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Home My WebLink About2015-00700 - gas line only , , , CITY OF ORONO �z B 1 5 - 0 0 7 0 0 * 2750 KELLEY PARKWAY DATE ISSUED: 06/03/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 15 BROWN RD S PIN : 34-118-23-34-0010 LEGAL DESC : UNPLATTED 34 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GAS LINE FOR GENERATOR-NEAR HIGH PRESSURE GAS METER APPLICANT MECHANICAL 50.00 PRACTICAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 0.25 4342B SHADY OAK RD MAIL-IN FEE 2.00 HOPKINS,MN 55343 TOTAL 52.25 (952)933-1868 Payment(s) CREDIT CARD 5815 52.25 OWNER EISS,JOHN&BONNIE 15 BROWN RD 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. � �- 1 �--�:-? ��_ � �-�� Applicant Permitee Signature Date Issue By Signature • Date 9529331869 14 33:33 06-03-2015 2/4 rOR C17'Y USP;ONLY ��r City of Orono �y P.O.Box 66 natc Receivcd: Permit# � 2750 Kcllcy Pa�:�eay Crystal}3ay,MN 55323 APProvc:d Dy: Amount$:�,_..__._- Phone(952)?49-4600 Pax(952)?49=t616 jy , y ,� r � ��esrio��G CITY OF ORONO—MECHANICAL PERMIT (All Comn�crcia!permits must bc approvc:cl by I}x�f3uildino Qf(icial or Insp�xtor anci/or Pirc Marshall) GENERAL INFORMATION 1. Xou may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a permit�vill be issued within two working days. 2. Permit cards�vill be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTfL YOU RECEIVE A PERMIT. WORK MUST NOT SEGIN UNTIL THE PEI2MIT CARD IS PQSTED ON THE JOB SITE. 3. Mechanical DesiRns—Complete calculations,dctails and specifications are required for each heating,ventilation,humidification-dehumidification,and air conditioning instaflation including heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to type,manufacturer and model. Data shall be presented on form provided. 4. Vl�k�en any new construction or remodeling is involved,a separaie buiiding permii must be obtained. 5. Afl work must be done in accordance with the Uniform Mechanical Code/State Buildin�Code requirements. 6. All�vork must be inspected(rou�h-in and final). Call(952)249-4600. (24-48 hour noticc required) 7. House Heating Test Record must be submitted before final. TYPE OF PERMIT Check All That A 1 [�Residential ❑Commercial(Approval Required) ❑New ❑Additional [�Repairs ❑Replace Job Site/Owner Information: site Actc�ess: 15 �R.OWN R� S. ' I�NC� I..P�KE�Mt�1553�Cv O��ner:�QHN�i�#1�11E E�SS Mailing Address: t� �iR�W1��S. c�ty: trpNG LAt�.E z�P: 5535�n Home Phone: C�152�y�'3'q��-{2. Alternate Phone: �C012�2.a�� t550 Contractor Information: Contractor: PE�AGTtGALS�{ST�MS Contact Person: �,�_�caNr�D Address: �}?,y2$�iP�j�/ QAK RD State Bond#: City: � 12�1S Zip:S 3�13 Expiration Date: _ F�� Pho�e: Cq52�G33-1�(Da . C952�933-i0Co9 ❑ Insurance—Current; 1 9529331869 14 33 49 06-03-201 5 3/4 MECI�ArIICAL SYSTEMS BEING INSTALLED Note: All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS TI�IS GEOTHERMAL? ❑Yes [�No HEATING SYSTEMS Quantity: Make: Model: Puel: Flue Size: Input 13TUs: __ Output BTUs: CFM: COOLING SYSTEMS Quantiry: Mal:e: Model: Tons: H.Power FIREPLACES ❑ Gas Pactory Fireplace Brand Name: ❑ Wood Burning Fireplace ❑ Wood Stove Model No.: ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath£xhaust(must have duct outside) cfm ❑ No. Otlier Fans: Locations cfm FUEL STORAGE (Must be uppruved by Fire Marsltal/if proposing to oba�rdon tank in place.) ❑ Instaliation ❑ Removal Fuel OiL• gaUons ❑ Underground ❑Inside ❑Outside LP Gas: gallons Olher: GAS LINE ONLY ❑ Out<ioor Gril] � pther/List What&Where:�',� E,RP�T�R -NEAR HlGkt � �I�i�.SSI.TP.E C�F1J MET� 9529331869 14 34 00 06-03-2015 4/4 PERMIT FEB CALCUL.4TION(S) 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: l. Does not require modification to electrical or oas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appiiance:and 3. Is improved,installed or reptaced by ihe homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ I S.OQ State Surcl�arge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 'Cotal Pern2it Fee � PERMIT�EE CALCULATION(S)-JOBS OVER$500.00' If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) �' �00•00 x.o�2s$ 50.d0 (wntract�ricc) (minimum 550.00) 2. STATE SURCHARG� � 500.00 X.000s � 4.2�", (conlroCl pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT'FEE(Add Lines I-3 Above) $ �J' �.2r'J ' *' 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 fumished by the owner, tenant or any otfier party,the reasonable market value of such items must be added to thc 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 Gity may request the submission of a signed copy of the actua! contract. MECHANICAL PERMIT APPLICATION AGREEMENT The wldersigned hereby applies to the City for issuance of a Mechanical Perznit, agrees to do all work in strict accordance witli 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 Signatur • �� Date: O� 4� 1-�-.� � 3 9529331869 14 33 15 06-03-2015 1 /4 � � �� 43428 Shady Oak Road �, ; � NoDKlns,l�N 55a43 ci� �;� ';, ��:8, ,:;� (P1952983.1868 ��sd Fg�� [�l 952.933.1869 '�'� �� I �1 L�' � �t��°d� �'��. �r.practleaisYs.net �� , �a� �4 n;�� FACSIMILE TRANSMITTAL SHEET T0: FROM: Permits Heidi COMPANY: COMPANY: City of Orono Practical Systems FAX NUMBER: TOTAI N0. OF PAGES INCLUDING COVER 95Z-249-4616 4 PHONE NUMBER: SENDER'S FAX NUMBER: 952-Z49-4600 952-933-1869 RE: SENDER'5 PHONE NUMBER: 952-933-1868 D URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTE5/COMMEN7S: Please process the following application and put on Visa : Thank You! DATE TIME V � ITY OF ORONO CALLED IN —�-�-� INSPECTION NOTICE �scHE�u�E� �� PERMIT NO.�n�� COMPLETED ADDRESS �� 1�Z"�l--c-�V1 �Y��- J • OWNER TELEPHONE NO.�5 29 33-��b7 CONTRACTOR �I�(1�.�-�- • < <1S`�--. � DESCRIPTION �`f w� ✓� �`�-�-�'�� ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILL�NG Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING j�"MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTORTO YES_NO � COMMENTS: � a - �'op,�C r y o S /,.s c. ��u•� Hn-C Ge-✓��' O ^ G •� � c s� �d/cQ�'�s s� .� /JS L � � �. � . O _ �J�G Gc�'C S4 S �� t �•-i • S�C. De.� W Q SQGC S — � 2 W � W � j W�RK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. I for the next ins ion 2a hours in advance. (g52) 249-46�� Ow rfCo ctor on site: Inspector. �"'' White Copyllnspector's File Canary CopylSite Notice