HomeMy WebLinkAbout2016-01458 - gas line only . CITY OF ORONO * 2 B 1 6 — 0 1 4 5 B *
'� 2750 KELLEY PARKWAY DATE ISSUED: 1]/2U2016
ORONO, MN 55356-
(952 249-4600 FAX: 952 249-4616
ADDRESS : 2340 GLENDALE COVE LA
PIN : 34-118-23-33-0062
LEGAL DESC : GLENDALE COVE
: LOT 003 BLOCK 001
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
ACTIVITY : O/S GENERAL
VALUATION : $ 500.00
NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION.
GAS LINE TO FIRE TABLE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.25
SUNDOWN HEATING&A/C TOTAL 50.25
26187 BUSCH DR Payment(s)
BELLE PLAIN,MN 56011- CREDIT CARD 6567 50.25
(952)412-1446
Minnesota State License#:HVAGMb005163
OWNER
VIERTHALER,ADAM&LEAH
2340 GLENDALE COVE LA
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
1'he 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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified 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 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant P rtee Signature Date Issue B gnature Date
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. ,� FOR CITY USE ONLY
' , �O A r City of Orono
1�/� P.O.Box 66 Date Received: Pennit#
2750 Kelley Parkway
Ciystal Bay,MN 55323 Approved By: Amount S:
Phone(952)249-4600 Fax(952)249-4616
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1qk�SH���.G CITY OF ORONO -MECHANICAL PERMIT
(All Commercial permits must be approved by the Building Oflicial or Inspector and/or 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 BEGIN UNTIL TAE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—Complete calculations,details and specifications are required for each
heating,ventilation,humidification-dehumidification,and air conditioning installation including
heat loss/l�eat 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 final.
TYPE OF PERMIT
(Check All That A � 1 )
�Residential ❑ Commercia] (Approval Required) [Backflow Device: ❑AVB ❑PVB]
❑ New ❑ Additional ❑ Repairs ❑ Replace
Job Site/ Owner Information:
Site Address: �3�b C��endzle C�ue Cx� •
Owner: �2v►� l��Qr�a�er Mailing Address: S�1
city: ��rc�✓�o zip: 553�0
Home Phone: Adi,•, � �(oSl -33(0- 43� Alternate Phone: �,e.�� ' (Dla-?Uq-�oVba.
Contractor Information:
Contractor: S,,i� !-�er�C� Pr<< Contact Person: �'�1Ih �� �S��(�J
Address: alo��7 �u SC�" Or. State Bond #: (1r��(�pSl lv3
City: �llC ��`r� Zip: �C�!( Expiration Date:
�S2^�{I z-- t�-1y�
Phone: Alternate Phone:
❑ Insurance -Current:
1
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MECHANICAL SYSTEMS BEING INSTALLED , '
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 BTUs:
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
VENTILATION
❑ Na Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfin
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 What&Where: }�'(tG �a�`Q
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PERMIT FEE CALCULATIONS
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 $
(conh•act piice)
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
to the customer for the work done. If any material,equipment,labar 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 Permit, agrees to do all
work in strict accardance with the ordinances of the City and the regulations of the State of
Minnesota,and certifies that all stateinents made on this application are complete,true and correct.
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Applicant's Signature: � Date:
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� DATE TIME �
CITY OF OR NO CALLED IN �� `
INSPECTION NOTICE �sc HEDULED / � - �
PERMIT NO. �L%����� �oMPLETE
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OWNER T PHONE N���� �����'�
CONTRACTO ���� , � �
� DESCRIPTION
t~ii ❑ 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 ❑ MECHANICAL 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
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v�i COMMENT'S:
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W ❑�IVORK SATISFACTORY:PFiOCEED ❑PROJECT COMPLEfE
� �9RRECT WORK 3 PROCEEO O ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECTVYORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN H��• ❑ p►�pTO TAKEN
INSPECTOR WFLL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cae tor the next inspection 24 hours in advance. (952) 249-48��
pwnerlContractor on sRe:
Inspector: �
ite CopyAnspector'a Fils C�nary CopylSFte Notice