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Home My WebLink About2013-01126 - gas line only ' ! CITY OF ORONO * 2 0 1 3 - 0 1 1 2 6 * 2750 KELLEY PARKWAY DATE ISSUED: 10/23/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 627 FERNDALE RD N PIN : 36-118-23-I1-0029 LEGAL DESC : LAURENT ADDN : LOT 000 BLOCK 001 PERMIT TYPF : MECHANICAL(> $500) PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 500.00 NOTE: GAS LINE TO GENERATOR APPLICANT MECHANICAL 50.00 PRECISION HEATING&COOLING INC. STATE SURCHARGE MECH(VALUATION) 0.25 3650 CHESTNUT ST. N CHASKA, MN 55318 MAIL-IN FEE 1.78 (952)556-0187 TOTAL 52.03 OWNER JOHNSON, BONNIE 627 FERNDALE RD N 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 [he State Building Code. This permit is for only the work described and does not grant permission for additional or relatcd work which requires separate permits. All provisions of laws and ordinances governing this type oY work shall be compied with whether or not specified herein.'1'his 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 suspcnded for a period of 180 days at any time alter 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 duea:ause. `'.�,�,��-t�e (�� / / / / Applicant Permitee Signature Date [ssued By Sign ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. • rox crrti�i s�o:tiL� �--__._. / � �� • City of Orono � �� P O F3ux(��, Date Recen�ed� _ Pcrmit# j \ _'7�U Kelley� I'urkw�� I Cnstal Bao.VIN>i32± Approved t3y. _--- .Amount$ -------- � Phonciy��-�9-4r,fli) Fu��l`)52)'-�S9-�r�4+� ,\ �� 1 . \ �`�� :,`'� CITY OF t�RONO- MFCHA�IICAL PF.RMIT .,K�stt��i __ (All l`ommerual pernuts n.ust hc�ppru�-e�M�tht B�uldin�OI}iciul oi In�pcctnr aitd:�ur I��re�tanhall l � GENERAL INFORMATION I. You ma} apply fur mechanical permits by mail or in person at the City offices. :-�pplications wili be reviewed and a permit will br issued within two�4orking days. 3. Pennit cards will be sent by return mail after a revia�v is compieted. PER�IITS.aRE\OT VAL[D l;'�TIL Y'Ol; RECEIVE ,1 PF.Ru11T. WORf�MOS"f ti0"1'BECI'.V l�\�TIL THF. PERVIIT CARD IS POSTEU O� 7�HE JOB 51TE. �. '�1echanical Desi<�n� Complete calcutation,.details and sprcifications are required for each heating, ventilation,humidificatian-dehumidification,and air conditionin� installation includin�� heat lossiheat<7ain calculation,desi�n temprratures,equipment ratin�s and identitication .is to h pe, manufacturer and modeL Data shafl he presented on fonn provided. �. W'hen any new construction or remodeling�is invofve�,a sep�rate building permit must be obtainzd. 5. ,411 work must be done in aceordance with the t'��niform Mecllanical Code�State E3uilding Code requirements. 6. All �aork must be inspected (rou�h-in and tinal). Call (9��)�49-�600. (23-�8 hour nutice required) 7. Nvuse Heatin��Test Record must be submitted beiore tinal. TYPE OF PERMIT (Check A11 That Apply) ------- -___._ I (�] Residential ❑Cornmercial (Approval Required) ❑ '�ew � .Additiona{ ❑ Repairs ❑ Replace Job Site /Owner Intormation: ' ----J ,Y,,,� Site Address: �� <'ri^L�� l'�.�x x � ��'/'"`' ./ \ / /� , Owner: I �M J��1SC�n �lailin� Address: �•� 7Ff'J'/)cl��e lScr,��n.,'��r'�� c�cy: C�v.� 2�� z,�: 5-�3 9� —�- � : Home Phone: �.S� y7� ��' ;�Iternate Phone: � Contractor Information: I Contractor: r`e�'S,e� /�r-��r} �-t c�',C�ontact Person: ��'k ��i P 5 �r�� Address: 3L��C��:i-=� �� Statc E3ond #: /1"�J L�U��/�;� City: Cr �S,kc Zip:lJ��l �xpiration Date: �'�f�� '��'��"1 Phone: �� 5 � �' U�� Alt�rt�ate Phone: ❑ lnsurance -Current: i MECHANICAL SYSTEMS BEING I?�'STALLED Note: All Geothermal S}�stems ��ill ilow require a Site Piai� K Rcrie�ti� by �7i�r f��jilding Ufficial. IS THIS GEOTHF.RiVIAL:' ❑ Yes ❑ No HE.ATING SYSTE115 Quantit�- Vtake: Model: Fuel: Flue Size: Input BTI;s Output BTt,'s: C F'�1: COOLIIG SYSTE!�iS .^�uantity: Makr: blodel: — --- . --- — Tons: H. Power FIREPLACES ❑ Gas Factory Fireplace Brand'vame: _____ ❑ �L'ood Burning F�ireplace ❑ w'ood Stove ulodel �u.: __--– ----_ _ ❑ N'ood Stove with Flue !