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Home My WebLink About2015-00936 (Gas Line) CITY OF ORONO * z 0 1 5 - 0 0 9 3 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1392 BALDUR PARK RD PIN : 08-117-23-31-0003 LEGAL DESC : BALDUR PARK : LOT 000 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GASLINE TO FIREPLACE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.25 STEWART PLUMBING, INC. MAIL-IN FEE 2.00 13025 GEORGE WEBER DR SUITE#1 TOTAL 52.25 ROGERS, MN 55374 Payment(s) (763)428-1833 52.25 Minnesota State License#: plbg-PC000474,mech-MB003262 OWNER GEHLE, GILBERT 1392 BALDUR PARK RD 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 sepazate 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. � � � �7 ��`7 /l5 Applicant Permitee Signature Date Issued Signature Date Jul 23_15 12:42p Stewart Plumbing Inc. 763-428-1733 p.2 . ' FO C[T USE OIYLY O City of Orono / � �O F.Q.Box 66 Daze Recervcd� Permit# �!�- 93,(� 2750 Ke{ley Parkway � � Crystal[3ay,btN 55323 Approved By Amount$:_�_ Phone(952)249-4600 Fas(952)2A9�1616 F � �J r�'rESE10R�G CITY OF ORONO—MECHANICAL?ERMIT (All Commercial pertnrts must be appro�ed by the Building OETicial or Inspectorand/or Fire hfarshall) GENERAL INFORMATtON 1. You may apply for mechanical per�nits by mail or in person at the City offces. Applications will be reviewed and a permit will be issued within tivo wor[cing days. 2. Perrnit cards wil]be sent by retum mail after a review is completed. PERNIITS ARE NOT VALID IJN'1'IL YOU RECEIVE A PERMIT. WORK V1i1ST IYOT BEGIAf UNTIL THE PERMIT C.ARll IS P05TED ON TNE JOB SCTE. 3. Mechanical Desie�is—CompEete calculations,details and specifications are required for each heating,ventilation,humidification-dehumidificati�n,and air conditioning insta€]ation indudang heat toss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and modet_ Data shall be presented on fnrm provided. 4_ When any new construction or remode[ing is imolved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniforzn Mechanical Code/State Building Code requirements. 6. AlI work must be inspected(rough-in and final). Call(952)249-4600. (?A-A8 hour notice required) 7. House Heating Test Recard must be submitted before futal. TYPE OF PERMIT (Check All That Apply) �Residential ❑Commercial(Approval Required) ❑ New �J Additional ❑Repairs ❑Rep(ace �� Job Site/Owner Information: Site Address: � � � �- ��2 �� iL ��Q Owner_ `�� '_Vlailing Address: \��--ill��C. c��: ��Nfl z�p: SS:�� { Home Phone: Alternate 1'hone: I Contractor Information: � Contractor: �l�c��l l.U'�'�(3iN� ContactPerson: �lCr�� Address: 1��o�-��rU�� State Bond#: �� -{ C ity: ��'S� Zip:S��{-Expiration Date: �� v�� Phone: �7��y ob " �� Alternate Phone: _ ❑ Insurance-Current: 1 _____. „lul 23�15 12:43p Stewart Plumbing Inc. 763-428-1733 p.3 . ' MECHANICAL SYSTEMS BEING INSTALLED Note: Al]Geothermal Systezns will now require a Site Plan& Review by our Building Official. IS THXS GE4THE1tMAL? ❑ Ycs �No HEATING SYS'I�,1-IS Quantiry: l�lake: ModeL• Fuel: f�lue Size: Input BTUs: _ Output BTUs: CFM� COOLINC SYSTEMS Quantity: Vtake: Vlodel: Tons: H.Power FiR�PLACES • Gas Factory Fireplace Brand Name: � Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/bqasonry VE'VTILATtON ❑ Na Kitchen�.xhae�st duct recirculating cfm ❑ No. Bath Exhaust{must have duct outside) cfin ❑ No. Other Fans: Locations cfr� FU B L STORAG E �Mrut be approved by Fire Marshal!if proposing ta abaudon tank in plaee.) ❑ [nstallation [] Removal Fuei OiL• gallons Q Undergraund ❑lnside ❑Outside LP Gas: galions Other: AS LINE Oi�'LY �,�f � OuFdoor Gril] lv1 Ocher 1 List What&Where: � L� ��-�,.lC 7` 2 , Jul 23>15 12:43p Stewart Plumbing Inc. 763-428-1733 p.4 . , ___—__-- ------� ��.