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Home My WebLink About2016-00449 - gas line only CITY OF ORONO * Z 0 1 6 — fd 0 4 4 9 * 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 787 BOULDER DR PIN : 33-118-23-11-0132 LEGAL DESC : STONEBAY : LOT 7&8 BLOCK 1 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY , VALUATION : $ 1,300.00 NOTE: GASLINE FOR 2 GAS FIREPLACE, 1 RANGE AND 1 DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.65 SCHULTIES PLUMBING MAIL-IN FEE 2.00 1521 94TH LANE NE BLAINE,MN 55449 TOTAL 52.65 (651)786-4007 Payment(s) Minnesota State License#:plbg-PC644177,mech-MB005379 CHECK 33597 52.65 OWNER Wooddale Builders 6117 BLUE CIR DR MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro [he 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 goveming this type of work shal)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 afrer 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. � �� ) � Z£s/ / C� Applicant Permitee Signature Date Issued By gnature Date � �►�*.. RECEIV�D � FO CITY USE ONLY � O� City of Oron�p� � � ��16 ��/ � � � P.O.Box 66 Date e' Permit# � 2750 Kelley P r�Cbvay,� � "') � Crystal Bay,� 55323_ '-'- Approved By: Amount$: �'.�+� Phone(952)k� b�0��p,�616 � � y � F � � ��' CITY OF ORONO—MECHANICAL PERMIT �k�5 N�� (All Commercial permits must be approved by the Building Ofticial 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 Desi�ns—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 final. TYPE OF PERMIT (Check All That A 1 ) �Residential ❑Commercial(Approval Required) [Backflow Device: ❑ AVB ❑ PVB] (�New ❑ Additional ❑ Repairs ❑ Replace Job Site/Owner Information: Site Address: �� .r�-�._ / /1I--�y� � Owner:( �� ,� Mailing Address: i��c�L��G�- City: ��.s�%�L1%��x-�C„z� Zip: �=� � Home Phone: '��—�� Alternate Phone: Contractor Information: Contractor: i��?f Contact Person: �� '� Address: /�'/ ��5�� State Bond#: C�" G� � � City: � Zip:�" Expiration Date: 1�5/��,r%+� Phone: `�-�—�E- '-�� Alternate Phone: ��u��"=�'1� 7� Insurance—Current: 1 � •1 ` 14IECHANICAL SYSTE�IS BEING IN�TALLED ' � 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 ❑ 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) cfm ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire MarshaU if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑' Outdoor Grill � Other/List What&Where: — �� 2 �� x-�' CJ �✓� �� + � i . . ..:�:��T F�� " °"�LTLATIONS ��;: . 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) „ ,� _ �.,�� x .0125 $ .��) ()U (coi tract price) (minimum$50.00) 2. STATESURCHARGE � / /� I.j U�� C�C.1 x.0005 $ , �F' `--7" (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PF.RMIT FEE(Adr�Lines 1-3 Above) $ -.J � � �� ■ * 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. MECHANICAL �'�;RMIT APPLICATtON AGREFMENT 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 stat made on this application are complete,true and correct. � � Applicant's Signature. Date: � 3 �� DATE TIME � CITY OF ORONO C LLED IN IO �� INSPECTION NO ICE _ l.��HEDULED �� _� PERMIT NO. �� COMPLETED ADDRESS � g � �� e� ,n� OWNER TELEPHONE NO. � �0�.= �� CONTRACTOR ,��I/1 U-� CS I 4� � DESCRIPTION � ��'� �� D ll1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FII�/kL'�—�d'� 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 J ❑ DEMO-SITE SEPTIC INSTALL � OWNERICONTRACT�OR T�O� � YES_NO � COMMENTS: W - - /� a �rtS �/KsS -�d✓ � �'Y- �/y�� F- � � ,��•�� - 0 � - c`6�.�c r ��b.•i< -�'o.�t. 0 � Q -- a-% -��s�- ��,-� d s� - � z � o� -4 co c.�✓ w � j W �BKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � �CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDIT�ONWITHIN HOURS. ❑ pHOTOTAKEN 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. (g52) 249-46�� OwnerlContractor on site: Inspector. �►�-��J� (/ White Copyllnspector's File Canary CopylSite Notiee DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �O/6' Gd�i��f4 COMPLETED � ADDRESS �� d�<�e✓ �r � OWNER TELEPHONE NO. CONTRACTOR ��4G��s ��4 ` � DESCRIPTION �i/'1�G �r+S �irl,e - o� /C•/�. ,�i/'l��i'C� ldi;�,e✓ ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL I Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING 4ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP w ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � �G�_�i�t� nlo� /s ��Kc " � 0 � � ° ��nr,C 41�1��e� ` W � Q Z C � l�/lf�.Z` �if�� W � � J d � ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-46�0 OwnerlContractor orL ite: Inspector. ��"'` � White Copyllnspector's File Canary CopylSite Notice