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 .
. •
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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/
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(;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 $�p; 5534�P�,tion Date: ?7 2 ZO
pb�e; 952-941-7010 � Alte�nuate Phone: �`Z����7?7 Z- �
' Insural�ce-Current:
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r MEC CAL SYSTEIV�S BB1NG TNSTALLED
PTote:All C3eothermal3ysbems vvi11 novv require a Site Plan& eview by our Bu�lding Oi�iicial.
�THIS GEOTSERMAL? Q Yes ❑No
�AT�IG SXSTEMS
Quantity.
hiake:
D�odel:
Puel:
Flue Sue: �
biput BNs:
Uutput BT[Ta:
C�'M:
C.00LING SYSTEMS �
G,uaatitYc
N�Sake� '
T�odel:
T'ons:
�.I_Powar
��I�ACES
[� C3as k�actnry Fireplsct Brand Name:
❑ Wood Burnia,g Fireplsce
8 Wood Smve ' Modei No.:
❑ '1�V'ood 3tove W;th Flne
V'�N'�A�N
[] Na Kitchdn Exhaust duet recirculating c$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�
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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 �
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� 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:
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� �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