�. _ _. _ .__—_ — ____ _ � PEIZM(T FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ;dj Yes,this sectian applies / � 'The replacement of a Residentia]fiactwe or appliance that meets all three of the following requirements: 1. Does not require modification to electricat or gas service. 2. Has a total cost oY$500.00 or less;exetudine the cost of the fixtvre or appliance:and / 3. Is improved,installed or replaced by the homcowner or licensed contractor. Skip neact section,if this applies; Cost of Permit � 1 S_00 State Surcharge $.____.___ 1_� Mail-In Fee(If Applicable) $ .00 7'otal Pcrmit�'ec $ :�� PERMIT FEE CALCUL�ITION S —JOBS OVER$5 0.00 Ifabove does not apply;fol(ow guidelines below: / 1. CONTRAC'C PRICE *is 1.25%of contract price with a(Minirnum Fee of$50.00) ��' � � x.0125 S (contract pr�ce) (misimum 550A0) 2. STATE SURCHARGE x.0005 $ (contract price) 3_ POSTAGE&HANDLING(Or�ly on Mail-In Applications) $ 2A0 4. TO�'AL PEI2N11T F'F.E(Add Lines 1-3 Above) 5 �� "� � 1 * CONTRACT PRICE or JOB COST means the actual or estimated dollar arr�ount charged for the permitted work inciuding materia�s,labor,profit, and orher fixed costs. It is the amount to be charged to the customer for ihe work done. If any materiai,equipment Iabor or installations are fumished by the o�mzr, tenant or any other party,the reasonable rnarket value of such ite�ns must be added to t}�e estimated cost or contract price for permit fee purposes. In the eaent that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actua] contract_ [v[ECHAMCAL PERMIT APPLICATI4N AGREE�tEN'P � � � � The undersigned hereby applies to the City for issuance of a Iviechanical Permit, agrees to do all work in sirict accordance with the ordinances of the City and the regulations of the State af Minnesota, and certifies that all statements made on this application are complete, true and correct_ � I '-7 Applicant's Signature; � Date: + �`� 3 C � �� DATE I E CITY OF ORONO cALLED IN =� INSPECTION N TI��_�� SCHEDULED � PERMIT NO. COMPLEfED ADDRESS � _� �� C1' ��L-�� /� OWNER T EPHONE NO.�� 3,3 CONTRACTOR •-1-�� 7'� / l�� `� . � DESCRIPTION ��/Y ��S/ ��7�',�.iJ �(� �� lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ 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 � ❑ DEMO-SITE ❑ S PTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:�YES_NO c�., COMMENTS: � �� /�� /� / ��•�FJ /s�� `U1rr/i�r (/�/_�J•af ' o �2 - � dvG.� 1DlcP��.�� .�� . � �c..,�J/...�s s - �° f Glsi� �t �- ' . W i /Lo L�c��C�/�lfG S .�tG� � �- aS '�s' , Q � � !sd�� co.o�� f4.6�.�s �'.-o..� c� t/ z , � D L`�f�� L✓1 �t�tL— 4 S �s c �cl s�.O W � ,2�5� - v�e- a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W�CLI�RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: �� ` ` /�c�/� ra` Inspector._ � � ✓�- ✓ White Copyllnspector's File Canary CopylSite Notiee