�1asonr� �'E\"TILATION ❑ No. _ hitchen �xhaust duct ��circulatim� __ �tin ❑ �o. Bath Exhaust(must ha�e�iuct uuuide) ctm __— ---- � \o. �the:Fans� 1_.ocatiuns ctin F(-E L STOR.4G E (:'NusY he upprai�ed h)� Fire:Llunclrull if prnposirtg tu uhuirdun tunk r�r ptuce.) ❑ Insta(tation ❑ Removal Fuel Oil: __.._____ gailons ❑ t;nderground ❑ Inside ❑ Outside LP Gas: aallon� Other: GAS LItiE O�tiLY ❑ Outdoar Grill � Other List ��'hat K �4 herr: �v�e3'G'�,�r- _ _ �r!"�`'� 5�C-'� /,�c��( O"1' I�1�� 5� �� PERMIT FEE CALCULATION(S) BASED OFF - ?002 STATL STATI.JE � l'es,this section applies The replacement of a Residentia! tixture or appliance that meets all three of the Following requirements: 1. Does not require moditication to electrica) or�as service. �. Has a total cost of 5500.00 or less:e�cludin<�the co;t of the ti�ture or appiiance: and ;. ls improved_ instailed or replaced b��the homeowner or licensed contractor. Skip ne�t section, ifthis applies; Cost of Permit S I5.00 State Surchar�e $ �.00 ti1ail-In Fee(If;lpplicabl�) �_ �.Of} �I'otal Permit 6ee S ►�,,.��"� PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 � If above does not appl�: follow�uideiines beloti: �r h�`� �" :��„��/ `�l�� S`1�� Sa <_v�/�'n'� I. C0ITRAC�� PRfCE " i5 I.��"o at contract price with a(!Ninimum Fee of��0.00) e,.�� f�>P �.c� .SEx-� � 01'� 5 ��, C'�� _— ----- _ _---_ i cornruct nrire 1 1 minimwn�50.00) ?. STATE SI:RCHARGE 5�� x .000� $ . 3 — --_____._-- _-- —_ --_ {�i�ntract pnee 1 3. POS"fAGE& HA\DLl'�G(Only on Vfail-In Application,) �i �.0(!__ _— �. TOTAL PER'�1IT FEE(Add Lines I-i :abovel 5 5 � •L� � � * CO'��fRAC�1 PRICE or JOB COS1� means the actuai or estimated dollar amount ehar�ed Cor the pennitted work includin�� materials, labor, protit. and other fixed costs. lt is the amount to be charged to the customer tbr the �ork done. it any material, equipment. labor ur instaliation� are t'urni�hed b� the owner, tenant or an} other part�. the rcasonable market �alue oT such item, must be add�d t.> the estimated cost or contract price for permit fee purposes. ln the e��ent 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 undersig��ed hereby applie, to the City for issuance of a Mecl�anical Perit�it, agrees to do all work in strict accordanc� with the ordinar�ces of� the City and ihe regulationi of the State of Minnesota, and cer[ities th�t all statements made on this application are complete. true and correct. � � :� _ Applicant's Si`�,nature� � �' Date: �C�' ,�1�1 3 �-._ _ _ _�---— - - .. , > DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��/-� 'G/,(,�� COMPLETED /�/�i' %[5� ADDRESS � .� 7 �� 'rr�' l�"-' �4� %(.! OWNER � TELEPHONE NO. CONTRACTOR ��f-'�"e �S��..�, l�� -�` ��=�r� � DESCRIPTION �'r S 1i�2 � � ❑ FOOTING ❑ P�UMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �— ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �Q�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERfCONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � ,� a �%`�'-r r�r.r.:� �/o/�f�— -�. %�D � l'.m l/ �✓, j ' `— � /!�I f�r�!�� ). � - n� r��%g �� n Z'. .��s��.E��.-, � .� � �f�� i<?e Cf�.^ �.�� — W ' � Q � dne z . � c � j ��rc�� ,��t�rl /d4�io�t 60'' !.�/� ��w�.�o�lr W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 'INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in adva . (952� 249-46�0 OwnedContractor on site: Inspector. Whi e Copyllnspector's File Canary CopyfSite Notice � '� �� / � DATE TIME -. / CIN OF ORONO f CALLED IN �' V INSPECTION NQJ�C� ��`^ ,`,_�_ SCHEDULED L�_��.�� '� PERMIT NO. �� COMPLETED ADDRESS �� OWNER � TELEPH E NO.�'��g�38� CONTRACTO �; DESCRIPTION ` � w � lL ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q � FRAMING ❑ 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. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j _ ,,; �, n O �. � O � � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED O PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection hours in advan . � 5 9-460� OwnerlContractor on site: . Inspector. '' White Copyllnspector's File Canary CopylSite Notice