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Home My WebLink About2015-01020 - gas line only � CITY OF ORONO * 2 0 1 5 - 0 1 PJ 2 0 * 2750 KELLEY PARKWAY DATE ISSUED: 08/1U2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3375 GRAHAM HILL RD PIN : OS-117-23-11-0018 LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION � : LOT 1 BLOCK 1 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTR'�JCTION TYPE : GAS LINE ONLY VALUATION : $ 5,600.00 NOTE: GSLINF,ONI.Y FOR OUTDOOR GRILL_COOK"I'OY.DRYERS, FIREPLACES. I3BQ. LANTERNS. FIRE PI"T.POOL HEATER AND GENERATOR APPLICANT MECHANICAL 70.00 STATE SURCHARGE MECH (VALUATION) 2.80 SCHULTIES PLUMBING 1521 94TH LANE NE TOTAL 72.80 BLAINE, MN 55449 Payment(s) (651)786-4007 CHECK 33370 72.80 Minnesota State License#: plbg-058799PM,mech-MB005379 OWNER Wooddale Builders 6117 BLUE CIRCLE DR, STE l01 MINNETONKA, MN 55343- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specitications.applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of lati�s and ordinances governing this type of work shall be compied with Hfiether or not specified herein.'I'his pennit will expire and become null and void if construction authorized is not commenced within ]80 days of the dat � uance,or if construction is suspended for a period of 180 da, at any ti e afrer work has commenced. The applicant is responsible for�assuring a re uired inspections are requested in conformance H�ith the State � ing Code.This permit may be revoked at any�time for du�'cause. i -% �/ � i ' ;"� -��' l 5 / � ��l ,�5 Applicant ermitee Si ature Date Issued B � ignature Date t , ---,- ------FUR C'1TY USE ONLY ----� �' � City of Orono �I� ��. P.O Rox 66 Date Received: _,_ Permit# _ _ �, 2750 Kelley Parkway � � Crystal Bay,MN 55323 Approved By: Amount$:_ __ � Phone(952)249-4600 Faa(952)2�19-4616 �� 1 - �� qK�st��¢��/ CITY OF ORONO- MECHANICAL PERMIT �__s (All Commercial permits mcst be approv�d by the t�uilding(3fficial or Inspector and/or Fire Marshall) GENERAL 1NFORMA'f1ON Y I. You may app9y for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within t:vo working days. 2. Permit cards�i�ill be sent by rekurn mail after a review is completed. PERMITS ARE NO"r VALiD UN�f'IL Y"OU RECGNG A PERMIT. WORK MUS"T NOT BECIN UNT1L T'HE PERMIT'CARD IS POSTED ON 'I'HE JOB SI"fE. 3. Mechanical Desi�ns—Compiete calculations,details a��d specifications are required for each heating,ve��tilation,humidification-dehumidification,and air conditioning installation including heat lossiheat gain calculation,d�sign ten�peratures,equipment raiings and sdentification as to type, manufacturer arid model. Data shall be presented on torm pravided. 4. When any new construction or ren�odeling is involved,a separate buildinb pern�it musi be obtained. 5. All work must be cione ii�accordance with the Uiiiform 1,techanical Code/State Building Code requirements. 6. All w�ork must be irispected(rough-in and final). Call(952)249-4b00. (24-48 hour notice required) 7. House Heating Test Record must be submitted before final. TYPE Of� PERMIT (Check All That Apply) __ (�(Residential ❑Commercial(Approval Required) .�„New ❑ Additional � Repairs ❑ Replace Job Site/Owner Information: Site Address: ��7v i��%�-�Ja Owner;� ��li�.G�.G�., Mailing Address: �/� �l,�G L��l�' City: j� � lip: ` �� Horne Phone: �-��1� Alternate P}�one: Contractor Information: � Contractor: �� /�� Contact Person: �---�. � Address: /5��i� i�State Bond #: D 7� City: ;��`.�..:L� Zip�S'� Expirati�n Date: _�%��e� Phone: ��-��-y�7 Alternate Phone: [� Insurance-Current: 1 r , �_ �� ±��1NICAL, SY�`FLIVIS BF.ING INSTALL.;ED � Note: �,ll Gcothermal Systems will nuw require a Site 1'la,� � i�eview ,��- our L3uilding Official. iS THiS GEOTHERMAI.? ❑ Yes ❑?vo NEQTINC SYSTER1S Quantity: Make: Model: Puel: Flue Size: Input BTUs: Output E3TUs: _ CF M: COOLING SYSTEMS Quantity: ----------- Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factoiy Fireplace 3rand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Fli�e/Masonry VENTILATION ❑ No. _ I:itchen E',xhaust duct _recirculating cfm ❑ No. Bath Exhaust(rriusi have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must he approved by Fire Mars/iuf!if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Qil: gallons ❑ Underground ❑ Inside ❑Outside LP Gas: _�,alions Other: GAS LINE ONLY [� Outdoor Grill [� Jther i Li�t W'hat& Where:_,�.Cl�Q, _ �� . � � FER�II�I' �'E 1 C�`��ll ( t�s��+ � ;i>�ai�� ------- --------- � _,� bASI�_C?f)F'f_''�02 �_1�,�4;f ST,�?��E - -- � [] Yes,this section applies The replacernent oFa Residential fixture or appliance that m�:ets ail three�f the following requirements: l. Does not recjuire modific;atian to electr�cal or F;as service. 2. Has a tc�tal cost of$SQ�.QO or less;�xciudin the ct�st of the fixture or appliance:and 3. is improved, iitstalled or replace�by tne hem�owner or licensed contractor. Skip next secti�n, if th�s appli�s; Cost of Permit $ i 5.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.01� "fotxl Permit Fe� � �__f Pt�.R�1T��.��iIATIC�N��—JOBS (?VER$500.0{� � lf above does not apply;follow guidelines below: i. CONTRACT P12lC'E M is I.2�°�of contract price�i ith a(Minirr�um Fee of�50.00) S'G�� x.0125� '�OC� contract pr�•e) (minimum 550.00) 2. STATE SURCHARGE - �,�q�) /� _�S'��- " X .000s �-- a�� rontract pricel 3. POSTAGE&HANDLING(Only on N9ail-in Applicationsj $_ � 0 � 4. TOTAL PERMIT FEE(Add L.ines 1-3 Above) $ ��, � _ ■ * �UNTRACT PR1CF, or JOB COS1 mears the actual or estimated doilar amount char�ed for the permitted work including m�terials, la�+��r, protit, �nd other fixed costs. IT is the Amount to be chargeci to the cusromer for ihe werk done. If«ny matcrial, equipment, �abor or installations are furnished by the owner, tenant or any other�ar?y,the reasonablz market value of such items must be added tc� the estimated cost or contract price for permit fee purposes. ln the event that there is a dispuYe on the amount of the job cost, ihe City� may request the submission of a signed cap}� of the actual contract. NtFC�it�I*tI�:AL��Rl�"�`��:�,�"��,��r.��1�1�NT �; �� - The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all wark in strict accordance with the ordinances of the City and Che regulations of the State ot Minnesota, and certifies that all statements made c�n this application are complete, true and correct. Applicant's Signatur�. _ ��' __ Date:�� 3 ��U�'�I�S �L�J� ��I�. ��. 1521 �4`" �a�� N.