HomeMy WebLinkAbout2009-00722 - gas line only ;�. CITY OF ORONO PERMIT NO.: 2009-00722
" 2750 KELLEY PARKWAY
♦ ORONO, MN 55356- DATE ISSUEn: 10/19/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2940 SIXTH AVE N
PIN : 28-118-23-31-0001
LEGAL DESC : LJNPLATTED 28 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 500.00
NOTE: CONNECT EXISTING GASLINE TO A NEW METER 2 FEET AWAY.
APPLICANT MECHANICAL 50.00
WENCL SERVICES,INC. STATE SURCHARGE MECH(VALUATION) 0.50
8148 PILLSBURY AVE. S.
BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00
(952)881-1557 TOTAL 52.50
PAID WITH CC# X�oc
OWNER
Stonegate Farm
6851 FLYING CLOUD DR
EDEN PRAIRIE,MN 55344
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. Ali 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 consWction 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 se.
/�ai / 9'i D �p� � �
Applicant Pe itee Signature Date s e y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
19/19/2019 09:04 9528811558 WENCL SERVICES PAGE 02/04
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�p�' City of Oroao .' • ' �ICIT' U3�'ON�.X : ' �� �
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O �'.O.Box 66 `:',�ato Rooeived:'' . �'erntit .
Q 2750 Kelley Parkwsy "'':�;:;�:il''•: ' :.:�.:�:;::•:r,�. ...;,
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(952)249-4600 �pp�¢ved;By: •�:�:'"•:.>•• A=iioaiuc�S:'.
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CTfY OF ORONO—1V�ECHAN'YCAL PERNIIT
i(All Commercial p�s npust be approved by t6e�uilding Official or Inspector and/or Firq Me�sbiall) .
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a. You may apply£o�r�echanical peimits by ion�sil vr in person as the City of["ices. Applications will
be r,cvicwed and a�ermit will be issued within two working days. •
2. Penjnit cards will be sent by ceturn mail aRer a review is wmpleted. PERMTTS,A,�NOT
VALID UN7'I�,XOU 1tECEIVE A PER1VllT. WORK MUST IYOT BEGIN UNT�L THE
�RMIT CARD IS P�STED ON THE J��S1TE.
3. Me�hanieal Desi�s—Complete ea�culations,details and specincations are required£ox each
u�g,ventilation,humidifieation-dehumidification,and sar conditioning installation i�ncluding
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h aoss/heat gain calculativn,desig�n t�emperatures,equipment ratings a�ad identification as to
typg,man�ufactwer and model. Data shall be prese�ted on form providecL
4. When any new cvnstruction or remodeling is involved,a sepa�ate building permit miust be '
obt��ined. '
5. All wor�m,ust be done in accordance with the Uni�fo�nn Mechapical Ced�/State Building Code
requireme�rtts.
6. All work musc be�inspected(j ugh-in amd Cinal). CaU(952)249-4600.
(2Ma8 6our notice rec�uired
7. Ho�se Heating Test Reco�rd must be subm,itted before final.
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❑Resxdex�tial �Commercial(App�oval Required)
. ❑New ! ❑Additional
❑Repai�rs Q Replace
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1ob S��te/::4�wne�Iz:�foz�aation:�" . '����>
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site Address: _ o���� (o� A�I(G' �
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Ow�aer: 5�o1�l�cl�r"� �� SI�JC. Mailing,A,ddress: 1��, I �c.`llil� C(.OI�Od�. #A
c�ri: �� �P�R.���� _ z��: 5 5 3�-!y '
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Honne Pho�e: ,Altemate Phone: q. a —� ��b 31 `�
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Conl�ractor:; V����lC���l►�C.Contact Person: �v��1JCS` �J�x5'�P�1�
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� A,d�Xess: ; ��J'�J���. State Bond#: _—b J� l.�1`'I '
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City; ��jLL�Oi'(1�A�T01� Z��;�� Expuataon Date:
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Phone: �,5a��`61-1�1 Alternate Phone:
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� � ❑ Insurance—Current: ��D�'� �i��'90'�`�
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16/19/2609 69:04 9528811558 WENCL SERVICES PAGE 03/64
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Note: Al!�eothermal Systems will now require a ite lan&Review by our Building Of�iciaa.
