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Home My WebLink About2016-01136 - gas line only •� CITY OF ORONO * 2 0 1 6 - 0 1 1 3 6 * ,. 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 3712 LIVINGSTON AVE PIN : 17-117-23-34-0059 LEGAL DESC : LAKE MINNETONKA WOODS : LOT 007 BLOCK 001 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 950.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. REPAIR/REPLACE DAMAGED MAIN GAS LINE APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.48 PERFECTION HEATING&AIR MAIL-IN FEE 2.00 1770 GERVAIS AVE MAPLEWOOD,MN 55109 TOTAL 52.48 (651)777-7620 Payment(s) Minnesota State License#:mech-MB003122 CREDIT CARD 2521 52.48 OWNER HALLOCK,TIFFINY 3712 LIVINGSTON AVE 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 dces not grant permission for additional or related work which requires separate permits. 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 ISO 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. A �,n ��'�J - �C�c�.�e.�1 V��...� —f�c� �i /9 �� CC 1 � c� �uf Applicant Permitee Signature Date Issued By Signature Date Sep 16 2016 10:OOAM HP FaxPerfection Heating 6517773252 page 2 t;�r p/� �. ,�� '. g t��zr,,,F'y#.� �e a�tt�i ��' � I� �� City of Orvno :�� 4 ''�;�r �:� �i ^� �, I � P.O.Box 66 ;:�,�Y�P = I��`�Y,:y�,..,i„�s : 0 2150 Kelloy Parkway . ' �� „ � � Crystal Bay,MN 55323 w�'a'��'i"' ' `��' ` �'Y � Phona(452)249-4600 Fax(952)249-4616 ; +�<:- , ti 'c � y `� � �.� CITY �F ORONO—MECAANICAL PERMIT t�kES H�4 �qp Commtrcial permits must be approved by the Building Official or Iaspector aad/or Fire Marahatlj r '` S 4'"`Y "' e f�¢ar� a . �� .�.',.��'-r � ,�!�, 4 } ;F.' �1. :t,� .;`f.�,�.,�,�r5` .i 1. You may apply for mechanical pernuts by mail or in persaa at the City offices. Applicatioas will be reviewad and a pernvt will be issued within two working days. 2. Permit car�ds will be sent by return mail after a review is cor�leted. PEItMITS ARB NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB STTE. 3. Mechanical Desi�ns—Complete calculations,datails and specifications are required for each heating,ventilation,humidification-dehumidification,and air canditioning installation including heat lasslheat gain calculation,design temperatures,equipment ratings and identificarion as to type,manufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a separate buildi.ag permit must be obtaincd. 5. All work must be done in accordance with the Uniform Mechanical Cade/State Building Code requirernenu. 6. All work must be inspected(rough-in and final). Call(952)249-4600. (24-48 hour notice required) 7. House Heating Test Recozd must be submitted before final. ;� 3 x � ".�'XPE�.?F'P��T ' ' . : �* r,�� : �arl�.�3`YF ir �:.::• S Yyti `34+. - '}��/�. j�; ` LK'• f..:..... ....:.. . �4!t...x...F�LV1��f,��.��ti��. '� . . . • ..: ,C �.:}�, . -.,..,. "^f�,..c;,4�� ❑Residential ❑Comme�ial(Approval Required} [Backflow Device:❑AVB ❑ PVB] ❑New ❑Addidonal ❑Repairs '�Replace ,��1�;�1t�t��I�fo�a�t��t. s r ;: . Site Address: �7� �,� !�! �1��`�,Zl� �� Owner: Mailing Address: City: Zip: Home Phone: Alternate Phone: �o�it��ctor��►fa��Z?n� �£ , , Contractor: � ��` Contact Person: �Q��vo_v�� . !,� J Address: ��17 LYP_.1'lrca�.S �Q,State Bond #: �� 03� (�� City: Zip:��Fxpiration Date: Phone: �Q��• 77�• �� Alternate Phane: � Insurance—Current: 1 Sep 16 2016 10:OOAM HP FaxPerfection Heating 6517773252 page 4 Note:All Geothermal Systerns will now require a Site Plan&Review by our Building�fficial. IS THIS GEOTHERMAL? ❑Yes �.No HEATING SYSTEMS Q�►ntY Make: Modcl: Fuel: Flue Size: Input BTLIs: Output BT'[Js: CFM: COULING 5YSTEM5 Quantiry: Make: Model: Tons: H.Pawer FiREPLACES ❑ Gas Factory Fireplace Braud Name: ❑ Wood Buming Fi�replace ❑ Wood Stove Model Na.: ❑ Wood Stove with Flue/Masonry VENTQ,ATTON ❑ No. Kitchen Exhaust duct recircu2ati.ng cfm ❑ No. Bath Exhaust(must have duct outside) c&n ❑ No. Other Fans: Locations ofin FUEL STORAGE {Must be approved by FYre MarshaU ifpi+nposing to abandon tank in plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Iaside ❑Outside LP Gas; gallons Other. GAS LINE ONLY ❑ Outdoor Grill � �ther!List What&Where: ' ' q 2 N�A:�J � 4� ;�-. Sep 16 2016 10:OOAM HP FaxPerfecti� Heating 6517773252 page 3 i. CONTRACT PRICE *is 1.25%of contract price with a{Mtnimam Fee o!550.00) x.0125$ (canfractprice) (mlairnum SS0.00) 2. STATE SURCAARGE x.0(�5 $ •�� ( ontract price) 3. POSTAGE&HANDLING{Only on Mail-In Applications) S 2.40 4. TOTAL PER1bIIT FEE(Add Liaes 1-3 Above) $ � �� ` ■ • CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chacged for che permitbed work including matcrials,labor,profit, and other fixed costs. It is the amount to be charged to the customer for�e work done. If any material,equipment,labor or instaUacions are fumished by the owner, benant or any other party, the reasonable mazket valua 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 aubmission 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 complett,true and correct. �� i Applicant's Signature: Date: / /. - 3 � �� 9r � TIME CITY OF ORONO cnLLED IN INSPECTION N T C SCHEDULED �� PERMIT NO. � �� co Ere� � ADDRESS �� OWNER NO� I�7�"7 �� CONTRACTOR ! �'' DESCRIPTION ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z v ❑ DEMO-SIT ❑ S PTIC INSTALL 2 OWN MEET YOU�YES_NO � C MENTS: � � G�ts /,n c, a•f -�c-st — /16Z` /ja�� - O ' fG��✓' �C c n� /�• �r �dt �/!e .�� '' fj��c7c ne.��r� � rc�cs� 4.;- — � 0 W � Q . 2 G�r � -�'d re, w s�c �.i'�Q.� � w � J W ❑WORK SATISFACTORY`.PROCEED ❑PROJECT COMPLETE � O OORRECT YMORK 6 PROCEED ❑ISSUE CEATIFlCATE OF OCCUPANCY W 0 �CORRECT WORI(,CALL FOR REINSPECTION TEMPORARY V BEFORE(�WERINO PERMANENT ❑CORRECTUNSAFE(�NDITIONWITHIN HWRS. ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �1SPECTION REW IRED.CALL TO ARRAN(iE ACCESS. V � csn ro��ne�ext�sPectro�za no��in�s�ce. (952) 249-4600 owr�erlcomractor on sne: � InSpeotor:�---" WhiM CcPYAnspsctor's Flle C�mry CopyfSM�Notiee � �� DATE TIME CITY OF ORONO C/1LLED IN ' INBPECTION TICE scf+enu�En , PERMR NO. � COMPLETED pppp� �� Vl r1 O�WNER EP E NO. �� -�I 71 �� CONTRACTOR �r-��c� � DESCRIPTION ��'`-P �'�� 1y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADIN(i/FIWNO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI � SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � � INSULATION ❑WOOD BURNER/FIREPLACE ❑COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATbWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � OMIN�RACTOR TO MEET 1fOU:_YE8_NO � COMMENTS: , . . _ 4 - �� eSt �i�lG�r.c� 3�i45G , '� //1 d si•/C� � dr �S�s�iit �O n . _ C� retZ il Tifii�! � � W � Q /� ? �G/w�''� �'�/10 lw@ � � �j � �� ❑YMORK SATISFACTORY:PROCEED ��ROJEC�COMPLETE W a oo�cr wor�c a�ocEen �O ISSUE CER'TIFlCATE OF OOOUWINCY � ❑OORRECT WORK CALL FOR f�INSPECTION TEIAPORARY V BEFORE CdVERINa P�AAN9�1T ❑ppFiF1EC'T UNg/►FE CONdT10N WITHIN HOURS. ❑pHpTO TAKEN INSPECT�OR WILL RE�URN ❑STOP ORDER P08TED.CALL INSPECTOR ❑�TATION ISSUED O INSPEC'T10N REQUIRED.CI1LL TO ARRAN(3E ACCES3. 2�nours M ed�►sno.. (952) 249-4600 on Inspector: �`^� WMt�OoPll��FlN Gmry Co�tfBib Notla �°� G�� ✓ DATE TIME CITY OF ORONO CALLED IN �, INSPECTfON NOTICE../� ( SCHEDULED �� — PERMIT NO. �nI�O �v"��F-' COMPLETED ADDRESS —� � � � v/ �� OWNER TELEP NEN . �%�-�7�7'�� CONTRACTOR ��`'��2�� ' � � DESCRIPTION `��'J / � �� L ��/ ' �'�/ t~ii ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ TIC INSTALL Z OMfNERlCONTRACT0�3D�afOU: YES_NO � �:�.►�� 0 � � COMMENTS: l, W � O �� >. � � � � �' ✓' � .� � e� ��_ W / � �J �n G ^M 7--e s Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O�RRECT 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. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlCon�r�si,#e: Inspector: �� White Copylinspector's Flle Canary CopylSit�HWics