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Home My WebLink About2014-01281 - gas line only iiiiiiiiiiiiiiiiiiiiiillillillillillillilliillim CITY OF ORONO * 2 0 1 4 - 0 1 2 8 1 2750 KELLEY PARKWAY DATE ISSUED: 10/31/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1485 FOX ST PIN 02-117-23-33-0001 LEGAL DESC UNPLATTED 02 117 23 LOT 000 BLOCK 000 PERMIT TYPE MECHANICAL(> $500) PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE GAS LINE ONLY VALUATION S 1.600.00 NOTE: GASI.INE TO GRILL APPLICANT MECHANICAL 50.00 STATE SURCHARGE MECH(VALUATION) 0.80 PRACTICAL SYSTEMS 4342B SHADY OAK RD MAIL-IN FEE 2.00 HOPKINS, MN 55343 TOTAL 52.80 (952)933-1868 Payment(s) CREDIT CARD 5815 52.80 OWNER HENNEMAN, W P& A B 1485 FOX ST 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 olwork 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 Ibr a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conlbrmancc with the State Building Code_This permit may be revoked at any time Ibr due cause. ogd"LA) l b 0 / Applicant Pernnitee Signature Date I _Issuo By Signature Date 4 � 1`01 CIT US ONLY City of Orono P.O.Box 66 Date Receiv rmit n 2750 Kelley Parkway Crystal Bay,MN 55323 Approved By: Amount S: ( Phone(952)249-1600 Fax(952)249-4616 —-�- �y �'kisHo�� CITY OF ORONO—MECHANICAL PERMIT (All Commercial pennits must be approved by the Building Ot'tieiat or inspector and/or Fire jklwshall) GENERAL INFORMATION I. 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 TETE 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. (-louse Heating"fest Record must be submitted before final. TYPE OF PERMIT (Check All That Apply) Q,Residential ❑Commercial(Approval Required) ❑New ❑Additional ❑Repairs ❑Replace Job Site/Owner Information: Site Address: a !` Owner._I ! I� i7.r\C,Cy1dr''� Mailing Address: City: V\iZip: Horne Phone: Alternate Phone: Contractor Information: Contractor ` � ��Ij 1 Address: ') ' 3�1, ; State Bond#: jt11 '; CU City: t Zip I>>�); Expiration Date: Phone: Alternate Phone: 0 Insurance—Current: I t7/Z b lot o£ OL /b L I Z L 698 6££6296 MECHANICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Buildin'a Official. IS THIS GEOTHERMAL? F]Yes [3/No 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 Brand Name: 71 Wood Burning Fireplace F71 Wood Stove Model No.: 7 Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfm El No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) F-1 Installation ❑ Removal Fuel Oil: -gallons ❑ Underground Ej Inside E]Outside LP Gas: gallons Other: GAS LINE ONLY ❑ Outdoor Grill Rv Other/List What&Where: �,\�V-, J V l0,7 0C-0 I co 91 ?7[ 698 6££6,796 PERMIT FEE CALCULATIONS) BASED OFF-2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture 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;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 Total Permit Fee $ PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 If above does not apply;follow guidelines below: I. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of$50.00) � IcI A). x .0125$ (contract price) (minimum S50.00) 2. STATE SURCHARGE x.0005 $ J (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines I-3 Above) ■ 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. MECHANICAL PERMIT APPLICATION AGREEMENT 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. Applicant's Signature: 1�; �i' I�j ,r�� Date: 3 t7/V 4 l OZ 08 0L (11, 9l el 698 6886256 DATE TIME / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 5 I �M PERMIT NO. nt 5 0 i Z I COMPLETED ADDRESS E ,, X - OWNER TELEPHONE NO. CONTRACTOR rckc t ,C a 1 SuS4 DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI -1 SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEVyER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ PTIC INSTALL ElFOUNDATION/REMOVAL OWNEWCONTRACTQR_TO MEET YOU• YES_NO COMMENTS: cc LJ 6• 4r,G.0 44S �i.r 0 c _ 0 a-;• W cc Q 2 L� LQ two-' CC Z d RfCb TISFACTORY:PROCEED �7_'2@QJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OCJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Zoa ort n Ilion 24 hours in advance. 249-4600 Own ntractor on sit Inspector. White CopylInspector's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I� �L ►�VY� PERMIT NO. ( l COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION f� T W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SE R HOOK-UP ElHARD COVER REMOVAL v ElDEMO-SITE ElS TIC INSTALL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO COMMENTS— ¢ - � � C6YIt�i/tG�er C�i�k. s� Ta Va✓�{� / / �.,r jjcSC O wA.i oro`g_l no t gi tee.I?41-ecc 0 W Q 2 W z W cc j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY CU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El Ll STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED iN6PEe.ION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice `_CY-`-"s� DATE TIMES / ��/// CITY OF ORONO CALLED IN INSPECTION NOME OM /Z�� E SCHEDULED — S PERMIT 4 MPLETED ADDRESS z5 OWNER t E O ENO. /Z�/b�5 CONTRACTOR G >: DESCRIPTION — W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL QEl POURED WALL El PLUMBING RI ❑ EXCAV/GRADING/FRING' O ❑ FOUNDATION WATERPROOF ❑ PLU ING FINAL ❑ TREE REMOVAL Z El RADON SLAB CHANICAL RI El SITE INSPECTION Q ❑ FRAMING ECHANICAL FINAL El PROGRESS ❑ INSULATION W OD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO C) COMMENTS: CC W a J O cc O W cc Q Z W W cc J d W ❑WORK SATISFACTORY:PROCEEDcc ROJECT COMPLETE W [I CORRECT WORK&PROCEED i l SUE CERTIFICATE OF OCCUPANCY OO 11CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN LJ El STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 h urs in advan 249-4600 Owner/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice