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Home My WebLink About2015-00241 - gas line only f� CITY OF ORONO * 2 0 1 5 - 0 0 2 4 1 * � 2750 KELLEY PARKWAY DATE ISSUED: OZ/26/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2496 SANDSTONE LA PIIv : 33-118-23-11-0023 LEGAL DESC : STONEBAY : LOT 020 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,000.00 NOTE: GAS LINES:2 FIREPLACES, 1 RANGE, 1 DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 SCHULTIES PLUMBING MAIL-IN FEE 2.00 1521 94TH LANE NE BLAINE,MN 55449 TOTAL 52.50 (651)786-4007 Payment(s) Minnesota State License#:plbg-058799PM,mech-MB005379 CHECK 33205 52.50 OWNER Wooddale Builders Inc. 6117 BLUE CREEK DR SUITE 101 MINNETONKA,MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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. /n„„ /(,�// � � -�_ C.��'� � / `t('/ � Applicant Permitee Sign ture Date Issued By Signature Date � # " � �,, � �A�' Cityp o�f LOLrono ;` �, �:� "�� , �` � ;�.�� 7i 1 P.Q.LTIX W �� #Sp) � Wl E &Q'<Y� ��0 � 2750 Kelley Parkway � � � ' '� - ��`�'"� � Crystal Bay,MN 55323 �� r', � � , Phone(952)249-4600 Fax(952)249-4616 ' "`„�� ' ' '�`;- �,s, , �,�, ,;., � �' ��t� �°�� CTTY OF ORON — � sxo� O MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fice Marshall) �1�{�'i��'��_ � fi:. E 77."''�. v`"•�G`� '��` '� �� ?r�,� �-z�.. .a ,a'., s�;:� 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 UNTII.THE PERMIT CARD IS POSTED ON THE JOB SITE 3. Mechanical Desig�—Complete calculations,details and specifications are required for each heating,venrilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain caiculation,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 CodeJState Building Code requirements. 6. AII 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. � �x�.: - -� � � �.:, ,��.��, '�,.� �' ?•<� .e, ,t �+x ti_,. �Residential ❑Commercial(Approval Requind) ❑New ❑Additional ❑Repairs ❑Replace �S3�/ ''�31�� f �` .��v, Site Address: o��/q� . � � � Owner• Mailing Address: �/� ��%��,�� City: ��lG�e�t�il.e..• %��.. Zip: ffi�`��—� Home Phone: `�'?�-3�j�5� Altemate Phone: � �o�tAr�` �: �� .�. Contractor: �` I Contact Person: Address: �� State Bond#: . City: Zip::�Expiration Date: o� Phone: �d3 7f��7 Alternate Phone: 763".�`�� .^ � Insurance—Curtent: ! / � ��✓/� 1 i � � 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 BTLTs: CFM: COOLING SYSTEMS Q�►�tY: , 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) � ❑ No. Other Fans: Locations cfim FUEL STORAGE (Must be approved by FYrt Morsholl fJ'proposing to oba�dwt tank in placa) ❑ Installarion ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Otrtdoor Grill � Other/List What&Where: �`" / ��I� 2 J � , a-' t ❑ Yes,this section applies The replacement of a Residential fixtiue or apoliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a tot�l cost of$500.00 or less;excludin¢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 Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above dces not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fce of$50.00) � x.0125$ ,.s�•O�� (c etract price) (minlmam SS0.00) 2. STATESURCHARGE , � �/'� x.0005 $ . .�U ° (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,equipmeut,labor or installations are fiunished 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 petmit 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 contiact. 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 a11 statements made on this application are complete, true and correct. Applicant's Signature. Date: ��%�� 3 DATE TI CITY OF ORONO CALLED IN INSPECTION NOTIC€ SCHEDULED PERMIT NO. �'3!5 ��i� COMPLETED '7�7"kS ADDRESS o�� c�o Kc �� - OWNER TELEPHONE NO. CONTRACTOR ��`� � DESCRIPTION � � 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � a a G� �.,�=5 �� ',!� . , � fQ�� , rt ��'�Q� o � � /� � /yld�W• Z�S�tX ,i� 7-'�'/�^ •� W Q l�� m a��• .��s� ' � � Ps�,,,,�C ,�.�cs/`� W � � � ❑WORKSATISFACTORY:PROCEED �. R�OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. ^ White Copyllnspector's File Canary CopylSite Notice