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Home My WebLink About2016-01377 - gas line only � CITY OF ORONO * 2 0 1 6 - 0 1 3 7 7 * � 2750 KELLEY PARKWAY , DATE ISSUED: 10/28/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 725 SIXTH AVE N � PIN : 26-118-23-44-0006 LEGAL DESC : LJNPLATTED 25 118 23 : LOT 1 BLOCK 2 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 300.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. FIREAPLCE GASLINE BACK TO PATIO APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.15 NRH PLUMBING INC. MpIL-IN FEE 2.00 6460 153RD LN RAMSEY,MN 55303- TOTAL 5215 (612)245-7280 Payment(s) Minnesota State License#:plbg-067436 PM CHECK 5007 52.15 OWNER Spring Hill Golf Club 725 SIXTH AVE N � 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 dces not grant permission for additional or related work which requires separate permits. Ali provisions of laws and ordinances goveming 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 revoked at any time for due cause. �� z�, Applicant Permitee Signature Date �ssued y ignature Date ,, � � REC�IVED FO CIT USEONLY �O�O City of Orono J "� � P.O.Box 66 Date ReceiveN� I�i ermit#�� ( r� �� ;/ , Crystal Bay,h�34 ��t/�6 APPruved By: Amount S:�,� . I } Phone(952)249-4600 Fa�c(952)249-4616 � � C�� p�g� `� ti� CiTY O�F dR�NO—MECNANICAL PERMIT `�k�S N�� (All Commercial permits must be approved by the Building Official or Inapec[or and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pennit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALtD U'NTIL YOU RECEIVE A PERMiT. WORK MUST NOT BEGIN UNTIL THE PERMTT CARD IS POSTED ON THE JOB SITE. 3. Mechanical DesiQns—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,manufacturer and model. Data shall 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. Ali 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 hefore final. TYPE OF PERMIT Check All That A 1 ❑Residential [`�Commercial(Approval Required) [Backflow Device:Q AVB ❑PVB] ❑New Q�Additional ❑Repairs ❑Replace Job Site/Owner Information: SiteAddress: `12�� ~t�� v�- tJc-�--�� , �-��`�z,�-c� �� 3�J I Owner:�l��_��E��"�l�ll��,i- �.��i?� �Z`�� ,� k�.-��-� l�- � �� Mailing Address: —`I r_�,,>�cj City: �-��zi-t--�. Zip: � Home Phone: �'l`��2 •�~13 l�X��' Alternate Phone: 1�C;F��- Contractor Inforn�ation: Contractor: N�'�-1� t��►"��.�[+�C, 1 t�1C�- Contact Person: ��'�,�� _�`x==;�� Address: ��`�`�1 llC'�r�o L�� t�� Sta.te Bond#: C��>C�C�E c c^ l � City: �►� rt- Zip�� X'?�Expiration Date: C,�,T�.- Phone: �\2 �'1CC�� 1 Z�, Alternate Phone: �, lZ� Z�,��" �ZC��> [� Insurance—Current: ��-� 1 . �. MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THI5 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 Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. (?ther Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposing 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: -� � r=��p,�°-�.��j�°� L i�.1�, f��. -t��'C1lC 2 � , � PERMIT FEE CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) �-,C �� x.0125 $ ��'"= (contract price) (mioimum$50.00) 2. STATE SURCHARGE �j�_,(';°` x.0005 $ . l� (wntract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �2_��--' ■ * 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 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 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. � l./ /`. �� Applicant'sSignature: �` k�� ` /L�'.'� 4' � Date: �L� ��r� � : 3 �\ DATE TIME CITY OF ORONO CALLED IN � INSPECTION QTICE SCHEDULED G�(c� •`3� PERMIT NO.�V `G�� f� COMPLETED ADDRESS ' I�`-``�� 1�C�'� C��c.t N OWNER � � � TELEPHONE NO. � ��Z �i�� CONTRACTOR � �� -��• � DESCRIPTIO�� "'�'-� '� �� Ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINQ 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 � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL i OMfNEAICOffTRACTOR TO MEET YOU:_YE8_NO � COMMENTS: ` , � �/45/�S`i►elc� �S ��1� Ca� Ko� ob � �Nr�<<9�/' ��cs - �?