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Home My WebLink About2016-00590 - gas line only . CITY OF ORONO * Z 0 1 6 — 0 0 5 9 0 * 2750 KELLEY PARKWAY DATE ISSUED: OS/25/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1825 CONCORDIA ST PIN : 17-117-23-22-0015 LEGAL DESC : COFFEES ADDN TO SHADY WOOD LAK : LOT 008 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 700.00 NOTE: GASLINE FOR A F[RE PIT. APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.35 ANGELL AIRE INC. MAIL-IN FEE 2.00 12253 N[COLLET AVE BURNSVILLE,MN 55337 TOTAL 52.35 (952)746-5200 Payment(s) Minnesota State License#: mech-MB003386 CHECK 10870 5235 OW NER WING,JOHN&LISA 1825 CONCORDIA 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 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 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. _ , �/'r' �',,�'�' �/z.5 /�� ^ -c� L� J� ��i /;�o f� /,�� / Applicant Permitee Signature Date [ssued Signature Date ' f_� �OR CITY USE ONLY ;'' � City of Orono ��f�/ � � �� P.O.Box 66 Date Recei��cd: Pcrmit# V�y�� • � A 2750 Kelley Parkway � � � � Crystal Bay,MN 55323 Approved By: � Amount$: ��l � � �� Phone(952)249-4600 Fax(952)249-4616 ,\y`c C\� \!.Qkz SH��,� CITY OF ORONO —MECHANICAL PCRMIT �� ___—� (All Commerciul permits must be ap�roved by the Building Official or Inspector and�'or Fire Marshnll) GENERAL INFORMATION I. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. � 2. Pern�it cards will be sent by return mail after a review is con7pleted. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE P�RMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�—Complete calc�ilations,details and specitications are required for each heating,ventilation,humidification-dehumidifieation,and air conditioning installation including heat loss/heat gain calculation, design teinperatures,equipment ratings and identificatiori as to :`�'�C,I22ariU�$CiUI'Ci uilu i.1Gu.,1. Laid Silail 17C]7T'eSZ11teQ Ori IOIl71�.�T'OV1QeC1. 4. When any new construction or remodeling is involved,a separate building pennit must be obtained. 5. All work must be done in accordance with the U»iform Mechanical Code/State Building Code requirements. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hoiir notice requi►•ed) 7. House Heating Test Record must be submitted before fmal. � TYPE OF PERMIT _ (Check All That Apply) �esidential ❑ Connnercial (Approval Required) { Ziew �Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: � o z.� �U n C oi2c�• a- J '7L• Owner: T,h�'I W � YL Mailing Address: ��V�tJ�ee ��CEe� �r�• City: ��SS�� Zip: ,$�S"3/7 Home Phone: Alternate Phone: Contractor Inforination: Contractor: 2ll ��2 --�'��- Contact Person: Address: �ZZ S'3 ��w//e�- �,r.S. State Bond #: �� DD 3��v City: �c_.C-«�'�14— Zip:SS337Expiration Date: 9�Z�� Phone: ��L'7yG•' S �� Alternate Phone: �� Insurance—Gurrent: 1 ' MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systelns will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes ❑ No HEATING SYSTEMS Quantiry: Make: Model: Fuel: Flue Size: Input B"TUs: 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 VE�TILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) efm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fi�•e Marslzall if pi•oposing to uhan�lon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: �t�� ,J• f 2 PERMIT FEE CALCULATIONS l. CONTI2ACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) �v4 � x .0125 $ �V ��' (contract price) (minimum$50.00) 2. STATE SURCHARGE � ��`� ` x .0005 $ � 3� (contiact price) 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 � _ � 4. TO"CAL PERMIT FEE (Add Lines 1-3 Above) $ � Z •-3 � ■ * CONTRACT YRICE or JOF3 COST ineans the actual or estimated dollar amount charged far t�he pernlitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer far 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 pennit fee purposes. In the event tliat 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 The undersigned hcreby applies to tl�e City for issuance of a Mechanical Per�7iit, abrees to do all work in strict aecordance with the ordinances of the City and the regulations of the State of Minnesota,and certities that all statements made on this application are complete, true and correct. ''�,-, .� �/!� Applicant's Signature: Date: _ 3 � - � � � � A/1TE TIME CITY OF ORONO CALLED IN a� INSPECTION TI E SCHEDULED � /D.• � PERMIT NO�� ' �5�� co �eo ADDRESS � � � OWNER LEPHONE NO. �" � CONTRACTOR � � DESCRIPTION � •- llr ❑ 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 i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC�NSTALL 2 OWNERfCONTRACTOR TO MEEi YOU:_YES_NO v�i COMMENTS: � � i�G�✓`�,cvR �1�i S !r KLS T I�'� �i r-c ,p►� o -� Gri�/' �. � ° ' l�n�s �� d4,-,�� ,5 -�, ..�� - W � ' I�kS� bc �., �.r ' • /� ', Q �:P •.-,, f� � Qr/' '�.!>'�i �_/X(^JOsG ^ SL'fi �� .SL Z �`T � rSn 6 - / - /� ' j1�� '~ L� �� -�✓ /��--ts,o�c�� d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BE ORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwneNContractor on site: inspecto . ►�-� White Copyllnspector's File Canary CopylSfte Notice C-�' ✓ DATE TIME CITY OF ORONO CAL�ED IN INSPECTION NOTICE SCHEDULED � l � c�� PERMIT NO. ��- ��t G COMPLETED ADDRESS 7� �. ` , cr_��-��. ,` - OWNER TELEPHONE NO._�=51• �'�'��`�� CONTRACTOR � �' ��' � DESCRIPTION ��, �==7 Z-K-�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLtNG y ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑ TREEREMOVAL � RADON SLAB Z ❑ ❑ SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: W a � ba,�.� c�5 t,�✓�s _ Gov�e � �v ,k� 0 �G/l� �� - �` �' / / � � � b�c�c�Gb� -r'1r��1� H l ��v dG�cr�/ �`ie��C� � � l S i/��✓ So/�ic9 Go�r(-Z< ' W � Q � " G(• r �C 5� �vl�.t��g p5G ' W � � D K � Gbrt�i�luc J d W� WORKSATISFACTORY:PROCEED � PROJECTCOMPLETE � ❑ RRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WFLI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. or xt inspection 24 hours in advance. (952� 249-46�� Owne ontractor on site ��s�/ Inspector. *✓ White Copylinspector's File Cenary CopyfSite Notice