HomeMy WebLinkAbout2014-00440 - gas line only L
• CITY OF ORONO * 2 pJ 1 4 - 0 0 4 4 0 *
2750 KELLEY PARKWAY DATE ISSUED: OS/13/2014
ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 2526 SANDSTONE LA
PIN : 33-118-23-11-0018
LEGAL DESC : STONEBAY
: LOT O15 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,200.00
NOTE: GAS LINE FOR 2 FP, 1 RANGE, 1 DRYER
APPLICANT MECHANICAL 50.00
SCHULTIES PLUMBING STATE SURCHARGE MECH(VALUATION) 0.60
1521 94TH LANE NE MAIL-IN FEE 2.00
BLAINE, MN 55449 MISC FEE 0.00
(651)786-4007 TOTAL 52.60
Minnesota State License#: plbg-058799PM,mech-MB005379 Payment(s)
CREDIT CARD 6777 52.60
OWNER
Stonebrook Homes
1016 COVEWTRY PL
EDINA, MN 55424-
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 sepazate
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 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.
c
„ `�""L / /
Applicant Permitee Signature Date Issued By Sig re Date
05/12/2614 09:39 7632592299 SCHULTIES PLUMBING PAGE 07/09
�1R'Ci'fi'��J9�,�,1! - ;
� (�� City o1'Orono ;s,;� ;.,-, ;
�"^' P.0.8ox66 c.�tp�b+�!!�'�;�: ',::�!�E�! �,;; ,;;11;.
� ''�';;;,�...,..�.:,.'';"',«!�;.�.
275D Keiiey Parkway ��;:;;�^i�,;,
Crystel Bey,MPI 55323 `;Ap�bVC�$5': ....,,,.,.,...»;�`°`.i�LM�Io�in��S;.;i`"6�:
,.. .,..;.
Phnne(952)249.4(ip0 .rux(95Z)249-461 G ` �� '`� �'
�.
;�; ,
, . ,.. ... ,:.
s���$FSHO��G�� CiTX UF URONO—MECHAl�TIC,AL PERMIT
(All Commcrcia]permit�mv,at be approved by the Buildmg Official ar Inspccmr and/or Fire Malslk111)
EN' RAIr:I�'!�7►�'�'�ON ;;;,:
,,�..
t. Yau may apply for mechaniesl permits by mail or in person at the City offiees. Applicstions will
be reviewed and a permit will be issued within two working days_
Z. Permit cards will bc scnt by retum mail after a review is completed. PERMiTS A,�NOT
VALID UNTIL YpU RECEIVE A PERNfIT. WO.RK MUST NOT$EGIN UNTiI�TRE
PER IS POSTED '�" JOS STTE.
3. M�ehanieal Desi�ns—Compl.ete caleulations,details and speci�cations are rcquired for each
heating,vantilakion,humidification-dehumid.ifir,�tion,and air conditioning installa�ion including
heat loss/heat gain calculation,design temperatures,equipment ratir�s and identi.�cation as ro
type,manufacturer and model. �7ata shall be pre,4ented on form providEd.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with th;e U'nifarm Mechanical CodeJState Building Code
requitxmcnts.
6. All work must be inspccted(rough-in and fnal). Cttil(952)249-46f)p,
(24-4$hour nbtice reqnired)
7. Housc Heating Tect Record must be submitted before fina[.
,:.: . „ .
,:
;:.... :
,
,''
, . `.: ::. ., i.;
;,,:, . ;..,.. ,;.
„ ��ICC������'C ;,�';�i.
i"' i" ,.;I;;.:,'�%',j
�1Zesidential []Cornmercial(qpp�rpval Required)
�Ncw �]Additional �Repair� ❑Replace
J�1��;Sl��.;��t'-X��01�7�1'dii�f
Site Address: �
Owner: Mailing Address: �
J
Cl�; —1 l���� Zlp: �
Home�hone:��'!��'J`�,7-T�j Afternate Phone:
✓
�oriCra�t�ir��tir�xatian: .
Contractor: .P.lt� Con.tact Person: �
Address: � + State Bond#: 7
City: +�l���+--t� Zip� Expiration Date: ' .r.�'?D
Phane: � Alternate Ph.onc: � � ``�
� insurance—Current: � � /5�^ �/��/..s�
1
05/12/2014 09:39 7632592299 SCHULTIES PLUMBING PAGE 08/09
Note: All Geothermal Systems will naw require a Site Pian&Review by our�uilding Official.
�S THIS CEOTHERMAL7 ❑Yes ❑No
REATTIYG SV57'�1V�5
Quantit.y:
M�ke:
Model:
�'uel;
Flue Si�,e:
Input B7"lJs:
Output BTUs;
CFM:
COOLINC SYSTEMS
Quantity:
Make:
Modet:
Tons:
H.Power
FIREPLACES
❑ G�s Factory Pireplace Brand Name:
❑ VVood Buming Fireplace
❑ Wood SCovc Mode[No.;
❑ Woad Stove,wi.th Flue/Masonry
VENTILATION
❑ No. �itehen Exhaust duct recirculating efm
❑ No. Batf�Exhaust(mus#have duct outside) efm
❑ No, Othcr Fans: Locations cfin
FUEL ST�RAGE (Must be approved by Flre Marshall ijprop�cing to ahandorr tank tR place.)
