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Home My WebLink About2015-01423 - gas line only r ' CITY OF ORONO * z 0 1 s — 0 1 4 2 3 * 2750 KELLEY PARKWAY DATE ISSUED: 1 U04/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 900 PARTENWOOD RD PIN : 08-117-23-21-0008 LEGAL DESC : PARTENWOOD : LOT 004 BLOCK 001 PERMIT TYPE : MECHANICAL(<$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : GAS LINE ONLY NOTE: GASL[NE TO GENERATOR OUTSIDE APPLICANT MECHANICAL(<$500) 15.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(<$500) 1.00 4342B SHADY OAK RD MAIL-IN FEE 2.00 HOPKINS, MN 55343 TOTAL 18.00 (952)933-1868 Payment(s) CREDIT CARD 3543 18.00 OWNER JACKSON III, ROBERT&ANN 900 PARTENWOOD RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 separa[e 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 are requested in conformance with the Sta[e Building Code.This permit may be revoked at any time for due cause. p el' �'�� . � � � � _� Applicant Permitee S�gnature , Date [s§,ue By Signature Date � Nov. 4, 2015 11 ; 11AM No, 5271 P. 2 FO1jrCI7 U3E ONLY �A y� Cf of Orono � : _ r Y P:Box 66 Dele Recciv�//�//�C'umil# 275��Ilcy Pad.way �� Crystal Bay,MN 55323 Apptoved Sy:, Punounl 5: Phone(952)244-4660 Fax(952)249�61b �Fi,� ��,�� CYT'Y O�ORONO-MECHANICAL PERMrT K S N 0 �pp Ca�m�rcisl permita must be appmved by the Building O�ci�l or lnspdCtot andJor Fire M8�5ha11) G�N'�RAL TN�ORMATiON , 1. You may apply for mcchanical permits b�mail or in person at the City o�ces. Applications Will be reviewed and a permit will bc issued Within�wo�vorking days. 2. Permit cards will be sent by retum mail aftcr a review is completed. PERMITS AR.�NOT VALID LJNTIL YOU RECETV�A P�kMTT. 'WO�tTC M[JST 1VOT B�GTN UNTIL,THE ��TT C �tD IS POSTED QN THE JOB STTE. 3. i iG-�Complet�calculations,cictails and speeifieations Are required for each heating,��entilation,humidification-dehumidificatian,and air eonditioning installation ineludiag heat loss/heat gain calculation,d�sign tcmperafures,equipment rati►tgs and identification as to rype,manufaeturer and model. Data shall be prescntcd on form provided. 4. 'When an�new construction or remadeling is involvcd,a separate building permit must be obtained. 5. All work must be done in accordance with th�Uniform Mechanieal CodeJState�uilding Code rcquirements. 6. All Work mus[be inspected(rough-in and final). Call(952)249-4600. (24-48 hour uotice requlred) 7. �Toust�Teating Test Record must be s��bmitted before final. . _ TYPE OF P�t11�T . ' .� . , (Check All That App1Y� �Residential ❑Commcrcial(Approval Required) []New �dditional Q Repsirs �eplace Job Site/Owner Xuformation: Site Address: `1L�1 ) �V�/��VJ�� o Ownet�r�`l�� (�� Mailing Address: Q � (�Q�� ` City: Zip: �� Home Phone:�� ``�� )� Alternate Phone: ��i— ��^ v�G� ContrActor Infvnnation: ContTaCtor: ontaCt�'erSoh: Y i l��I�-�-�" �` � Addr�ss: � o � ��te�ond#: . Mt�L"J �� City: Zip:��Z'��xpiration 77aCe: � r� Phpne: `ZI,,IY f Gc,��0 Alteinate phone: ❑ ZI1gLtranGC—�lrrent: 1 .Nov, 4. 2015 11 : 11AM No. 5271 P. 3 ,-,.., . . ....;,,,, �,,;`.. ;� ,y�, '.� ,: �-��cAX;,;s; �sT�Ms:�� .�-�r�sT�;..�� ,;:,;.,;_. Note:All Geothemnal Systems will now reyuire a Site Pl�n&Revier�v by our Building Official_ LS THTS GEOT�RMAX,? C]Yes�No HEATING SYSTEMS QuantiCy: _ Make: , �_ Model: F1�el: Flue Size: Tnput BTUs: Output HTUs: CFM: COOT.YN'G S'Y'ST�MS Q�u�Y� Ma1re: Model: Tons: H.Powcr FIREPLACES ❑ Gas Factory�ireplace Hrand Narne: ❑ Wood�urning Fireplace ❑ Wood StoWe Model No.: ❑ Woad Stove with�lue/Masonry VENTILATION ❑ No. YCitchcn�7thaust duct recirculating cfm ❑ No. �ath�xhaust(must ha�ve duct outaide) cfm ❑ No. Othcr Fans: T.ocations cfm 1�YJ]E�,STO��(Musd be approved by Ftire MarahaR ifproposing to abandor�tank in plac�) ❑ Installation ❑ RcmoWal Fuel 0i1� gallons ❑ C7nderground 0 Tnside ❑Outside LP Gas: gallons • Other: �AS�,Y1V�ON�.'Y ❑ Outdoor Grill QSII Othor/List What dt'Where: 1` � �- ��,,�,� ��1�. z . , .Nov. 4. 2015 11 : 11AM No. 5271 P. 4 - ;�:°, - ,::;.:;,,:.::.:: _ _ - ,: ,,_::.::,;::;,�<- :F � ��:�;• o ��, �� ,.r. ��;�. �`.��.,. .�� .( ,,: _ �.. ., �;�'� ,.1 �^ ...1.'a'.+1.:��,;�)'tiii'.��.. �'i:: `5�;:::� ,.�i< '<i��..:, f:�;.�?:`.:;�( "':1' r,`x',"1 ;a:: .