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Home My WebLink About2015-00855 - gas line only CITY OF ORONO * z p� 1 5 - 0 0 S 5 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2015 � ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 3465 SHORELINE DR PII� : 20-117-23-12-0033 LEGAL DESC : REG. LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 2,325.00 NOTE: SEPERATE GAS METERS ARE BEING INSTALLED FOR 3467,3465,3449&3445 TENNANTS. WE ARE PIPING THE SERVICE LINES FROM NEW METERS TO THE TENNANT CONNECTION POINTS. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 1.16 CITY VIEW PLUMBING&HEATING TOTAL 51.16 1880-B WAYZATA BLVD W P.O. BOX 150 Payment(s) LONG LAKE, MN 55356 CHECK 35483 51.16 (952)473-8793 Minnesota State License#:plbg-MB005208 OWNER Shoreline Center REALTY LLC,NAVARRE PO BOX 3 MINNETONKA BEACH, MN 55361- 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 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 revoke�d�y time for d cau i � � �/ �� S y 7 �0� v , �� , >..�.0 -��L I q S � I I � , icant Permitee Signature ' D te Issued By Signature Date fOR CI"t'Y USE ONLY �� j'�O^;.� City of Orono �!t/��- �(,! �WA /; [�/ � p.O.�301 GG Da�e Recerved � �_ Permil}k � �� ?750 Kelley Narkwny ��,, �� Crystal I3nY.��IN 55321 Approved Dy�, I�'! Amount$-��- Phone(9531 249-4fiU0 Pflx(�)52)24y-4C 16 ��'�r � �� r�. � V�.��.r�ti��j� CITY OF ORONO—MrCHAIVICAL PGRMIT _�- (All Cominercial permits nnis�be approved by�hc Ruilding Olficitd or Inspeclor and/or I�ire Mars6all) GENERAL INFORMATION I. Yuu may apply Ihr mcch.mical�icrmits by mail or in peison al lhe City offices. Applic�itions�+�ili bc reviewed and a perniit will be issued wilhin hvo working days. 2. Pcnnit au'ds will hc sent by return mail allcr a rcview is compicled. PIiRMITS ARE NO'f VnI.ID UN"I'IL YOU RI?('TIVI?n PERMIT. WORIC MUS"1'NO"T 13l?GIN UNTIL"1'liL P�RMI'1'CARD IS POS'I'GD ON 7'IIG.lOI3 til7'F,. 3. Mechanical Desiens—Cumplete calculati�ms,dctails and spccilicalions are required for r<ich hcatine,vcntilation,humidilicaLion-dchumidilicaliun,and air conditioning install,�tion including hcaL loss/heal gain calculatiun,design temperalures,equipn�ent ratings and identiiication as to typc,manull�cturer and modeL Data shall be prescnted on form provided. �4. Whcn any ncw conslruction or rcmodcling is involvcd,a ticptirltc building pennit musl bc obtaincd. " 5. All�vorl:must be done in accordancc wilh the Unilurm Mechanical Code/State[3uilding Code rcquircments. G. l�II worl:musl be inspccicd(rough-in and linal). Call(952)249-4G00. (24-dR hmu•noticc rcquircd) 7. I Iouse I Icating'fesl Record nuist bc submilted before tinal. TYPE OF PGRMIT 1 � (Check All That Apply) I ❑Residenlial �Commercial(Approval Itequired) ❑ New ❑AddiLiunal �2epairs �Zeplucc �� Job Site/Owner [��formaYion: Site Address: ._� �'��>?? .� �l�''��,.'� ��-.--= � i � Owner: l't a �� 11�y'�N4t�� , Mailing Address: ��,� ��l s��Ub 'L�' .� �C� ��y: l�l��C� �e.��. h _ z�n: ;5�3� 1 I/) / �/t, �.� � Home Phone: �� ° � �,� C`a f � a Alternate 1 hone: Contractor lnformation: p°^� l Contractor:�"� '��v�� "�-1' �'"��'�� Contact Person: `�,5(.V i 111'�, �a �' �;�� i.les��J �t-�a �� '�J� Address: � � State Qond#k: � � .�� 1/" � ,. City: ��' �-� Zip:a-a�.d��Fxpiration Date: -�"� �� r •'�� :J � , Phone: ��r�"`"l��t� ��,..