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HomeMy WebLinkAbout2016-01137 - gas line only � CITY OF ORONO * 2 0 1 6 — fd 1 1 3 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 09/19/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3714 LIVINGSTON AVE PIN : 17-117-23-34-0058 LEGAL DESC : LAKE MINNETONKA WOODS : LOT 006 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 MURRAY,KEVIN 3714 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 suthorized 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 confortnance with the State Building Code.This permit may be revoked at any time for due cause. ,�,�y V� ` - ' � �\-�-��`r� G� �1�.`� � � � Applicant Permitee S�gnature Date Issued By Signature Date Sep 16 2016 10:01AM HP FaxPerfection Heating 6517773252 page 5 t �1�3� s�`:�� a ' �� c W. � O City of Orona �� � �r , ; +q,�,��f '4i�Y ` •- � � P.O.Box 66 'Da�,�qaa�.ved. : ����, � � X130 Kelley ParkwaY '���`',.:c.�"-. ;;. n, _. �h5 'rs � Cryqnt Bay,MN 35323 Phoas(952)249-4600 Fax(95Z)249�618 Y `�—���–�� ��" ��x . `:•� � � . ��.. .-- �t�},�SH��„6�' CITY OF ORONO—MECHAIVICAL PEItMIT (All Commenclal pumits must be approved by tl�e BuildicII Offlcial or Intpeecor andlor Firc Ms�aha2� � ,�%' (� `�''���S ...� L �.4 1'M1�[ F '`2 �l..'C L� :�i 'Y T i t "YT-� �313f4 . ..� _�_d! . _ ..��tal- � �w-w :r.Cu'». m�1 re �1� ♦. .. s . . � �� - . _ ... . .,. . ."t ...1�.. "�"'I'i' ._ ^�- :.'. .:'� . ....�:_--.Y...�K ...R�V�-.r.. ._r....Y.wvrva'. . 1. You may apply for mechauical perntits by mail or ia person at the Crty offices. Applioations will ba reviewed and a perniit will be iasuod within two working days. 2. Permit cards will be sentby renun maiI after a review is completed. PEItMI1'S ARB NOT YALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT$EGIN UNTL THE PERNIIT CARD IS POSTED ON THE JOB STTE. �� 3, Mechanical Desi�s—Complete celculations,details and spociticatians ara required for each heating,veatilation,humidification-dehumidification,aad air conditioning installation ineluding heat losslheat gaia calculatioq dosign temperat�u�os,equipment ratings and identification as to type,manufacburer and madel. Da.t�ahall be presmted on form pmvided, 4. When any aew conahvc6on or remodoling is involved,a separate building pernut must be abtainod. S. All work rnust be done in accordance with the Uniform Mechanica�Code/Smte Buitding Coda rcquiremeats. 6. AIl work must be inspectcd(rough-in and 6nan. Cal1{952)249-4600. (24�8 hour notfce required) 7. Honse Heating Tsst Record must be submitttd before final. f'—ewe .��i's_C�... '�- .: .1.�rF� � ��� t �� t t4 k-�` S .�F F �.. . : i n �n�r s�f`t�,.��s .� a�arnis .. Cvj�.� *de?u�a.�",i � . .. ..�.<r� .�. �""nGr�rr,�r -�„ �. ..�. i�i �, ..., �� �11-s�`,l,`l�,,. 1 i . _rrr _� .� � ��. • � :� _ .,,,,„,.,.: .._ :.. ...,s�>:��:� . . , ��,.���� :. . ., . .:,_ ..,.... ..._ ...,.___ __ _... .:.� ❑Residenttal ❑Commercial(Approval Require� [BaoloQow Devicc: ❑AVB ❑PVB] ❑New ❑Additional ❑Repairs �Reptace A ,'�.�:'•"Si-fF�saiYaei„�,a.T��'i.+ �• � ��...s_.-.�.,.,.�.,, �=3r- ..-.+r+•� Site Address: ` � Owner: MaiIing Address: City: Zip: Home Phone: Altemate Phone: ��l.F'�t�����VlJJ.3"�3 rw�-'���'�»_ pC+i s...� ':6.aa:.M, ....�:-� _s : �.. .. r •�r. x:• .a•_ar-x, .....,..,x! ..,. -"y..,•,�• Contractor. ��,'�c Contact Person: ' �� J • Address: ��� P��ra ;� �tate Bond#: 1�1�� �� City: Zip:��_''" 1 Expiration Date: Phone: (g�• "7"7'7•'7/e�� Altcrnate Phone: � Insurance—C�rrent: _g�L��1� 1 —�'7 Sep 16 2016 10:02AM HP FaxPerfection Heating 6517773252 page 7 }. Note:All Qeothonnal Systems will now requirc a,�g„P,�& eview by our Building Official. IS TffiS GEOTHERMAL? ❑Yes Q�No HEATING SYSTEMS Quantityc Mako: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLING SYSTEMS Q��� Make: Model: Tons: H.Pawer • FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue I Maeonry VF.NTILATION ❑ No. Kitc6en Bxhaust duct rocirculating cfm ❑ No. Bath Exhaust(muat hava duct outside) � ❑ No. Other Fans: Locations cfin �L STORAGE (Must be approved 6y Ftie Marshall�J'proposPng to aba�don tank in plac�) ❑ Installarion ❑ Removal Fuol Oil: gallons ❑ Undergrotuid ❑Inside []Outside I.P Gas: galIons Other: SA$LINE ONLY ❑ Ontdoor Ga�ill � Other/List What&Where: � 4 2 N�� � 4S :� Sep 16 2016 10:02AM HP FaxPerfection Heating 6517773252 page 6 y� 1. CONTRACT PRICE �is I.25%of contract price with a(Mfnimum Fee of S50A0) x.0125$ (conh�act price) (minimum SSO.a�) 2. STATE SURCHARGE • x.0005 $ ��� ( ontractprice} 3. POSTAGS&HANDLING(Only on Mail-In Applications} $ 2_00 . - � � � .. . ;, l 4. TOTAY.,PERIVIIT FEE(Add Lines 1-3 Above) $ .�� ;J� � ■ * CONTRACT PRICE or JOB COST means the actual or estimatcd dollar amount charged for the permitted work including matcrials,labor,prnfit, and other fixed costs. It is the amount to be charged to tl�e customer for the work dvne. If any material,equipment,lebor or installations aze fumished by the owaer, tenant or any other party, the reasonable market value of sach iterns raust be added to the estimated cost or contract price forpermit fee purpoacs. Tn the event that there is a dispute on the amount of the job cost, the City may re�uest the submieaion of $ signed copy of the actual contract. The undersigned hereby applies to the City for issuance of a Mechanical Peirnit, agrees to do all w�rk in strict accordancc with the ordinances of the Ciry and the regulations of the State of Minnesota,and certifies that all ata.tements made on this appli ation ar�complcte,true and correct. � Applicant's Signature: Date: 3 � ✓ �'.' � DATE TIME � C�TY��ORONO CALLED IN INSPECTION NOTIC � SCHEDULED � , �� ��.�-� � PERMIT NO. �II� COMPLEfED ADDRESS �-� �� f � � , L�- OWNER TELEPHONE N, �� 7�- 7�7� CONTRACTOR �� �� �t � DESCRIPTION �� � S � ` '� �r/ t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL ��� � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FfLLING 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 ❑ S!E�TIC INSTALL ? OWNERICONTRACTOR TO MEET YOU:JL YES_NO �1 � COMMENTS: E3_ J�`a'� ���� ` ��-' � W � � � � I. � ce. _1 � ,t GS� v � .�C� �-S�- 0 � � � Q �. � c,� /' - .1 e. �c7 n � ,, S' ��'� > � 2 � w � � J � ❑WORK SATISFACTORY:PROCEED �CPROJECT COMPLEfE W ❑CORRECT WORK 3 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPEC710N TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONOITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContract r n ite- Inspector. ��� � � Whits Copyflnspector'a File Canary CopylSite Notice