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Home My WebLink About2014-01268 - gas line only . � CITY OF ORONO * z 0 1 4 - 0 1 z 6 8 * 2750 KELLEY PARKWAY DATE ISSUED: l0/29/2014 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 001 PERMIT TYPE : M�CHANICAL(>$500) PROPERTY TYPF, : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 515.00 NO"I�E: GASLINE FROM MGTGR'I�O PA"I�IO [N F3ACK OF I IOMF, APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH (VALUATION) 0.26 FLARE HEATING&AIR COND TOTAL 50.26 9309 PLYMOUTH AVE N SUITE ]04 Payment(s) GOLDEN VALLEY, MN 55427 CHECK 61861 5026 (763)542-1 166 OWNER ADVANCED HOME EXTERIORS INC 1161 WAY7_ATA BLVD E#167 WAYZA'I'A, MN 55391- AGREEMENT AND SWORN STATEMENT I�he��ork for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. "I his permit is for only the work describcd 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 compicd with whether or not specified herein.'T'his pennit will expire and become null and void if construction authorized is not commenced��ithin 180 days of the date oY issuance,or if construction is suspended for a period of 180 days al any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conibrmance with the State[iuilding Code.This permit may be rcvoked at any time for due caus�.-� a ; //�;.�:JJ � 0 Zr'I / / � � � Applic �t['ermitec S gnature Date Iss By Signature Date r • � ' �_____ FOR CITY USE ONLY � City of Orono '�� , P.O.Box 66 Date Received: Permit#�� 2750 Kcllcy Parkway Crystal Bay,MN 55323 Approved By: Amount$: �o. �� Phone(952)249-4600 Fax(952)249-4616 �',. .�i �� .:, i:. ,, ` � �'�,��'�' CITY OF ORONO—MECHANICAL PERMIT � (�All Commercial pe�mits must be approved by the Building Official or Inspector andror 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 BEG[N UVTIL THE PERViIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specitications are required for each heating,ventilation, humidification-dehumidification,and air conditioning installation including heat loss/heat gain calcu(ation,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 Iieating Test Record must be submitted before final. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑ Commercial (Approval Required) ❑ New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: ��-1!7 �"1��'I(1G�G�f�' �V� Owner:�� -�01(Yl�� Mailing Address: City: ��(C�h� Zip: Home Phone: Alternate Phone: Contractor Information: Contractor: �U�� Yl�b' �C Contact Person: Address: �3Q'�p�`IYYk�>�1� �v�� State Bond#: ��j�G�2y City: �`Tc�l�lch vc211CY Zip:�,`�'Expiration Date: Phone: 7'(0�j�'�-12_ I l Lo�,_ 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 GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power F[REPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Erhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abai:don ta�rk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gal(ons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What& Where: pje,Yl��`� ��(1 t �V Dy�(1 m G}�1r 2 � ��';o �h back o� �nowie � � . ' 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;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 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. CONT2ACT PRICE * is 1.25°/o of contract price with a(Minimum Fee of$50.00) � , I `�J ,C�C� X .oi2s $ �� .OG (contract price) (minimum$50.00) 2. STATE SURCHARGE �f„— � r �� x .0005 $ . Zl0 (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERiYIIT FEE(Add Lines 1-3 Above) $ �� 1,0 ■ * 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 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 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. Applicant's Signature: � Date: ��j-2� • �� 3 ' � � � pAT TIME CITY OF ORONO CA�LED IN U � INSPECTION IC �!��CHEDULED � PERMIT NO. c MPLETED ADDRESS � �� OWNER PHONE NO� 'S °Z V CONTRACTOR � � DESCRIPTION � � ❑ FOOTING �UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL /� ❑ FOUNDATION EMOVAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO �� 2 , � COMMENTS: �' ��"� ¢ � ,. � - ,, 0 � _, � � O � ��.� ,� r�� -- � �''� � �. Q Z . , ,.., � W � W � jry , y 1 W �"WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE �j0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CbRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-46�� OwnerlContractor on site: � � '' "� Inspector. � ' �' /� White Copyllnspector's File � Canary CopylSite Notice