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Home My WebLink About2015-00775 (gas line-outdoor grill) ' ' CITY OF ORONO * Z p� 1 5 - 0 0 7 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2690 CAROLINE AVE PIN : 20-117-23-24-0033 LEGAL DESC : WESSELS SUBD OF SPRING PARK LO : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY NOTE: CONNECT GASLINE TO OUTDOOR GRILL. APPLICANT MECHANICAL(<$500) 15.00 STATE SURCHARGE MECH(<$500) 5.00 PRACTICAL SYSTEMS MAIL-1N FEE 2.00 4342B SHADY OAK RD HOPKINS, MN 55343 TOTAL 22.00 (952)933-1868 Payment(s) CREDIT CARD 5815 22.00 OWNER LIBERMAN,ZN&TAL 2690 CAROLINE 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 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. . ' � D �-�r,� !o � /�� l� Applicant Permitee Signature � Date Issued Signature Date ' 9579331869 18 07 28 06-15-2015 7/4 FOR CITY USE OnLY �O^rO City of Orono �y P.O.13ox GG Datc Rectivcd: Pcnnil# 2750 Kclicy Parkway Crystal Qay,b1N 5>323 Apprpved i�y: � Amount S:__ Phonc(952)3q9-4600 Fax(9�2)249-4616 a � y � `'��esfio��G CITY OF ORONO—MECHANICAL PERMIT l: (All Coimncrcial permits must bc approvcd by thc:Ruilding 011icial or Inspector ancUor Pirc Marshall) GENEItAL INPORMATION 1. You may apply for mechanical permits by maif or in person at the City offices. Applications wili be revierved and a permit will be issued within two working days. 2. Permit cards tvill be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGTN UNTTL TH� PERNIIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Compfete calculations,details and specifccaFio��s are required for each heating,ventilation,humidification-dehumidification,and air conditioning installation including hcat los�/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 final. TYPE OF PERMIT Check All That A 1 ) [�Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs dReplace Job Site/Owner Information: sit�Address: �,(e�°l0 GARnLIt�IE AV -QRf')NO��,1 ��q l Owner:�1\(_�,TAL 1.1F�ERMAt`� Mailin� Address: ��4{�5��5 RD c�ty: �EDINA z�p: ��?�`-�j Home Phone:t,�IZ�(p�Q—�(� Alternate Phone: �1�A Contractor Information: Contractor: ��L'TtCf�L S�(,�N�S Contact Person: �NARI,.A GC�D Address: ��2� S�AD�I OAK RD State Bond#: City: H�(�kl(�S Zip:�C�3Expiration Date: Phone: C952� �133- � ,Qa Alternate�� 952�9�, ��q ❑ Insurance—�rrent: 1 � 952�331869 18 07 45 06 15 2015 3/4 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothercnal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEO"THERMAL? ❑Yes ❑No HEATING SYSTEMS Quantity: Make: �fodel: Puel: Flue Size: Input BTUs: � Output BTUs: CFM: COOLING SYST�MS Quantity: Make: Model: Tons: H.Power � I'IR�PLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning[=ircplace ❑ Wood Stove Model No.: --,_._____. Wood Stove with Flue!Masonry VENTILA'I'ION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL S'TORAGE (�Ylusr be upproved hy Fire Murshu/!ifproposing to ahandoir tmik in placc.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill ❑ Other/List What&Wllere: C��s �.��E �..��ov �c��rs� ` � 9529331869 18 07 58 06 15 2015 4/4 \ PERMI f PEE CAL,CULATION(S) BASFD OFF-2002 STATE STATUE � Yes,this section applies The replacement of a Residential fixture or appliance that meets all threc of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the tixture or appliancc:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I5.00 State Surcharge $ 5.00 Mail-in Fee(If Applicable) Total Permit Fee ��•Q� ERMIT FEE CALCULATION S -'JOBS OVER'$500.04 �..