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�
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Applicant Permitee S�gnature Date Issued By Signature Date
Sep 16 2016 10:01AM HP FaxPerfection Heating 6517773252 page 5
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� 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 . `:•�
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�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 .
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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.
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❑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:
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':6.aa:.M, ....�:-� _s :
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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
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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
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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
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� COMMENTS: E3_ J�`a'� ���� ` ��-' �
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� ❑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