HomeMy WebLinkAbout2014-00441 - gas line only , CITY OF ORONO * 2 0 1 4 - 0 0 4 4 1 *
� ' 2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014
ORONO, MN 55356-
952) 249-4600 FAX: 952) 249-4616
ADDRESS : 2524 SANDSTONE LA
PIN : 33-118-23-11-0019
LEGAL DESC : STONEBAY
: LOT 016 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,000.00
NOTE: GAS LINES FO 2 FP, 1 RANGE
APPLICANT MECHANICAL 50.00
STATE SURCHARGE MECH(VALUATION) 0.50
SCHULTIES PLUMBING MAIL-IN FEE 2.00
1521 94TH LANE NE TOTAL 52.50
BLAINE,MN 55449
(651)786-4007 Payment(s)
Minnesota State License#: plbg-058799PM,mech-MB005379 CREDIT CARD 6777 52.50
OWNER
Stonebrook Homes
1016 COVETRY PL
EDINA,MN 55424-
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 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
commenced within I80 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 nature //�,� Date
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05/12/2014 16:17 7632592299 SCHULTIES PLUMBING PAGE 62/07
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Cry �1�$S�Z3 ;;,; ��il�ii'I �:li.�.,i:,��., ':�i�,���;gi{':.;":'!`. ':�r:�����.,�� <i
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'°�' s,�oa� ��0�'ORUNO—1V�CHANICAL PERN�'
(AI!CDmltt�ial penttils must ye pppmved by thc Buildi�g Officlal or lnspecppi uttdJor Fire Mhrshall)
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1. You tnay Apply for mxhanical pErmits by mail or ln person at the City ot�"ices. Applioatipt�s will
be rcwiewed and a pernnit will be issued wit�in two warking days.
2. Fe�nit cards wiil be seqt by return mai]af�r a rcview is completed, PERMf't5 ARE NOT
VALTp LJri'1'[L y0U R$CEIVE A p�RMIT. ORK M T NO �GIN UNI'IL THE
PERMIT CARD IS POST�D ON TN�JOB 51'i'E
3. _ �chanical�esisns—Complete calculations,Qaails and specificatiions are required for e�ch
he,ating,ventilacion,humidi�ication-dchumidi.f,cmion,and air eonditioning instaiiaLian including
heat loss/hcat gain calcu[atfon,design temperatures,eyuipment ratit�s and identific�ion ps to
type,manufacturer and model. Data shall be presented on form pro�ided.
4. When any new construction or remodeling is invol�cd,a sep�c building permit must be
obtained.
5. Al!work must i�c done ie accordance with the U�iform Mechatiica2 CodeJState Building Code
requiiementS_
6. All work Imu9t ba inspectcd(rpugh-iit and finsl). Call(952)249�-46q0.
(2A�8 hour�otice reqqired)
7. Hou,se F�eating Test Rccord must bc submit�ed bcfore fir��1,
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�''Ttesidential ❑Comrraercial(Appro�a.l Required)
�N�W ❑Additional � Repairs ❑Replacc
�'Jtr�'�it�/:.��N'�ortit��i�an�.
Site Itddress:
Owner' �� M�iiing Address: ,�
City: Z�p: ,
Ho�'r�e Phane: �'" �J ��� Alternate Fhone:
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`,��iCtir 1r��'�rn!�rox►��.:. ,
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Contractor: Con.tact Person: �
Address: tate Bond#: �j �
���3'� � Zip� Expira.ci.an Datc: o�c�
Phone: �" ~ � Ai.ternate phon�: � —�C�
�f insurance--Current; t � / � / l r1�
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05/12/2014 10:17 7632592299 SCHULTIES PLUMBING , PAGE 03/67
Note:All C�eothermal System.s wil I now requi.�a Sitc PJan& eview by our Buiiding Of�ficial.
IS TH�S G�OTHERMAL? ❑Yec ❑No
HEATING SYSTEMS
Quantiry:
Makc:
Mode1:
Fael;
F1uC Size�
In�ut BTIJs:
Output BTUs:
CFM�
COULING SXSTEMS
Quantity:
Make:
Mc�del:
Tons:
H.Power
�'IREPLACES
❑ Gas Facbory FireP�� Brand Neme;
❑ Wood Bumir�g Fireplace
❑ Wood 5tovc Mode1 No.�
0 Wood Stove with Fiue/.Mascmry
VENTIL ON
[] No. ICitchen Exhaust duct rccirculating cfin
❑ Na. Bath 6xhaust(must havc duct outsidc) ��
❑ No. � Other Fans: Locations -" ��
F'iJEL ST G.E (Mu,st be itpprnved by Fire 1Ncnsh[rl!if proposing lo ab�a�tdo�tank��pdd�c�)
❑ Installation ❑ Removal
Fuel Oii: gailons ❑ Underground ❑).nside ❑Ou#side
LP Gas: gallotls
OthEr:
SzA�S1.INE ON1.Y
Autdoot Grill � Othcr/List What&Where: � ��y�
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05/12/2014 10:17 7632592299 SCHULTIES PLUMBING PAGE 04/07
❑ Yes,this sectipn applies
The replacer�ent of a esidc�ti Lfixture.�avnlianc�that meets all three of thc following requirements:
1• D� 'i�at require modifcation to electrical or gas service,
2. Has a I cost of$500.00�r less;exc din ttie cost of the fixturc or applianx:and
3. [s improved,installed or rcplaced by the homeowner or 1lccnsed contractor.
Skip next section,if this applics; Cost of Permit $_ 15.00
State Surcharge � _5.00
Mail-Tn Fee(If Applicable) $_ 2.00
Total Permi�t Fee S
Tf above docs not appiy;follow guidclines below;
l. RA T � CE °is 1.25%of contract price with a(Mittin�um F¢e of 550.00)
� � x.0125$ +��,4�
(contract pricc) (minimYm$.i0.001
2. STATE SURCBARGE �
_ � x,0005 $ ��
�OrnTBU pCicc}
3, POS?AGE&HAN.DLING(Only on Mail-Tn A.ppiications) $ z,pQ
4. TQTAI,PERMi�'FEE(Add Lines I,3 Above) $ � �
� "` CONTRqCT PRICE or JOB C08T means the ach�al ar estimated dollar amount charged for the
permitked w,or[c inclpding materials,labor,pro��,arid other fixed costs. It is the amaunt to bc charged
co the customer for the work done. tf any material,equipment, labor ot instal.lations are funnished by
the owncr,tenant or any other party,�,e reasonable market value of such items must bc added to thc
estimated eost or contraet price for permit fee purkwses. 1,�the cwer,t that there is a dispute on the
amount af the job eost,the Ciry may request tha submissian of a sig�ed copy of the aetual contraet
The undersigned here6y applies to the City for issuan.ce of a Mechanicaf Permit,agrees to do a!1
work zn strict aecordanee with th� ordinane�.a of the City and the regul.ations of th.e State qf
Minnesota, and certifics that all sratements rnade on this applica.tiota. are complete, true and
cc�rrect.
Applican.t's Signatu . �^ Date: � /+7 �J -
3
�/�,�, L%"' � DAT TIME �
�.ITY OF ORONO C!/- CALLED IN ��5����
INSPECTION N TICE SCHEDULED 7/l� /�/ �Q�g�,
PERMIT NO. �d/�`�yUI COMPLETED
ADDRESS ����� ���%�-j'J�,�A�,4 ;
OWNER TELEPHONE NO.��� ���0 ����
CONTRACTOR .� �2(_c�j�� I���crrJG�
� DESCRIPTION � � -- �
� �
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/Fl� G
Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP FINAL ' ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
� COMME�:f`
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W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site: �4��
Inspector. � `�.. � (
White Copyllnspector's File Canary CopylSite Notice
�� T TIME �,!
CITY OF ORONO CALLED IN �
INSPECTION NOTI E SCHEDULED �
PERMIT N COMPLETED
ADDRESS
OWNER TELE NE NO.�� 78�2��07
CONTRACTOR ��%h����� �
� DESCRIPTION ����%���S ���'t-�
� ❑ FOOTING �LUMBING FINAL ❑ EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� � FINAL ❑ SEWER HOOK-UP ❑ COMPWNT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL
2 �NNERICONTAACTOR TO MEET YOU:_YES_NO
y COMMENTS:
a �6l�10 /5 �l d�G�i�i S "
O ��y�'�k/�l `J��- �e.�/��
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� ❑WORKSATISFACTORY:PROCEED �RWECTCOMPLETE
W ❑CORRECT WORK 8 PROCEEO ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
�INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
C •nspection 2a�in advance. (952) 249-4600
O fContractor on site:
Inspector:
Wh Copyflnspector's File Canary CopylSfte Noties