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Home My WebLink About2017-00776 - gas line only CITY OF ORONO * 2 0 1 7 - 0 0 7 7 6 * 2750 KELLEY PARKWAY DATE ISSUED: 07/07/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1121 NORTH ARM DR PIN : 07-117-23-14-0063 LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,500.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINE TO OUTDOOR GRILL AND FIREPIT APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.75 WELD&SONS PLUMBING CO INC. MAIL-IN FEE 2.00 3410 KILMER LANE N PLYMOUTH,MN 55441- TOTAL 52.75 (763)475-0296 Payment(s) Minnesota State License#:plbg-PM059322,mech-MB003315 CREDIT CARD 6763 52J5 OWNER HUISMAN,BRIAN&ANNE 1121 NORTH ARM DR MOLJND,MN 55364 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 will expire and become null and void if construction authorized 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. - � D�D �i �v ? � � �/7 Applicant Permitee Signature Date Issued B ignature Date iCTTY[T5�ONT�Y ��(r Cl�'0�OPOqO {Vj-� �.0.Box 66 Aat��tecerv - t�' c �eranic#k� �� L 2750 Kellcy Parkway � CKystal Bay,MN 55323 Ap�i�bVed$y'r , 'A1ltouiik;$ � P'laona(9S2)249�&00 Pax(9�2)249�616 'l ��_ ��l-t �°~� CITY OF ORONO-MECHr�,.N�CAL PERM ��s�a� (All Corc7meCcial permits must be spprpved by the Building O�cxal o[Inspecror and/o�iKe�aCshall) .��-�,4�-yD�,�T �,�ry�- ^�*,,�,��T7/-��r „ .. . . , ,., 7L:1VL.t�-�'�L.��.A1Vt'.�i�LYl1i1�1V,1`� �..- . . .� � �. � � . .`. � , ,, , . , .. . �..�: ... 1. �'ou may apply�oz�zx�echanical permits by z�aail or in person at tb,e CiCy offices. Applications will be z'eviewcd and a pe�it will be issued w�thx�.iwo working days. 2_ �'eltxnit cards will be sex�t by ietum mail aftei a z'eview is completed_ ��KMITS ARE NpT' V,A,Z,ID UNTIL YOU�C�IVE A PERM�T, 'WORK MUST NO �GI1V UNTIL ��RMIT CAIRD OSTED ON THE QB SX'1'E. 3. Meehanical Desitzns—Cot'rzpletc calculations,de[ails and speci�catzons are required�'ox eac� heating,ventilatio�a,�uKp,��j�CRtiOn-de,�7t�j,dl�c&ClOil,and air conditiozaang installation ixicludiag b,eat loss/hcat gain ca�cu�ahion,desig►tezxiperatwres,e�uipment ratir�,gs azzd identification as to ry�e,rnanufacturex a�d nr�odel. Data sha�l be presen2ed on for►z�provided. 4. W�Zen sny new cozzstructiora or rcmodeli�g as iavolved,a separate buildin.g permit must be obtained. S. ,F11�worl�m��st b�done i�a accordance with tkae Uni�ozx�Meehanical Code/State Suilditlig Code xequiremcnts. 6. ,A,al work must be zizspected(rough-in and�z�al), Call(952)249-46�0_ (24-�48 hour nodce required) 7. House Heating Test Recozd�ust be submitted before��zaL ' �'YPE,OF,FET�T � . , .. „ ,. . ; Clieck All�'biat A 1 ��tesxdential ❑Connnnercial(Approval�equired) [Rackflow pevice: �]AVB ❑PVB] ❑ New ��dditiona� ❑Re�sars ❑Re�lace Jo� Site 7 dw�ier Inf�r�iattdn:` �I Sxte.A,ddress: �� G�� /'y"�i�l �l�-��`Yc10 Owz�:ex: �a.r� d N�a�ling laddress: /f�L,�f, r�r.�., Dr C�ty, p ro �O Zip: ,�` Hozx�e Phone: ,Zg l .�b��„3 ,A,ltex�ate Phane: �Coiatx�ctc�i Tnfoa-naataon: Co�bractor: ��o� y�-,�, J�I j�,1�°,�Contact Pezsoz�: r' � Add.�ess: �% ,�to�F' � State Bond#: DD�� City: �' o Zi�:.�3��/ Expiration Date: _ �� Z 6--/�,� Pho�e� ��3 �f�.