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Home My WebLink About2016-00240 - Gas line only CITYOFORONO * z016 - 0024PJ * 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 BRIAR ST PIN : 10-117-23-31-0053 LEGAL DESC : MARKVILLE : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 370.00 NOTE: GASLINE FOR RANGE AND GASLINE FOR DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.19 AIR MECHANICAL, INC. MAIL-IN FEE 2.00 16411 ABERDEEN ST NE HAM LAKE, MN 55304 TOTAL 52.19 (763)434-7747 Payment(s) Minnesota State License#: mech-MB005122 CHECK 047341 52.19 OWNER ZITZLOFF,JEFFREY&BRENDA 1380 BRIAR ST WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 l80 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. / / Applicant Permitee Signature Date Issued By Signature Date '� ' � CITY OF ORONO * z 0 1 6 - 0 0 2 4 0 * 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1380 BRIAR ST PIN . 10-ll7-23-31-0053 � ,� �'� - � _ .,.,� LEGAL DESC . MARKVILLE T w ` "�x +�� : LOT 000 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 370.00 NOTE: GASLINE FOR RANGE AND GASLINE FOR DRYER APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.19 AIR MECHANICAL, INC. MAIL-IN FEE 2.00 16411 ABERDEEN ST NE HAM LAKE, MN 55304 TOTAL 52.19 (763)4347747 Payment(s) Minnesota State License#: mech-MB005122 CHECK 047341 52.19 OWNER SUMMIT, MR. . � � 1380 BRIAR ST � WAYZATA 91- �' � 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 goveming this type of�vork 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 cons[ruction is suspended for a period of 180 days at any time atter 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. � , G `�tiv(�-� � l / l /(o Applicant Permit��d- Date Issued y Signature Date , . _ . ��rvEo �i-�v5v � F)R C Y CSE OnI.Y � � c�ty of orano MAR 1�4 (� /��- � �� P.O.Box 66 �� Date Rece' ed/� Pennit# �� "- 2750 Kcllcy Parkway �� Crystal Bay,MN 55��R�� Approved E3y: Amount$: � Phonc(952)249-4� I�ax(952) 4t)� � � y� `�kfSH��G CITY OF ORONO— MECHANICAL PERMIT '�'':"` ��sP F�'� (All('ommercial permits must be approved by the I3uilding Of�icial or Inspector and/or I�ire Marshall}+ �w� '��a:��!, ,J GENERAL 1NFORMATION 1. You may apply for mechanical pennits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Pennit 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 Desiens—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) , I /I New ❑Additional ❑ Repairs ❑Replace iT Job Site/Owner Infoi7nation: Site Address: � ��iG� � � � Owner: �it.{�'�VL� �' � ailing A ress: City: Zip: Home Ph . Alternate Phone: Contractor Information: Contractor: /7� � l�'�C,c�v(G./�i�C �;/ Contact Person: ,�fC�"lf/�G�,c., � ��- Address: �� 1=��.e,�n,��-l�/�r State Bond#: �-(/,�C�US/�� City: ��/Y� L-G(�� Zip:.S� Expiration Date: Phone: �� 3- 7�1� - 3�7 7 S Alternate Phone: ❑ Insurance—Current: 1 � . . _ MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothennal Systeins 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. Po��er FIREPLACES ❑ Gas Factory Fireplace Brai�d Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved hy Fi��e Marshall if p��oposing to aba»don ta�tk in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill �- Other/List What&Where: 9C�,f l yl.e. rev�t g� 2 9 G��.��.. �� PERMIT FEE CALCULATION S 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) ,�� j�(,.(�Jj� x .O125 $ J� (�� (contract price) (minimum$50.00) 2. STATE SURCHARGE x .0005 $ . �� (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��. �� ■ * 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 PERMIT APPLICATION AGREEMENT T11e undersigned hereby applies to the City for issuance of a Mechauical Pennit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Mirmesota,and certifies that all state�nents inade on this application are coinplete,true and correct. Applicai�f s Si�nature: ��C._.� �— Date: ,�'�—� � 3