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Home My WebLink About2015-00941 - gas line only i CITY OF ORONO * Z 0 1 5 - 0 0 9 4 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2450 COBBLESTONE CT PIN : 33-118-23-11-0082 LEGAL DESC : STONEBAY S[XTH ADDITION : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : GAS LINE ONLY VALUATION : $ 1,000.00 NOTE: GAS LINES: 1 RANGE, 1 DRYER,2 FIREPLACES APPLICANT MECHAN[CAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.50 SCHULTIES PLUMBING MAIL-IN FEE 2.00 1521 94TH LANE NE BLAINE, MN 55449 TOTAL 52.50 (651)786-4007 Payment(s) Minnesota State License#: plbg-058799PM,mech-MB005379 CHECK 33350 52.50 CHECK 33350 52.50 TOTAL PAID 105.00 OWNER DUE -52.50 Wooddale Builders 6117 BLUE CIRCLE DR SUITE 101 MINNETONKA, MN 55343- AGREEMEIVT 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 separaEe permits. All provisions of laws and ordinances goveming[his type of work shall be compied with whe[her 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 l80 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. �/� � 1. '' � �- _ 111�,I �E � �.�,t �( _ = ;-. �,_ cc � � . _� c �( s� I � �7 � / `� Applicant Permitee Signature T Date Issued By Signature Date �, ' r...�._� F�R CITY U5E QNI.Y �� (� City�f Orona � ,,r1 ��-`�/'''� P O Bax 66 Date lt�ceiveci� 1 L �I�Sp�it# z�'��5M '�y � ; '✓ 2?�0 Kelley Parkway � , � � ; Crystal Bay,MN 55323 Appro��e.d By: Amount$'C;_,7„__ i � � Fhone(952)249-4600 Fa,:(45z)249-4616 � �� a � y� ` �RKF.S E{O�'�� CITY OF ORONU—MECHANIC.AL PERMIT „Y,�- (All Commerciai permis nust be approled by the Building Ofticib!ar Inspector and/or Fire Mar�hail) GENERAL II*IFORMATIUN 1. You may apply far n�echanical perrnits by mail or in person at the City offices. Applications wili be reviewed and a�ermit will be issued within two workin�;days. 2. Permit cards wiil be sent by return mail afler a review is completed. PERMITS ARE NC)T VALID UNTtL YUL�REC,EIVE A PERMIT. WORK MLiST'1VOT E3EGIN UNTIL THE YERMIT CARD IS POSTED ON THE JOB SITE;. 3. Mechanic�l Desiens—��mJ�lete calculations,detaiis and specifications are requirad for each heating,ver�tilatiGn,l�umidificniion-�dehumidification,and air conditioning installati�n includin� heat loss;heat gain calcula:ian,design semperatures,equipm�nt ratin;s an�i identitic�ti�n as to type,manufacturer and model. Data shall be presented on for.m pr�vided. 4. 4Vhen any new cc�nstruction or remedeling is involved,a separate building pern�it must he obtained. 5. Ali work must be dc�ne iiZ accordanee�vith the Uniform Mechanical Code.�Stata Bui(ding Cocle requir�ments. G. All work must be inspected(rough-in an�final). Call(9S2)249-46U0. (24-48 hour aotice r�quired) 7. House Heating 7'est Record rnust be s«bmi�zed b�fore final. � � T�'PE O�f'�RMIT j_____ ___ �Check AII That Apply) , ;�Residential []Comtnercial(Approval Required) �ew [j Additional [] Repairs ❑Rep�ac� Jab Site/Owner Infa�ati�n:� �.__...__ _ �� Site Address: G��Ja �.�t,��.�7't.,t�____�'�� Owner: Q`-�-�.-l��_ ailin� Acdress: ��/ �o�,�� etit� Zip: �' r•� � City: - Home Phone: �'"� .��''�J� Alternate Phone: Contractor Information;�� Contractor: %��f,�►�� _ ` Contact Person: Address: ��f,��, State Bond #: �7 City: , .._._ P � l.c�/�' �d.cr�-,C. Zi ��rT.! Expiration Date: �s ar� Phone: `7�,.��"�-/L�D� Alternate Phone: ��`"7�� ❑ Insurance—Current: � __ l , � . . ,.�._..______...�____._._._ _�� ____. __..,�,_�._._,_ �._� -,,,.,�..,,R-..9.�,.� ....,.�._..�.�. �1.�::��-��(I�."A.