�S THIS G�O'�'HERMAL? ❑ Yes �No
N�,ATING�XSTEM3
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Quantity: : .
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�ake: ;
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Model:
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k'uel: ':
Flue Size: �
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Input BTUs•� .
Output BTUs:
;
CFM: i
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COOLlNG SXSTEMS
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Qua�tity:
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N�a1ce: �
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Model: i
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Tons: ; '
kl.�ower ;
FI�EPLAC�S
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a Gas�actory Fireplace Brand Name:
❑ � Wood�wmu�g Fireplace
� ; Wood Stove Model Nv.: '
❑ ' Wood Stove With Flue -
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VENTILATION
❑ '• No. Kitchen Exh�aust duct recuculating c�n
❑ � No- Bath�xhaust(must have duct outspde) ��
0 ; No. _ Other Fans: Loc�oms cfm
FUEL STORAGE (11�as[be qp,�roved by,flre Marrshall if,p�oposing[o abandon taak in place.)
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0 ' �nstallation 8 RemovaL
' Fuel Oil: gallons ❑ Undergound �Inside �Outside
I.P Gas: gallons '
; Other:
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CAS LYNE ONLY
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�] j Outdoo�Grill � Other/List What&Where: CAt�1�.'� �:�L5T11�ld C.�A��.►a� �
; 2
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1 19/2009 09:94 9528811558 WENCL SERVICES PAGE 04l04
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0 Ye�,this section appiies '
The replacement of a�esiderrtial fixture r a�nliance tlaat nneets all three of the fvllowing cequirements:
;
1. ;D es n require mvdi�cation to electnical or gas service.
2. ;Has a t ta co t of$500.00 rnr less;sxcludinQ the cost of the fixt�ue or appliance:and
3_ I Is improved,installed or replaced by the horncowne�r or licensed coritracto�.
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� ;Skip next section,if this applies; Cost of�eRrtit � 15.00 �
State Surcharg� $ .50
Mail-In Fec(��A,pplicable) $ 2.00
, i �'ota�Perntit�'ee $
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if above doe�not apply;follow guide�ines below:
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1. ;CONTRACT PR,�CE *is 1.25%of contract price with a(Minumuiooi k'ee of$S0.00)
'� ` �5� �o . o-a
' � x.0125$
! (���D�) (minimum 530.00)
2. ;�TE SURCHARGE **Add the State Bldg Code Div.Surchatge(Mini�um Fee of 5.50) .
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� �.0005 $ • ��
. (conuact price) (minimum S .50)
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3_ POSTAG�8c HANDLING(Only on Msil-faa,A,�plicatians) $ 2.00
4. �OTA,L�ERMiT��E(A,dd Lines 1-3 Above $ �a ���
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■ '� CONT,RACT PRiCE ar JOB COST means the actua] or est�im�ated dollar amownt c�►arged for the
permitte�work includiung materials, Iaboz,profit,and otk�e�r fixed costs. It�s the arnount to be chazged
to tkae cu�stomer fo�the work doae. If any materia�,equipment,labor or instailations are fumished by
the own�r,tenant or any other party, the reasonable m�adcet value v�such items must be added`.o t1�e
estimate� cost or conbract price for permit fee purposes. In the event that there is a dispute on the
i amount of tlae job cos�, the Ciry may tequest the subtptiss�on of a signed copy of the aetual contraec.
� '"*'It�e S'TATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for tlae price.
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The undersipoed hereby applies to the City for issuance of a Mechaniical Permit,agxees to do all
work in strict accordance with� t�e ordinances of the City and tlae regulations of'�te State of
��npesota, and certi�es that all statements nnade on this application are complete, true at�d
cotrect. ! '
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Applicant's�ignature: I Date: � q
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