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Home My WebLink About2012-01190 - gas line only CITY OF ORONO * 2012 - 01190 * 2750 KELLEY PARKWAY DATE ISSUED: 11/20/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 505 WILLOW DR S PIN 04-117-23-41-0012 LEGAL DESC MAJESTIC SPRUCE ADDITION : LOT 2 BLOCK 1 PERMIT TYPE MECHANICAL(>$500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GAS LINE ONLY VALUATION $ 6,203.00 NOTE: GAS LINE FOR OUTDOOR GRILL APPLICANT MECHANICAL 77.54 GENZ-RYAN PLUMBING&HEAT STATE SURCHARGE MECH(VALUATION) 3.10 2200 HIGHWAY 13 BURNSVILLE,MN 55337 TOTAL 80.64 (952)767-1000 PAID WITH CC# 1556 OWNER MOORHOUSE& SHAYNE ERNZER,MARK 505 WILLOW DR S LONG LAKE,MN 55356- 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. ' Applicant Permitee Signature Date Issued By Sigbhture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOU. Froc Genz-Ryan 952 767 1900 11/20/2012 13:34 #781 P.002/004 FOR CITY.USE,ONLY . O City of Orono�O P.O.Box 66 Data Received:. Ponnit'V 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount,$: Phone(952)249-4600 Fax(952)249-4616 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 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.PERMIT Check All That Apply) sidential ❑Commercial(Approval Required) New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: Owner: 1 I^y Mailing Address: b0rc" �� ► f S City: � �lm n zip: �rJ3 J ca Home Phone: Alternate Phone: Contractor:Information:.:: Contractor: Contact Person: G61 1 YA L-jz)sy . Address: 22M �AW�S �S W State Bond#: �J V d City: `�uo► Sv► zip:G533_]Expiration Date: I Phone: Z Alternate Phone: ❑ Insurance-Current: 1 I From:Genz-Ryan 952 767 1900 11/20/2012 13:34 #781 P.003/004 i 110, M- 1111111, ote:All Geothermal Systems will now require a Site Plan&Review by our Building Official. I i THIS GEOTHERMAL? ❑ Yes ❑No I EATING SYSTEMS Quantity: Make: odcl: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: POOLING SYSTEMS quantity: Make: Model: Tons: II.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 El No. Bath Exhaust(must have duct outside) efm No. Other Fans: Locations cftn FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑Inside ❑Outsidc LP Gas: gallons Other: GAS LINE ONLY Outdoor Grill ❑ Other/List What&Where: 2 Fr :Genz-Ry n 952 767 1900 11/20/2012 13:34 #781 P.004/004 Yes,this section applies he replacement of a Residential fixture or annliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cos of$500.00 or less;excluding 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 M Total Permit Fee S r If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1,25%of contract price with a(Minimum Fee of$5'07.00) ZOO - PDX .0125$ -7l ' conincl price) (minimum$50.00) 2. STATE SURCHARGE )-03 C)C) x A005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ `2-00- 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S_ S O- ldd 4 ■ * 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 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. 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. A'pplicant's Signature: Al Date; 1 2-- I 3 DAT��Q��// TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 11-7r_/z PERMIT NO.401.7—j!� l.(q O COMPLETED ADDRESS 505 Gyi�1 ort� tL�r 3� OWNER TELEPHONE NO. CONTRACTOR 44'P-2 3Z DESCRIPTION U ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ElPOURED WALL El MECHANICAL RI ❑ LAKESHORE/WETIANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP LUK ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc h ny M-c-cc 0 Uj cc Z W Z W CC GW �ICtORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK K PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C) BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR C1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector White Copy/Inspector's File Canary Copy/Site Notice