�14.s� 6c � �Y�iRS�d1' /Ki � /eG v'e GC�'IGL�C✓ s�✓b6i� '�' T � `f"�I N(� GDKC/�IiG ��5 – W � Q ? D /14 t GovG� u�'G�•7i �'or✓�c�`� � j�r ol(��/rc�c /�J�itr,�-��-�-cc�erf SDec s — W o� � J 4d1 ❑YMORK SATiSFACTORY:PFiOCEED ❑PROJECT COMPLETE � ❑OORRECT WORK 8 PROCEED ❑ISSUE CERTIFlGITE OF OCCUPANCY W O T�RRECT WOHI(,CALL FOR REINSPECTION TEMIPOFiARY V� BEFORE CdVERINa PERMANENT ❑CORRECT UNSAFE CONDITION WffHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN �STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANt3E ACCESS. CaN tor the next inspectfon 24 hours in advanoe. (952) 249-4600 OwneNContractor on site: Inspector: ` White CopYAnspecto►'s Ffl� C�nary CoprISM�Notia �,�� , �� DATE � TIME �� CITY OF ORONO CALLED IN � INSPECTION NOTICE /�`��3.Z�SCHEDULED (p ��?� PERMR NO.��+_(��IP `Lt' COMPLETED -_ik�� ADDRESS � � OWNER TELEPHONE NO. �`� ��5 ?��' CONTRACTOR ��'� � DESCRIPTION �� S ! l �� 4~j ❑ 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 e ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ E TIC INSTALL Z O'NfNERICONITAACTOR TO MEET YOU: YES_NO y COMMENTS: a� � J — ( � OO 0 � . � ��i i • Q � ,q�� CP�"�f� "/�/" �' , ` i ��/Q�. �1i;1� �' C '� � y r` � `��%[i' �"'e -�/J1 �'' �� C'�t � 0 r v � �'�1 c�1 �- ��c�v , f '�`! W � j W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT VMORK 8 PROCEED ❑ISSUE CEFiTIFICATE OF OCCUPANCY W O O CORRECT VNORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CaVERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Cafl for the next inspection 24 hours in advance. (952) 249-48�� OwnerrContra on site: Inspector: ' " ; Whits Copyll�speotor's Flla Canary CopylSM�Notke J� DATE TIME CITY OF ORONO cnLLED IN INSPECTION NO ICE 7 SCHEDULED PERMIT NO. 1 ` COMPLEfED � � �� ADDRESS 7'Gi �%��l /��'L. /�b�7��i OWNER TELEPHONE NO. CONTRACTOR � � DESCRIPTION 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ECHANICAL 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 _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET Y�OU:_YES_NO v�i COMMENTS: � W � O CC' v Q! ). � � �O W Q a !K �� W � J W ❑WORKSATISFACTORY`.PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 RECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COM1/ERINCa PERMANENT ❑C�RRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Ca�i ror the next inspection 24 hours in advance. (g52) 249-4600 OMrnerfContra site: Inspector: VYhits Copyllnspector's Fi� Canary CopylSMs Notice �� '�`-�' DATE TIME , CITY OF ORONO CALLED IN -� — " � INSPECTION N �C / HEDULED � — PERMIT NO. r D/ � COMPLETED � ADDRESS p�WNER ELEPHONE NO.��'�� 7 2� CONTRACTOR � . � DESCRIPTION ��(JX � �� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI � EXCAVlGRADING/FIWNa Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT � � FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP 41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPT�C INSTALL ? OWNBYCOffTAAC?�OR TO MEET V�11:_1168._NO � COMMENT� 4 o ��tS 1�.t i • +� � o ktc�o.� �' �i i�c � � - Co r� � �^; � ' � � _ Q z G�� I•�t i c,i �tst ts �cfc��:s^�_ � .�,�5c: 5.�c s �l "�� - ,Ci�r►�r.cc�o✓ � .�c��/r �4'� �i.�u�- W� �W�OIiKSATISFACTORY:PROCEED ❑PROJECT COMPLETE�� W ❑O�CT WO�C a PROCEED ❑ISSUE C�TIFCATE OF 0�11NCY O ❑�T WORIC.CALL FOR F�iNSPECTION THdPORARY V �FORE COVEFMN� PERMANENT ❑COpqEC'TUNSAFECONOITION WITHIN HOURS. p pHpTOTAKEN INSPEC7OR WILL RETURN ❑STOp pRpEp P08TED.CALL INSPECTOR O qTAT10N ISSUED O INSPECTION REflU1RED.CALL TO ARRANOE ACCES3. caa�r tne next�spectlo�u na,rs�ad�►snos. (952) 249-4600 on site: Inspector: WMb Cop�rM�ctor's FlN C�n�ry Copyl8ll�Notlo