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HomeMy WebLinkAbout2010-00898 - gas line only CITY OF ORONO PERMIT NO.: 2oiaoos9s , 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUEn: 09/24/2010 952 �249-4600 FAX: 952 249-4616 ADDRESS : 2500 SHADYWOOD RD PIN : 20-117-23-11-00�4 LEGAL DESC : REG.LAND SURVEY NO. 1630 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 2,875.00 NOTE: GAS LINE APPLICANT MECHANICAL 50.00 METROPOLITAN MECHANICAL STATE SURCHARGE MECH(VALUATION) 5.00 7340 WASHINGTON AVE S EDEN PRAIRIE,MN 55344- MISC FEE 0.00 () TOTAL 55.00 PAID WITH CC# 4711 OWNER Freshwater Foundation CARGILL INC PO BOX 5626 MINNEAPOLIS,MN 55440- � AGREEMENT AND SWORN STATEMEN'� The work for which this permit is issued shall be performed accor ng to the approved plans and specifications,applicable City approvals, d the State Building Code. This permit is for only the work described an does not grant permission for additional or related work which requires�eparate permits. All provisions of laws and ordinances governing this type Iof work shall be compied with whether or not specified herein.This permit�vill expire and become null and void if construction authorized is not I commenced within I80 days of the date of issuance,or if constructibn is suspended for a period of 180 days at any time after work has com�enced. The applicant is responsible for assuring all required inspections az6 requested in conformance with the State Building Code.This permil may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issue By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO . . • • � . .. � �3 , FOR IT'Y USE OM.X O�p�� Cifiy of Oroc�o I'.0.BoX 66 Dau Received: Permit# 27so Koney Pats:way 1�� �!���1 �j� CrYs�a►BaY�MN 553?,3 Approved gy: Ainount S: �'�,��.� (952)249-4600 CTTY OF ORONO-MECHAN'XCAL PERMIT (All Camniarotal pemtita muB�be app�oved by the euilding Officisl or rnspecror and/or Firo M�tshsll) [GENBRA,L IlVFO�tMATIO� 1. You may apply for mechan�cal perm�its by naai�l or ia persoa at the City offices. iq,pplicacions wilt be rcviewed and a pcmnit wrill be issued writhia two workitug days. 2. Pexmit cards will be sent by retu�la xnail aRer a review is completed. PERMTTS ARg NOT VAT,ID UNT�[.XOU RECkNE A PBRMIT. WORK MtJS�,NOT BEG�N rTN'[�•� PERMIT CARD IS POS1�D ON TSL JOB SITT. 3. Mechanical besi¢ns.—Complete calctilat{oas,details and specificxtions are rcquired for each heating,ventilation,humfdf�catioa-dehumidificatlon,snd sir conditioaing installaaon'vacludiag heat�oss/heat gain calculatipn,design tca�peratures,equipment ratings and identificatioa es to type,maaufactauer and mod�L Data ahall be presented ovt fozm pxovided. a. Whea any new constructton�ot remodelit�g is inivolved,a separate building permic must be obtained. S. All work must be done in a�eordance vaith the Uniform Mecharuica�Code/State Buildiag Code requirements. 6. All work must be iagpected(rough in and final). Call(952)249-4600. (Z448 hour notice requlred) 7. House Hearing Test Record must be sdbmitted before fmal. C TYPE OF PERMIT Check All That A 1 ❑Rosidencta] `�� Commet+cial(Appmva�Required) f � ❑New [�Addiuonatl ❑Repaixs 0 RePlace Jab Site/Owner Information: � 5ite Addrresss: Z�o� ``j1�ao�,�w`��o �.�D (�vner: C:t�(�i tl �✓LSI.,wJ�{�+� Mailia.g Addsess; Z-�� G✓I�.O�� �,/e��0 1� c��y: �n� �, z1p: SS" 3� 1 �iome Phone: 'F1��2- ?7l'���OS� Alternate Phone: 9`S2 ' 7(�g�72 Y/ ..�� (;ontractor Information: � Metropo�itan Melchanical - Contrsctor: Contractors ' Cpm���gan: 6�/� d/sr 7340 as agtoa Ave. So. U E�,ddress: State Bond#: ��-`��Z - Li�y; Eden Praxrxe $�p; 5534�P�,tion Date: ?7 2 ZO pb�e; 952-941-7010 � Alte�nuate Phone: �`Z����7?7 Z- � ' Insural�ce-Current: 1 z �d oz� �oN �ww Wd6Z�z� o�oz �tiz 'd3S , .