HomeMy WebLinkAbout2009-00537 - gas line only . CITY OF ORONO PERMIT NO.: 2009-00537
2750 KELLEY PARKWAY
� ORONO, MN 55356- �ATE IssuEn: 09/OU2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2345 BLAINE AVE
PIN : 17-117-23-34-0011
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 009
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,300.00
NOTE: GAS LINE FOR EMERGENCY GENERATOR
LYLE HAS FOR APPROVAL
APPLICANT MECHANICAL 50.00
ASSOCIATED MECHAN[CAL CONTRACTORS, STATE SURCHARGE MECH (VALUATION) 0.65
1257 MARSCHALL ROAD
SHAKOPEE, MN 55379 TOTAL 50.65
952-445-5119
OWNER
(WELL NO. 3 PUMPHOUSE), CITY OF ORONO
P.O. BLAINE AVE
CRYSTAL BAY, MN 5532�
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
thc 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
�equested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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i i
Applicant Permitee Signature Date Issued Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E.
� .
Rug, 21, 2009 12: 20PM ASSOCIATED MECHANICAL No, 3379 P, 2
FOR CiTY U3L ONLY
Clty of Orono
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p.�.�ox 66
.Q � 2750 rCelley paikway
� Cryefal Bay,MN 55323 Approved Hy: �Amaunt S:5O
�� � � � (952)249-4600
,� �. '� �5S vE'— � ,
CXTY'OF ORONO--MECHANICAL PERMIT �
(All Commercial petml�s musc be approved b�the Building O�eial or�napecror and/or rire Marehall)
GENER.AL 1NFOR.MATION�
l. �'ou may apply for meehanieal permits b�mail or in person at the City offices. Applications will
be reViewed and a pernut vvill be issued withln two worlcing days,
2. Pernlit c&rds wil]be srnt b�rctum mail aftcr a review is completed. pB�MTTS ARE I�TOT
VA�,Tb'UN'TCL YOTJ RECEIVE A PERMIT. WORK MUST NOT�ECYI��NTYY.T�TE
PERMIT CARD IS POSTED QN'l'H�,�O�SYTE..
3. Mcchanical Dcsi�r►s—Complete calculations,details and speeifieations are required for eaeh
heating,ventilation,humidification-dehumidificatioa,and air conditioning installation including
heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to
type,manufacturer and model. bata shall be prescntcd on form provided.
�. When any new construc�ion or remodcling is involved,a separate burlding pe�7nit muat be
obtaincd.
5. All work mue[be done in aeeordance with tho 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�-Teating Test ltecord must bc submitted before frnal.
TY'PE 0�PERMYT
Check All That A l
❑�tesidential �Commcrcial(Approval Reyuired)
�✓ New ❑Additional ❑I2epsirs ❑Replace
rob S'rte/Owne�•Tnformation:
Site Address: 2345 Blaine Avenue
verizon Wlreless 10801 eush Lake Road
Owner; Mailing Address:
C1 ; Bloomington Zi 55436
h' P�
Home Phone: Altemate Phane;
Contract�r 7nformation:
Contxactor: Associated Mechanlcal Cont. Contact Peison: Greg Miller
Address: 1257 Marschall Road State Bond#:
City: shakopea �lp: 55379 E�cpiration nate:
Phone: (952)4�5-5100 Altemate�hone: �g�'�363=9173
✓Q Tnsurance—G�zrrent:
1
Aug. 27, 2009 12 ; 20PM ASSOCIATED MECHANICAL No. 3379 P. 3
• ` �r_�:i�i��W;n�ik::S:�i���' � �t� . •' E ;I
_c:�01v" �_�x
Note:All aeothermal Systems will now require a Site Plan 8c l�e iew b�our Building Official. �
IS THIS GEOTHERMAL7 ❑Yes Q No
HEATING SYSTEMS
Quantity:
Make:
Model:
l�uel:
Nlue Si2e:
Input BTUs:
Output BTUs:
C�M:
COOGING SYSTEMS
Quan[it�:
Makc:
Modcl�
Tons:
H.Power
�MREp�,AC�S
❑ Oas�actory�'ireplacc Brand Name:
❑ 'UVood$uming Fireplacc