�� laine, MN 554�� 763) 78��1007 V�i�e (763) ?59-�?g9 ��'ax Auqust 11, 2�J1`� Wooddale Build�rs inc. 3375 Graham Hill Road Orono Mn Gas lines and locations Kitchen main Floor 1 - Install �as line to c�oktop. Cabar�a [out door kitchen lower level] �. - Gas line for gas grill . Main F:ioor I�aundry 1 - Gas line to drye_r. Lower Level Laur�:�ry 1 - Gas l.ine to drye�. Gas �'ireplaces 3 -- Gas lines to fi_re�laces on main fl.00� i - Gas ii.ne 'r_� fizeplace in lower 1_eve1. Side L�eck i - G�s li.ne for tuture q�s BBQ [mai_r. floor deck Gas Lanterr:s on front ext�rior �f home 2 - Gas lar7terns Gas Fi.re Pit 1 - Gas li.ne for future fixe p�_t in lower level � ' t'age � �. Pool F�eater 1 - Ga:� line fo,r pc��i rleat�r ]_ow�z: _level Gas Generator_ 1 - Gas lin�. for :��n�rator. Triat�k_ y�u, Dr� r T nes ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�b�CS ' �l�o7D COMPLETED �� ADDRESS 33?� C�l� r 1.�� OWNER TE��HONE NO. CONTRACTOR •-�'��:��-- �. � DESCRIPTION G'�f ��n�s t� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING �.B=AA€CHANICAL 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: />Lc�✓ S►'_�� ct�,Lta�v� �/'C�•�.i'S. a 1�' F-IO• � �8 c� La.a-�•cs , �v'�v /�� o /��d! /y�S,r . �F G�.�.�s�t,��/ �. � � �af �in L /I�i1b t� /�dl��cC � W � Q � 2 W � W � � J W ❑WORKSATISFACTORY:PROCEED ECT COMPLETE � ❑CORRECT 1NORK b PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CARRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site Inspector. /�"'' White Copyllnspector's Flle Canary CopylSke Notice � " V � DATE TIME CITY OF ORONO CALLED IN �' . �._� INSPECTION NOTICE SCHEDULED 'Z�"� �,e _Lsz.s�.� PERMIT NO. ��S-D/DZO COMPLEfED ADDRESS �3�5 (D ��L� � , OWNER , TELE NO. CONTRACTOR � DESCRIPTION �� ly ❑ 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 Z v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OWNERlCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � I'l6� j/`e E�-, o - - � 0 � W � Q � 2 W � W � � d W ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN l❑'STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED / �UJSPECTION REQUIRED.CALL TO ARRANGE ACCESS. / \ Cail for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � � � DATE TIME � / CITY OF ORONO CALLED IN �S � INSPECTION I�,Q� E D/�'7/1 SCHEDULED - �'� PERMIT NO��U � �J COMPLEfED ADDRESS �� OWNER TELEP E N s�-�� CONTRACTOR �r" � �; DESCRIPTION � �` � � �� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � Q ❑ POURED WALL ��UMBING RI ❑ EXCAV/GRADING/FILLING y ❑ 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 2 OW EET YOU:_YES_NO � C. CrypD: W ' °� L�I,�V /�vG �SGh 4�' ��°�� s� � �� . c� � � �/ �/n f�. c4r sis .J 4 �1/' L C /lj /c�//�'C �4tt `LL q � � R T- �� st�», s�we ` - 3 << :�� W ¢ � e � r ✓ L- . Fro K� � !�..� � � �'Yta ��✓ �=-, a.�c�7 /».. F�/�- F. � -L.L, Q_ 2� �,�. - s t4 a�c�i ,ie :� rc.r c _ � �� . l�v�.•i r� • Gvb•�4 ��< ,�.�ra.-�� t'3 vK � �c a -!y/L• ' Go ei 6 � ' - 3a#/��:-t�t J oo� /t�4Ger �s Lr�t c� GW ❑WORK ATISFACTORY:PROCEED ❑ PROJECT COMPLEfE ��&RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REtNSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca e next i ion 24 hours in advance. (g52) 249-46�0 Ownerl onVactor on sit • �!�� Inspector. /�— 7�'f� White Copyllnspector's File Canary CopylSite Notice