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Home My WebLink About2017-00203 - gas line only CITY OF ORONO * 2 0 1 7 - 0 0 z 0 3 * ' • 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2017 ORONO,MN 55356- � (952)249-4600 FAX: (952)249-4616 ADDRESS : 140 CRYSTAL CREEK RD PIN : 33-118-23-33-0010 LEGAL DESC : CRYSTAL CREEK : LOT 004 BLOCK 002 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 700.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINE FOR GENERATOR AND POSSIBLE OUTDOOR GRILL APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.35 PRACTICAL SYSTEMS MAIL-IN FEE 2.00 4342B SHADY OAK RD HOPKINS,MN 55343 TOTAL 52.35 (952)933-1868 Payment(s) CREDIT CARD 0097 52.35 OWNER BRODEN,DAVID&LAYLON 140 CRYSTAL CREEK RD LONG LAKE,MN 55356 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 permiu. 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 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 �� l �l l � Applicant ermitee Signature Date Issued Signature Date Mar. 6. 2017 8: 13AM PRACTICAL SYSTEMS No. 2963 P. 2 OR ITY U8E ONLY �A}O Clty oP Orona � � _��CL3 <V P.O.Box 66 nale Roce � Permit q � 2750 Kelley PsrkWay �� Cryslal Bay,MiN 55323 Approved$y: Ampunl S: Phone(452)249-a600 Fa�(95z)2as-d616 '—- �`�� .°� CITY OF OYtONO—MEC�AIVICAL PE1tMIT k s ko� (All Conune�ial pemii�s must be approved by�6t Huilding Official or fnspecWr oud/or Fire Mazshalt) ��rrE�u,n�rFo�rYor� 1. You may apply for mechauic�l perniiCs by mail or in person at lhe City offices. Applications'wil! bc nvicwcd and a petmit will be issncd withui two worldng dAys. � 2. Permit cards will be sent by recurn roail afler a review is compCeted. PBTt1vffT5 AR.E NOT VAUD C1NTR,'Y'OU RECENE A PERMIT. 'VV'ORT�1�IC1'ST NOT BEGiN UNTIL THE P�1ft1V1YT CARb IS POSTED UN�'HlE�0�SYTE. 3. M�e harlieal besiens—Complcte calculations,clelails and speeifie�lians arc rcquircd for each healing,ven�ilalian,humidification-dehumidi�tcalion,and air condilioning i�slallation including fieal loss/heat gain calculation,design temperatures,equipmenf ratings and idenGfication as to type,maauf�cuuer a��d model_ Dala sha11 be presented on fonu providcd_ ' 4. 'When any new conshvction or rempdeling is involved,a stparatc building permit must be abtained. � 5, All wotk must bc donc in accordance with the C1'niform Mtcltanical Codc/Statc Building Code require�nents. 6. All work must be iiupected(rough-in and fival). Call(952)249-4600_ (24-48 hou�•notice required) 7. T�ouse�Teating Tcst Record must be submitted beforo finnl. TYPE OF PERNllT Check All That A 1 Residenlial ❑ onunercial(Approval Requircd) [Backflow Device:Q A'V'B ❑p'V'�] ❑I�crv Additional ❑Rcpa;rs �]�eplaee Job Site/Owne,r�nformation: Site Address: � `�� y5�0+) � re('K C�� O�vner: ► �^�' � }�j�'�c��'� Mailing Address: �.on� (,c�kC C�ty: O�4�o z�p: SS�5 b Home Phone: _��Z`Z�� S� Altemate Phone: COnlc�Ct01'ItlfOtn]at10n: Contractor: �.I�ne �A�'� � Contact�erson: �If� 0�� Address: y34 2 6 ShA�Y QGK R� State Bond#: ��35�� City: k�� Zip:SS3�3 Expication Date: /��7�� plione: �Z�9�� g6� Alternate Phane: ❑ Insurance—Cunent: '�/e� 1 Mar 6. 2011 8: 13AM PRRCTICAL SYSTEMS No 2963 P. 3 N'ote;All Geot�ermal Systc►ns will no�crr rcquire a Site Plan&Review by our Burlding Ot�ic'sal. IS T�YC.S GEOT�RMAL? ❑Yes (�No I�EATINGr SYST�MS Quantiry: Mako: Modcl: Fucl� Plue Size: lnput BTlls: Output BTUs: CPM: coor�rrc�s�rs�rits Quantiry: Make: Model: Tons: T�.power �'YREpY.AC�S ❑ Cras�actory�ireplece Brand Namc: ❑ 'l'Voa.l�urning Pireplace ❑ '�'Vood SWve Modcl No.: ❑ . '1�'ood Stove with Flue/Masanry VENTiLATiON ❑ N'o. Kitchen�xhaust duct cecirculating cCm ❑ No. BAth�chaust(must have duct outside) cfin ❑ No. Othet Fans: �.ocations cfm FUEL STORAGE (Must be appro��ed ba�Fire Mnrsha�l if proposi�ig In abandon Icrnk Jy�pince�) ❑ Inslaflalion ❑ Rcmoval Puel pil: gallons ❑ Undcr�'ound ❑Tnside ❑Outside C.P Gas: gallons Otl�er: GAS L1NE ONY. Outdoor Grill [� Other/�.ist'l'Vhat&Where: en��`'�0 r 2 1�5 4Q�rvn W;41 be �1eie�� 11��1�� !AS'�s1�i�Q �AS �r�e �Q �e�rat�r � Q Mar, 6. 