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Home My WebLink About2011-00148 - gas line only � ., CITY OF ORONO PERMIT NO.: 2011-00148 ; A _• � 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE IssuEn: 03/03/2011 ��' r 952 249-4600 FAX: 952 249-4616 ADDRESS : 725 SIXTH AVE N PIN : 26-118-23-44-0006 LEGAL DESC : UNPLATTED 25 118 23 : LOT 1 BLOCK 2 � PERMIT TYPE : MECHANICAL(>$500) ' PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 950.00 NOTE: GASLINE ONLY FOR FIREPLACE ' � ti APPLICANT MECHANICAL 50.00 B.K. PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 5.00 2661 ROTH PLACE TOTAL 55.00 WHITE BEAR LAKE,MN 55110- (651)653-2218 Minnesota State License#: 7900367557 OWNER Spring Hill Golf Club 700 SPRING HILL RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to fhe approved plans and specifications,applicable City approvals,and the � �tate 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 aze requested in conformance with the State Building Code.This permit may be revo at a time fo e cause. � � l p /oZD/� � � l� icant Permitee ignature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � r ' FO CI Y USE ONLY , ,� ,�p� City of Orono f , � �l�� O O P•O.Box 66 Date Receive�� / Permit# �� 2750 Kelley Parkway h ]� � `�, ,r� Crystal Bay,MN 55323 Approved By: Arnount$: �V �/ ��o�� Phone(952)249-4600 Fax(952)249-4616 CITY OF ORONO-MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshali) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernut will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi¢ns—Complete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufachuer and model. Data shail be presented on form provided. 4. When any new construction or remodeling is involved, a separate building pernut must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT .' (Check All That A 1 ) ❑ Residential ❑ Commercial(Approval Required) ❑ New ❑Additional ❑Repairs ❑Replace Job Site/;Owner Information: Site Address: '.S'� Owner:�pQtNC�H t� �o�� (�'�t,i Mailing Address: City: Zip: Home Phone: Alternate Phone: 'Contractor Information: Contractor: � Contact Person: /!! �it�G Address: a�/,,�Q� �r1L'� State Bond#: �'79op3b7SS�7 City: Gt,��G J�°�Zip: �i� Expiration Date: /a-3f-a0/! . Phone: P�(� �27p•!o2lO Alternate Phone: ��ce ��'�-�,4`'��b?/g ❑ Insurance-Current: 1 1 , � � �.� f '. Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TffiS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quanrity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen E�chaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill [� Other/List What&Where: �s.E�O`isG°V 2 � . . � .�� , 4 ry' ,:�.:.� .e . .� w' �a4.R �`stl rPi. I i�. ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this appiies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ F�d - ;�� "" � ' If above does not apply; follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) `�9S'o �p X.oi2s$ (contract price) (minimum$50.00) 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) x.0005 $ (contract price) (minimum$5.00) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed 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 the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for pernut 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. ■ **The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. . � , . r .. �v �ii. . � j .� � n' , � � ' . • e }�y i..,i d'. 81M1 � The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. I , � Applicant's Signature: � � Date: 3'�020�� 3 a • Nationwide Mutual Insurance Company Bond Department 1100 Locust St, Dept. 2006 Des Moines, IA 50391-2006 Phone 866-387-0457 MN 00000878 Agency STAR INSURANCE, INC. Address 2682 COiJNTY ROAD E E WHITE BEAR LAKE, MN 55110-4909 Bond Transaction Summary Bond Number 7900367557 Principal Name JESS WILLIAM KING DBA BK PLUMBING&HEATING Principal Address 2661 ROTH PLACE WHITE BEAR LAKE, MN 55110 Obligee Name Minnesota Department of Labor and Industry, Construction Codes and Licensing Div Type of Bond Minnesota Mechanical Code Bond (G/HVACR) Amount of Coverage Bond Premium Commission Rate $25,000.00 $125.00 25 % Effective Date 02/07/2011 Expiration Date 02/06/2012 ��W- � S �� o� � � � Agent Copy Printer Friendly Yage 1 of 1 � � �� ' Check Images This image oontains confidential and personal information.lf you print it,please store it in a secure piace to preveirt unauthorized use or theft of this ir�forma�on.�or your safety,we reoommend that yau shr�the document if you cho�e to discard or destroy the image copy. Account�: Date Proceased: 02J11/11 Check#: 1122 Arrrout� $15.00 ,��M K�� ,T-�o 11122 �es, aon•,r�. ps� �2,lv -.2ot/ EqF�L/11��11y_56110�4591 pAY TO 7HE � `� � ORDER� 'r � ��„rr ,1� ooi,uws Q ="'" �..... bank. ,��m��- . ,� . ., - -- --- --- . ' � �'` ��' , � �..-4 � � C. � r . a c ID r� � � , � .i - `o � r ` ";1 �. r ! : � r�. � � :. � n ' L.J l� , ° f, ti 3 �'S �: n � r � , i (p � � r �r ' yu 4t!Q ,n� m : _ �:- „p �_ �o �• , �. � A r• T= m �. . . ... ��`. (1 0 Pt ;.i. � �` ' ' ' r� � �OQ �,G , -• = ' ,. ; -< • rr �_. t � _i -� .^.`-4 �p��.}, _�� e� r, ei �'r. � �J.�� .rj� G ' �� i' : ` �� ,�a' .:�: w� _ . - .'� i - � �+O b, C n• _ � _ "? ."' ' O r1 (.� 4, �=� ' � pNfl �: I ;, _ . ��•,u � � r cr �._ ^; _ ;s: t, � ,X � %r � r-�� ..L� -=a�__~_' C �•� � _ �� https://www4.usbank.cflm/internetBanking/RequestRouter?requestCmdId=PRINT&PRINT... 3/3/2011 I D `/ TIME CITY OF ORONO CALLED IN INSPECTION TI E L�QSCHEDULED �: ,�� PERMIT NO. - �` �/ COMPLETED � ADDRESS ��7 ��(�G� �/`2 /V OWNER TELEP ONE NO �� ' a�d l�� CONTRACTOR �•�• � `�� l >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ 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 � O V� CONTRA Ef YOU�YES_NO � COMMENTS: � W a O � � _ /� �� . � O � ti � Q � Z W � W � � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �.f 1� ' White Copyllnspector's File Canary CopylSite Notice