�.Y.`j".. ::4( �. ' •::��'.;';�. ~`P',' ,`vr. -tie;4.. ,,y�� a> ,:: .1 �::...,�. .. ;v.� .-... ,...:. ..• ':,'; _ .,.. -..,�:y..,;.he+;. :;,, ;;,, •�: 'i,r":. — •�. :l= •.Y.cr �.i.,':n '..�.. ,�.. ,.�';." ;`�,•; �:�'t*�(:., �:.,.^. .�. ,: ,._:; �:�,,• '�'",�� .�""'�;�� A:g; �',ei ,;,....,>..:,�.�.,-,. ,,..,,; , , . .: . .. . � , .. ., A� .�1 �:.::.. ..Qq � .�t. ❑ 1 e$a this section applies The replacement of a that me�ets all tluec of the following requiremants: 1. p,�eg,�require modifioation to electrical or gas service. 2. T�as a totsl cost of$SQ0.00 or less;excludina the cost of the fixture or appliance:and 3. Te improved,installed or replaced by the homeowner or licensed contractor. S�ip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $5 44 Mail-in Fee(If Applicable) $ 2.00 Total permlt Fee $ ':� —,:%ri=.�.,,'^� — . , a,, ,, r,�,,.,: »�. �r' ��;y��'�; ",.�"' ,!�' O �L:" ��• , i�•q:' .,u,.,� •' „�y.' .• • N ,,:::t..,;5:.... :, .. �y'��. �..y:.l: .' ... ....�....o:....:;.<..,,,�:,;�c�;.,.::� ' - �a �� 'ia .�5.�.;=:c . , ,z . .... ��. . . , .:• -,. F ,. , . . . . ,, .., . . ... � ,�.:.s• _ . .._:.. _ _ 1';',�. If above does not apply;follow guidclinas bclow: 1. CONTRACT PRICE *is 1.25%of contract prict with a(1Vlinimum�'ee of$50.00) � .�� 1.� x.0125$ �L �.J�) (contract pHco) (minlmnm�S0.0o) 2. STATE 5URCHARGE . (� ''' �W x.0005 $ �� (comract price) 3. POSTAGE 8t HANDLING(Only on Mail-Tn Applications) $ 2.00 4� 1'O'�A�,PEIiMIT FEE(Add Lines 1-3 Above) S ��• �� ■ '" CONTRA.CT PRICE or JOB CQST means the actua! or estimatcd dollar amount chargcd for the permitted work including materials,labor,profit,and other fixed costs. Tt is tho amount Go be charged to the customer for the work done. If any material,aquipment,labor or installatians are fumished b� the owner,tenant or any other party,the reasonable market value of such items must bo addcd to thc estimated eoet or eontraet price for permit fee purposes_ In the event that there is a disputc on tht amount of the job coat,the Ctity may request the submission af a signed copy of tho actual contract, ... . - . :..:::..:....;,... . .:� �.:. .. .. . . . . ..:.:� ..:, � C�TAIVI.CA�'�ERiVX1`�'Ap��'I'XON'`�4(�. -.��;':_'=''�:>�:�.::.�:,:' .�; The undersigned h�rcb��pplies to Che City for issuance of a Mechanical Permit, agrees ta do all work in strict accordance with the ordinances of the City and the ragulafions of the StaCe of Miiu►esota, and certi�ics that 1 SfaCeraents made on this applieation are cornplete, true and correct. � � Applicant's 5 ature: Date� 3 � � � C.� �-- , DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �lS""Q�l.�-�Z.3 COMPLEfED ADDRESS �"�� ` OWNER TELEPHONE NO�� 3��«to� CONTRACTOR ��t;(��"/C�'� / S t.! S � DESCRIPTION � �J 1'1-Q.- '�r� ��/�'Lt� lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP / / ❑ FOU ATION/REMOVAL v ❑ DEMO-SITE ❑ S PTIC INSTALL �!-'d j � OWNERICONTRACTOR TO MEET YOU: YES_ / �� v�i COMMENTS: � a � � J � 0 �. � � O � W � Q � 2 W � W � j d W ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY w � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in advance. � 9-46�Q OwnedContractor on site: Inspector. White Copy/lnspector's File Canary CopylSfte Notice � Y � � C% "" � DATE TIME CITY OF ORONO CALLED IN IPISPECTION NOTICE ,/ SCHEDULED -'� ,�S �.�212� PERMIT NO. ��S� O�`7Z3 COMPLETED ADDRESS D a-�� -v00 � � OWNER TELEPHONE NO. �' %33 ��a� CONTRACTOR �r�2 C f%��/ ��d� ° � DESCRIPTION ��I� ��5� � /— � `� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL 7f1 n Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING�FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVALr -aS Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE tNSPECTlO�� Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS L�� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ E�PTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:�YES_NO c�.� COMMENTS: `�� a - �s 1�,�e �'�� 4en��o� — j - � " - o hu, «� �aM .+ � • �'. r � C�� hol�Pc �� — 0 � W � �/O j eli� liU ��.Gtit Q � 2 W � W � J d W ❑WORKSATISFACTORY:PROCEED �'Bp.1F6T COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. o��•.. 7`� White Copyllnspector's File Canary CopylSlte Notiee