HomeMy WebLinkAbout2016-00553 - gas line only CITY OF ORONO111 II 1
* 2016 - 00553 *
2750 KELLEY PARKWAY DATE ISSUED: 05/20/2016
• ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 2310 OLIVER HILL
PIN : 34-118-23-33-0075
LEGAL DESC : OLIVER HILL
: LOT 5 BLOCK 1
PERMIT TYPE : MECHANICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 600.00
NOTE: NEW GAS LINE FOR OUTSIDE FIREPLACE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.30
JESSE TOUTGES LLC TOTAL 50.30
5260 CLAYTON DRIVE Payment(s)
MAPLE PLAIN,MN 55359- CREDIT CARD 0938 50.30
(952)913-5856
OWNER
ALMSTED,DAVE&CHALEEN
415 NO. 1ST ST
#514
MINNEAPOLIS,MN 55401-
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 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 Permitee Signature Date Issued By SignaattuY Date
City of Orono /FOR CITY USE ONLY i
�O` V P.O.Box 66 Date Received. permit#2 0/k—'"
` 0 2750 Kelley Parkway
` Crystal Bay,MN 55323 Approved By: ____41Amount$: 0
Phone(952)249-4600 Fax(952)249-4616
IkrsO�``G` CITY OF ORONO—MECHANICAL PERMIT
H (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 fmal.
TYPE OF PERMIT
(Check All That Apply)
❑Residential El Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB]
t New ❑Additional El Repairs El Replace
Job Site/Owner Information: �/
Site Address: 31 D (J� j L)C/ // (//
Owner: ILA)k AtlAr .off Mailing Address:
City: (�/`O0 Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: �stc T w te-s L C C Contact Person:
Address: 3260 ((Ai *N-.ff. • State Bond#:
City: Ayt. Zip:SS2P Expiration Date:
Phone: 7 3 2-913 S g'S G Alternate Phone:
❑ Insurance—Current:
1
V
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:
Li Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove with Flue/Masonry
VENTILATION
❑ No. Kitchen Exhaust duct
fm
❑ No. Bath Exhaust(must have duct outside) recirculating cfm
❑ No. Other Fans: Locations c
cfm
FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.)
❑ Installation ❑ Removal
Fuel Oil: gallons
LP Gas: ❑ Underground ❑ Inside ❑Outside
gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill Other/List What&Where: (.A_4 I i 1' (c
2
PERMIT FEE CALCUL t ` •
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 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.
MECHANICAL PERMIT APPLICATION 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 this application are complete,true and correct.
Applicant's Signature: , Date: . "2 V/
3
3
DATE TIME
CIT
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INSPECTION NOTICE SCHEDULED
PERMIT NO. Mf(,—605530MPLETED
ADDRESS 02 3/ 0 6-f( ue- / /(
OWNER TELEPHONE NO. 9,57 -9/3
CONTRACTOR V —17t '
DESCRIPTION gir /1Q_
❑ FOOTING 0 DEMO-FINALaa^ 0 SEPTIC FINAL
QLI POURED WALL 0 PLUMBING RI l-- ❑ EXCAV/GRADING/FILLING
lot ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL L/IZ.Q� ❑ TREE REMOVAL
• ❑ RADON SLAB 0 MECHANICAL RI �❑ SITE INSPECTION
' 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
LAJ 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.
0 DEMO-SITE 0 EPTIC INSTALL
• OWNERfCONTRACTOR TO MEET YOU: ES NO
• COMMENTS: MLP c/2 /;t12-rm.._
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/tRRreT WORK&PROCEED CI ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: �ef�ci
Inspector. (�
White Copyllnspector's File Canary Copy/Site Notice
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DATE TIME \((
CITY OF ORONO }�}� CALLED IN
INSPECTION NOTICY `�� HEDULEDc-Ve 1 //€21"Yt.
PERMIT NO.r-01 l o gala COMPLETED
ADDRESS . 0
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OWNER __. TELEPHON NO. 94.3 -seif,k
CONTRACTOR �e'C_Se 7&-/2 -S
DESCRIPTION (/(k-- (--- filPar-t- 1
W ❑ FOOTING 0 DEMO-FINALSEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI Off" 0 EXCAV/GRADING/FILLING
H ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINALPC) 0 TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RIQ� 0 SITE INSPECTION
Q ❑ FRAMING 1214,1ECHANICAL FINA6 / j„n RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE" ❑ COMPLAINT
Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
✓ ❑ DEMO-SITE ❑ S IC INSTALL
::s OWNERICONTRACTbR TO MEET YOU: _NO
• COMMENTS: 7/1- pis �fe , 41-7-7-1.
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IQCI WORK SATISFACTORY:PROCEED ROJECT COMPLETE
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CI CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
O [7CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
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White Copyllnspector's File Canary CopylSite Notice