . RECEIV�':` �lFp 2�i � FOR CITY USE ONLY �^` City of Orono ' O P.O.Box 66 Date Received: Permit# � ` VO-'.. 2750 Kellcy Parkw�TY OF OR�,;' Crystal Bay,MN 55323 Approved By: Amount$: � � Phone(953)249-4600 Fax(952)249-4616 1. %+� :. � I � 1 �, rf` ..\ ;' \`kf��`�-' CITY OF ORONO — MECHANICAL PERMIT _�/ (All Commercial pennits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City oftices. 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 AR.E NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK N1UST NOT BEGIN UNTIL THE PERi�I[T CARD IS POSTED ON THE JOB S[TE. 3. Mechanical Desiens—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 A11 That A 1 ) �Residential ❑ Commercial(Approval Required) �New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: L�� j+G�_��' (^r',�J'(o �.i� Owner:/��(�1[��'�'� �("�� Mailing Address: City: Zip: Home Phone: Alternate Phone: Contractor Information: � r Contractor: ��f�' �f'p��,�( Contact Person: �C�`��/1 vC�(1;v�e)e Address: lJ�►I�V� State Bond#: M �jC�C'�,�ZLI City: C^[��irl �(C(��ip:,��2'(Expiration Date: Phone: 7��_5y2-11(s(a� Alternate Phone: ❑ Insurance—Current: 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systems will now require a Site Plan& Review by our Building Official. IS THIS GEOTHERI'IAL? ❑ Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTiJs: 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 VENT[LATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FliEL 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 LI'.VE ONLY � Outdoor Grill ❑ Other/List What&Where:�� ,--�p�� ,�� Q �� 01�V1 2 �h�� 5�� PERMIT FEE CALCULATION(S) BASED QFF- 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;excludinQ 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) 2L.L, ,� x .0125 $�(� .C)C) (co�tract price) (mimmum$50.00) 2. STATE SURCHARGE i x .0005 $ � l� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��y �� ■ * 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 Ciry for issuance of a Mechanical Pennit, 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. � � , 1J Applicant's Signature: e Date: ��'i —J �� 3 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED PERMIT NO. b�d S COMPLETED l- �' "�[ ADDRESS ��y- bl.1 fS � 3�1'S C>lc��rl.e Go�e L�. OWNER TELEPHONE NO. CONTRACTOR �l4/t �{�s- f ,/��C � DESCRIPTION �' ��G ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �4r4E2MA7�lICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERlCONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � a ?�t�S e .oQ.i�,t s �', n 4l� Lc� � 0 N[�c./7- Oe� � � �}— ,a Ce�Cef ,Spt r •�•1..� ). � O � W � Q � 2 W � W � � � W ❑WORK SATISFACTORY:PROCEED �RRAJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: � Inspector. ^^� Whits Copyflnspector's Fik Canary CopylSite Notice