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Home My WebLink About2009-00817 - gas line only ' CITY OF ORONO PERMIT NO.: 2009-00817 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1950 CONCORDIA ST PIIV : 18-117-23-14-0016 LEGAL DESC : FAGERNESS : LOT 000 BLOCK 000 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 600.00 NOTE: GASLING P'OR OU'fDOOR GRILL APPLICANT MECHANICAL 50.00 TIGER HEATING&AIR STATE SURCHARGE MECH (VALUATION) 0.50 6724 KINGSTON DRIVE EDEN PRAIRIE, MN 55346- TOTAL 50.50 (952)448-4769 PAID WITH CC# 9015 OWNER PETERS, WILLIAM& KAREN 1950 CONCORDIA ST WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work 1or which this permit is issued shall be performed according to the approvcd 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 goveming this type ofwork shall be compied with whether or not specified herein.'�his permit will expire and become null and void if construction authorized is not commenced within l80 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 permi[may be revoked at any time'For due caus �/, � , � i�� Applicant Permitee Signa e Date � Iss By ignature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. 12/11 2009 22:13 9529432653 �5� � �� #1500 P.001 /004 r �� o? (Q5 � � F'ORf ITY S�ONLY � " � �� City of Orono ,�y/ ,� / (_ � �9�7 �Q P.O.Box 66 �S]� /L � llnte Received!��rmit l! � U 2750 Kelley Pazkway � � j� �t Crystal Bay.MN 55323 `°� 'Approvad Ry� f�mpunt$_ � i v � „��,�� (9S2)249-4600 �V\ ----- CITY OF ORONO—MECHANICAL PERMIT (AI►Commercial permits must be approved by the Building O�cial or Inspector and/or Fire Ma�shall) '�' �`��''�^��'�' �r- � ��t,�.�� +t�. �;,. s :�'�.;�s� 1. You may apply for mechanical pernvts 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 UNTLL YOU RECEIVE A PERMIT. WORK MUST NOT BEG1N UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desier►s—Complete calculations,details and specifications are required for each heating,ventilation,humidificarion-dehuxnidification,and air conditioning installation including heat loss/heat gain calculation,design temperatures,equipment ratings and idenrification as to type,ma�ufacturer and model. Data shall be presented on form provided. 4. When any new construction or remodeling is involved,a sepazate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Buitding Code requirements. 6. All work must be inspected(rough-in and final). Cal((952)249-4600. (24-48 hour nottce required) 7. House Heating Test Record must be submitted before finat. ' , ,., . � . �., . ;: ... , : :. ' TYY�3 OF P�RMl"I ..; ; , �;.- > .. , ,._.. ' Check AII That A 1 ` ❑Residential �Commercial(Approval Required) ❑New Q Additional ❑Repairs Q Replace Job SX#e/Qwner Informatxon: Site Address: 1950 Concordia Street Owner: By The Woods-Paul Mailing Address: 1950 Concordia Street City: Orono Zip: 55391 Home Phone: �612)695-9544 Alternate Phone: , ��ntractQr Inforrrtation: ,u,,`� � �°��' , ix�:: (,�� n -� �_ nl�� - : . � �� in� �� Contractor: Advanced Air&Fire inc. � ��tact P�son: Patti Address: 6724 Kingston Drive State Bond#: 5980626 C��,: Eden Prairie Zip; 55346 Expiration Date: 09/22/10 Phone: (952)448-4769 Alternate Phone: ✓0 Insurance—Current: 1 � '� Vr`� /WV �� ,r -� ��h.�� '"r �I.ec�.� � 12/11 2009 22:14 9529432653 #1500 P.002 /004 Note:All Geothermal Systems will now require a Site Plan&Review by our Building Official. IS THIS GEOTHERMAL7 ❑Yes �No HEATING SYSTEMS Quantity: Make: Model: Fuel: Flue Size: Input BTUs: Output BTUs: CFM: COOLIIVG SYSTEMS Quantity: Make: Model: Tons: H.Power FIREPLACES ❑ Gas Factory Fireplace Brand Name: ❑ Wood Burning Fireplace � Wood Stove Model No.: ❑ Wood Stove With Flue VENTILATION ❑ No. Kitchen Eachaust duct recirculating cfm ❑ No. Bath Exhaust(must have duct outside) cfin ❑ No. Other Fans: Locations cfin FUEL STORAGE (Must be approved by Fire Marshall ijproposing to abandon tank in plac�) � Installation � Removal Fuel OiL• gallons ❑ Underground �Inside �Outside LP Gas: gallons Other: GAS LINE ONLY � Outdoor Grill � Other/List What&Where: 2 12/11 2009 22:14 9529432653 #1500 P.003 /004 . �� 4 'r r �'��,n�� "'} rn 4.k�� t i,�,^G� r . � ! �. ,s+t ❑ Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does no require modiScation to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip neact section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If a ve does not apply;follow guidelines below: i 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 600.00 x.0125$ 50.00 (contract price) (minimum$50.00) 2. STATE SURCHARGE "*Add the State Bldg Code Div.5urchazge(Minirnum Fee of$.50) ___ , 600.00 x.0005 $ 0.50 (contract price) (minimum� .50) 3. POSTAGE&HANDLING(Only on Mail-In App(ications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.50 ■ • 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 installaYions 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 pwposes. 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 STAT'E SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. Th undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all w k in strict accordance with the ordinances of the City and the regulations of the State of Mi esota, and certifies that all statements made on this application are complete, true and co ect. A licant's Signature: Date: 11/13/09 3 �� C�i_ � TE TIME CITY OF ORONO �/'�� CALLED IN C � __` I � INSPECTION NOTICE SCHEDULED 9 PERMIT NO.� �8�7 COMP ETED .� ADDRESS � 5� � - � OWNER CONTR. � TELEPHONE NO. � �� o , � DESCRIPTION � ❑ FOOTING MECHANICAL RI ❑ EXCAV/GRA ING/FILLING y ❑ FRAMING MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION � ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J � PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 (�� S 1 � � E� � � � T , S �' � - S i� 1 I - -v 0 � W � Q ti Z W � W � � d ��"'� W� ��wllRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED '- ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUiRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. o�{o� � White Copyllnspector's File Canary CopylSite Notice