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HomeMy WebLinkAbout2015-00793 - gas line only CITY OF ORONO *�5 - 0 0 7 9 3 * , 2750 KELLEY PARKWAY DATE ISSUED: 06/18/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2385 GLENDALE COVE LA PIIY : 34-118-23-33-0069 LEGAL DESC : GLENDALE COVE : LOT O10 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 0.00 NOTE: GASL[NE TO OUTSIDE F[REPLACE APPL[CANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 LASALLE HEATING TOTAL 50.50 901 CRYSTAL LAKE RD W BURNSVILLE,MN 55306- Payment(s) (952)435-3633 CHECK 19020 50.50 Minnesota State License#: mech-MB005207 OWNER WEBER,ANGELA 2385 GLENDALE COVE LA LONG LAKE, MN 55356- AGREEMENT AND SWORIv 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 specitied 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wi the State Building Code.This permit may be , revoked at�y time for aus %�/ % l/ 'G /�.S_ � e v l� l ! v l 6✓ � pplicant Permitee Signature Date [ssue B gnature Date i i ' � F R TTY S$ONLY -� � �O� City of Orono � �— O P.O.Box 66 Date Receive . Permit �5— � 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 ��l-sx� o���'� CITY OF ORONO—MECHANICAL PERMIT S H (All Commercia]permits must be approved by the Building Official or Inspector and/or Fire Mazshall) GENERAL INFORMATION 1. You may appiy for mechanical permits by mai] 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 Desi ns—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 fmal). 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 A 1 �(Residential ❑ Commercial(Approval Required) � � ❑ New ❑Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �3�� GL�rv�A�€ �'�v,� � ti Owner: Mailing Address: City: �G ��'9k� Zip: Home Phone: Alternate Phone: Contractar Information: Contractor: ��,f ���c}T�,�G Contact Person: Address: �01 GnYs�n` G�%=� �Za State Bond#: �'l 13C�� 5 ZO'� w City: .gn��o.i Gt£ Zip:�S3,�Expiration Date: j �G Phone: (�1SL y3S-3C�3 Alternate Phone: ❑ Insurance— Current: 1 . � f MECHANICAL SYSTEMS BEING IN5TALLED , , V Note: Al] 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 BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Mode]No.: � Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� 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 VJhat&Where: 2 , y . , .� PERMIT'FEE C�i,CULATION(�) BASED OFF-2fl02 STATE S'T�TUE ❑ 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;excludins 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 Surchazge $ 5.00 Mai]-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(�aj—JOBS �VER$SOO.OU If above does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) � x.0125$ (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 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. MECI-�ANICAL PEI�MI'I'A.PPLICATIQI�T�GREEA�IENT 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. �. / f J V. � Applicant s Signature; �'����� Date: �� ! 'J'� / 3 �^ � � D�,T�. TIME CITY O ORONO CALLED IN �� ^L� INSPECTION OTICE SCHEDULED —� PERMIT N�/s�93co PLETED ADDRESS � 3 S-5 ����---�� �� OWNER PHONE o��-�5 3�3.� CONTRACTOR � � DESCRIPTION + �-� ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W 3 , /� a �� C�OO.�C� y�f //rI G �/D N�f j1(G fi C ✓ o � ��5 F�;-� �•2 � '� S � . ° ' a•% t c 5��s�a(� ' � ' W � Q � ` CO Kti/.�c6o i .(� �..S�Gt�( �'�f 4,1��.� -t- g �ao ��st t�n���• �:f��-.�� - � � , �',.. �,.� � j GW/�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �v�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forth ion 24 hours in advance. (952� 249-4600 Owne on or on sit •�I'l�i �� Inspector.0 � �"'" � - - White Copyflnspector's File Canary CopylSfte Notice � � �f/ \ � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE /'y]�� SCHEDULED PERMIT NO.J,��'S'--L%v/?„3 COMPLETED ADDRESS � .� �� �`�''!�C1rCl�,� G`�L��i� OWNER TELEPHONE NO. � - �3���.3 CONTRACTOR ' � . � DESCRIPTION l�'��(�� l�I�� �G2'./1 L%�`�. W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WA�L ❑ PLUMBING C`�(,�SI EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING AL TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC I ALL 2 OWNERfCONTRACTOR TO MEET YOU:_YES NO c�.� COMMENTS: � W a � J O � O � W � Q � 2 W � w � � J � ❑WORKSATISFACTORY:PROCEED /�PROJECT COMPLETE W ❑CORRECT VYORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WIIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a ho in a . 52) 249-4600 OwnerlContractor on site: Inspector: White Copyllnspector's File Cenary CopylSite Notke