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Home My WebLink About2012-01022 - gas line only '� CITY OF ORONO • 2750 KELLEY PARKWAY * 2 0 1 2 - 0 1 0 2 2 * DATE ISSUED: 10/1 U2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1305 SHORELINE DR PIN : 02-117-23-34-0013 LEGAL DESC : REG.LAND SURVEY NO. 1350 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,195.00 NOTE: GAS LINE TO GENERATOR IN CARRIAGE HOUSE LOWER LEVEL APPLICANT MECHANICAL 50.00 CITY VIEW PLUMBING&HEATING STATE SURCHARGE MECH(VALUATION) 0.60 1880 WAYZATA BLVD W TOTAL 50.60 P.O.BOX 150 LONG LAKE,MN 55356 (952)473-8793 OWNER POPP,WILLIAM&TERI 1305 SHORELINE DR 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 sepazate 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 aze requested in conformance with the St ilding Code.This permit may be revoked at an ' for due cause. /o Il � I�-- l l A li ermitee Signature Date Issued y S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. i F '� FOR C[TY USE ONLY O¢��O City of Oro�o P.O.Box 66 Date Received: Permit# �: 2750 Kelley Parkway � i�`'�- A Crystal Bay,MN 55323 Approved By: Amount$: t�''� '�� : o` Phone(952)249-4600 Fax(952)249-4616 ,:�ltag08y . CITY OF ORONO—MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official 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 UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desians—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 PERMIT (Check All That A 1 ) �Residential ❑ Commercial(Approval Required) ❑ New �Additional ❑ Repairs ❑Replace Job Site/Owner Information: Site Address: I3OS .�f'I�JC�I �Y�Q., a � Owner: �l�� Glvv� �d'p..P Mailing Address: �3��,Shc�� City: d�0r�� Zip: .�5�.3� � Home Phone: �5��b �O6 � Alternate Phone: Contractor Information: Contractor: ��Y U��`� P/�� Contact Person: Q��✓� '' �' �� Address: I�fSO g G��S�'I�J��z��"q g�Uc�{ State Bond#: �B O��oZCJS City: L��'1 �K e Zip: 5�3�6 Expiration Date: 07 �� o'Z�j Phone: �I S�.1-I�3 6�i `i.3 Alternate Phone: ��bg S 3 C� ��") ❑ Insurance—Current: �e� 1 . � . , MECH�4I�IC�A,I.�Y�'�'E��'��STALLII3 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 BTCJs: 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 Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfrn ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire MarshaU ijproposing to abandon tank int plac�) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill � Other/List What&Where: �V�Z d'� 1 �ql�ol�Q., 1'1'dW��C.. � � Lv�e� Le.,!!�\ 2 �. PERIV�T FE��.��'1��T�) Ei3�`..��5�'�'F�5'.��.3`�:; _ ❑ Yes,this section applies T'he replacement of a Residential fiacture or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludina the cost of the fixhue or appliance:and 3. Is improved,installed or replaced by the hom�wner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surchazge $ 5.00 Mail-In Fee(If Applicable) S 2.00 Total Permit Fee $ ... .:��... ��V�i�� `� `i""��a��4� �- .. � If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) i I�� X.oi2s s (contract price) (minimam 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) S ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged 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 furnished by the owner,tenant or any other party,the reasonable market value of such items must be added to the estimated cost or conttact 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. ' �HA1��t��'�t�+1iT AP��,�+��'��AGR��i��' ' The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do a11 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 aze complete, true and correct. Applicant's Signature: Date: �U I � �� '�� 3 � DATE� TIME ✓ CITY OF ORONO CALLED IN I l��--1 INSPECTION NOTICE D'0 22 SCHEDULED ).�- I�-12- >D:� PERMIT NO. �D j 7� COMP ETED _� ADDRESS OWNER T PHONE NO. � 3� � CONTRACTOR Ul �� DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOtJ�YES_NO v�, COMMENTS: / � W a j � � �' ) � - ._ `` � 1 o . - _�. Q L,,��?..r��} �.T � z W � W a � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN 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) 249-46�0 OwnerlContractor on site: Inspector. • __ _ _ _ White Copyllnspector's File Canary CopylSite Notice �, -s" DAT� TIME ✓ � �CITY OF ORONO ��ALLED IN � ��Z /�� INSPECTION NOTICE SCHEDULED I �i�IZ � PERMIT NO. �C � , ci I �)��COMPLETED ADDRESS S � OWNER TELEPHONE NO. C ^ �-� CONTRACTOR ^ �� i-1-'1 i I 1�cA ,'�� V � DESCRIPTION �� {�(�,�� ( � {�Q - "�P�'ll'�'�'�'I (�-C � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP IC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �iOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�� Owner/Contractor on site• Inspector. White Copyllnspector's File Canary CopylSite Notice