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Home My WebLink About2016-01052 - gas line only •, CITY OF ORONO * 2 0 1 6 - 0 1 0 5 2 2750 KELLEY PARKWAY DATE ISSUED: 08/30/2016 ORONO,MN 55356- (952)2494600 FAX: (952)249-4616 ADDRESS : 220 NORTHGATE RD PIN : 36-118-23-41-0051 LEGAL DESC : NORTHGATE TWO LOT 001 BLOCK 007 PERMIT TYPE MECHANICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GAS LINE ONLY VALUATION $ 1,200.00 NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. GASLINES FOR 3 FIREPLACES APPLICANT MECHANICAL 50.00 PROFESSIONAL MECHANICAL SERVICES STATE SURCHARGE MECH(VALUATION) 0.60 18983 YORK STREET NW MAIL-IN FEE 2.00 SUITE C TOTAL 52.60 ELK RIVER,MN 55330- Payment(s) (763)657-7421 CHECK 2422 52.60 Minnesota State License#:mech-MB003767 OWNER DAU,EDWARD&MICHELL 220 NORTHGATE RD 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 does 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. �J Applicant Permitee Signature Date s!f Signature Date 1F Q ITSE ONLY ' City of Orono /�oN^ f P.O. Date] �"-j 2750 Kelley Parkway Crystal Bay,?JN 553 � � Approved By. Amount$ . Phone(952)249-16 CITY_ 1 —MECHANICAL PERMIT S B pR (All Commercial permits must be approved by the Building OffieW 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 UNTIL,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTII.THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Designs—Complete calculations,details and specifications are required 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 Code/State 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 PER.IIIT (Check All That A 1 ) Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB ❑PVB] XNew ❑Additional ❑Repairs ❑Replace Job Site/Owner I wmation: Site Address: Owner: rum C-XLj'1 SZ' °L Mailing Address: City: OIN\-O Zip: 5'53x1 I Home Phone: Alternate Phone: Contractor Information: 7-71 Contractor:pro"OWWLf U-4&h SVCSContact Person: �S Address: N%3 y k �J Lj She State Bond# 6003-1(01 City: Elk P—i'y -4 Zip: Expiration Date: Phone: X103'_ X05' fogdO Alternate Phone: ❑ Insurance—Current: 1 ;CAL S BEING 1NSTALLET} 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 BTUs: CFM: COOLING SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall ijproposmg to abandon tank in places) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY (' ❑ Outdoor Grill Other/List What&Where: 1 US rk Ij 2 PF.MTT'FEE CAIOU TXOI�S 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) (e�W-0V x.0125$ A-5D.()V (contract price) (minimum$50.00) 2. STATE SURCHARGE QO®-(TU x.0005 $ . GPO (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 50-00 ■ * 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 fiunished 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. MECHANICAL PERMIT APPLICATION AGRE 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 Signa Date: 01(o 3 TIME CITY OF ORONO CALLED IN /Z-[ r_1'(� INSPECTION Tl E /�� HEDULED 17- 2''7 �O l PERMIT NO. �t-</d-coMP ADDRESS D OWNER /TAE H E NO.- CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC INAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING 0 ❑ 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 v [I DEMO-SITE ❑ SEPTIC INSTALL Z OWNEAICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: 0 426461" �� iSA"r /4971 V, Q a Cot 6s �< ar0U(4=G '44a, rlo r✓ W Pilo 'oe W ❑WORK SATISFACTORY.PROCEED ❑PROJECT COMPLETE ;�WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑ORATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. can for the next Inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: i r Inspector. I�- WM%CopyAnapeotoft Fite Canary Coprf ft Notch TIME CITY OF ORONO CALLED IN l _ INSPECTION NOTICE SCHEDULED (� PERMIT NO. COMPLETED ADDRESS OWNER TEL51PHONE NO. (,(/2 -6Q'ZOO CONTRACTOR DESCRIPTION / /�C W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ 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 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE $,�PTIC INSTALL Z OWNERICONTRACTOR TO�U-- YES_NO cin COMMENTS: W 4 j �� ./lip �Z.� •��'�lt�l i�,�-G.v��'' `` s' > _7L �4 W / 2 W W W ❑WORK SATISFACTORY PROCEED rc ❑CORRECT WORK&PROCEED ❑�FqOJECTCOMPLETE UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor osite: Inspector. White CopyAnspector's File Canary Copy/Site Notice