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Home My WebLink About2016-00151 - gas line only T �' CITY OF ORONO * 2 0 1 6 — 0 0 1 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: 02/i U2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1790 SHADYWOOD RD PIN : 17-117-23-21-0025 LEGAL DESC : SHADY-WOOD : LOT 020 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,495.00 NOTE: GASLINE TO RANGE,BASEMENT FIREPLACE,AND MAIN LEVEL FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 STEWART PLUMBING,INC. MAIL-IN FEE 2.00 13025 GEORGE WEBER DR SUITE#1 TOTAL 52.75 ROGERS,MN 55374 Payment(s) (763)428-1833 CREDIT CARD 3122 52.75 Minnesota State License#:plbg-PC000474,mech-MB003262 OWNER MATEFFY,JOSH&CAITI 1790 SHADYWOOD RD WAYZATA,MN 55391- 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 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 I80 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. � � � ,// �� Applicant Permitee Signature Date Issue B ignature Date Stewart Plumbing, Inc. 7634281733 p.4 , FO ITY USE ONLY �� O� Cl�'Ot�T0II0 D��r'¢f9"'ecLr /Y OP.O.Box 66 Permit# 1 2750 Kciicy Parkway A rovcd B . Amount$:�� i Cryscal Bny,MPT 55323 PP Y I �ane(952)249-4600 Fax(952)249-4G 16 a y � 1 `� �,� CIT'Y 4F ORONO—MECHANiCAL PERMIT ��kEs H v�' {All Commcrcial perntits must 4c approvcd by thc Building OtTicial or Inspxtor and/or Firc Mazshall) GENERAL INFORMATI�N 1. You may apply for mechanical pcxmits by nnail or in person at the City offices. Applications will be revie�ved and a pecTnit will be issued within two working days. 2. Permit cards wili be sent by retum mail afber a review is completed. PERMITS ARE AIOT VALID UNTIL YOU RECEIVE A PBR1�i1T. WORK MUST NOT S�GIl\' UNTIL THE PERMIT CA�tD IS PO5T'ED ON THE JOB SITE. 3. Mechanical Desiens—Complete calculations,details and specificarions are recluired for each heating,ventilation,humidification-dehumidificatiott,and av condifioning installation including heac loss/heat gain calculaCion,design tempe�a�ures,equipment ratings and identification as to type,manufacturer and model. Data shall he presented on fotm provided. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. Alt work r�ust be done in accordance with the Uniform Mechanical CodclState Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4640. (24-48 hour notice required) '7. Nonse Heating Test Recor�must be submitted before final. TYPE OF PERMIT Check All That A 1 �Residential ❑Commercial(App�val Reyuired} ❑ New ❑Additional ❑Repairs ❑Replace Job Site/Owner In£ormation: � - �,1L�� G ,C� cx, Site Address: ! �wner:��'»��-t�lv�n ��t'��t�� Mailing Adc�ress: ��{,o� (�-��Vrt�I�UI,I�U1.Q ��• City: ^b'ti` 'G, Zip: �..G'�� !� _ Hoxne Phone: Altemate Phone: Contractor Inforination: r' I�.� ' Contact Person L�I,�.�ti1��1 Cantractor: U�.� Address: 1.�� t��`-a- 1% j�k�'�r.��'��State Bond#: _/��. �D3�tCa City: KL''G Zip:�)J.�;`f Expiration Date: �` ��r!�_ Phone: 7��'��,��i� Altemate Phone: �" Insurance—Current: ��C G��GL 1 Stewart Plumbing, Inc. 7634281733 p.5 MECHANICAL SYSTEMS BE1NG INSTALLED Note:All Geothermal 5ystems will now require a ite Plan&Review by our Building�fficial. IS TAIS GEUTHERMAL? ❑Yes ❑No HEATING SYSTEviS Quantity: Make: Ivlodel: Fuel: Flue Size: Input BTUs: Output BTtJs: CFM: CUOLING SYSTEMS Quantity: Make: 1V1ode1: Tons: H.Power FTREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Nlndel No.: ❑ Wood Stove with Flue/\+Iasoztry VENTILATTON ❑ No_ Kitchen Exhaust duct recircukating cfrn ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FiJE�STORA.GE (Must be approved by Fire Mnrshull if proposing ta abandon raRk en place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS L1NE ONL1' ❑ Outdoor Grill Other(List What&��Vhere: ` G'i''l�,i� '.��id�'��t�.e� � � 2 �G��'�,��'�' ��('��.C�(e Stewart Plumbing, Inc. 7634281733 p.6 , , . PERMIT FEE CALCULATIONS I I. CONTRACT PRICE *is 1.25%of contract price with a(Min�mum Fee of$50.00) � 0(1 X.o�as$_._..�.�_DD i contract pricc) (mmimum SSQ.OQ) 2. STATE SURCHARGE L C� �o x.0005 $ + � - (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 2-3 Abovz) S �V- ( � ■ * CONTRACI' PRICE or JOB COST means the actual or estimated dollar amaunt charged for the permitted work including materiats,labor,profit,and other fixed casts. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installarions are fumished by the owner, tenant or aay 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 Pernut, agrees to do all work in strict accadance with the ordinances of the City and the regulations of tt�e State of Minnesota,and certifies that all stateme�nts made on this application are complete,true and c�rrect. Applicant's Signature: C L Date: � � �` � W I 3 � � �� DATE TIME CITY OF ORONO CALLED IN �/7�� INSPECTION NOTICE ,sCHEDULED �� 8—/h ___�� PERMIT NO. U�D/�o"DD�S/�OMPLETED ADDRESS ��g0 ��'�-� � OWNER T HONE NO?�3 ��g�� g� CONTRACTO � DESCRIPTION � � ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INST 2 ONfNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W a � � O - >. � O � W � � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE � RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER P05TED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance � 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice CDATE TIME ITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED � ' �� 1 PERMIT NO. r COMPLETED ADDRESS ��``1 O � �"A�L�L-� � OWNER �I`� l� �CONTR. TELEPHONE NO. CI �7 �' U � — G�CU�G � DESCRIPTION T L—�� — '�C-� 1 C�.,C.Q D'YtC dl f' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a j . O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice 9'A E TIM E � CITY OF ORONO CALLED IN �/� ��, INSPECTION NOTICE scHeou�Eo Z?�Q� .--�1.-a3L PERMIT NO. COMPLETED ADDRESS s OWNER �%�L CONTR. TELEPHONE N . �'Sa 'Z'7� ��D�O . t /�� DESCRIPTION , , "" 7�/ � i�u-"-C- � 01 FOOTING 11 MECHANI AL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: W a � re�u.o�le a� � � � J O � t QC O � W Q e�e. � z W � W � � � d W ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the n xt inspection 24 hours in advance. (952) 249-46�� OwnerlC r ite: �spector. � White Copyllnspector's File Canary CopylSite Notice