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Home My WebLink About2012-00745 - gas line only � ' CITY OF ORONO * 2 0 1 2 - 0 0 7 4 5 * 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2012 � � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1300 FRENCH CREEK DR PIN : 10-117-23-32-0015 LEGAL DESC : FRENCH CREEK : LOT 007 BLOCK 002 PERMIT TYPE : MECHANICAL(>$500) PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : GAS LINE ONLY VALUATION : $ 1,400.00 NOTB: GASLINE FOR A POOL HEATER-266,000 APPLICANT MECHAN[CAL 50.00 METRO GAS INSTALLERS STATE SURCHARGE MECH(VALUAT[ON) 0.70 685 141ST LANE NW TOTAL 50.70 ANDOVER, MN 55304 (763)754-71 19 OWNER DEBORAH HOPP, CHRISTOPHER DAHL 1300 FRENCH CREEK DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the S[ate 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 of work shall be compied with whe[her 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 1 AO days at any time afier work has commenced. The applicant is responsible for assuring all required inspections are requested in confor anc wit the State Iding Code.This permit may be revoked at any fo du se. 6 �' � r' C� i � i /�' �� 8 i D / i /� Applic nt Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. / � ` FOK ITY USE ONLY 0,��0 City of Orono � P.O.Box 66 Date Received: � �'Permit#��1 0�— 7�S ��t,,,,,, 2750 Keiley Parkway —7 a�� ?'�;�f�- F� Crystal Bay,MN 55323 Approved Dy: Amount�: �� • / �,��i��u� Phone(952)249-4600 Fax(952)249-4616 $exoe CITY OF ORONO —MECHANICAL PERMIT (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) GENERAL INFORMATION l. You may apply for mechanical permits by mail or in person at the City offices. Applications will be reviewed and a pernlit will be issued within two working days. 2. Pernut 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 calcularions, details and specifications are required for each heating,ventilarion, humidification-dehumidification, and air conditioning installarion 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 Apply) �Residentia] ❑ Commercial(Approval Required) ��New ❑ Additional ❑ Repairs ❑ Replace Job Site/ Owner Information: Site Address: �0 �� G � /2�� d �� Owner: ��L� Mailmg Address: �� (,iL ./� City: � �1/'`C_9'�� Zip: Home Phone: �/�—�X/.3"3�� Alternate Phone: LP�� 7�J'' �� / Contractor Information: � `� y � �. Contractor: � Contact Person: �' �.�h Address: (1/�S �7��"�'� ��/�"`� State Bond #: City: ��%��'"� '� Zip�J�a�Expiration Date: Phone: 7(.�3�` �� Alternate Phone: (,/'�� OJ � :3y�� ❑ Insurance— Current: 1 � � ' � MECHANIC �,� `� �VIS BEING I1�TSTALLED ; ' �:: � 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/Masonry VENTILATION ❑ No. Kitchen Exhaust duct recirculating cfm ❑❑ No. Bath Exhaust(must have duct outside) cfin No. Other Fans: Locations cfm FiJEL STORAGE (Must be approved by Fire Marshall if proposing to abandon tank in place.) ❑ Installation ❑ Removal Fuel Oil: gallons ❑ Underground ❑ Inside ❑ Outside LP Gas: gallons Other: GAS LINE ONLY � ❑ Outdoor Grill ,�] Other/List What&Where: � Q�(Y��/ � ' � � r ` , . PERMIT FEE CALCULATION(S) � BASED OFF - 2UO2 STATE STATUE � ❑ Yes, this section applies The replacement of a Residential fixture or a�pliance 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; excludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractar. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 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$50.00) �C�.. J O X .oi2s$ (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 pernutted 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 pernut 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. MECHANICALPER�r14I�.��PS�ICATI(�NAGREEMENT .': y, �,,�,� ,�: 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: � � � 3 F� ATE TIME � CITY OF ORONO CALLED IN � �� INSPECTION OTICE � SCHEDULED /�-- -'�O PERMIT NO.�� COMPLETED - ADDRESS �,3D� �i��yl C-�� /`P OWNER _ ELEPHO NO �� ' 83�" �- CONTRACTOR - , ��: DESCRIPTION � � 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � O ' o _ `v�`��f� .. � � � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED [l PROJECT COMPLETE � ❑ CORRECT WORK 8�PROCEED �. ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REOUIRED.CALlTO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice