HomeMy WebLinkAbout2009 - 00461 - gas line only 1
CITY OF ORONO PERMIT NO.: 2009-00461
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/06/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 200 WOODHILL RD
PIN : 02-117-23-12-0001
LEGAL DESC : UNPLATTED 02 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 4,500.00
NOTE:
REMOVE(6)HEATERS AND GAS LINES DURING CONSTRUCTION,THEN REINSTALL MANOMETER TESTS AND START UP.
APPLICANT MECHANICAL 56.25
DITTER INC. STATE SURCHARGE MECH(VALUATION) 2.25
820 TOWER DRIVE
MEDINA,MN 55340 MAIL-IN FEE 2.00
(763)478-9558 TOTAL 60.50
PAID WITH CC# 0051
OWNER
CLUB,WOODHILL COUNTRY
200 WOODHILL 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 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 c e. �r
(1�2CC,� .l d U l (P / 0�/ a-f2 n (t l 0
Applicant Permitee Signat a Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
88/06/2809 88:43 DITTER INC -> 9522494616 NO.378 D01
1
820 Tower Drive . -
Hamel, MN 55 340
',4 • -' :_
`\
(763)48-95 S$-Ofc r « �
(763)478-2426-Fax , �'' !' •4
)�;: -� =. %
. COOLING
&HEATING
FAX :INC:'. .-----
SINCE 1946
TQ: 4 _,.. ..iiiii yo' �� FRaM: :v (1
„--
COMPANY: DATE: G .
PHONE: q r ^ ( _44 06 PAGES:
FAX: RE:- a4-1- 46 x RE: ,4-fr„,g" - merry-Alt
' 11-404-retiLdH
•
ifriA,' gA441
G/d -la ,1--3430 ,
P11;t1- 7 j f ,
l5
r �‘3)
,__r_____;____ :1
smal ,1 The original copy will also be sent to you by mail-
This FAX is the only copy you will receive. •:'.rg,;, y 0
'=:—..1;— Vi lrl-!ia'fGPIJI11";'' <<
1411 111,;lili
I'��!I( ,il,,l l.• 11[. '
i. 1�lf�lf� 1 1I, 1' I '0 iiii
AIItCOIMITION[R9•I�I�RNACUS•ITIi+ITPUMI's•ROU,ERSIILINI1111Picns•AtiCLEANCAS-StJEi?TM,tTAI :ill III1:•11,11- !1:' ��! I1[
08/85/2009 08:43 DITTER INC 4 9522494616 NO.378 1302
>1,. t: F R' ITY;lig'oNLy
/
�'d� City of Orono ,pale Recalv0d: / fPonniiti<7300 91-Z70 ,�
y„ °" 2750 Kelley ro� ,e
Y 3 ;A ,qd. Y,l ' ` ,Amount 5: �pD,��
tf
(952)F,l Bay,00 15323 PP,
j � (952}249-4600
_mow
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 CARP IS POSTE.)ON TJJ JO_ B SITE• i I
3. [viechanicsl L esii;ns—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'gF:p12Ivi.1T .. •' . . .
• 1
":(Check All That ATpp1y)
❑Residential LK Commercial(Approval Required)
0 New ❑Additional gsRepairs 0 Replace
Job Site / Owner inforinatiofi:!
Site Address: 0-OO ?.FOOD j11-1, a 0 ' p
Owner: dtD1/1LL down &lig Mailing Address: OM 20040NwP
City: CMU `wit y ?fr Zip: X32'1
Home Phone: gLr. —473 -TS// Alternate Phone:
Contractor 1�nforniation: ' .
. 1
Contractor: 9D(176g 1116 Contact Person: M D17 ie
Address: ggo 73 w IX. State Bond #:
City: h;hggi-- _ Lip: -3ft Expiration Date:
Phone: 7C 3 — -7 g' Alternate Phone: e 12 -?fig-4.330
❑ Insurance—Current:
1
08/06/2009 88:43 DITTER INC —> 9522494616 NO.378 D03
HEATING SYSTEMS
Quantity:
Make:
Model:
Fuel:
Flue Size:
Input BTUs:
-
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
•
•
Tons:
H.Power
FIREPLACES
❑ Gas Factory Fireplace
❑ Wood Burning Fireplace
0 Wood Stove
❑ Wood Stove With Flue
Brand Name; Model No.:
VENTILATION
❑ No. _ Kitchen Exhaust duct recirculating cfm
❑ No. Bath Exhaust(must have duct outside) cfm
❑ No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSI1.ALL)
❑ Installation ❑ Removal
Fuel Oil: gallons ❑ Underground ❑ Inside ❑Outside
LP Gas: gallons
Other:
GAS LINE ONLY �—
❑ Outdoor Grill Other/List What&Where: rC �' rtier a'
4 de44!i dorne4e,aern, Zgan,
MLA ,., ez,vij 2 A
08/06/2009 08:43 DITTER INC -> 9522494616 NO.378 1704
` Aug-05'-2000 09:!0am From-CI" :FGNiJ +0522404616 T-T00 P 003/003 F-TT:
r'•�" r 'r'.1 Vi k. ' Kg
'1. I�u•I 1 i� ,� w �P••l�;
li "'''II'I•�1: �(�l IIS ,1 U I '�!'� :�' I;III��i 'i� j' �l.jrCa'::�i II::
Q ;Ir...