❑ Installation ❑ Removal
Fue10il: _ gallons � Underground ❑Insidc ❑Outsidc
LP Gas: gaUons
Othcr:
GA9 LUYE QNLY �� �j�.<.�Dj�/f�
- �-�',.�►.� �/
❑ Outdoor Grill � Other/Li�t What&Where: J`"
2 � ` '�'�
05/12/2014 09:39 7632592299 SCHULTIES PLUMBING PAGE 09/09
❑ Ycs,this section applies
The replaccment of a�e�i�dendal fixt�e ar apeliance that meets all 1firEe ofthe follc►wiing requirements:
1. D.ces not require modification to clectrical or g�service.
2. I�.as a wtal cost of$500.00 ar less;excludine the cost af the.fixture or appliancc:and
3. Is improved,anstalled or rcpIace�by the homeowner or liccnscd contractor_
Skip next sxtion,if this applies; Cost of PErmit $�._ 15.00
State Surcharge $ S.DO
Mail-In Fee(if Applir,�ble) $ 2.00
�'otal Perrnit Fee $
If above does not apply;follow guidelincs bclow:
1. C�NTRACT PRICE *is 1.25%,of contract pricc w�th a(Minimum F'ee oR'$SU.DU)
� � �
x.0125$
( ntmtl pricc} (misimum 560.00)
2. STATESURC ARGE � f��
x.0005 $ �$, �
(conuact pncc)
3. POSTAGE&HANbI„ING(Only on Mail-In Applications) � ,2,00
4. 'T'OTA,I.PERMiT FEE(Add LinCs 3-3 Above) $_ �ox, �rr C,/
■ * CpNTRACT PRiCE or JOa COST means the actua[ or estimated dollar arnount chtvged For ttte
permitted work including materials,iabor,proFit,and other fixed costs. It is the amount to be charg�ed
to the customer for the wark done. If arry material,cquipment,labc►r o�installations are fumished by
the owner,tenanE or any other party,thc reasonable nc�arket value of snch items must be added to the
estimated cosc or coatract price fcn permit fcc purposes. la the evcnt th�there is a dispuCc on the
ampunt of thc job coat, the City may requ�t the submission of a signed c�py of the actual conhact.
'1"he undetsigned hereby applies to the City for issuance pf.a Mechani.ca] Perm{t, agrees to do a11
wo�rk in strict accordance with th� ordinances or tihe City and the reguiations of the State o�f
Minnesota, and certifies that all statezraents madc on t}tis application are complete, true and
cn�rrect.
�1pp1[cant's Signature� Datc: � �e� ��/
3
�� �"�� DATE TIME ✓
CITY OF ORONO CALLED IN �
INSPECTION IC � SCHEDULED _
PERMIT NO. � COMPLETED
ADDRESS �� � � �- � .
OWNER TELEPHONE 7�b-���
CONTRACTOR �'� �l.
�: DESCRIPTION � ��� ��
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL p 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
_ ❑ DEMO-FINAL ❑ SEPTIC I STALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL
2 OWNERlCONTRACTOR T4 O MEET YDU: YES_NO
� COMMENTS:
a �zl�4 /rrl�s �6 r � �./�. � �QK 9E 4-
� �rv �v —
� �
�
� 11�i� �/K.i CL l �^' �G gl� /L/i�r Kc /��l
� �d ,�s� —
Q
�
Z .
W
W �D ga s h�I�r�� � 7�" . s -��� e !
j � �� �
O
� , ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next ins 'on 24 hours in advance. (952� 249-4600
OwnedContractor on site:
c
Inspector. � �
White Copylinspector's File Canary CopylSite Notice
- J
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED .—
PERMIT NO. ��-�yya COMPLETED ��/5
ADDRESS !�b oZ le -��•���-
OWNER TELEPHONE NO.
CONTRACTOR -�c���� �� �
� DESCRIPTION ��S l�"�e ��r rs.1.,��,��, /�,�
t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z O 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 ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: 4'r' ��'s�`- ll' 0�6 � �S� � �'�-
�
W
a
O ��G (rJ/ /'��G�l-!/ I/li� �r ���c5
�.
�
° G�S l��e s ��� ��e s� �/ �r�,
Q �,� /� �� v�o�2o� O,!/
�
W /�
� e✓ W�-O� � `vlg��c�
W
�
1
J '� �
� 0 WORK SATISFACTORY:PROCEED (��OJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED f�O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W{LL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952 j 249-46��
OwnerlContractor on site:
Inspector. v
White Copyllnspector's File Canary CopylSite Notice