� � r MEC CAL SYSTEIV�S BB1NG TNSTALLED PTote:All C3eothermal3ysbems vvi11 novv require a Site Plan& eview by our Bu�lding Oi�iicial. �THIS GEOTSERMAL? Q Yes ❑No �AT�IG SXSTEMS Quantity. hiake: D�odel: Puel: Flue Sue: � biput BNs: Uutput BT[Ta: C�'M: C.00LING SYSTEMS � G,uaatitYc N�Sake� ' T�odel: T'ons: �.I_Powar ��I�ACES [� C3as k�actnry Fireplsct Brand Name: ❑ Wood Burnia,g Fireplsce 8 Wood Smve ' Modei No.: ❑ '1�V'ood 3tove W;th Flne V'�N'�A�N [] Na Kitchdn Exhaust duet recirculating c$n � No. �ath�xhaust(must have duct outsida) � No. Other�ans: Y,ocations � FUEL STORACrE (M�tst be approve�by Fire MarshaU if proposFng to abaridon tank in plac�) I Q Instsll8tion � II Removal Fuel Oil: IgaAoas [� Undergroimd a Tnaide ��usside LP C�as: '��gallons Orher. Sas i.nvE orrLY r /' ❑ Outdoor C�Cill � Other/List What&Whcra �S` Vc �S W1���� . �GY�.aS� 2 � Pr�55u,%e �°� 7`� ,M 2-�'s� � 'd OZC 'ON �WW Wd6Z �Z l O l Ol 'til 'd3S � . � PE�IVIIT�'BE CALCUI.ATION(S) BAS OFF-2002 STATE STATUB �� Yea,this section applies Tli�replsctmeat of a Rcsidmtial Sx or aDDli o that meets a11 thtee of the followi�g seQuirements: 1. Does aot ceqnire modi�cation to electiicat or gss serNicc� 2, Has a�,s�of$500.00 or less; 1 i the cost of the fixture or applia�ce:and 3. Is iiaproved,insralled ot regllacced by tt►e hameowncr or liceased coadracmr. Skip aext section,If this applies; Cost of Permit ��+� Stat�Surcb,arge $__.^ Mai7-�a Fe�(If Applicable) $�� Total Permit�ee S p�RMIT FE� CUL�.TION S -JOBS OVER$500.00 I�abuve does x�ot apply;follow guiddlit�es below: 1. CONTRACT 1'�2XC� °`is 1.25%of coatract price with a(Minimum Fee o�SS0.00) � ' ��$7S� x.o�2s$ ��0. oa (coatrac��rice) minimu 0. 2. STA1'E SU1tCHARG� **Add the 3tate Bldg Code Div.Surcharge(Miiaimum Fee of S.SO) soo : � 1� x.0005 S � � ���p�u) (triinimum S .SO) �� � �S�,CbfO� 3. POSTAGB&xaNnLn�G(oniy oa Mail-In Applications) � ,,.� ►-a J����rr• 4. TOTAL P��T FEE�(Add�ines t-3 Above) $ ��Gi �� « CONTRACT P�CE or JOB ICOST means the aelual or esrimated doll�c amoumt cbarged for t�e permitted work including�aat�i�ls,labor,Profit�and othcr 5aced costs. It is the amowrt to be chargal to the customer foz the work d.one. If say xttaterial,equipment,labor or installations ste furnishod by the owner,te�,aat or say other pbrry,tlae reasonable market value of such items must bc added to the estimated cost or eontract priee 1for permic fee purposes. Za th� eveirt tbat rhe�re is a dispute on the aznount of the job cos�the dty may rWuest tho submissian of a signed copy of the actual ceatracti �� "*'1'lae STATE SURCHAROB I8•0005 of the Building Department at(952)Z�49-4600 fox the price. . [ MfiCHANI PERMIT APPLICATION.AC}RE�MENT '1'he undersigned hereby applies t rh�City fox issuance of a Mechaaieal PetAait, agrees to do all r�rork in striet aecordamce witli �brdiaances of the City and the regulations of the 3tate of Minnesota, and cettif es that all statements made o 's application are complete, true and � cortec� A,pplicant's Signat� • Aate: L d Reset Fornt � N 3 � �d oz� �oN �ww wdbi �z� o�oZ ��z 'd3S � � l� TIME CITY OF ORONO CALLED IN o� INSPECTION I E pp� SCHEDULED � PERMIT NO. ����1_`�COMPLETED ADDRESS d� S !� OWNER TELEPHONE NO.���2'�2'�7Z CONTRACTOR rn�� �� �����C' � DESCRIPTION �" r �'`I � � FOOTING ❑ PLUMBIN FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHAN AL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHAN AL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD B RNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER H OK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER OK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC INT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC I STALL ❑ HARD COVER REMOVAI � ❑ PLUMBING RI ❑ SEPTIC F NAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_Y S_NO y COMMENTS: � W a J � /r ; + O �. � O � W � "�' .�--- Q 2 `� W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTi�N TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPEGTOR �CITATION ISSUED O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspectio 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Nofice