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Home My WebLink About2018-00086 - gas line only • . CITY OF ORONOl �� l; 'I' j I'��I I' * 2 0 1 8 - 0 0 0 8 6 * 2750 KELLEY PARKWAY DATE ISSUED: 01/24/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 340 LEAF ST PIN : 04-117-23-23-0008 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 028 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINE FOR NEW STOVE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 CITY VIEW PLUMBING&HEATING 1880-B WAYZATA BLVD W TOTAL 50.25 P.O.BOX 150 Payment(s) LONG LAKE,MN 55356 CHECK 37595 50.25 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER JUUSOLA&BETH H,BRENT 340 LEAF ST LONG LAKE,MN 55356- AGREEMENT AND SWORN 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 specified herein.This permit will expire and become null and void if construction authorized is not c.--••enced within 180 days of the date of issuance,or if construction is .uspen.-d for a period of 180 days at any time after work has commenced. he appl ant is responsible . assuring• -quired inspections are equested , conformance the State : ing Code.This permit may be evoked at time for due se. a. � Oki, . .�� .4 / fe,„--,4( i -Z A:.1 . t P= 111"' Signature- Date Issued By ature Date FO CIT USE ONLY �T City of Orono / G gb WP.OBox 66 Date Received: �� Permit# 1 O —2750 Kelley ParkwayCrystal Bay,MN 55323 Approved By: AmountS:Phone(952)249-4600 Fax(952)249-4616 ksllo� CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—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 All That Apply) AResidential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] [' New ❑Additional ❑ Repairs E Replace Job Site/Owner Information: Site Address: 3 40 4 54- . Owner: 5feitt U-U-Sol . Mailing Address: 34L Leoi 51-- City: lAn La-A,' Zip: ',53 6 Home Phone: 612 - I1 i g 3/6'1 Alternate Phone: Contractor Informatioln: ,n ,�, Contractor: CC' V t e(A) 1216" );\'' Contact Person: $ � I'�'tt�"u' Address: 1 (KO ✓lV State Bond#: B & 6?--kc City: ` O vl taik& Zip L 3 Expiration Date: I c713 17 9Z,1 Phone: (1 ?---in— U 71,3 Alternate Phone: Insurance—Current: j'(.. 5 ,5x _ 1 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 ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm 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 VI • Outdoor Grill Other/List What&Where: `� 54-60 67 2 `, ERIV�IT:FEE CALCiJI;ATIONSn. 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) L6142 x .0125 $ 6 0, 00 (contract price) (minimum$50.00) 2. STATE SURCHARGE 5 x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 5� • )-5 ■ * 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. . 1VIECHANIO °PERWT- 'PPLIC rfION AGREEMENT . ' 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 t ;s application are complete,true and correct. 14 4g 1 Applicant's Signature: Date: 3 ki �' Sl.."1---- / SAT ♦ TIME CITY OF ORONO CALLED IN ( Mr. INSPECTION OTICE SCHEDULED AVS . 9;&) PERMIT NO COMPLETED ADDRESS 3 S(--- OWNER - - TEL I O.9o-a'-V-734 7.3 CONTRACTOR i''' fie `�Q _ ` U`2--- DESCRIPTION Af' / 'OU &4y 741Y W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/ RADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT SAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO cc., COMMENTS: a. Co frac fQJ /#4. car ros ri — a - 4•r tes* Acia.4( '961-x` - ► /1>cr ¢re )c ,b6..� a l sd�e s O cE• °. r CDn� * av 6pfoe,tde, Site.6 'a-r-C VG/de fogey e_ car-- eree -- u.,W Z CC OK t — ri A -4 6&A4b/e Z.ft- -- 4" a F,160104‘ errs-t f,#i ImP W ❑WORK SATISFACTORY:PROLE .tROJECT COMPLETE CCW CI CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. /i- f White Copyllnspector's File Canary CopylSite Notice