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Home My WebLink About2016-00909 - gas line only CITY OF ORONO * 2 0 1 6 — 0 0 9 0 9 * ' 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 ' ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 Anniz��:ss : 2710 KELLY AVE p1N : 21-117-23-23-0034 LF,GAI.1)ESC : VERN-MARMANOR : LOT 009 BLOCK 000 PERMI'I'TYPE : MECHANICAL � P1201'I:RTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUAT[ON : $ 1,685.00 NOT�: nT.,I,TGSTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. RUNNIN�� A NEW GAS LINE TO METER AND A RANGE GAS LINE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.84 PRON"CO t I LATING&AC TOTAL 50.84 7415 CA[1[LL RD Payment(s) EDINn, MN 55439- CHECK 12247 50.84 (952)835-7777 OWIVER RES'1'OR�"I'ION,ROBIN 2080 SI IOIZELINE DR WnY7_.nTn,MN 55391- AC 12EF.MENT AND SWORI�I STATEMENT The work fix which this permit is issued shail be performed according to the approvcd plans and specifications,applicable City approvals,and the State I3uilding Code. This permit is for only the work described and dces not grant pcnnission for additional or related work which requires separate permits. nll provisions of laws and ordinances governing this type of work shall hc compicd with whether or not specified herein.This permit will cs�'rc,n�cl h�-c�,mc null and void if construction authorized is not co;�„c,� ��,I ��ihin 180 days ofthe date of issuance,or if construction is su.,•nd�I G�r a period of 180 days at any time after work has commenced. "Il: �;,I :;nt is respo isible for assuring all required inspections are rcq �rr� in cnnfonn�ce with the State Building Code.This permit may be �v�k�d; an� time for due cause. ��'/ � � I� c� ��-�� lC� ppl� n a�mit e Sign ture ate Issued By Signature Date • , FOR C1TY USE ONLY ' ' City of Orono �b� ,-.p ��0 P.O.Box 66 Date Received: � I j 1�° Pernrit# Z� v / 2750 Kelley Pazkway � �do . Crystal Bay,MN 55323 Approved By: Amount$: Phone(952)249-4600 Faac(952)249-4616 � �. y�, . 11 XfSHO��G CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION 1. 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. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTII.,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desims—Complete calculations,details and specifications are requued for each heating,ventilation,humidification-dehumidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical CodelState 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. TYPE OF PERMiT Check All That A 1` �Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information; Site Address: 7 1 �l7 �� -�l{i Owner:�.�I I� �-1 VUI,IUGV�- Mailing Address: 2�O k-P.�j�,/��.Q c�ri: ��—t�n c� z�p: ��?�3 I Home Phone: 1�2��' �I 2.°)g Altemate Phone: Contractor Information: �� Contractor: �fiiVlfiLifi 6Y1___� Contact Person: �� rn-ec.ln - MY�oo� tiU Address: —I LI I� CLl-I�1I I� �7I � State Bond#: (�1/V� � fn(�M��71��- ��.�c,-I g City: � 1 Zip:��Expiration Date: ��. �` -DI'��6 Phone: "I��-'��Ll'1�� Alternate Phone: ❑ 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 Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTCJs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Buming Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfin ❑ No. Bath Exhaust(must have duct outside) �� ❑ No. Other Fans: Locations �� FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill ['� Other/List What&Where: � p Gt �(�'1,L {"b 2 f'Yl-�-�12 - Ol� � �.h d��i �t.S �f V�-� , � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) lX x.0125$ ��` � (contract price) (minimum S50.00) 2. STATE SURCHARGE I�(�� 6 x.0005 $ � (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �v�� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for 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 permit fee purposes. In the event that 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. The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: �� f�� Date: ��("I� 3 � � \ / DATE TIME `�' CITY OF ORONO cnLLED IN =��'/�/ � � INSPECTION NOTIC ,.�c HEDULED PERMIT NO. ^��/coMPLETED ADDRESS OWNER TELEPHONE N . ` 7�- CONTRACTOR ��vn T8 � � DESCRIPTION c� a"� � �' `-� �/r 4~j ❑ 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 _ � ❑ DEMO-SITE ❑ E TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: � W � C j ' o � � k�4•w � GG�rJ e� 4.-t� � � /- r4KSc - �Gd/le.� �'45.ric - �O � W� /1 , . - g,. �� . Q /li'r '� Cst�/{d�rQ�Kc S�KG� �� 2 ��.Ci��+G �O/i�✓ tLt�9�"s� �/OJrt N1�Ctt�i � I'�G-f'iL/rK CI�✓ �L 4 ' W °C C o r r�� -( 8� �S Cd a�� j v � ❑WORKSATISFACTORY:PROCEED ❑PRWECTCOMPLEfE RRECT Y1fORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR NfFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � /r� � White CopyMnspector's File Canary CopylSiM Notice � r- ` U C�� TE TIME . � -� �- CALLEDIN � CITY OF ORONO SCHEDULED � ^ ,INSPECTION,N��CE�� --'-- � � PERMIT N�� COMPLETED ----'— � AD DRESS d 7�D �� _ a�.S�^�►•S��P 9 �WNER T p ONE NO. /r CONTRACTOR � � /n _ J� � DESCRIPTION SEPTIC FINAL O-FINAL W ❑ FOOTING � G RI EXCAVIGRADINGIFILLING � ❑ POURED WALL ❑ TREE REMOVAL y ❑ FOUNDATION WATERPROOF � MECHAN CA NRIL ❑ SITE INSPECTION � ❑ RADON SLAB ❑ RATED WALLS Z � M HANICAL FINAL Q ❑ FRAMING � WpOD BURNERIFIREPLACE ❑ COMPLAINT � ❑ INSULATION ❑ FOLLOW-UP � � FINAL ❑ �NATER HOOK-UP ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL _ ❑ AS BUILT-SURVEY � SEPTIC INSTALL J � DEMO-SITE Z OWNERiCONTRACTOR TO MEET YOU�—Y� c�„ COMMEN ' o� W � a � � � O ` ,�r • � O � � W � Q � 2 � xz W '� � � ❑PROJECT COMPLETE W p SATiSFACTORY:PROCEED ❑�SSUE CERTIFICATE OF OCCUPANCY � RRECT WORK 8 PROCEED �_TEMPORARY p p CORRECT WORK,CALL FOR REtNSPECTION -_PERMANENT 0 BEFORE COVERING HOURS. ��R NSPECTOR W��OR�TURN WITHIN �C TAT ON SSUED ❑STOP ORDER POSTED.CALL INSPECTOR p INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. oO Call for the next inspect��24 hours in advance. pwnertContractor on site: Inspector. White CoPYn^SP�tor's File Canary CopylSlte Notiee