HomeMy WebLinkAbout2013-00989 - gas line only CITY OF ORONO * 2 0 1 3 - 0 0 9 B 9 *
2750 KELLEY PARKWAY DATE ISSUED: 09/24/2013
� ORONO, MN 55356-
� (952)249-4600 FAX: (952)249-4616
ADDRESS : 745 SPRING HILL RD
PIN : 36-118-23-21-0003
LEGAL DESC : SPRING HILL ESTATES
: LOT 001 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 600.00
NOTE: GAS LINE FOR BACK UP GENERATOR BEHIND DETACHED GARAGE
APPLICANT MECHANICAL 50.00
PRECISION HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 0.30
3650 CHESTNUT ST.N
CHASKA,MN 55318 MAIL-IN FEE 2.00
(952)556-0187 TOTAL 5230
OWNER
ERICKSON&JAMIE WILSON,DAVE
745 SPRING HILL 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 sepazate
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.
/ / / /
Applicant Permitee Signature Date Issued By S' ature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
FOR CI7'Y l?SE OI�LY
City of Orono
� �.ONO P().Hux 66 Daze Received � Permit N
27i0 Krlle� Park�va� — �
, Crvstal E3av.MN�>323 Approved BY __ Amount$ _
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CITY OF ORONO- MECHANICAL PERMIT
lqkf S N��� (All Commeraal Exrnuts must br approved bp the Buiid�ng O1licial or Iti,pector und;or Pirr Vtarshall�
GENERAL INFORMATION �
l. You may apply for mechanical permits by mail or in person at the City ot'fices. ,4pplications 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?�O'I�
VALID L^vTIL YOU RECEIVE A PERMIT. WORK�'IUS"�NOT BEGIN UNTII.THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. '�lechanical Desiens -Complete calculations,details and specitications are required for each
heating,ventilation,humidification-dehumidification.and air conditioning installation including
heat loss/heat gain calculation,design temperatures.equipment ratin�s and identitication as to
type,manufacturer and modeL Data shall be presented on forn� 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 Unifonn !�lechanical Code�State Building Code
requirements.
6. All work must be inspected(rough-in and final). Call(95?)2=�9-�600.
(24-48 hour notice required)
7. House lieating Test Record must be submitted before final.
TYPE OF PERMIT
(Check All That Apply) _
� Residential ❑Commercial(Approval Required)
� �i��
❑ New [�f .Additional �''I ❑ Repairs ❑ Replace
Job Site/Owner Information:
� � �Site Address: ��� _ ��`f��' �/�
/ n
n � Mailin�J Address: ?y � �!Y
Owner: JG��� �l'ic��c�r. �
c►ty: Oro�nd z�p: 553 S/
Home Phone: q�a y7� a�7� Alternate Phone:
Contractor Information:
, I
Contractor: r���S'l�n /te�7��^� °" �Co" [Stact Person: ��►k �h'PS ��-�
Address: � c�e,�.►�� S�' State Bond #: /�Q �3 �/gQ
�J ,�'j3is os _ aor�
City: �-h�3k< Zip:A� Expiralion Date: U4'
Phone: �� SS� DI87 Alternate Phone: 9Sa 83� �a�3
� _�
Insurance -Current: l o► p<C __
�
I
Iv�E�CHANICAL SYSTEMS BEING Ii�STAL�.ED
Note: All Geothermal Systems will now require a Site Plan& Revicw by aur Buildin�Official.
IS THIS GEOTHERMAL? ❑ Yes ❑ No
HEATING SYSTEMS
Quantity: _ -- ----- --- -- -- --- --_---
Make: — _ -— --—- --- ----
Model: -- ------ — - --------- ——— -- ___
Fuel: ----. —. ----. —.._.__ _ _____ -
Flue Size: --- ---------_-- - .. --- -- ---- —
Input B"fUs: ---- _ __-- __ -- --- —
Output BTUs: _ - -- --- — - _.— -- --- -
CFM: _ — -- — - --- --. -- —
COOL[NG SYSTEMS
Quantity: —._ __ --.. _ ---
Make: --- -- . _--
Modei: ---- -- -- -- — ------ ---
Tons: _. __--- --- . _. --- -- -
H. Power _ ----- -- - ---- - --
FIREPLACES
❑ Gas Factory Fireplace Brand Name: ______. _______.
❑ Wood Buming Fireplace
� Wood Stove Model'�u.: _ __ _.___
❑ Wood Stove with Flue i Vlasonry
VEN7'II.ATION
❑ No. Kitchen E�haust ___ duct___._____recirculating _..___._cfm
� tio. _ __ Bath Exhaust(must have duct outside) _ _ cfm
❑ No. ___ Other Fans: Locations_..______ _ __�fm
FU EL STORAGE (Must be upproved by�Fire Murshall if proposing to uhandon ta►tk in ptuce.)
❑ ►nstallation ❑ Removal
Fuel OiL• ___. __ gallons ❑ l�nderground ❑ lnside ❑Outside
LP Gas: ___gallons
Other: _--- ---
��AS LINE ONLY
❑ Outdoor Grill � Other List What& N'here:_4e,yl�. .�_ _��.4C 4711r
2 be,�,�!� �e���,r�,rl q��
` PF.�3�T�£CALCULATI4�) ;
�:: BA�S�i3 f�-2aU��'TA1'��'A�' '
❑ Yes,this section applies
The replacement of a Residentia(fixture or a�pliance that meets al(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:excludine the cost of the fixture or appliance: and
3. Is improved. installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ 5.00
Mail-In Fee(If Applicable) $ 2.00
Total Permit Fee $
P�i�"FEE�ALC�LAT�U� . � '-:3�B�4'VF�:�Oti49
lf above does not apply:follow guidelines below:
1. CONTRACT PRICE * is 1?5%of contract price with a(Mini um ce of$50.00)
��� a.0 I�$�� SU. C.�CI
(contract pnce) (minimum$50.00)
?. STATESURCHARGE �� — , �O
x .0005 $
(contract pnce)
;. POS�t'AGE&HANDLING(Only on Mail-In Applications) $ 2.00
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Sv�. 3U
• * CO�ITRACT 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. lf a�iy 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 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.
MECi3A1�tICAL PE�T AFPi,�CATfQi�AGREEM�i� ,
The undersigned hereby applies to the City for issuance of a Mechanical Permit. agrees to do al)
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 Signature: --:���'f� Date: ���G���
3
DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �0-3��3 c!�'�30
PERMIT NO.oZD/3-D�9�''! COMPLETED
ADDRESS 7�`� � l'bz
OWNER PHONE NO. �'�'3���� � 7
CONTRACTOR,�../�.l �t/1.� �,( ; v �
>; DESCRIPTION ����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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��F9}'ACSATISFACTORY:PROCEED �O TCOMPLEfE
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
C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
Owner/Contractor on ite:
Inspector._�o,
White Copyllnspector's File Canary CopylSite Notice