2417 8: 13AM PRACTICAL SVSTEMS No 2963 P. 4 � . . . l. CONTR.ACT PRICE �is 1.25%of confract price witli a(il�iinihiUm�'ee Of 550.00) � � 7QO,DCJ X.oias� 5Q.�0 (comceci price) pnu�lmnm 550.00) z. srAr�srnrc�eu►�c�� 7P�.OD X.000s � � 35 (contracl price) 3. POSTAGB&HANDLTNCr(Only on Mail-Tn Applica�ions) � 2.00, 4. TOTAL PERMIT FEE(Add Lincs 1-3 Abo'vc) S w•� ■ ' CONTRACT PRICE'or JOB COST mcans lhc sctual or eslimated dollar anwunt cliarged for the permitted work includ'u�g materials, labor,profit,and olhcr fi�ecd costs. Ct;s the amount to be el�arged to l6e customer For the work done. If any material,cquipmcnt,Iabor ar installations are ftuuisl�ed by tl�e owncr, laiant or any othcr party, thc rcasonablc markcl valuc oC such ilems must be added to the cslunatcd cost or contracl price for permit fec purposcs. In lhc cvcnt l6at t6ere is a dispute on the aawwl! of the jab cost, the City may requesl the submission of a signed copy of lhe actugl eonRact. The undeisi�ned hereby applies to the City for issaance of a Mechs�iieal Per�nit, a�rees to do a!1 vsrork in strict accordance with t6e ordinances of tlie City snd die, regulations of the State of Minnesota,and certifies that all statements nzade on this application are complete,trut and carrect. (o ' � Applicant's Si�ture; � Daf,e: �` � 3 /� � � � �'� DATE TIME � CITY OF ORONO CALL IN INSPECTION NO ICE SCHEDULED � �// 7 �-.�� PERMIT NO. "C�'��`-� coMP�Ereo r ADDRESS � �� C, � `--�r`�, 7� � / �,��1' l� �� OWNER TELEPH�JNE NO,i�� -��'� CONTRACTOR /�/' �"��• �.-i��.�� i�s� � DESCRIPTION �'� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��` Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL_.�' Z ❑ RADON SLAB ��IECHANICAL RI ❑ SITE INSPECTI0�7��r� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS� �- � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP C�L�'��U�-� _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE SEPTIC INSTALL �7�'/JI � 2 OWNERlCOlRRACTOR TO.MEET YiO�YES_NO c� COMMENTS: �r.� �i�%r1c� r'��"! LTi1 ��/ � ��'t.'�� i.0�l r�t� /�95��•�• t.t�� J' ��ei�i S e=��- 0 �� : S -- �f1Z a.? r�c," � - �f� '' � Cn.� ' � �f'r�-" � ci Li� K � G�'t � x f'r'ro✓' �� O / —� � IJu✓��e� �-� /l�L� �,' � �f �'' — ��r�'t�:bz W � ` 1 ^� `t ,�--� �l1Sv� �l• rZ F,S l. � I T[�,,,/�L /i vi�F F� r �/.✓' L ��G �C�lG[��JKt /Gr��'' 7 �r��1:�5/ - � v. � � � 1 � l�j� ��d �CC:- r'�'C�� /lo'�i�_. � W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE � �_CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER P05TED.CALL INSPECTOR ❑INSPECTION REQUIREO.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�0 pymerfContra n site: Inspector. � � White Copyllnspector's File Cenary CopylSits Notice �,�� ` � � DATE TIME V �OF ORONO CALLED IN � INSPECTION NOTICE � ,,�-�j SCHEDULED =� ---�� PERMIT NO. �-�,,...f � � ��'��-`" COMPLETED ADDRESS � ��—�� C f�`t � 'h��/C �c/� OWNER TELEPHON� . ��Z z� ��2,� CONTRACTOR ' �- � � '' DESCRIPTION ��'� �y� �� /�lf_ � � �� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL��"� Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNENlCOKTRACTOR TO MEEi Y�OU:_YES_NO � COMMENTS: � � �G.�'i ��,� �i0�,��' �!> A.�n�ir� , �� 0 Lt�/'� o °'�, � 6�^� � �. �O _ � � �1�� v�G�i.,n �D .r�S; .!`�n G� p:0.�a,.�. � / . Q �h, r w1n r�n,.,.a � � � � e � Jc �/�/ ✓`/� w js' :.- � W K SATiSFACTORY`.PFiOCEED PROJECT COMPLETE O � CORRECT W'ORK 3 PROCEED ISSUE CERTIFlCATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERINO PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR Wlll RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cafl forthe next inspection 24 hours in advanoe. (952) 249-4600 OwnedContractor on site: IflSp6Ct01: ��r��' `'• VYhiM CoprAnspector's Flla C�nary CoprfSlb Notles