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
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� pplicant Permitee Signature Date [ssue B gnature Date
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' � 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'�
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City: .gn��o.i Gt£ Zip:�S3,�Expiration Date: j �G
Phone: (�1SL y3S-3C�3 Alternate Phone:
❑ Insurance— Current:
1
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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
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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.
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Applicant s Signature; �'����� Date: �� ! 'J'�
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�^ � � 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:
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GW/�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
�v�CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑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:
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� ❑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