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Home My WebLink About2011-00759 - gas line only R *' CITY OF ORONO PERMIT NO.: 2011-00759 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE ISSUEn: 08/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2670 KELLEY PKWY PIN : 33-118-23-12-9999 LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS L[NE ONLY VALUATION : $ 700.00 NOTE: GAS LINE FOR OUTDOOR GRILL APPLICANT MECHANICAL 50.00 AMERICAN MECHANICAL CO, INC. STATE SURCHARGE MECH(VALUATION) 0.35 7120 71ST AVE.N. PO BOX 205 TOTAL 50.35 LORETTO, MN 55357- PAID WITH CC# 9327 (612)750-0278 Minnesota State License#: 065381 PM OWNER Citizens Independent Bank 5000 W 36TH ST ST. LOUIS PARK,MN 55416- 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 work shall be compied with whether or not specified herein.This permit wili expire and become null and vo nstruction authorized is not commenced wit 180 of the date of issuance,or if construction is suspended fo er' 0 80 days at any time after work has commenced. The applic is spo i le for assuring all required inspections are requeste ' c for ne with the State Building e.This permit may be � revok a ti or d e cause. � �/ / � / � � L� tc c� L2�� ` ` Ap ican ermite ' nature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' � li �'UR�;R�Y'�S�+r QN�:r`Y � 0,��0 City of Orono ' ; ��° P.O.Box 66 Dat��iec�iYeB ��t3E �° 2750 Kelley Parkway �' � ' � �' ;� � Crystal Bay,MN 55323 Appr�w�;�y� �xnoun#� ��$` Phone(952)249-4600 Fa�c(952)249-4616 CITY OF ORONO—MECHANICAL PE T (All Commercial permits must be approved by the Building Official or Inspector and/ r Fire Marshall) GENEI�A.L Il'+TFaI�t�TIOi�i 1. You may apply for mechanical permits by mail or in person at the City o fices. Applicarions will be reviewed and a permit will be issued within two working days. 2. Pemut cazds will be sent by return mail after a review is completed. PE ITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT B GIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns—Complete calculations,details and specifications e required for each heating,ventilation,humidification-dehumidification,and air condirio ' g installation including heat loss/heat gain calculation,design temperatures,equipment ratings d identificarion as to type,manufacturer and model. Data shall be presented on form provide . 4. When any new construcrion or remodeling is involved,a separate buildi permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Cod /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. � �`�F�>�C��P�ER�T;�� , �l�c`1�;�i`l?hat� ,t� ) � esidential ❑ Commercial(Approval Required) ❑ New �dditional ❑Repairs ❑Replace �� e�g(J��r�rif��a�e�n " ' £` Site Addr � � �� ess: ��l/ e C.(/LJ Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: �ui�#ractc�r�cirmat ;u � � . � �j�G,�f' Contractor: ( � ontact Person: Address: � ��SC t7�� State Bond#: City: �i� Zip:��Expiration Date: O`—� Phone: ��d`� � �d�� Alternate Phone: � �� aCP�f � ❑ Insurance—Current: 1 ( � � Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. • IS THIS GEOTHERMAL? ❑Yes ❑No HEATING SYSTEMS Quanrity: Make: Model: Fuel: Flue Size: Input BTUs: 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 VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfm FLTEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installarion ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY Outdoor Grill ❑ Other/List What&Where: 2 / � � �� ❑ Yes,this secrion applies The replacement of a Residential fixture or appliance that meets all three of the fol owing requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture o appliance: and 3. Is improved,installed or replaced by the homeowner or licensed con actor. Skip next section,if this applies; Cost of Pernut $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: ' 1. CONTRACT PRICE *is 1.25°/ of c ntract price with a(Minimu Fee of$50.00) � �� x.0125 (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 doll amount charged for the pernutted work including materials, labor,profit, and other fixed costs. It i the amount to be charged to the customer for the work done. If any material, equipment, labor or ins llarions are furnished by the owner, tenant or any other party, the reasonable market value of such i ems must be added to the estimated cost or contract price for permit fee puxposes. In the event tha there is a dispute on the amount of the job cost, the City may request the submission of a signed c py of the actual contract. The undersigned hereby applies to the City for issuance of a Mechanica Pernut, agrees to do all work in strict accordance with the ordinances of the City and the re lations of the State of Minnesota, and certifies that all state s made on this application are complete, true and correct. Applicant's Signature: Date: �� ( 1 3 Y � . � � � �I R DATE i TIME (/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED Z- � PERMIT NO. 2�� - 00�1�79 COMPLETED ADDRESS Z�� C' �' a ' C ��►> OWNER TELEPHONE NO. � - --a CONTRACTOR -� Q r�i ► �: DESCRIPTION 1`�� `1E'�'�� YS � i Yls�— I� ��t-'d�c:r c'1 rn t t � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOV L Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP '� _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER�2EMOVAL J ❑ PLUMBING RI ❑ SEPT C FINAL ❑ FOUNDATION/�tEMOVAL � OWNER/CONTRACTOH TO MEET YOU:�YES_NO � COMMENTS: � W a � � -.� ,�1 � �I � � � ,S �_ o � G � - -- o .r---. _ � W � Q � Z W W � � � � NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE , W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF O�CUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 24�-46�� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice