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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. it-e.roft2) i)o 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 F Y NO CALLEDHEDLI 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.._ ccW Q. CC Ir cO ff l 6,?s- — bc,.,.�o �a. ` 7- — CC k29 1 0 rnt5 a) taco c J� • � CC d>Z Gave✓ cc WL eatAtORK PROCEED ❑PROJECT COMPLETE LIJ /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 CEJ` DATE TIME \(( CITY OF ORONO }�}� CALLED IN INSPECTION NOTICY `�� HEDULEDc-Ve 1 //€21"Yt. PERMIT NO.r-01 l o gala COMPLETED ADDRESS . 0 3 � Q/?(_)-e 4.1eit( 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. cc LLS Q. Gt, L et- `or/gAN.5 C� i:Gp_ 51,1c c ‘ ,'3a oa Gvt e,vt bP-4-Z. - cc o W CC Q Z G / f 45 1 ri't G t'10eA e'e-r4zlorn. (OD Z h6w5e 14)Q„Il— w CC IQCI WORK SATISFACTORY:PROCEED ROJECT COMPLETE W 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. -------9-4---71----- White Copyllnspector's File Canary CopylSite Notice