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Home My WebLink About2013-00689 - gas line only , . CITYOFORONO * z0 13 - 00689 * 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 139 CHEVY CHASE DR PIN : 36-118-23-41-0025 LEGAL DESC : HILL O'WAY MANOR : LOT 020 BLOCK 001 PERMIT TYPE : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 600.00 NO"TE: GASI.INE FOR OUTDOOR GRll.L AND KI"I�CHF,N RANGE AND F[RF.PI,ACF, APPLICANT MECHANICAL 50.00 TRADESMAN INC STATE SURCHARGE MECH (VALUATION) 0.30 2942 XERXES AVE N MINNEAPOLIS, MN 5541 1- TOTAL 50.30 (612) 581-4472 OWNER BELTRAND, BYAN & WENDY 139 CHEVY CHASE DR 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 Ihis type of work shall be compied with whether or not specitied herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if cons[ruction is suspended for a period of 180 days at any ime after work has commenced. The ap lic is responsible f ssurin I required in ections are qu ed onfo nce th e e uildi�'Co .This permit may be , o d any ti br e c us • �i �� f3 � � lc�� A lic3nt Permitee Signa[ure Date Issue By Si�nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r + r i � R CI USE ONLY /�O A r\ City of Orono �b��_, ��'� / �y P.O.Box 66 Datc Receiv Permit# \ 2750 Kcllcy Parkway '' Crystal Bay,MN 55323 Approved By: Amount$:�/� � Phonc(952)249-4600 Faac(952)249-4616 .a � � `��` � � J� CITY OF ORONO-MECHANICAL PERMIT ��f S H v� (All Commercial permits must be approved by the Ruilding Ofticial or Inspector and/or Fire Marshall) GENERAL INFORMATION L You may apply for mechanical permits by mail or in perso�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 Desi�ns—Complete calculations,details and specifications are required for cach heating,ventilation,humidification-dehumidificarion,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 mast 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 noNce 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 Address: �� / ��=V�y� e'��`�S� ��'� J� Owner. ��—%��`-' �� Mailing Address: d��-�`L(C= c�ry: � n�r�v v z�p: S�3 `� l Home Phone: Alternate Phone: Contractor Information: .--- �/ � � Contractor: K�'O�'�Nti�� iN�r Contact Person: 1�� L��12_!2-J`T�' Address: �9 � �-��—�� '�' �State Bond#: (.Q l � � �v 7� v City: ��'"�'��'��S Zip: �� Expiration Date: 3 � Phone: L��Z r S U I — `/`"/-7�- Alternate Phone: C�!Z—S�/ �—`f`17� � ❑ Insurance—Current: l J�"C: �K-1��--� 1 � y/l S6A-�vV 7�Yy 5�1 �, �u....,,�. �..,. �, .....�. . �..�- ------- --- 2 v�� v `'� � C� I . � MECHANICAL SYSTEMS BEING TNSTALLED Note: All Geothennal Systems will now require a Site Plan & Review by our Building Official. IS THIS GEOTHERMAL? ❑ Yes�o 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: ❑ Wood Burning Fireplace 2 ❑ Wood Stove Model No.: �� C-�(� ❑ Wood Stove with Flue/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑ No. Bath E�aust(must have duct outside) cfm ❑ No. Other Fans: Locations cfm FUEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Remova( Fuel Oil: gallons ❑ Underground ❑Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: ��/�� r�W�� 2 v��u � c� �� a � r � PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: l. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less; excludin�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(tf 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% ontract price with a(Minimum Fee of$50.00) 1�� 9� x .0125$ (contract price) (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 `'/ � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � ' �`� �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the 20 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 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 Signa re: - - Date: 7 �"2 �3 O�..Ji�./c—� I vt.�H"'4"��+�+w.-�wC'_ 3 ✓ V�� DATE TIME CITY OF ORONO CALLED IN o INSPECTION zo�IC� SCHEDULED �� `�O 9:D d PERMIT NO. 3- ��l COMPLEfED ADDRESS �.3� �L-OJ�-` e-�ta,2o -� OWNER TELEPHO E NO. CONTRACTOR �G��"� � ' �; DESCRIPTION �� lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:JL�ES_NO � CGMMENTS: � a /`��r ��esZ`— �-0�3 `!3 � Lt> G/��sS � J O � Gvir/.0 L� � � o�/3 "��Sp �ir1�/� 0 � W �� 2 ��.� � ao,� . ad bgg- a°/ _ �� .��_ .�lc W c,�j47/.�i�L�' — L Gi�o.i �S� bi� "m P/�t'/RrfG � W � -'` /� . � a'�Sl�ox. �6/' �ft�5 tc�e `l�c 11.Y'1 — ., o r��e�f �!7. bK Co�r r�f-E �rv►1�G � W ❑WORKSA FACTORY: ROCEED �OJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 Ownerl ntractor on site: � Inspector. /� White Copyllnspector's File Canary CopylSite Notice , � DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��3 '[��St� COMPLETED !�%�•i� ��13ADDRESS /3`I �w��S� Dr ' � OWNER TELEPHONE NO. CONTRACTOR �r�'s�� - � DESCRIPTION ��45 ��n s � 4� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING t�MECHANICAL FINAL ❑ 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. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � ��r rr►.� /�/l�ir �•l�Q 7f C�ol�7�r t �i•� � ` . O ,�'/1��GGtil�s�. — � � � ° ��S /i/�i .t�i ��t - 7-v�3- /3 Ll/_ ��1 W � Q z J?D �i►P lro•rt e W ��C�y Of' �Ora K ts '� j �4''J�r��/� � {��/ <�t%�c1�� •�. W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �N3PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in a ance. (952) 249-46�0 OwnerlContractor on site: x Inspector. ��^� � White Copyllnspector's File Canary CopyfSite Notice