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Home My WebLink About2017-00828 - gas line only t CITY OF ORONO * 2017 - 00828 * 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2017 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 3685 WATERTOWN RD PIN 32-118-23-34-0011 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINE TO FIREPLACES APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 FARR PLUMBING&HEATING 2525 NEVADA AVE N#104 MAIL-IN FEE 2.00 GOLDEN VALLEY,MN 55427- TOTAL 52.25 (763)432-9009 Payment(s) Minnesota State License#:HVAC-MB004406 CHECK 6278 52.25 OWNER SHATZER,WADE 3685 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 revoked at any time for due cause. 7/ /7 Applicant Permitee Signatur Date issued Signature nate w CI Y USE ONLY �O�T City of Orono ` V P.O.Box 66 Date Recei Permit#fes 2750 Kelley Parkway IY Crystal Bay,MN 55323 Approved By: Amount$: s9�' Phone(952)249-4600 Fax(952)249-4616 A F � CITY OF ORONO-MECHANICAL PERMIT qKE',H O� (All Commercial permits must be approved by the Building Official or Inspector 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 permit 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 Designs—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 permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State BuildingEC Code requirements. R EIVED 6. All work must be inspected(rough-in and final). Call(952)249-4600. (2448 hour notice required) JUL 1 7L01 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT CITY OF oto Check All That Apply) [Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New [Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: , J.1 eo Aal-, Owner: d t 1 A,-/Mailing Address: ��' /Ud �n-� � t -r ' City: �� Gip: Home Phone: ~ Alternate Phone: Contractor Information:: / Contractor: W9% ontact Person: 41'1'0 ib l W b°fyt- Address: ri�ri Q t d�� State Bond#: // to r� !� City: Zip: 4�xpiration Date: G Phone: r ✓"7 �a� Alternate Phone: ?� `� `70 71/I'P ❑ Insurance—Current: X r 1 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Quantity: 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. 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 E/Other/List What&Where: 2 PERMIT FEE CALCULATIONS 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 5'g- /7' x.0125 $ feOC? (contract price) (minimum$50.00) 2. STATE SURCHARGE � fee ev x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ,(may 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J/ "(1 ■ * 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 APPLICATIONAGREEMENT 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. Applicants Signature:r-4 Vim_ Date: 1 3 DATE TIME C17Y OF ORONO CALLED IN INSPECTION N TICS,-�8 SCHEDULED — ^l Z !l PERMIT NO. '/ COMPLETED ADDRESS p X - EOG OWNER TE ON # CONTRACTOR �` n DESCRIPTION � n W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER=NTRACTOR TO MEET YOU:_YES_NO COMMENTS: C Ge- U, _ �� viaj U. Lij W !C� :cry rpt Q �1-- ,b� ❑WORK SATISFACTORY:PROCEED OABWECT COMPLETE QC W ❑CORRECT WORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. White CopyRnspectoes File Canary CopyWo Notice