-�" �-`'� � If ab e does not apply;follow gu� �Itaes below: 1. ONTI2ACT PRICE *is 1.25%of contract price witli a(Minimu ee of$50.00) . i25$ (comrac�pricc) (minimant$5D.00) 2. STATE SURCHARGE '� x.0005 $ co ct pricc) 3. POSTAGE&EIANDLING(Onl n Mait-In lications) $ 2.00 4. TOTAL PERMIT G(Add Lines 1-3 Above) �_ ■ * CONTRACT PR or JOB COST means the actual or estimated dolla ount charged for the pern�itted work ' cludiilg materials, labor,profit,and other fixed costs. It is the a� nt to be charoed to the custo r for the work done. If any material,equipment, labor or installations a urnished by the owne tenant or any other party,the reasonabEe marEcet value of such items must be a to the estim d cost or contract price for pern�it tee purposes. In the event that there is a dispute o the a nt of the job cost, the City may request the submission of a signed copy of the actua] contra . MECHANTCAL PERMIT APPLICATION AGREEMENT The undersigned herehy applies to the City for issuance of a Mechanical Perniit, agrees to do all work in strict accordance with the ordinances of the City and the reeulations of the State of Minnesota, and certifies that all statements made on this application ai•e complete, true and correct. Applicant's Signatura�..�....___i'2� (J C!�� Date: OCo IS �� 3 _ �� _� DATE TIME I OF OFEOI� „ _ < CALLED IN „�,,,,, . INSPECTION N0710E sc�+�ou�eo �. +'��' ", ��;;;; PERMIT NO. �,�'�a,�� f"�"> I��` connP��rep . � � . f.� , ADDRESS - ` � „' � ' _ ��C `� ��,"`C� OWNER TELEPHONE NO. �`� �`' �� f �' f=` ,. � -- �. CONTRACTOR .� :" � r '�� `� ��.� � DESCRIPTION i� J G�c� � �-'$f� � �- �._. ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J FENAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W '�AS�U(�T-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ ,�CyEMt?-,'SIT� (� , RT1C INSTALL f � £ `' ` ! {r;r-'� !OMtttEAFCS?t!tTRA�CT�li TO MEEi Y?p1lo,,,?,,,.` YES_HO . �� { �_' � �`- � , � , ° , ,�. �_.. �- _ . . �.., � C+DMMENT$: '�: f �r . �,�� t � �,.. a �` � � �� r .,� _ � � � J �„w O 3 � r �/ �� ,�"4''? #8 6T P 'I/ df Cl " yy{ -7 `P��-j Za_J 7!!�i � "� �r 1�� ' � � � �F O� - � t� ��- � �- , /" ` �`- .f:':r�l�C�O� r�� ,- �� W ' � °` � � Q �� : � _ � � ; � ..�__�� _ m � . ��. , � ��:r r�.r,..�» . '� � ��/'tr�i` ,r�:� � . ,�� , � ,.; � � {��" ,�� , -� {� G,,�. .rr.- ,/i � (/ - c��!`/ �t->�.;i f�' � o. r,�r.J�/.�`� � r�`- w... „ �... ,,,..,,,.,,m..� „.. �., a �; a�" j � '�r '�,J� ��'�G.' .f _:z,�._ �'t'� . �^ � � ❑WOR#C5A'f1S�ACTQRI^.PFRQCEED '/�ROJECTCOMPLEfE W ❑CflRRE�l'W+C}FIK S PAOG�ED �❑ IS E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � V BEFORECONERING PERMANENT � ❑GORRECTUNSAFECONDITIONWITHIN HOURS. INSPECTOR WILI RETURN U PHOTOTAKEN ' ❑CITATION 1SSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REDUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 � Owner►Contractor on site: � �I1S�18CtOC a� `"`"`�� i .,.��._�.,....n.....a..•...+�cu� [an�rv CnnvlAlfa NMIc� 1 ,.� ( r ,..� -1- �, � DATE TIME� �I�OF ORONO CALLED IN INSPECTION NOTICE CHEDULED � .� `-� 5 `-?�; PERMIT NO. G-L!a-(�: j7S onnP� ADDRESS �� t � �� C_; l � �tfc `,�c.'`��J OWNER TELEPFIONE NO.�� 7n�� CONTRACTOR 1��C� C f • —S�t.� '� � DESCRIPTION �� CC�� S �� ly ❑ 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 v `�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ T-SURVEY ❑ SEWER HOOK-UP � ❑ FOUNDATION/REMOVAL �SITE ❑ PTIC INSTALL 2 OWN ONTRACTOR TO ME�E7�CDU:,�YES_NO �j/1�/��C �"C'/� C � �� c��, COMMENTS: �- S I �� W '� � a � O ` _ �t 'r� �C4li ^ � "�"4S ��M C 1�YlUnv �O ►'►1.0��`�QC �`Xc�• �`rtL � ° a� 3 F P� -r- 6c�E�bo i g��'!/ .� W . � Q Z � � � /'4L <<a G S� St�.+z s W ,� �,� . d p u,E�doi g��'</ - �6l l.Ja i�(C �v'"34/a� � ✓ S QG �- d �1' rt'aG �Grw►- �ot/' ✓� ,/J_ f /�e✓v.a�C a✓ W ❑WO SATISFACTO Y:PROCEED PROJECT COMPLEfE 9/'i!( � � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice