HomeMy WebLinkAbout2008-00453 - gas line only CITY OF ORONO PERMIT NO.: 2008-00453
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 12/16/2008
952 249-4600 FAX: 952 249-4616
ADDRESS : 4060 DAHL RD
PIN : 07-117-23-11-0020
LEGAL DESC : PIRATES COVE
: LOT 016 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : GAS LINE ONLY
VALUATION : $ 1,500.00
NOTE: GAS LINE FOR DRYER AND RANGE
APPLICANT MECHANICAL 35.00
WENZEL- PLYMOUTH PLUMBING LLC STATE SURCHARGE MECH(VALUATION) 0.75
1710 ALEXANDER RD
EAGAN, MN 55121- MAIL-IN FEE 1.50
(651)452-1565 TOTAL 37.25
Minnesota State License#: 061555- pm
OWNER
NEVE, MR& MRS. JAMES
4060 DAHL RD
MOUND, MN 55364-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonned according to
the approved plans and specitications,applicable City approvals,and thc
State Building Code. This permit is for only the work described and does
not grant pennission for additional or rclated work which requiros separate
permits. All provisions of la�vs 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[ime for due cause.
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Applicant Permitee Signature Date Issued By Si ture Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIB ABOVE.
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, FOR CITY USE ONLY
/��0� City of Orono
P.O.Box 66 Da[e Received: Permit#
j��j;, �`�' 2750 Kelley Parkway
l�� ,��'� +��'� Crystal Bay,MN 55323 Approved E3y: Amount$:
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CITY OF ORONO-MECHANICAL PERMIT
(All Commercia]permits must be approved by the Building Official or Inspector and/or Fire Mazshall)
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 UNT[L YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desiens—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 OF PERMIT
(Check All That A 1
� Residential ❑ Commercial(Approval Required)
❑ New ❑Additional � Repairs ❑ Replace
Job Site/Owner Information:
Site Address: 4060 Dahl Road
Owner: Mailing Address:
CiTy: Mound Zip:
Home Phone: Alternate Phone:
Contractar Information:
Contractor: Wenzel-Plymouth Plumbing, L�Contact Person: Jenny Hanson
1710 Alexander Road ��'�� ' ^^'��� �y-� '—
Address: State Bond #: ��v I1-r�j3 j
__,.,,�„�a GI �' �°I
City: Eagan Z�p:55121 Expiration Date: l�S
Phone: (651)452-1565 Alternate Phone: �651)319-4125
❑ Insurance-Current:
1
� _
. MECHANICAL SYSTEMS BEING INSTALLED
Note: All Geothermal Systems will now require a Site Plan& Review by our Building Official.
IS THIS GEOTHERMAL? ❑ Yes ✓❑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:
❑ Wood Burning Fireplace
❑ Wood Stove Model No.:
❑ Wood Stove With Flue
VENTILATION
❑ No. Kitchen Exhaust duct recirculating cfm
� No. Bath Exhaust(must have duct outside) cfin
� No. Other Fans: Locations cfm
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHALL) I f propos ing to abandon tank
� Installation ❑ Removal in place.
Fuel Oil: gallons � Underground ❑ Inside ❑ Outside
LP Gas: gallons
Other:
GAS LINE ONLY
❑ Outdoor Grill � Other/List What&Where: Dryer& Range
2
.
PERMIT FEE CALCULATION(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:
1. Does not require modification 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 next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-[n Fee(If Applicable) $ 1.50
Total Permit Fee $
PERMIT FEE 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$35.00)
1,500.00 x.0125 $ 35.00
(contract price) (minimum$35.00)
2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(�tinimum Fee of�.50)
1,500.00 x .0005 $ 0.75
(contract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERN1[T FEE(Add Lines 1-3 Above) $ 37.25
■ * 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 Ciry may request the submission of a signed copy of the actual contract.
■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price.
MECHAMCAL 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: � � Date: 12/11/08
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Reset Form 3
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CITY OF ORONO CALLED IN �
INSPECTION NOTICE (/ SCHEDULED �"� -D$ �
PERMIT NOaDtJ 8' ���T5� COMPLETED � - `'i � �
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ADDRESS �D60 �QCULQf /�,
OWNER CONTR. CI��ZZeC— /���`��-��
TELEPHONE N0. Z�-3 �� T��D
� DESCRIPTION �� �'�"~� — �
� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADIN FILLING
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS
O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ 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 ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED [l PROJECTCOMPLETE
W CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. �] pHOTOTAKEN
INSPECTOR WILL RETURN
� CITATION ISSUED
�STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice