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Home My WebLink About2016-00643 - gas line only CITY OF ORONO � ' � 2750 KELLEY PARKWAY * D 0E ISSUED: 06/6/0 6 * ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2195 FRENCH LAKE RD PIN : 10-117-23-21-0006 LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY ACTIVITY . VALUATION : $ 325.00 NOTE: 1 GAS L1NE,KITCHEN COOKTOP APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.16 WELD& SONS PLUMBING CO INC. MAIL-IN FEE 2.00 3410 KILMER LANE N PLYMOUTH,MN 55441- TOTAL 5216 (763)475-0296 Payment(s) Minnesota State License#:plbg-PC646375,mech-MB003315 CREDIT CARD 6763 52.16 OWNER DALTON,MICHAEL&JENNIFER 2195 FRENCH LAKE RD 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 sepazate permits. All provisions of laws and ordinances goveming 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ��r ' C,-__--' � � j``��_,5;_x i � �o r� -��- �� - �� , , Applicant Permitee Signature Date Issued By Signature Date � •� FOR C1TX Il$�ONLI' �,� t City of Orono — ��,� 1�/ P.O-Box 66 Dsce Received: Pez�nit#� ��"- � 2750 Kelley Par};wsy � Crystal BaY,A!iN 55323 Approved�y: Amoua;5, ��` Photte{952)249-4600 FaY(952)249-46�6 � � ~ �' �t.�,��sx�4�.�' CTTY Ok' OR�NO--MECH�INICAL PER.MIT L ` �� (lall Commcrcisl peimits must bc appz�oved Uy 1he Huilding O�icial or Inspector and/or k'pre Iv�„rshall) �(/ GENE�2A1;INFORMA.TTON 1. You zz�y a�ply for meclaauical permiCs by nna�i]or in person at t�ae Ciry offices. AppZAcatioz�s wi11 be reviewed azad a per�nit will be issued within two wox�ir�g days. 2. k'e�nit cxrds wi11 be sez�t by return mail a�ter a�revie«is coznp�eted. PERMITS AR�NOT VALID UNTIL'YOU RECEZV�,�,PEFtN1IT. ��MUST NOT BEG�N UNTIL THE PET�IVIIT_C,A,�tA IS POSTED Ql��'i-�E JOB STTE. � 3. 1V�ecl�ar�ical Desi�—Complete calculations,detai.Is and speeifeatioxzs az-e x•equired for eacb hearing,vez�tilatxoz�,hu.midiGeation-del�umidification,a�od aiu-conditioning instaalation including heat loss/hext gain calculation,design tezn�eratures,equipn�e��t z-atings and ide�,tafication as to ty�e,manufacturer an,d mod.el. Data st�aZl b��z�eseinted on fonn pz�vided. 4. Whez�a��,y new conscructior�or z-ea�nodeling is invq�ved,a separate building pe�nit must be obtained. S. All work�ust be done in accordaaxce wi.th th�Uniform Mechanical Code/State Suilding Code ��equire�nents. 6. All woz�c�.aust be inspecced(rou�-in and final). Ca11(952)249-4600. (24�{8}�ou�z�otxce required) 7. House Heating Test ktecoxd must be subnaitted before firial. TYk'E O� PERMIT � ' (Gheck A11 That.A.pp�Y). �Residentia� ❑Comrnercial(A�proval Required) [Bac�ow Device:❑AV� ❑�VBJ ❑Ncw �AdditiomaZ ❑Repaizs ❑Re�lace JoU Sitel divner I�£ozx�ation: Sxte Address: �� J��] �1-'�� -�, Owner: ►` � w "�o r� Mailing A,ddress: Z/�� _nU �.�.,� /� Ciry: c�t`a � � Zi�: Ss3�/ Home Phone: Alternate Plaoz�e; (�IZ- 2.� ( � �0�� Cant�•actor Inf'ox�zx�ation: Cox�b�-actor: WP�� 5 P1�,��ontact Person: �-✓+� Acici�ress' �`//� r' �.t�-- �. N State Boz�d�: M F3 6�Q 3 31S' City: ,nti�a� Zip•��/Expiratioz�Date: S � �� /6 ,� Phor�e: 7C� �!