�� Iternate Phone: �� . -��'",�� '� _.._ ❑ Insurance—Cun�ent: �(C�S I � MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&� Re��ie��by our Building Official. IS'I'HIS GGO"CIIERMAL? ❑Yes ❑No IIEATING SYSTEMS �)uantity: Make: Model: I�uel: Fl�ie Size: Input[3TUs: Output B'I'Us: CFM: COOI.ING SYS7'EMS Quantity: Make: Model: Tons: I 1.Power H'IRF.PI.ACI?S ❑ Gas Factory Fireplace arand Name: ❑ Wood[3urning P'ireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Plue/Masonry VEN'1'ILA7�ION ❑ No. Kitchen Gxhaust duct recirculating cfm ❑ No. [3ath Exhaust(must have duct o��tside) cin� ❑ No. Other Fans: Locations cfm �UEL STORAGE (Must be npprover!by Fire Mnrslrall ifprnposing to nbanrloa trmk itt pluce.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑lnside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: � � Se e�o'l,T�., �cc3 ��t'�� q�� ►'�� or �1 e� � ,� 3�16� 3 �{ ��, 3y� °� � ►�d 3y �I� 1�-e►� n�� ' J � ,�►�t,� �r 3 h^, �l�w ►��f',�( � �,�� P�� -�� -e,�v , c� w� {- PO ;�� i d +l� -4-,e►�h�� c��,►��., ,J�,� • PERMIT FEE CALCULATION(S) BASED OFF-2002 STATE STATUE ❑ Yes,lhis sectiun applies The repiacement of a Residential ftxture or ap�liance that meets all three of the following requirements: 1. Does not require modi�ication to electrical or gas service. 2. Has a total cost of$500.00 or less,exeludina the cost of the tixture or appiiance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applics; Cost of Permit $ I5.00 State Surcharge $ I.00 Mail-In Pee(If ApplicTble) $ 2.00 futal Permit Pcc $ --- —-- PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply,follow guidelines below: L CONTRACT PRICE *is 1.25%of contract price with a(Minimum I�ee of$50.00) ^} � t74,�� x.012�$ (comrac�pnce) (minimnm$50.00) z. s�rATF suacE�AacF X.000s � (contract price) 3. POSTAGG&HANDLWG(Only on Mail-In Applications) $ 200 4. 'f'O'I'AL PGRMIT FFF.(Add Lines 1-3 Above) $ * CON"fRACT PRICG or J013 COST means the actual or estimated doliar amount charged f<>r the permitted work including materials,labor,profit,and other tixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by tlie owner,tenant or any 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 APP:I��GATI�N AGREEMENT "I'he undersigned hereby applies to the City for issuance ol�a Mechanical Permit, agrees to do all work in strict accordtu�ce with the ordinanecs of the City and the regulations of the Stute of Minnesota, and ecrtilies that all statements made on this application are complete, true and correct. Applicant'sSignature: Date: � 6 �QI � 3 n ,� ( l'— � DATE E CITY OF ORONO � CALLED IN INSPECTION NOTICE SCHEDULED L !S __� PERMR NO. ��f�COMPLETED ADDRESS � l� J� �5�1(9,��'-f!�� OWNER TELEPH E NO. ��z�� CONTRA�R � � DESCRIPTiON � C..��Gr-d �`!/� ✓v—//vp�/ W ❑ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO i y COMMENTS: � � 2'.1 !l0 sl/I,e�{y' ^ Q l �(6 o �r�i%�c � �v��uc.ei � Z, ,�ii�iNs 1�t�'�� ' �i�ca.��tr ° � e �ef� �e r► �F'�rd / W � � Q � � W aC j d � ❑WORKSATISFACTORY:PROCEED O PROJECT COMPLEfE w ❑CORRECT W'ORK 3 PF�CEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 RECTVYORK,CALL FOR REINSPECTION TEMPORARY B ORECa1/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HOURS. p pHOTOTAKEN INSPECTOR WFIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 on site: .. Inspector: White CopyAnspector's Flle C�nary CopylSib Notics J-5 � ✓ DATE� TIME CITY OF ORONO CALLED IN c -� INSPECTION N �ES_m�-scHEDULED – –1 O.' PERMIT NO. COMPLETED 1 ADDRESS 3 � �S S� � OWNER EP E NO. ��'�gs��7 � CONTRACTOR � �� —�� DESCRIPTION l~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � �, / � r.�.��s /�ct`S m�'l�I�— .S cYfS�G J O � T, P� �e� ��e �s�s�wt 0 W � Q � W W � j O W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT VYORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANEN7 ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OMmeHContra site: Inspector. YVhiM CopyMnapector's File Canary CopylSfte Notke