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Home My WebLink About2016 - 00613 - gas line only CITY OF ORONO 111111111111111111111 1111111V I I I II * 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 6 1 3 DATE ISSUED: 05/31/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2655 WEST LAFAYETTE RD PIN : 21-117-23-24-0039 LEGAL DESC : REG. LAND SURVEY NO.0846 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,450.00 NOTE: GASLINE TO GRILL AND OUTDOOR FIREPIT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.73 METRO GAS INSTALLERS 685 141ST LANE NW TOTAL 50.73 ANDOVER,MN 55304 Payment(s) (763)754-7119 CHECK 16043 50.73 Minnesota State License#:mech-MB003162 OWNER KRIER,ANTHONY&ROBIN 2655 WEST LAFAYETTE RD EXCELSIOR,MN 55331- 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 conformanc with the State Building Code.This permit may be revoked at any time for ue cause. P?/10 tee`Si�ture DateApp/1. gn Issued By ign� Date Irg -- FOR CITY USE ONLY SLOr V City of Orono P.O.Box 66 Date Received: Permit# 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Fax(952)249-4616 y94-E o�� CITY OF ORONO—MECHANICAL PERMIT S H (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required for each heating, ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation, design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Record must be submitted before fmal. TYPE OF PERMIT (Check All That Apply) Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] ❑ New ❑Additional ❑Repairs ❑ Replace Job Site/Owner Information: Site Address: - ►S / 1 Owner: ��V lL / Mailing Address: � C�5-5 � ., � r City: 0/166' Zip: Home Phone: / d1/4"Xd- o,'(/ Alternate Phone: Contractor Information://' Contractor: �y 4 � Contact Person: Address: (e85 //f .!'i /1iVState Bond#: City: daybkli Zip:S$ O/Expiration Date: Phone: /(3 I y v//✓ Alternate Phone: Old,-33 1?--- 3'/1 ❑ Insurance—Current: 1 't . ?.i. „.:::::1VjECHANICALSYSItNIS BEING INST:A EI3 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 W 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) ❑ No. Other Fans: Locations cfm cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons LP Gas: ❑ Underground ❑ Inside Outside gallons � Other: GAS LINE ONLY Ga.ot trek '( Dthious, ,i.i.n..eick4) ,V" Outdoor Grill J Other/List What&Where: I l 2 { 0 PERMIT FEE.CALCULATIONS 1. CONTRACT PRICE * is 1.25%of contrac price with a(Minimum Fee of$50.00) 5Q. x.0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 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 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. 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 a plication are complete,true and correct. Applicant's Signature: 'c' Date: � J 1 j(, 3 / 4) TE TIME CITY OF ORONO CALLED IN 5 'J/ INSPECTION NOTICESCHEDULED (C -/-/( /. .O PERMIT NO.&DI / '�/� OMPLETED / ADDRESS I p / " e14 00 OWNER ELEP /NE /• CONTRACTOR ,� DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL ❑ POURED WALL ❑ PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL 1:1TREE REMOVAL ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION ' 0 FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP -C ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: c a p burte,e. Jirl'S - o far te;rc r't✓ r // - cc - A' r �5 ,4 t i't e4P 30 '6 A( cc '/ W � � •r -:< G /iO ---- Z Lol�r K` = _. ��a -rG Co fr et- •=b • __,Ltl( co. r re,"t W CC W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY tZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED X1SPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site:j � Inspector. (/_ w. /b White Copy/Inspector's File Canary CopylSite Notice SATE TIME CITY OF ORONO CALLED IN / INSPECTION N QTIC , SCHEDULED 3"---- :"±- (,v 2• el-r3 NO. --'t X' 1-�COIyH LETED i ADDRESS 35 L OWNER _ LEPHO=/'3_ °39-3`/c=1"-- CONTRACTOR / _<l-___% DESCRIPTION G � i 11-Q- ate -t- 4,_ W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL El PLUMBING RI El EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF El PLUMBING FINAL El TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI ❑ SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS =+ ❑ FINSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL ❑ WATER HOOK-UP El FOLLOW-UP I ❑ AS BUILT-SURVEY El SEWER HOOK-UP El FOUNDATION/REMOVAL ❑ J DEMO-SITE El SEPTIC INSTALL <--- OWNER/CONTRACTOR TO MEET YOU: YES_NO • COMMENTSirjw;PS CC Q. 2 f �/r1 GS - 7 r'7/ -f -,�i.-cip• �, o - Cc,vtefiftexcs Gapse - 4.6 ,.-cs N. cc O a., r -t- St- /$ le V, s2:5 ( (. Cie.,S e- IQ CC fes. bdt-h - cL Z OK CQ,lt„ILre Lu cc IQ "-WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED 1:1 ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY 0 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. <:?,.. / -lift— White Copy/Inspector's File Canary Copy/Site Notice