idyl I:/'III 4I;;i'.I1"•I I tR1'!! �. r'I I. � l I i. 1,:r,i q1.
i I uyp I. II i hCi I•'I,.� i Q l I'', .N�'
"J, �i1I 1��il�ll",III�!I' I•i•�i�•� �p�4 � II�•:;.5:! i�� j 1�I,
•r, •r,ll,1 1 I i I II��I •"h Lin /�� `�) b �' !L,a li, y :;•i
`.'<! e�IL.rIPp�•l!�Il��i•:Y��G:L•..,• ,,';p V' +AtI IL" '�71ueol;S�''•1 11' ::�4ilAl'l;i l.+1E' 14!.:II �!ilp ,"It,':';T� I�:�i'�:'i!!••; 'ra
•
Yes, this rea:el:applies
The replacement of a Re�id nrial.fixture or apRiLalLee,that meets all three of Lhe following requirements:
1. oec no(r::,bile modification to electrical or gas service.
2. Tlas a i,otSl ,-, ;r of$51,0.00 or less;excluding the cost of the fixture or appliance; and
3. 15 uuprwv:..I, installed or replaced by the homeowner or licensed conn'acT.r Ir.
Skip nes! :iectatm, if this applies; Cost of Permit S 1SrOf1
State Surcharge S .50
Mail-In Pet(If Applicable) S 2.00
Total Permit Fee S
�' Y •ia: ') 1•'�1 Nlj c•:;III I 1 :!' I,�.', ';.rY o;�'
:•5.�4 •I I C,.,;.Y'li�..t„� ''�+�ii I� •I��:'�•1.�'}'L"�1.�'+�i'�"'��iw ,���f ��J'���II� �� ���V iI��'''I,r i�l�:•1,r
if above does nor appy'; follow guidelines below:
1. CONTRACT PRICE '0 is 1.25%of contract price with a(Minimum Fee of$50.00)
��•�� .01255 (C6,
(cnrrraet (minimum 550 00)
2. STA'!!' S1.14C':iARCE " Add the Shale Bldg Code Div, Surcharge(Minimum Foe of 5.50)
__4coo,od ,0005 S a,
(ruhtrttctprice) (minimums 50)
3. POSTAGE. ., l iANI)LtNO(Only on Mail-In Applications) $�• 2.00 -
4. TOTAL Erb IC 4XT FEE(Add Lines 1-3 Above) S , d,S".6
• ` CONTI_C T PRICE. or JOB COST means the actual or estimated dollar amount charged for the
permitted work inch:dinh materials, labor, profit, and other fixed costs. IT is the amount to be charged
to the customer For tilt' work dont. If any material, equipment, labor or insta.11arions are furnished by
the owner, rerun- c,° a;:y ocher parry, the reasonable market value of such items must be added to the
estimated cost or contract price for peanut fee purposes. In the event that there is a dispute on the
amount of the job _'r,5r. the City may request the submission of a signed copy of the actual contract,
• "The STATE SLIKL;11A&C) is .0005 of the B>"ilding Department at(952)249.4x!00 for rhe price.
• � ,;r;I,i ill 7�t•�/ ( q` ( �ry �j�7,,? �I,��J ��I�'/�I ry+�r/`� , „ �, , I:..r.,,;. .
:I'.. :i„!iI:4+1•�r ri!.,I)',I'.�\•a,f=i o•la^11� L1��'i-'�.1�I ' :P.Y' �-�t.F�!�p {r,111'�r�'`!�y,I3 �/� 'lil;il• I,i,�.f:!r.lri".I
The undersigned hereb:, applies to the City for issuance of a Mechanical Permit, agrees to do all
work in strict acc.trda ;i:t, with the ordinances of the City and the regulations of the State of
Minnesota, and certifiis that all statements made on this application are complete, true and
correct.
! I� ' — 0
Applicant's Signal Lu'..• d f1 f c `� Date:, —
3
l--- ,../
`' /5 ( DAT TIME
CITY OF ORONO CALLED IN
INSPECTION OTICE od SCHEDULED %,�e7if 3'.0()PERMIT NOc 99 6X`1 COMPLETED
ADDRESS O9 W. / / DI-d-
OWNERCONTR. l)7
TELEPHONE NO. I/t21 cL7Y1?& ^ 7 - :-
DESCRIPTION ----M7/7-
k.
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
4.
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q El TREE REMOVAL
• ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
✓ ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
cC
Lu El PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v 1:1PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNE- •tainairP EETYOUIYES_ANO
o COMMENTS: • ' 5/ �y� -67 €2
L
e
0
0
.„ M?^ a 3,- 5' -j-r S-f-
o
"
W al
W
Q
ti
W
Z
W
cc
0
IQ ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
CC
W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
OU BEFORE COVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. if 10a
White Copy/Inspector's File Canary Copy/Site Notice