�, ��'�`��a�:��; '��: ��,�� -- _ _._ _�_ � -- Note: All Geothermal �ystems wul now require a Site Pian &Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑No HEATING SYSTEMS Quantiry: -- —, Make: Model: Fuel: Flue Size: Input BTUs: _ _ Uutput BTUs: �» _ __ CFM: COOLINC SYSTEMS Quantity: __ Make: Model: Tons: !t.Power __ _ _ FIREPLACES ❑ Gas ractory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue.�Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside} efrn ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshal!if proposing to abandon tank in place.) ❑ [nstallation ❑ Removal Fuel Oil: _ gallons ❑ Underground ❑Inside ❑Outside LP Gas: _ gallons Other: GAS LINE ONLY y� Outdoor Grill � Other!List What&Where:�� 2 j`"� �� ` r ' ' i .._. _ _T_. _.__ - . _ ___ .__...., ___._ __.__ , ��...L�Gr��.� �.t :•�'?i.,'a.�';,e�¢.i��°J�i3}� f _____��:�'r,��v.�� _��C�C? ��'_.h ait; ��''!$1��__._:_....__._�� ._u i ❑ Yes,this section appiies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;exciudin�the cost of ihe fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge � 1.00 Mai!-[n t�ee(If Applicab(e) $^ 2.J0 Total Permit Fee � � . . _ . . ,,.. ��,. If above does not appiy;follow guidelines be(ow: 1. CONTRACT PWCE * is 1.25%of contract price with a(Minimum Fee of$5Q.00) � `�' .S�CJ. �U /� � _ X.o12s�_ _ contract pnce) (minimum$50.00) 2. STATE SURCHARGE � �i�C V� x.0005 $ ,J� (contract price) 3. POSTAGE&HAIviL�LING(Only on Mail-In Applicationsj $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �,�-SU ■ * CONTRACT FRICE er JUB CUST means the actual or estimated dollar amount charged fqr the permitted work including mat�rials, labor,profit,arrd other fixed costs. It is the amount ta be charged to the customer for the work done. If any material, equip,nent, labor or instaliations are furnished by the owner,tenant or any other pariy,the reasonable ma.�ket value of such items must be added to th� 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 a�plies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the o,rdinances of the City and the regulafrons of the State of Minnesota, and certifies that all statements made on ihis application are complete, true and correct. Applicant's Signature: Date:_ � � 3 �.� � ✓ DAT TIM E CITY OF ORONO CALLED IN I b- � INSPECTION NOTIC SCHEDULED o_a� � PERMIT NO. � MP ADDRESS � ��D . �- L�� OWNER 'TELEPHONE NO. '7 8 - CONTRACTOR G � DESCRIPTION � W ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTANCTOR TO MEET YOU:_YES_NO v�i COMMENTS: W ' a ��s �,K�S -�`o � a r- : � . � or�•�c� � " G �is �4�n4Ce � � �. . � � �(• r '�i �S'tj- /�t��c �f /� � ��,QS G W - Q S��G /�'��t�S � � W - oK � � W � j d W TISFACTORY:PROCEED ❑ PROJECT COMPLEfE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspecti 24 hours in advance. (952� 249-46�� OwnerfContractor on site: �� f Inspector. �i � � � White Copyllnspector's File Canary CopylSite Notice � � � c�, � �. DATE TIME� � CITY OF ORONO CALLED IN 1 I INSPECTION�TI��,� � scHEou�eo r `�I�.,�: ;��-_'� PERMIT NO.� � COMPLETED ADDRESS `--��5C-� C�"�'� OWNER TELEPHONE NO.�� } � �-�` ��a��.0 CONTRACTOR �d.�.�v Cti-�--�=' ��C`y�" � DESCRIPTION ��' �� j�'L'c'� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 ONfNERICONTRACTOR TO MEEi YOU:_YES_NO c�., COMMENTS: a (�� l/�'G� Y�D� �S !l a l� tir — � � 0 �. o� 0 W � � Q 2 /��/�<� .-�� W � W 2 � � ❑WORK SATISFACTORY:PROCEED �RO�EET COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑COFiRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 Owner or on site: Inspector: / ` White Copyllnspector's Ffle Canary CopylSite Notice