�`�p�,�� ,A,�tez-,�.ate Phone: � ZX15U:['ariC�—Cl11Xe��: �i�� Note: P,,11 G�otherz�aal Sysr.enls will z�ow r�qture a Sate Plan&12eview by our Buildiu�b Of�cial. IS THIS GEO'�'HERMAL? ❑ Yes ❑No FTEA'��;G SYSTE�IS Quantity: Make: Model: Fuel: k�ue Saze: Zzz�ut BTUs= Output B�'Us: CFM: COQL�'VG SYSTEI4�S Quantiry: _ __ Ma�ce: Model: Tons: H.PoweX k'�PLAC�S ❑ Gas k'actory Fireplace �xand Name: ❑ Wood Burni�ng k'i�eplAce ❑ Wood Stove �vlodel No.: ❑ �Vood Stove with Fluc/Maso�.ry � VENTILAT ❑ l�io. Kitck�ez��xhaust duct recztculating c�inn ❑ No, �ath�xhaust(zn,ust kzAve duet autside) �� ❑ No. Othez-�'a�as: LoCatioi�s cfnn FUEL STqR.A,GE„(�i3'ust be approved by F�re Marshull if proposing to[�bandott tank in plaee.) ❑ Installatioz� Q Rerr�pval Fuel Oi1: � gallons [� Uzxderground ❑Inside ❑ Outside L�Gas: gal�olus Ot�ei: GAS LINE QN�.Y � Outdoor Gz�il� � �tl�e7��/I,.isi What&UVk�ex-�: .�Tl�t�-r'P C.�yDr�� 2 ��'C //f� � . N 1. CONTRf1C'�'��C�, *is 1.25%of co�tzact prica with a(Min9mum k'ee of�54.00) ��_0125$ c��.E?� (ContraCC price) (minimam$SO.Up) 2. STA3E SU�2C�A,.RGE �a2+S .� x.0405 � . �6 (contract prA�) 3. POS�',A.G�&kI.A,NDL,ING(Only o�z 11�a�1-In Applications) $��,�' ✓' _ �. TOTt1L PERM�',I'k'��(Add Lincs I-3.A,bove) $��• J� ■ � CONTIZACT PRiC� ox JO$ COST mea�s t,�e actual or �stimated dollar amoiuit charged for tl�e �ez-zx�itted work includang irx�atez•iats,labor,profit,and othe�r�xed costs. It zs the azxaflunt to be charged to the customet•for the work clone. �f any material,equipme�t,aabor or installations are�'urnished by t}ae owner, tenax�t or any oCher party, tl�e �easoz�able market value of sach ite:ms must be added to the esti.mated cost or eontract price;For�ermit fee purposcs. In tkae event that tFiere is a dis�ute o�.tlae amount of the job cost; tk�e City may request tk�e subz�ission of a signed copy of the aetual contxact_ . � The tmdersigned hez'cby applies to tk�e C�ty for issuance of a Meci�anical Permit, agrees to do all work in striet aeeordance with tkxe ordina,nces of the Cary atxd the r�gulations of ttze SCate of Minnesotia,at�d certifies that all statezaa�nts made oa this a�p]ieat#an are complete,brue and correct. � � Applicant's Signature: Date� �--�� 3 � ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION OT CE ' f SCHEDULED �C 1� `��'C�_ PERMIT NO. ��%- �Y�`�3 COMPLETED ADDRESS � i�5 �'Y�r�ci%h ��--� �c� OWNER TELEPHONE NO. CONTRACTOR `��-�� S � DESCRIPTION �� `^-'` c - � ` ly ❑ FOOTING ❑ D O-FINAL ❑ S PTIC FINAL Q ❑ POURED WALL �PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF v❑�LUMBING 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�i, COMMENTS: � -�/ /� a ��l�d�e/ `�? . K,�- � l��r�iy .� � J � lJ" W I/ ' 1�/.�S ..SCLi- �10 �i r� �� W° � s�vc .�i�- �O c� �xss��-ti Q - l�<<ss�6/� l'�Or,o/<-�s � � 2 � n �� n�,.�� -- j -- G✓r'`.7�/K S �l'1�i //T�i �6� �4�i!'1� '�� d W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CO RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call f ext-�i ion 24 hours in advance. (g52) 249-46�0 Ow Co tractor on sit • _ Inspector.�� _ v - White Copyflnspector's File Cenary CopylSfte Notiee �� Dp�,E TIME V CITY OF ORONO CALLED IN 9 y �� INSPECTION N ICE HEDULED —� � PERMIT NO. � -��MPLETED ADDRESS �/S ,�'Il�� l��—� OWNER TELEPHONE NO.� - `�2-R'�' CONTRACTOR `Y � DESCRIPTION -�Y�l�'� , l~ii ❑ 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 W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTRACTOR TO MEET Y�OU:_YES_NO y COMMENTS: �� ` � C �-, .e.;� ��. j 0 �. � 0 � W � Q � 2 W � W � J � ❑WORKSATISFACTORY:PROCEED �y�WECTCOMPLEfE W ❑CORRECT WORK 3 PI�OCEED ❑ E CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CaNERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETUHN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-4600 OwnedContractor on si�e• Inspector: � ��_ White Copylinspector's Flle C��+�Y�PY��N��