�0��,� Altern�ate �b�o�e: [� �surance-Ctu�rerat: 1 �.rL� �rlly� 1 �G��03 3 a'�s_ Note:All(}eotb,enmal Systems wz�l zzow require a ite Plan&R 'ew by our Buildi�oig Official. IS TAIS GEOTHERN,�Ax,? ❑yes ❑No �A,TYI�TG S7CS'��1►�S Q�at�ry. Make: ModeI: �uel: k'lue 5ize: Iz�put B'TUs: Output BNs; CF'M: COOL�'N'G SYST�MS Quar�tiry. Malce: Mode1- Tons: I-T.Power FIREPLAC�S � Gas FacWry Fzreplace Brsnd Name: ❑ Wood Burning�'ureplace ❑ aVood Stove Nlodel No.: ❑ Wood Stove with k'lue/Masonry 'VEi�T'I'II�A► ❑ No. Kitchen�xhaust duct z�ec#rculating cfm ❑ No_ Batia�xh,aust(must have duct outside) �� ❑ No. Other Fat�s: �,ocations �� EII�Y.STORAGE (Mr�st be approved by Fire Marsfia�ll ef,pro,posing to abando�e lank in place�) ❑ Installation ❑ Remova! Fuel OiZ: _ gal�ons ❑ Undergrouz�d ❑Inside ❑Outside LP Gas: �gallons Other: GAS LINE L'�' � Outdoox Gxill � Other/List Wbat&Where: �j`J��,. p�� 2 • 1. CONTRACT PRICE *is 1_25%of contract price with a(Min;unuxiu k'ee of$50.00) ��C��.��.0125$ . �� (cantract pX(ce) (Iminimum S50.OQ) 2. STATE SUXt,CHARGE • � x.0005 $ .� ozltlraCt price) 3. POS�'A.GE�HANDLING(Only on Mail-In Applxcatzox�s) $ 2.00 4. Tp'�',A,.L��It11�T FEE(Add I.ines 1-3 Above} � ��. �� ■ '" CONTRACT PRIC�or JOB CpST m.eans the actual oc estim�ated dollar anaowut charged for the peimitted worl�uacluding materials,labor,�rofit,and othez��ed costs. It is the arx�ouiat co be charged to the custoraer�or t�e work done_ Ifany p�aaterial,equipment,labor o,r installations are�nisl�ed by the ow,ner, tenant or azxy other party, the zeasonable market value of such itcros must be added to the eskimated cost o�•co�atcact price for pennit fee purposes. In the event that there is a dispute an the amount o:f the job cost, tbe Ciry may request the submissior� o� a signed copy of tbe actusl contract. The undersig�aed hereby applies to tt�e City for issuaz�ce of a Mechanical Pe�oout, agrees to do a�l � wox� z�n strict accordat�ce with the oxdiu�.a.t�ces of the City a,n,d tb�e regulatior�s of t�e State of Minnesota,az�..d certif es that a��sratexnents made o�a�s application are coua�pkete,true and cotx�ct, . Applic�at's Signature: � „� Date• � 3 ✓ � DATE T1ME CiTY OF ORONO CALLED IN T � M!$PECTION E �7 SCHEDULED `�.�.f.� � PERMIT N I � � [? COMPLETED ADDRESS � � Z t �I. RYrnD� , OMINER TELEPHONE NO�C� �S ��50 CONTRACTOR ��`-� � �� DE8CRIPTiON ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL UM _ ❑ EXCAV/GRADINO/FILLING ��j ❑ FOUNDATION WATERPROOF PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICA ❑ SITE INSPECTION � ❑ FRAMING HANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT � ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP �41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ r ❑ DEMO-SITE ❑ SEPTIC INSTALL Z dMINFJYCOtfTAAC'TOR TO YEET 1f01F._IIBS_NO � COMMENT� . � �?�+r�� 45 f��c� - L000c✓ 1�r�es - .rr�� p ��r � �iG c;!✓c•i $dl�ert,�� - �,r t+e� ��n't • /o� " -i- , � - /��'I�� a�rt o.� �ey�ic� �� v�oZ.�e. � W� _ _ � �� AO'�i � �jis -r,/• �( � � Z � OK -[s r_�,�.�•K4 v W � � �`��PYORIC SATISFACTORY:PFiOCEED ❑PROJECf COMPLETE W ❑OORRECT YMOf�(a PROCEED D ISSUE CER'TIFlCATE OF OCCl1PANCY O� ❑OORRECT WORK,CALL FOR REINSPECTION T�IPORARY V BEFORE CdVERINO PERMANENT ❑CaRRECTUNSAFEf�NO1T10NWITHIN ��• O PHOTOTAKEN INSPECTOR 1MLL RETURN ❑STOP ORDEfi POSTED.CALL INSPECTOR O dTAT10N ISSUED D INSPEC710N REOUIRED.CALL TO ARRAN(iE ACCESS. c��u n�h��oa. (952) 249-4600 o�site: Mspectoe � �h,� '1�' _ YYI�II�Copyyllnp�Clors FN� Gmry�I�lotla