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HomeMy WebLinkAbout2016-01441 - gas line only ` � ` CITY OF ORONO * Z 0 1 6 - 0 1 4 4 1 �k 2750 KELLEY PARKWAY DATE ISSUED: 1ll16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2040 SPATES AVE PIN : 10-ll 7-23-31-0090 LEGAL DESC : ORA PARK ON LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,125.00 NOTE: GASLINE TO FIREPLACE,COOKTOP AND DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.56 NORTH CENTRAL PLUMBING INC. MAIL-IN FEE 2.00 28177 146TH ST NW ZIMMERMAN,MN 55398- TOTAL 52.56 (763)856-4832 Payment(s) Minnesota State License#:plbg-PC644436 CREDIT CARD 7541 52.56 OWIYER DAMMEN, SUSAN 2040 SPATES AVE 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 does not grant permission for additional or related work which requires separate permits. All 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. o� � - J/ l �� l / C� Applicant Permitee Signature Date Issued By gnature Date 11/16/2016 09:36 7638564831 NORTHCENTRALPLUMBING PAGE 01/03 � � os�aa�t�.�ft' / �� p p��� Pam$i��d� ' , �� ��l � z15d&Clley F'a�twr� ' C]�!Bay�MN 353z3 .A�euoamt$_ � �� � P�ono(95Z,►7A9-46011 �ax C�?J z4'¢�Iili16 � �� �ti `���5 Hp�� C�'I.'X�F ORONt)— C,A,L�k:1�Vl�'T �au caaa���o�u��ovna by s,at�g o6�rc:�l ar r�ec�or�a�r F»e�r�r�J�3u) C�IE�.�''��TIi�I+� t_ �csu may a�p�+;Fot�cal penu�ts t�y msil or in at the Ci�ty o�ces_ Applicasions will be reviewed a�l a pdrmit will be�issned vrrithin two daeys- 2. PeRnit Ca�dS wi11 be s�etlt bx Peiuz�allai�aftor�a icview i coA7�lot�d. P�7"3 ARE NOT VALID[�N'CT�,YOLT�CEIVE A P&RM�'_ Wo BEG� ED O B STTE. 3_ --C"�na¢►le�e calcu�abloms,det�ls �ic�tians atre�qunzed fio�cach heating,v�talatao�,humidificahon�ehiu�zAildi�i.cation, siz COu�itioning sustal�af�aa i[tcluding Iue�t loss/heat ga�ao��lcu#�oo,desaE��'�'��l �F�aad i��ion as w type,manut�tiu+e,��oid u�lodeL €3ata shaJ,1�b�p�+e on�axua p�ovidcd. �. �ae�any new oo�st�cion ar ie,modeling is iunvalvec�a sq�r�te biu�duag peiwit�st be b�t81flC[�. `J. �WU7�C IYlli6�bC S�P77¢111�Wt�ABCC Wl��U � ��1t�C.O�C�i,t�e B11�1��,'O�£ ���• 6. ��WQ�'�S 1�u3k U@ InSE?CC[C{���ll�1-Y17.R11d��. ��X ,���2�9-��1d_ �Z�S�P��nO�Cf C'CI]R��� 7. Hous��eatiog Test Rccord�a.ust be submilke,d be�oxe . , ���Q�� " Gx1CGI�A,�,�"�'L�rat � �a1 ❑['�a�o,�rcia1(Ap�►roval Requir�3) kfk�w L7ev�ice:Q AYB ❑F'V�3} N�ov Q Additio�ual (� �RePlace Jnb<S�te�C�wnex'Infio�n: 5ite Acidress: o�:�c, l�me,s � - ,�: �ll� <.S�nn� �a°e � Cxty: _ � I`�t. �,.. , _ zxp: ��a�f� �-OII1��1t0�• ,lQ t � r � � /'��,�� ,f��I'IIS P���' _.. �t��e���`armat�: �antractor: lv0� �C�� � '"''�o Pcrsvn.� 1���1 �� � �.�; a8��� t� s�N� S�B ��: �O3I ��Pm ���: �z,�mm�.���a�n Z1�,5s��S�� �Da�: ���I� ��,. � ���� �� Fk►one: ��R�� Z �� _ A�t�etre Phoxxe: �„ �--�� ❑ Ins e—Current: �Jf�t.�_,�CK� 1 11/16/2616 09:36 7638564831 NORTHCENTRALPLUMBING PAGE 02/03 � , , , ,. . .a. �� :�. ,-a, y��, ,.r:,.,., �1=��, i ' ' ��:.�.!';.r�t..: ,i'. 1� f'� :�,� "�"��' '��5�' `y""�"�."�" ��;4 ��q=,t4,��S�Ir8OCd1lS Wly IIOW l�0�[Of[C� � ��b3►OiQ[��g U��. IS THII.S GEd�R�L'� 0 XC.4 �O REATIIKG SY5TEM5 �� 11Ralce: Model: F�c1= �Size: It�u�3'I'Us: _ .._ q�t BTUs: �: �OOLING�YSa'�MS Q�� Nlai�e: Model_ Ta�a: - ��� F.�.AC�.S Q C,as�acto�y�"xreplace Namc: ❑ Wood Ba�o�uS FiA+epla� [_[ Woad Sbv� No.: ❑ wvod sbmre wiih Fhte/M�aso�ouy '�ENTTI.A7ZOlY ❑ No. �iOchen Exh�tsc � � ❑ No. � Bat1��xbaust(�ust,t�e chlCt fdc) c,fm ❑ Nv- ,Y,__��___, Othor Fau�: T�c� � ,,,�� �i�l..S'PO�tAGE (Al�t b�e�by F�int 1Ka�sl�A'3J' ro�M�r�r e p�rc�1 ❑ �,�u�,, ❑ x�a1 r�aa: �uto� u�a� ❑� ❑c� �,7P Ga� ge�T�o�s i� GA��.INE,OIVLY ❑ outa�c�;u o�,��r.,�c w�� vv�,�: AS r(t.�. -f1� �i'+� �Gtt�, CDd�bp� � 2 �� � 11/1��2016 99:36 7638564831 NORTHCENTRALPLUMBING PAGE 03/03 - � ,a�s.=.:� � =��'• .� . �. �'nrrrg,s�� � 'is 1.2576 af� � witb a(Mi�a Fee e��A9) �� x.012�S (oomc�a r�Co) � h°'bobw"'��N) 2 ST.A.'�--_._. a�.00QS � � ���) 3. P+OSfAC�'s�Hl�ND.I.II�G(Onty a�Ma�7r�a App- • ) S 200 a. TOTAL PERMYT FL�E(.A,dd]a�es 1"3 Abo�rt) S • » C��N'I"RACT P'RICE a�30B COS'T uxaaa tl�e � ���o�oaao�cbauged�d►e �d wnaic inclad�S��•�� �'�. ��'�'e amo�k ta be r,k� to t�castomcr foc�c ao�doae. �f any� � 1s�*a��a£nuno�e�ed bY the o�er, t�eAant ae��qr adw,t perty,tt�e reasviaab�e� of sor�i��oe�st bc�added m�t�e �ed oost or awttact parice�or pa�m�ik£e���s. ln evE�at Lbm�the�e is a disp�te aan 1�a+oo�xant af the jab cost, t� ah► �'Y �N� � snb� a sig+med c�' af t�e actual contrAcc. , �e��y��to t�e Gity�o+r i�oe a Mecb�aaa�Pe�mi;ag�ees tio do� wa� i� sfr�ct � � t�e � of� amd�e �aiatio� of t�e �ate of g�,aad.ceatifiea 1i�,�qt sl1�m�on 1t�is ' a�com�lc�c.lx�e amd ca�roct: A.pp�i�eit,s S�igx�te: Da�e' 1 �1 ��...!�,lz-- 3 DATE TIME CITY OF ORONO CALLED IN INBPECTION O�I E 6`�� SCHEDULED • T/� . PERMR NO. U� COMPLETED ADDRESS a0 O�WNER LEPH NO. CONTRACTOR � � DESCRIPTION ` �� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEP IC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVRiRADIN(iIFILUN(3 �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING �ECHANICAL FINAL ❑ RATED WALLS � 0 INSULATION ❑ OOD BURNER/FIREPLACE ❑COMPWNT Q � FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v 0 DEMO-SITE ❑ SEPTIC INSTALL Z O�N911CONTRAC7iOR TO MEET�OU:_Y68_NO �i COMMENT� � `'�4S �t✓t G vKDJ-lv ' /�G.�S� �K � 4- a�- - � �� �,�. � -- 0 � � W � Q � W W � j � ❑WORK 3ATiSFACT�iV:PROCEED fiW BCT COMPLETE W o oo�cr wo�c a�oc�n ❑issue carn�►rE oF occuwurcr o D OORRECT WORK,CALL FOR i�INSPECTION TBiAPORARY �j BEFORE CWERINO PERMANB�IT ❑(�pqF1EC'T UM$AFE CONDI710N WITHIN HOUR3. ❑pHpTO TAKEN IHSPECT'OR WILL RETURN D 8TOP ORDER P08TED.CALL INSPECTOR ❑pTATION ISSUED O INSPECTION REQUIRED.C/1LL TO ARRMIOE ACCESS. caN br u,e next rispecao�u nows�s�rsnos. 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