� 'UV'ootl Stove Model No.:
❑ 'W'ood SCo�+c With Fluc
V�NTI�.ATION
❑ No. CCitchen�xhauet duct recirculating �cfm
❑ No. Bath�xhauat(must ha�re duct outsidc) cfrn
❑ No. Othex�ana; T,ocations cfrn
FUEL STOItA,CrE (M��s!be appFoved by Fire Marshall if proposlltg lo pbur��lo�r�ank i�i plac�)
� ]nstalla�ion a Rcmoval
l�uel Oil: gallons Q 'Underground �j Inside �Outside
T.p Oas: gallons
Othcr:
CrAS Y,YNE ONLY
❑ Outdoor Grill � Other/List What&,Where; �mergency Generator
2
Aug, 27, 2009 12 ; 20PM ASSOCIATED MECHANICAL No, 3379 P. 4
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@� .��;t34 "������ r 4 u � .t�., ss -
❑ Yes,this section applics
Thc replacement of a l�esidcntial�xture or�alianco that meets all three o�the followrng requiremcnts:
l. I�oes not require modifieation to elcctrical or gaa ser�vice.
2. �Tas a total cost of$500.00 or 1ass;excludinQ the eost of the fixture or appliancc:and
3. rs improved,installed or rcpleced by the homeovvner or licensed eoniraetor.
Skip next section,if this applies; Cost of Permit $ 15.00
Statc Surcharge $ .50
Mail-In Fee(Yf Applicablo) $ 2.00
Total Permit Fee �
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'Slll 'r:'s-.fi - � - � ..=i�oNlbi �`:.Tsl�l:�
Tf abovc does not appl�;follow guidelinea below:
1. CONTRACT PRXCE *is 1.25%of contrAct price with a(Mlnimum�`ee of�50,00)
1,300,00 x.0125$ 50.00
(Conlract pricc) (minimum$50.00)
2. STATE SURCM�ARCE *"Add the S[ate Bldg Codc Div,Surcharge(Minimum Fee of 5.50)
1,300.00 x.0005 $ 0.65
� (contracl pi'Ice) (minimum 5 .50)
3. POSTACr�&�ANDLING(Only on Mail-In Applications) $ 2,00
4. TOTAT.PEIZMIT FEE(Add T.ines 1-3 Above) $ 50.65
■ � CONTRACT PRICE or JOB COST mcans the actual or estimated dollar amount charged for the
permitted work including materials,labor,profit,and other fixed costs. Tt is thc amount to be ehargcd
to the cuatomer fbr the work done. If any material,equipmont,labor or installations are fiimishcd by
the owner,tenant or any other party, thc reasonable markct value of auch items must be added to the
cstimated eost or contraet priee for pormit fee purposcs. In the event that there is a disputc on the
amount of the job cost, the City may request the submission of a signed copy of the aetual contract. .
■ *'"The STATE SUKCHARGE is.0005 of the�uilding Department at(952)249-q600 for the price.
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The undersigned hereb� applies to the CiCy for issuance of a Mechanical pernut, agrees to do�all
work in striet accordance W✓ith the ordinances of the City and the regulations of the State of
Minnesota, and certif es that all statements rnade on this applicatiom are complete, true and
correct. �
Applrcant's Signature: Date: 08/27/09
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3
(�OD�"OD S37 TIME �
CITY OF ORONO _ CALLED IN �� �
INSPECTION NOTICE SCHEDULED � :OD
PERMIT NO. COMPLETED
ADDRESS oZ�37'� Il JI�-e J��
OWNER CONTR. I_��G. ��C�C/
TELEPHONE NO. ��� - 3�3 - 9173
� DESCRIPTION � �� /�( �r��
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL � HARD COVER REMOVAL
J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑�WORK SATISFACTORY:PROCEED �T PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED / �:SSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WIIL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on e: �-
Inspector. a l
White Copyllnspector's File Canary CoD�"